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Discussion

Computer HH nurses

Do you leave med sheets in patients homes? Do you carry printers around? If not how do you give them med sheets and educational printed info? If no med sheets how does Medicare look at that? We have to leave a copy of our med sheets along with medication information with the pt.

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I've never used a portable printer for my field device while in the field. We print med lists at the office in the morning before we schedule visits. For patient teaching we have preprinted information in our admission packets for fall prevention, infection control, prevention of decubiti, pain managment, etc. (pretty much the standard stuff.) For more specialized teaching we utilize online teaching resources such as Krames. Our computer program also has library text features which we can format and print progress notes with teaching informaiton. Some items we can save to our desktop and print off as needed from the office printers.

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Our med forms have 3 so we can leave one with pt one with Oasis and one for our travel charts. So if the pts has alot of meds it takes a long time to fill out. Just wondering since you have to print it out in the office they do not get a copy of med sheets till 2nd visit?

To answer your question, a medication list from our home health agency is provided at second visit if needed to be printed on the computer. First visit we are required to provide teacing on high risk meds, provide reconciliation of pt's. meds in home and notify physician within 24 hours of any medication discrepencies, adverse med interactions, clarifications or contraindications. We carry in our forms, medication schedule to write out if it is needed on the first visit. To be honest a great majority of our pt's. are medi savy and have reviewed their hospital discharge orders. Since we are hospital based, majority of referrals come from the hospital. Usual our referral source will indicate if they believe the pt. is having a problem with med mngt. During our admission we reconcile meds and assess pt's. understanding of them to determine if there is any problem that immediately needs to be rectified.

Unfortunately, we are on paper. No computers, no laptops. We write all meds on a MAR,one copy stays in the home and the rest goes to the office. We get a list of meds when 485 is generated. I can't wait to retire.

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