Physician Initial Medication Orders Form

​Missouri Baptist Medical Center
St. Louis, Missouri, USA

 

This physician order form is used to ensure reconciliation of medications at the time initial orders are written. The form is designed so that staff can document a patient’s home medications directly on the form and the ordering physician need only indicate whether each one should be continued, and add any additional medication orders needed.

 

Directions

Use this order form as a template for creating a similar form in your own organization to allow for easy reconciliation of medications on admission.

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  • Medication Reconciliation Tracking Tool
    A tool for tracking data during a test of medication reconciliation during admission.
  • Reconcile Medications at All Transition Points
    Medication reconciliation is the process of creating the most accurate list possible of all medications a patient is taking including drug name, dosage, frequency, and route, and comparing that list against the admission, transfer, and/or discharge orders, with the goal of preventing unintended chnages or omissions during transition points.
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