94%(71)67 out of 71 people found this document helpful
This preview shows page 2 - 4 out of 4 pages.
reaction from psychiatric medications, these are not necessarily listed or flagged as“allergy” in the patients record. We may see that the patient has this medication listed in their chart, and we may not know exactly why it was discontinued. Although it is imperative to discuss all prior medications with the patient, they maynot remember having the increased behaviors if they were not in the right state of
mind at the time. In using the patient’s medical record, we can look through past providers and staff notes of those who have worked with the patient in the past. When a nurse is reporting findings to the provider, it is important for us to document these behaviors to avoid this reaction in the future. Reviewing and utilizing this information is helpful to achieving a better level of care for the patient. Knowing that a patient has experienced a certain reaction to a medication or even asituation is extremely helpful when helping patients especially in the psychiatric field. If a patient has had manic, aggressive, or self-injurious behaviors in responseto a previously used medication, we would make sure that the medication was not used again during our care. We could also flag the medical record to alert others of the reaction as well if that was not done already. I have witnessed dangerous situations like this in our facility before, and we were fortunate to make quick adjustments to care to help the patient. Adolescents are often hesitant to discuss sensitive information with adults that they do not know. In my personal experiences, it has been helpful to have information ahead of time to have a better understanding when teens are hesitant to indulge. In addition to the medical record,I also obtain a verbal report from the prior nurse that was caring for my patient.