Professional Practice Standards
Information Sources for BPMH
Three Things
Adverse Drug Events
Helpful Tips
100
First, Critically review medication list. Then select: continue, change or hold. Finally, please sign the order to make it legal
Name three actions that are required by the physician to complete Medication Reconciliation Admission order?
100
Two
What is minimum number of sources that should be used to create a BPMH?
100
On admission (from home or the Emergency Room), interhospital transfer and transfer from other facilities.
Name three times when Medication Reconciliation should be completed?
100
Adverse Drug Event (ADE)
What is an injury from a medication or lack of an intended medication?
100
CR, XR, XC, and LA
What are suffixes that need to be included in the medication list?
200
Patient's own narcotics
What are the only medications that should be sent home?
200
Six Months
What is suggested time span that should be examined when reviewing the Drug Profile View (DPV) and Community Pharmacy profile to be considered accurate and complete?
200
Community pharmacy medication profile, Drug Profile Viewer (DPV) and Medication Administration Record (MAR)from other facilities.
What are three documents that must be sent to pharmacy?
200
Errors associated with lack of knowledge of medication and inaccurate transcription of medication lists
What are types of errors associated with collecting BPMH without interviewing the patient?
200
Sinemet,Domperidone and Insulin
What are medications that need to be taken at specific times?
300
Contact the physician for clarification order
What is the nurse's responsibility if an unintentional discrepancy is discovered?
300
ER registration clerks
Who are the people that can obtain the Drug Profile Viewer (DPV)?
300
Language barrier, confused patient, unavailable information
What are three challenges to collecting BPMH?
300
Wrong dose, frequency or wrong route transcribed onto the Medication Administration Record (MAR)
What is a possible outcome of altering the Medication Reconciliation Admission Order form after it has been sent to pharmacy?
300
Anticoagulants, Insulin and Opiods
What are High Alert drugs that require particular attention?
400
Altering BPMH document after it has been signed and sent to pharmacy
What is an unsafe practice and can be considered Professional Misconduct of the Nursing Act, 1991?
400
Patient home medication list
What should we teach patients to always bring with them to all doctor's appointments, clinic appointments and to the Emergency Room?
400
Name, strength and frequency that patient is taking
What are three questions you need ask about all medications?
400
Medications not intended for patient
What can happen if medication vials that do not belong to the patient are included in BPMH
400
Concentration and total number of mg taken
What is the information needed about liquid suspensions?
500
Healthcare team: physician, nurse, pharmacist/pharmacy technicians
Who is responsible for the BPMH & Medication Reconciliation process?
500
When looking at this object, you should question the patient about the dose, frequency and reason for taking the medication. Not the printed instructions.
What is a Medication vial?
500
Medication intolerances, height and weight
What are three things that are frequently not filled out on the Medication Reconciliation Admission Order?
500
Studies have found 60-67%
What is the incidence rate of Adverse Drug Events caused by medication changes at transfers between facilities? (2006, Santell; 2005, Tam)
500
Day of the week or Day of the Month
What is specific information needed for weekly or monthly frequencies?