Clinical Report
1. Read the Medication Profile in MAR to know what the client is receiving. 2. Verify that the Medication Administration Record (MAR) has the same medications listed. 3. Know the purpose and any instructions for each medication. 4. Check the client status for contraindications to giving the medications, such as illness, nausea, vomiting, diarrhea, or swallowing problems.
House
Does medication profile and MAR in adaptive match?
Yes
No
Have all the clients taken all medications as ordered from day(s) before?
Yes
No
Please explain which client and what medication.
Any client condition changes (If so, have you notified the nurse? or scheduled an appointment based on client condition change if necessary?)
Yes
No
Please explain which client and what is the condition change that you've observed.
Any refills needed? Are there any medications that are less than a week left in supply?
Yes
No
Please explain for which client and what medication should be reordered.
Are the clients refusing any medications (2-3x/week)?
Yes
No
Please explain which of the clients is refusing to take their medication.
Is any of the clients taking PRN frequently and are follow ups being completed?
Yes
No
Please list the PRN medication the client is frequently asking for and the reason they are asking.
Are there any new meds that have been prescribed to any of the clients this week?
Yes
No
Please list the client's name and the medication (scheduled or PRN).
Have all escripts from genoa been emailed and sent to nurse?
Yes
No
Are there any medications that have been delivered and has it been communicated on whatsapp to the team?
Yes
No
Have all appointments been attended to and after visit summaries obtained?
Yes
No
Have after visit summary been sent to nurse?
Yes
No
Submit
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