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Documentation
of Medication by History within the electronic medical record has been
an ongoing issue for the Nursing staff. Unfortunately, if the Medication
by History is not documented correctly, it has a direct impact on the
Medication Reconciliation conversions when completed by Physicians,
which then effects patient's Discharge Instructions at time of
discharge. The details of the documentation must be displayed a certain
way for the medication to convert correctly. There has been ongoing
education through additional classes, and job aids. I created this
infographic as a simple and to the point visual in order to remind
Nursing how their details should display within the EMR. This
infographic assignment could be sent to Leadership at the Health Quest
facilities and displayed on each Unit's information board or anywhere
considered to be "high traffic" areas for Nursing.
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