This is a simple form to record data about the medicines, monitoring parameters and the discussion with the patient. It is intended to record questions, answers and outcomes at the time the clinical record is reviewed and the discussion is held with the patient.
We recommend that the full review is recorded in the clinical record so that other members of the health care team can read it. Preferably this should be recorded electronically using an appropriate Read code such as 8B3V (medication review done). Recording the review in detail will prevent others having to ask and answer the questions again and will act as a useful record for follow-up and subsequent reviews.
Download the documentation form below