Title
Medication Reconciliation
Author
Lake Superior College
Put X in box to correspond with the
SLO (s)
Put X in box to correspond with the
Competency (s)
Patient Relationship Centered
Care
Communication Skills
Nursing Process
Learning Needs
Documentation
Informatics
Prioritization
Nursing Judgment
Professionalism
Ethical/Legal
Informatics/Technology
Nursing Judgment/Evidence
Based care
Professional Identify and
behaviors
Student
Learning
Outcome(s)
Quality Improvement
Knowledge/Practice/Ethical
Comportment
K
P
E
Patient Care Concerns
Systems
Patient Complications
Safe Nursing
Communication
Safety
Teamwork and Collaboration
x
x
x
x
Conflict Recognition
Managing Care of the
Individual Patient
Managing Care of the Individual
Patient
Assign/Monitor
Where should this assignment be used:
Classroom
x
Clinical Setting: Acute
Clinical Setting: LTC
Independent Study
x
Online/Web Based
x
Skills Lab
x
Simulation
Patient Care Assignment
Revised from Linda Caputi © (What type of assignment is this?)
Non Patient Care Assignments
Patient Care
The assignments are related to the
student while providing patient care
in the clinical setting.
Example: Concept mapping care for
one or multiple patients.
Thinking Focused
Assignments encourages
critical thinking and clinical
reasoning and teaches
students to think like a nurse.
Patient Focused
The student focuses on
specific aspects of patient
care such as safety, falls,
diabetes, other diseases, etc.
x
x
1
Systems Focused
Assignments help the student
understand the clinical world, the
nurse’s work therein, and the effect
of the system on the nurse and the
patient.
Example: How the system
completes medication
administration from order to
delivery to patient.
Assignment: Medication Reconciliation
Competencies measured in this assignment:
NURSING JUDGMENT/EVIDENCE BASED CARE-NURSING JUDGMENT COMPETENCY:
Identify (K), use (P), and appreciate (E) evidence based care when conducting a focused assessment, choosing nursing interventions within a
plan of care, monitoring, and reporting changes in the individualized patient's condition across the lifespan.
TEAMWORK AND COLLABOARTION- COMMUNICATION SKILLS COMPETENCY:
Describe (K), display (P), and value (E) effective communication skills including the responsibility to report to appropriate health care personnel
when working with members of the interprofessional teams.
The patient is scheduled this morning for a Bowel resection r/t bowel obstruction.
Post-operatively, he will receive his meds via NG or IV. You look at the orders and confer with the RN. The RN is busy with a patient being
transferred to the ICU. She asks you to call the physician.
Patient Home Meds
Ordered Meds
Metoprolol 25 mg bid po
Aspirin 325 mg daily po
Furosemide 25 mg bid po
K-Dur ER 20 mEq bid po
Omeprazole 40 mg daily po
Sildenafil 25 mg po prn
Metoprolol 25 mg bid NG
Furosemide 25 mg bid IV
K-Dur ER 20 mEq bid NG
Pantoprazole 40 mg daily IV
Assessment
Questions
1.
What would you
call the MD
about?
2.
Using SBAR
record what you
would say to the
MD?
Evaluation: Grading Rubric
S (__points each) NI (__ points each)
Answers
S:
Identifies at least 2
concerns with the
medications.
Identifies 1 concern
with the
medications listed.
U (__points
each)
Unable to
identify any
concerns with
the medications
listed.
Correctly gives
report using SBAR.
Unable to correctly
give report using
SBAR without
supportive cues.
Unable to give
report using
SBAR even with
cues.
Correctly changes
the medications on
the MAR correctly.
Needs supportive
cues to change the
medications on the
MAR correctly.
Even with
supportive cues
is unable to
identify what
needs to be
changed on the
MAR.
B:
A:
R:
3.
Now, review
the MAR for
accuracy and
change any
medications
that need to be
addressed.
Point:
Total Points:
Revised from assignment shared by Lake Superior College
2
LAKE SUPERIOR
HOSPITAL
MEDICATION ADMINISTRATION RECORD
PATIENT NAME
BED
NO.
BIRTHDATE
WEIGHT
Green, John
7102-1
4-1-50
80.2 KG
MEDICAL
RECORD
NO.
ACCOUNT
NO.
867-530999
BODY SURFACEM2
DULUTH, MN
DATE
DOSE PERIOD
1-24-XX
PHYSICIAN
ALLERGIES
KEVORKIAN, JACK
PENICILLIN, DILAUDID, DIABETA
DIAGNOSIS
MEDICATION ADMINISTRATION TIMES
2400-0700
0730-1530
1600-2330
Bowel Obstruction
TIME
SITE
INITIAL
TIME
SITE
INITIAL
TIME
Metoprolol 50 mg bid NG
0800
2000
Furosemide 25 mg bid IV
0800
2200
K-Dur ER 20 mEq bid NG
0800
2200
Pantaprazole 40 mg IV daily
1000
SITE
INITIAL
PRN’s
_________________ ( ) _________________ ( ) _________________ ( ) _________________ ( ) _________________ (
)
3