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Act 1

The document outlines key steps for gathering and verifying a patient's medication information, including reviewing various sources and formally interviewing the patient or their carer. It emphasizes the importance of preparing by understanding the patient's background and identity verification. Additionally, it highlights the need to record any allergic reactions to medications in the patient's medical records.

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Chester 3
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5 views1 page

Act 1

The document outlines key steps for gathering and verifying a patient's medication information, including reviewing various sources and formally interviewing the patient or their carer. It emphasizes the importance of preparing by understanding the patient's background and identity verification. Additionally, it highlights the need to record any allergic reactions to medications in the patient's medical records.

Uploaded by

Chester 3
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Key Steps

1. Review sources of available medicines information


a. Medication containers
b. Community pharmacy list
c. GP referral letters
2. Formally interview the patient or their carer
3. Verify the history with one or more sources of information
4. Record the information on the patients medical record
a. The National Medication Management Plan
b. The National Inpatient Medication Chart
c. The Electronic Medical Record

Dr. Willies

1. BE prepared
Review any background information you can find on the patient.
a. Age & Cognitive function
b. Language spoken at home.
c. Social background *living alone or aged care

Carer

Community nurse

d. List of Medication (Containers, Dosage, Instructions Label)


Patients medicine containers
Patients medicine list
Patients prescriptions
Record from aged care facilities
e. Checks patients’ identity against the medical records (name, age, date of birth)
f. Introduce anyone else who may be present. (student/ supervisor)
g. Ask if it’s a good time to do the interview.
h. Record any Allergic reactions to medication/s or other substance to MMP / HER / Medication
Chart

What was the medicine you had a reaction to?

When did it happen?

What exactly happened?

Has this happened again?

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