Medication Reconciliation
The Joint Commission requires policies and procedures for medication reconciliation. Nurses compile a list of each client’s current medications, including all medications with their dosages and frequency. They compare the list with new medication prescriptions and reconcile it with the provider to resolve any discrepancies. This process should take place at admission, when transferring clients between units or facilities, and at discharge.
PREASSESSMENT FOR MEDICATION THERAPY
Nurses obtain the following information before initiating medication therapy, and update it as necessary.
Health history ● Age ● Health problems and current reason for seeking care ● All medications currently taken (prescription and
nonprescription): name, dose, route, and frequency of each
● Any adverse or side effects possibly from medication therapy, as well as therapeutic effects
● Use of herbal or natural products for medicinal purposes ● Use of caffeine, tobacco, alcohol, and street drugs ● Clients’ understanding of the purpose of the
medications along with the client’s beliefs, feelings, and concerns
● All medication and food allergies
Physical examination
A systematic physical examination provides a baseline for evaluating the therapeutic effects of medication therapy and for detecting possible side and adverse effects.
