REKONSILIASI OBAT

Summary

This video provides a comprehensive tutorial on drug reconciliation, a process where pharmacists compare medications that a patient has received with the prescribed ones. The goal is to prevent medication errors and ensure accurate treatment. Key steps include data collection, comparison, confirmation with the doctor, and communication with the patient and healthcare team. The tutorial emphasizes the importance of documenting changes and maintaining clear communication throughout the process, ensuring patient safety and accurate treatment management.

Takeaways

• 😀 Drug reconciliation involves comparing the patient's current medications with those from previous prescriptions or other health facilities to ensure accuracy.
• 😀 The purpose of drug reconciliation is to prevent medication errors and ensure the patient receives accurate treatment.
• 😀 The process of drug reconciliation includes data collection, comparison, confirmation, and communication with relevant parties.
• 😀 Data collection requires verifying the drugs the patient is using, including dosage, frequency, route of administration, and any known allergies or side effects.
• 😀 Allergy and side effect information should include the date of the incident, the drug causing the reaction, and the severity of the reaction.
• 😀 Medication history should be gathered from the patient, their family, or their medical records, focusing on drugs used within the past three months.
• 😀 Both prescribed and over-the-counter medications, including herbal remedies, must undergo drug reconciliation.
• 😀 The comparison phase identifies discrepancies such as missing, different, or replaced drugs that have not been documented appropriately.
• 😀 Discrepancies should be confirmed with the prescribing doctor to determine if the differences were intentional or unintentional.
• 😀 After confirmation, it is essential to document any changes, such as stopping, replacing, or postponing medications, along with the reasons and signatures of involved healthcare professionals.
• 😀 Communication of the changes in medication should be done with the patient, their family, and the nurse handling the patient to ensure everyone is informed.

Q & A

What is drug reconciliation?

Drug reconciliation is the process of comparing the drugs a patient is currently using with the drugs they will be prescribed at a health facility, ensuring no medication errors or discrepancies. This includes checking drugs brought from home or from previous medical facilities.

Why is drug reconciliation important?

Drug reconciliation is crucial because it helps prevent medication errors, ensures that the patient receives accurate treatment, and guarantees that no drugs are overlooked or improperly administered.

What are the main steps in the drug reconciliation process?

The main steps are: 1) Data collection, 2) Comparison of drugs, 3) Confirmation of discrepancies, and 4) Communication of changes to relevant parties.

What type of data needs to be collected during drug reconciliation?

Data collected includes the name of the drug, dosage, frequency, route of administration, history of allergies and side effects, and any details about the drugs used in the last three months. Information can be gathered from the patient, their family, or medical records.

What should be done if a discrepancy or incompatibility is found during the comparison stage?

If a discrepancy is found, it should be confirmed with the doctor to determine whether the discrepancy was intentional or unintentional. The doctor should be contacted within 24 hours to resolve the issue.

How should discrepancies be handled if they are unintentional?

If the discrepancy is unintentional, the doctor can address the issue and adjust the medication plan accordingly. The pharmacist must ensure the necessary changes are made.

What should be done if the drug reconciliation leads to a change in medication?

Any changes in medication, such as stopping, postponing, or replacing drugs, must be documented clearly, including the reason for the change, along with the date, time, and the officer's signature.

How is the communication of drug reconciliation changes carried out?

The pharmacist is responsible for communicating any changes to the patient, their family, and the nurse. Clear communication ensures that everyone involved in the patient's care is aware of the adjustments made.

What should be included in the documentation of the drug reconciliation process?

The documentation should include the health facility's logo, patient details, drug information (name, dosage, frequency, route), status of the drug (continue, change, stop), and the name, signature, and date of the officer performing the reconciliation.

Why is it important to document the reason for stopping, postponing, or replacing a drug?

It is important to document the reasons for any drug changes to ensure transparency, maintain accurate records, and ensure proper follow-up care. This helps avoid confusion or mistakes in future treatments.