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Medication Reconciliation Worksheet for Post-Hospital Care - 100/pad


Availability: In stock

Price: $12.00
  • Buy 3 or more for $11.40 each and save 5%

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INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. The INTERACT program includes clinical and educational tools and strategies for use in every day practice in long-term care facilities. The goal is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital. Click Here for more information.


MED-PASS is a licensed provider of the INTERACT tools.


© 2011 Florida Atlantic University, all rights reserved. This document is available for clinical use, but may not be resold or incorporated in software without permission of Florida Atlantic University.


For patients discharged from acute hospitals to post-acute care, medication reconciliation is a critical task.


This worksheet is designed to help nurses, primary care providers and pharmacists develop accurate and safe medication orders at the time of admission for new admissions from the hospital or residents returning from the hospital. Completing this worksheet will document that you have performed medication reconciliation at transition points of care as required by CMS.

  • Documents:
    • Hospital Recommended Medications Needing Clarification
    • Medications Prior to Hospitalization Needing Clarification
  • Includes detailed instructions for use
  • For use by all nursing home licensed nursing staff
  • Convenient minimum order quantity of pad of 100
Size 8-1/2 x 11
Unit Pad of 100
Hole Punch 5 holes top and 5 holes left