Document Inpatient Medical Records 
Pharmacy Joe
MAY 1, 2024
Subscribe on iTunes , Android , or Stitcher The label of “penicillin allergic” usually sticks to a patient’s medical record forever. The trouble is that many recorded allergies are actually intolerances, such as nausea, vomiting, and diarrhea. She experienced a rash to the nafcillin as an inpatient.
Pharmacy Joe
SEPTEMBER 18, 2022
If I’m trying to determine whether venous thromboembolism prophylaxis is appropriate, it is much faster and accurate to see the sequential compression stockings (SCDs) on the patient’s legs than it is to search the medical record for documentation that SCDs were applied.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Pharmacy Joe
SEPTEMBER 18, 2022
If I’m trying to determine whether venous thromboembolism prophylaxis is appropriate, it is much faster and accurate to see the sequential compression stockings (SCDs) on the patient’s legs than it is to search the medical record for documentation that SCDs were applied.
Pharmacy Joe
NOVEMBER 14, 2021
Documentation within the medical record. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <– This 3-step procedure includes: 1. Determination of indication 2.
ID Stewardship
DECEMBER 13, 2024
It may be derived from work completed inthe microbiology lab, unitsdispensed from the pharmacy, administrations performed by nurses, expenditures produced from drug purchases, documentation within any area of the electronic medical record, extraction from supplemental tools or data warehouses, and so much more.
Pharmacy Joe
SEPTEMBER 6, 2021
Don’t get me wrong – I’m not suggesting that you don’t document necessary pieces of information in the medical record, or that you don’t document your interventions. But for basic interventions like I just described, it makes the physician look good when they “fix up” orders based on your informal recommendations.
Pharmacy Times
JUNE 17, 2025
Materials and Methods Oncology-trained nurses review the charts of all specialty oncology medications that are due to be refilled. The nurses have access to the electronic medical record and perform an extensive medical records review of office notes, labs, scans, pathology, and upcoming appointments.
Expert insights. Personalized for you.
98 
Let's personalize your content