D/C med list vs current list

[twokidsmom,rn]

What do you do when discharge med list was different than what pt was on. I called PCP no answer left message will fax ROC list with meds from hospital in the AM. Also faxing verbal order for PT since he is SP fall. Nothing too bad lasix decreased, no colace listed, toprol was discontinued last month but is on dc list, and no KDur listed but K was WNL.

[Isabelle49]

I would have done the same thing. You did good!

[caliotter3]

I implement the discharge orders until contact is made with the PCP, in case the PCP wants something different. In my cases, since the patients are usually children, I have to take into consideration what the parents want to do, because they run the show anyway. Whatever they want, one way or the other, is always communicated to the doctor. The doctor can provide an order to go along with the parent's wishes or they can insist on something different. Any way you look at it, the nurse is in the middle. See nothing wrong with what you did.

[HealthyNurse]

Medication reconciliation is part of the comprehensive drug review requirement. I think that you made a good first attempt. Even though fax can be a good way of getting the information to the physician, there has to be some follow-up confirmation with the doctor. It is important to document your attempts to contact the physician and keep the fax confirmation sheet as evidence that you actually faxed it.

[MaheaRN]

You did the right thing. We just got surveyed and this topic came up. We will start implementing med recociliation at each nsg visit if needed, as well as therapy visits. I also think it would be a good idea to fax over a copy of medication list obtained at SOC and have MD and treating RN both sign so we are both on the same med treatment plan. If the MD wants to make changes, he can. Many times, hospital d/c meds are different from pre-hospital meds and PCP is not aware. Also follow up w/PCP if no rtn fax by next day.