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It is recommended that a Discharge Reconciliation be performed through Medication Reconciliation before prescriptions are entered. After all Home and Active medications have been addressed and Reconcile is selected, the user will then address any discontinue reasons for Home medications that are being modified or discontinued. Any medications that were selected to be modified will also prompt the user to select the desired alternative medication.

 

NOTE: Prescription Entry does not require a Discharge Reconciliation to be performed in order to access the application. The only exception to this is in the Emergency Department (EDIS) if the ED General Control table is set to require a Medication Reconciliation for that Stay Type.

 

 

Select Web Client > Charts > Select Patient > Select Account > Medication Reconciliation

 

Medication Reconciliation

 

 

Once Reconcile is selected, the user will address any Discontinue Reasons for Home medications that were discontinued or modified. If the user exits the chart or closes out of the TruBridge EHR without selecting a Discontinue Reason, the previously processed Rx (Home Medication) will not fully discontinue. The medication will still show in Prescription Entry and pull to the Discharge Instructions (Discharge Med List). It is best practice to select a Discontinue Reason every time a medication is discontinued during a Discharge Medication Reconciliation. Not doing so could create an inaccurate Discharge Med List.

 

 

Select Web Client > Charts > Select Patient > Select Account > Medication Reconciliation > Discharge > Reconcile

 

Discontinue Reason

 

 

If a home or active medication was modified, the Alternative Medication Selection screen will appear to prompt for the selection of the desired replacement medication.

 

 

Select Web Client > Charts > Select Patient > Select Account > Medication Reconciliation > Discharge > Reconcile

 

Alternative Medication Selection

 

If no alternative medication matches are available, the non-formulary option may be selected to conduct a medication search. From the Medication Search screen, the user can select an alternate medication in the same drug class as the original home or active medication.

 

When all discontinue reasons and new medications have been addressed, the Pending Prescription screens will automatically open for new medications and medications that have required fields and Clinical Monitoring. The required fields may be addressed at this time and individually processed or saved and processed all at one time from the Prescription Entry main screen.

 

NOTE: All active oral liquid medications that are continued upon performing a Discharge Reconciliation will default and require a dose unit of mL. The numeric dose quantity will also be required on the Prescription Detail screens.