This customizable document, Medication Profile, is taken from MCN Healthcare’s Hospice Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

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Here is some sample content from Medication Profile:

	POLICY: The patient's medication profile/medication reconciliation form is documented in the home care record, and is used to evaluate the patient's current medication regimen. PROCEDURE: The pharmacist and/or nurse will complete the medication profile during admission of a patient. The medication profile will include: All current prescription medications, oral and injectable, including medications used for flushing catheters i.e., heparin, normal saline Non-prescription medications and home remedies the patient is taking or takes PRN The medication name, route, indication and dosage ...
Second excerpt:
	...change and update. The pharmacist completing the review will initial and date the form each time the profile is reviewed. The patient's medication profile will be updated if there are any medication changes. The discontinue date will be written on the report and the discontinued medication will be crossed out or highlighted. Medications wherein route, frequency and/or dose is changed will be treated as discontinued and rewritten as a new medication. If needed, the medication...