DDD Support Coordination Updates August 15, 2016
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1 DDD Support Coordination Updates August 15, 2016 Division Announcement Regarding Recent irecord Enhancement After the irecord 3.25 release, users were unable to find some medications and/or dosages that participants were currently taking. The majority of these were medications that the National Library of Medicine (NLM) had archived because they were no longer available for new prescriptions for various reasons. DDD IT now allows access to the archived medications and will be adding future enhancements to the system to notify Supports Coordinators of updates to medication availability. See attached Features & Tips Document to further assist in ease of use of the Medication Tile in irecord. Questions? Contact Next SC Supervisor Meeting: Wed, Sept 7, 1:00 4:00pm SC Supervisors please register for this upcoming important meeting via live webinar format, which will cover Division updates and clarification pertinent to SC agencies, as well as notice of upcoming training planned. Supervisors only please. Register at: Suicidality & IDD Final Webinar in Dual Diagnosis Series Tues, Sept 13, 11:00 am 1:00pm All SCs and SC Supervisors are asked to attend this final webinar in the Dual Diagnosis Series, even if prior webinars were not attended. Dr. Lucy Esralew, Clinical Administrator, CARES & S-COPE Trinitas Regional Medical Center, will discuss this critically important topic to promote better understanding, prevention, and preparedness for Support Coordinators related to suicide and people with intellectual/developmental disabilities. This live webinar is designed to assist Support Coordinators in their work with families in which the individual is at increased risk for suicide. The presentation will review who is at higher risk, how to recognize needed supports, and how to build in safety measures. The presentation will also review how to work with mental health professionals and the acute care system in order to ensure that the individual has the level of evaluation, treatment, and services in order to remain safe. Register at:
2 In patch 3.25, an enhancement was added to irecord which allows users to select from an established list of medications and their associated dosage types. This list is maintained by the National Library of Medicine (NLM) and is used throughout the country by hospitals, pharmacies, medical offices, and other agencies to electronically record and process drug information. By maintaining a standardized set of normalized and unique medication names, users are able to better ensure drug-related information is recorded efficiently. Medical records may then be transferred between organizations with greater accuracy and less ambiguity. What is included in the Medication list? Clinical drugs - pharmaceutical products given to (or taken by) a patient with therapeutic or diagnostic intent Drug packs - packs that contain multiple drugs, or drugs designed to be administered in a specified sequence Generic and brand name drugs Many vitamins and over-the-counter supplements What is not included in the Medication list? Radiopharmaceuticals Bulk powders Contrast media Food, including supplemental energy bars and some drinks Some dietary supplements Medical devices, such as bandages and crutches Medications not available in the United States Expired, off-market, obsolete, or retired medications* *After the irecord 3.25 release, users were unable to find some medications and/or dosages that participants were currently taking. The majority of these were medications that NLM had archived because they were no longer available for new prescriptions for various reasons. DDD IT now allows access to the archived medications and will be adding future enhancements to the system to notify Supports Coordinators of updates to medication availability. Ref: MedicationTileTips.docx Page: 1
3 Additional Features & Tips If you have read the User Guide and are still unable to find the correct medication and/or dosage, the following tips may help: Search for similar terms and pay attention to auto-suggestions For example, instead of searching for "folate," "folic acid" may be more appropriate. Generic terms are available If a brand name is not provided, many generic terms are available to choose from: Ref: MedicationTileTips.docx Page: 2
4 Look for letters in all caps (Tall Man Lettering) Many medications have very similar names and are easily confused. The FDA recommends "tall man lettering" to help visually differentiate between look-alike drug names: If an individual or family member sends you an official prescription list, take note of any capitalization that may help you identify the correct medication. irecord supports this formatting where available. Ref: MedicationTileTips.docx Page: 3
5 Try searching for common misspellings in the Drugs.com Phonetic and Wildcard Search Type in how the medication sounds like it might be spelled or enter only the letters you know are correct. The results will suggest commonly misspelled drug names and link you to more information to confirm if the medication is correct. You may then search in irecord using the correct spelling. Ask the individual or family member to check the prescription label Often times, a prescription is written for a name brand medication, but is filled with a generic instead. Generic alternatives may not always have the same dosage options available as the brand name version. Consider expiration dates, too, as medications that are only taken occasionally or "as needed" may expire without the individual or family realizing it. Ref: MedicationTileTips.docx Page: 4
6 Try reordering the ingredients for mixed medications For example, "Phenylephrine/Codeine" will not return any options, but the reversed order will: Use common language and notes to your advantage For example, if an individual takes 3-100mg tablets of ibuprofen in the morning, 1-200mg tablet at night, and additional tablets of either dosage as needed...don't complicate it any more than it already is. List the medication and frequency in a logical way, and include additional notes as needed. The above example could be described as: Ref: MedicationTileTips.docx Page: 5
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