During a transfer from the emergency department to an inpatient unit, a nurse begins the medication reconciliation process. Which statement about this process is correct?
Medication reconciliation is performed only by the pharmacist, so the nurse's role is limited to documenting vital signs.
The nurse should create and verify a list that includes every prescription, OTC drug, vitamin, and herbal supplement the client uses.
Over-the-counter medications and herbal supplements may be omitted once prescriptions have been reviewed for interactions.
Medication reconciliation is optional when the client is being discharged directly home rather than transferred to another facility.
Medication reconciliation requires compiling the most complete and accurate list possible of every substance the client takes-including prescription drugs, over-the-counter (OTC) products, vitamins, and herbal supplements-and comparing that list with newly written orders. Omitting OTC or herbal preparations can hide potential duplications or drug-drug interactions, increasing the risk of adverse events. Therefore, the nurse must document and verify all medications, not just prescriptions. Options C and D are incorrect because nurses actively participate in gathering and verifying information and reconciliation is required at every transition of care, including discharges to home. Option A is incorrect because excluding OTC and herbal products is unsafe.
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Physiological Integrity
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