Documenting in the updated Client Reported Medications Module
Entering Client Reported Medications
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Click on 'Add Reported Medication' and enter name of prescription medication in the RxNorm search field and select the appropriate medication and strength, and select the PRN checkbox if it is an as needed medication.
a. If a medication is not found in RxNorm (typically non-prescription OTC medications and supplements), click the 'Other' box and enter the name, form, and strength, of the medication in the open text field labeled 'Medication Name, Dose, Route'
b. If a client is unable to recall the full order, select 'other' and enter the medication information they do recall in the free text area labeled 'Medication Name, Dose, Route'
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Enter the frequency and dose quantity, and you may enter the last dose taken as well justification and any other notes as well
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Click Add reported medication. Continue this process to add all of the client's reported home medications.