In: Nursing
It is important to document all the medication names including prescription drugs and over the counter medication drugs to be documented in the patient records. over the counter, medication play a crucial role in risks to patient safety. Mixing drugs with other medications cause many complications and even death. Addressing the capture of OTC medication in medical records during patient medication history collection is important. effective documentation system for OTC medications and the name of the drugs in medical record help provides and patient with the necessary information it increases the appropriate OTC use. It also help patient for mediation empowerment to act in an active role in health and improve health care system overall. it also avoid risk and unnecessary drug to drug interactions and complications due to inappropriate uses and increases patient safety. it also avoids confusion for other providers and staff regarding patient medication followup.