High Risk Meds- Please remember to check ALL high risk medications during your medication reconciliation.  Here is a quick guide:

CONTROLLED SUBSTANCES (Oxycontin, Percocet, Hydrocodone, Etc.) DIABETIC MEDICATIONS: ORAL AND INSULIN( NPH, Regular, Metformin, Glyburide, Etc.) IMMUNOSUPPRESSANT AGENTS (Corticosteroids (Prednisone), Cyclosporine’s, MS, Lupus, Crohn’s disease drugs) DIURETICS (Lasix, Spironolactone, HCTZ, etc.) ANTICOAGULANTS (Warfarin, Plavix, Eliquis, Xarelto, etc.) POTASSIUM DIGOXIN

Adding a Pharmacy- Every SOC we should be adding a pharmacy!  Some are easier than others.  At this point, many pharmacies are already in the system.  If so, here is a step-by-step to find them: Under “Demographics”, click “Facilities” then click “[Edit]”.  Then, at the bottom of the screen, click the “Add” button.  Drop down facility type and select “Pharmacy” then hit “Select”.  This will bring up the entire searchable list of pharmacies in the system.  You can search by brand (CVS, ACME, etc…) or town (Avondale, Drexel Hill, etc…), or they are listed alphabetical by name.  Once found, click “Save” and then the back button.  The selected pharmacy should then show up in the “Related Facilities” section under demographics.  Please be sure that this is done for every patient!  Not listing a pharmacy, could result in a survey deficiency at audit time.

Discharge Paperwork Needed– There are 4 main forms for discharge:

1. Discharge Summary (in the tablet) is needed for ALL disciplines

2. Notice of Medicare Noncoverage (NOMNC)- PAPER should be completed by the last clinician in AND at least 48 hours prior to discharge

3. Home Health Change of Care Notice (HHCCN)- PAPER is needed for ALL disciplines.

4.  Discharge Instructions- PAPER is needed for ALL disciplines.

A quick time saver would be to complete one of each of these for your patient, have them sign them and then Genius Scan them at the time of signing.  This way your don’t forget and your minimize the amount of papers you take from the house!