Here is my public service announcement (PSA).
Not to be confused with prostate-specific antigen, Pharmaceutical Society of Australia and I’m sure many other words starting with those letters positioned in that order.
Do you take any medication? Any medications?? Even one medication?
“No, only vitamins, no medications”. “Which vitamins?” “Umm…”
“Just a blood pressure tablet…oh I don’t know what it’s called, its the pink one”
“The doctor started me on an antibiotic this week, no I don’t know what it is”
Here goes, my entire public service announcement: KNOW YOUR OWN MEDICATIONS.
Every day, somewhere between 4 to 18 times depending on shift length and how busy the department is, I walk into an ED cubicle and ask a patient, do you take any medications? And I get some frustrating answers: frustrating in that the patient or their carer hasn’t taken ownership for their own or the patient’s healthcare, frustrating in that I have to put in a lot of time and effort that the patient didn’t think was worthwhile, and isn’t necessary, and I forget why else; I’m sure there was something.
I’m not whinging about having to do my job. The whole point of a pharmacist is to elicit the best possible medication history from or for a patient, and I have to dig a lot to get the optimal history. It’s the reason I go to work and the challenge of it creates a real sense of satisfaction once I’m certain of a patient’s medications. But I do think that patient’s have to be engaged and do their part. Obviously I cheerfully exempt unconscious patients, those who are demented/delirious, institutionalised patients and anyone else not in charge of their own medications. But the rest of you? Own your health, for your own sake if nothing else.
You don’t have to be a doctor, a healthcare professional or know anything really about medicine to excel at managing your own medications. You just have to put in a little time and effort, and get to know the following: the medication generic name (the one in small print), or the brand name (I can work with that), and the strength of the medication. That’s it. I’m not even asking you to memorise it. In fact I don’t want you to rely on your memory. When you’re in the ED, there are so many things going on that with you that your medication name and strength are going to get prioritised right out of your memory recall centre, and be useless to both me and you! So write it down, photograph it, tattoo it on your skin if you must! Okay, the last one is a joke, people!
After that, I need to know a couple of things about each medication: how many times a day you take it, what time of day you take it, and anything else pertinent to the medication specifically. If its written down, all you have to do is hand me the list and that’s all I need; if its on your phone just hand me the phone. So if you don’t want me bugging you, and asking you questions, be organised! I will reward you.
And as an added bonus, if your medications are written out neatly and the list shows you know your doses, your medication chart will be written up quicker, more accurately and your medication chart will be safer. I think that’s worth some effort.
For instance, one patient today brought all of their own medications in a box with a handwritten list saying what time of day each was taken. I was able to record all the information I need: generic medication name, strength (from the medications themselves), and the amount she took and what time of day she took it (from the handwritten list) while the patient was sleeping. When she woke up, I just quickly ran through the list with her to confirm it was up to date, and that was that! Easy, fast, and done, just like that! Her medication chart checked for accuracy and the patient was safe to go to the ward, medication-wise.
A lot of patient’s are very good at bringing in their own medications. In fact Epworth patients are exceptional at bringing in their own medications. This is mostly because they know from their last admission or from savvy ambulance drivers that if they don’t bring their own we’ll dispense what they need, but they’ll pay the same cost as if they were getting the medication dispensed at their usual pharmacy. Most figure they’ll just use what they already have. But having all the medications together in one place at the start makes taking a medication history a lot easier and more accurate, so there’s a hot tip for you.
Let’s try this again: do you take any medications? Yes? So what are they? Acceptable answers include:
- Here is a photo on my phone of all my current medications including vitamins showing the medication name and strength of the tablet/capsule clearly
- Here is my medication list that I keep in my wallet/handbag/toiletry bag that I bring to hospital with the name and strength of each medication and what time of day I take them
- Here are all of my medications in some sort of bag
- Here is the name of the pharmacy where I get all/most of my medications dispensed regularly
Personally? I carry a list in a plastic slip case that I got the the National Prescribing Service (NPS): it has sections for medication name, strength, amount, time of day, diseases, allergies all neatly in a double-sided fold up sheet that fits into a plastic cover; I think you can get them from NPS online.
So even if it’s one, or two, or “just” vitamins/non-prescribed medications, take the time to record them some way, some how. This isn’t just for hospital, but of course this is from my perspective working in a hospital. But I’m sure your GP, your specialists, and maybe others will make good use of your medication recording. So get going, and do me proud! I’d love to see your efforts, so send me your best!