Specialties Cardiac
Published Jul 19, 2010
You are reading page 2 of Meeting CHF core measures with medication reconciliation upon discharge
KaitRN
52 Posts
Sounds exactly like my unit! I'm still very new, just off orientation and I find that this is quite a hassle and most nurses on my floor will agree. The nurses are always held responsible, the MD's are not. It's a rather unfair standard...
shadowflightnurse
96 Posts
Good to know so many of us share the same problems. My hospital has a core measures team to follow all issues related to core measures (AMI, CHF, Pneumonia,SCIP, etc). Unfortunately this "team" is comprised of administrators and other non-clinical nurses (those who have not been at the bedside for years). Instead of loking at the overall process problem, they keep putting a band aid on each time an issue comes up. In addition to the bedside nurse having to deal with all of the paperwork and holding the MD's hand during the discharge, they also have to worry about making any mistakes. If the core measures team identifies a failure the responsible nurse gets a disciplinary point assigned and couseling. These disciplinary points are permanent, they do not roll off after a period of time.
Sara RN
8 Posts
I go through the same process that you are describing at my job. I love the idea of having the pharmacist doing the discharge med rec. They would be better equipped to locate any possible problems. I'm a new nurse and I hate that all of the paper work takes away from my patient contact.
hotshot5684
1 Post
AnnaN5 do you have a copy of the CHF discharge sheet, we're trying to implement something similar at my hospital