Medication follow-up

The Follow-up tab of the Medicines workstation gathers what did not go as planned and calls for a decision. Each list also has its smart button at the top of the workstation: Back From Hospital, Repeated Refusals, To Review.

Back from hospital: reconcile the treatments

When a resident returns from hospital, the treatments the departure had suspended are resumed as they were. The resident’s record then shows a banner, Back from hospital on …, with Reconcile the treatments, and the workstation lists the resident under Back From Hospital, with the date and the number of running treatments. The head nurses on duty also receive an activity.

  1. Click Reconcile (on the workstation) or Reconcile the treatments (on the resident’s record).

  2. The window lists every running treatment: medicine, dose, frequency, moments and state. Untick Keep for each treatment the hospital stopped: it ends today.

  3. Write in the note what the discharge letter says about the treatments.

  4. Click Reconciled. A summary is posted on the resident, the banner and the activity close.

A treatment the hospital changed or added is then written as a new treatment or from its prescription. See Treatments.

Repeated refusals

Each refusal recorded on the round is written on the treatment, for the prescriber, with the reason and who recorded it. When a resident refuses the same treatment three times in a row, one alert asks for a review of the treatment (Refused 3 times in a row). The workstation lists these treatments under Repeated Refusals, with their open activity.

Medication review

A resident appears under Medication Review when one of these signs is there:

  • ten running treatments or more;

  • a psychotropic (antidepressant, anxiolytic, antipsychotic, hypnotic) running for more than 90 days;

  • a return from hospital whose treatments are not reconciled;

  • an allergy recorded against a running treatment.

The list shows the running treatments, the long-running psychotropics and the reason; The Treatments opens them. The reason is also shown on the agenda of the multidisciplinary meeting.

Incidents and corrections

The Incidents and Corrections buttons of the same tab are described in The medication round at the desk.

Going further