Request a Best Possible Medication History (BPMH) in the Emergency Department (ED Nurses)

At the earliest indication that a patient is likely to be admitted to acute, the Physicians or Nurse should initiate the event that signals the BPMH Team to perform the BPMH. This proactive step increases the likelihood that, by the time the consulting physician arrives in ED, the BPMH will be done so that the physician can proceed to Medication Reconciliation at admission without delay.

 

Initiate the Request for BPMH from FirstNet ED LaunchPointInitiate the Request for BPMH from FirstNet ED LaunchPoint

From ED LaunchPoint, right-click in patient row and choose Set Events.


 

Select Perform BPMH and click OK.


 

This will insert a capsule icon  into the Events section of the Tracking Shell that BPMH team monitors to alert them of a new patient who needs to be interviewed.  

When the BPMH team interviews the patient, they will remove the capsule icon and insert a comment in the OOD column, BPMH in progress while they are working on the BPMH interview and CST Cerner entry, then change the comment to BPMH done or BPMH complete when it is finished.

 

How will we know when BPMH is done?How will we know when BPMH is done?

Once the BPMH Team has finished documenting the BPMH in CST Cerner, the Orders screen in the patient’s chart will show a green check mark for Meds History, indicating to the admitting providers that the BPMH is complete and they can proceed to Medication Reconciliation at Admission to reconcile orders.


 

What About when there is no one from the BPMH Team on duty?What About when there is no one from the BPMH Team on duty?

Please refer to site guidelines for BPMH Team availability and after-hours process.

Some sites may prefer that the BPMH is completed by the BPMH Team when they are back on duty, OR have virtual BPMH coverage for off-hours OR the BPMH shall be taken by the provider admitting the patient after hours.

 

When  to use the Paper BPMH form?When  to use the Paper BPMH form?

The Paper BPMH form may be used by the BPMH team to capture the patient’sBest Possible Medication History.. The form will also be used when CST Cerner is unavailable, for example, during a downtime or if a WOW is not available.

 

 

Related Topics

Request a Best Possible Medication History (BPMH) in the Emergency Department (ED Providers)

Related Positions

ED Nurse

Pharmacists

Pharmacy Technician

ED Providers

Key Words

BPMH

Emergency Department

BPMH Team

Documented Home Meds

FirstNet BPMH

Perform BPMH Event

Last Updated: June 22, 2020

 

 

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