A home care nurse is admitting a new patient. While conducting the medication reconciliation based on the nursing admission policy, the patient hands the nurse a bottle of erythromycin he has been taking for 3 days. However, there is no electronic medical record (EMR) indication that this patient was prescribed erythromycin or any medical history or recent provider notation prescribing erythromycin. The nurse is clearly performing an important assessment and has several questions about the medication. The first question the nurse asks is, “Who prescribed erythromycin for you?” The patient responds that he had a cold and decided to go to urgent care rather than try to see his provider. The provider at urgent care prescribed erythromycin for bronchitis. As the patient explains the situation, the nurse recognizes that the EMR cannot reflect any out of network information.

1.

From an interprofessional perspective, who would the nurse initially contact based on this observation?

2.

What regulation(s) is the nursing admission assessment policy that stipulates medication reconciliation be conducted on every home visit based on?

3.

Is there opportunity to consider a quality improvement activity based on this scenario?