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NTOCC has patient medicine list online
2-page tool can be downloaded
The American Society of Health-System Pharmacists (ASHP) and the ASHP Research and Education Foundation have developed a 2-page tool called "My Medicine List," which can be downloaded from the National Transitions of Care Coalition (NTOCC) web site, www.ntocc.org.
The tool includes a page where patients list their name, birth date, phone number, e-mail, emergency contact, allergies, and medication problems.
It also provides instructions for how to use the list and a chart for writing down medications with columns for the following:
"Drug name (brand name, generic name, dose);"
"This looks like"
"How I take it"
"I started taking this on"
"I stop taking this on"
"Why I take it"
"Who told me to take it."
There also are rows with this list:
"In the afternoon, I take:"
"In the evening, I take:"
"Before I go to bed, I take:"
"Other medicines that I do not use every day:"
For more information, contact:
Elizabeth J. Clark, PhD, ACSW, MPH, Executive Director, National Association of Social Workers, 750 First Street, NE, Suite 700, Washington, DC 20002-4241. Telephone: (202) 408-8600. Web site: www.naswdc.org.
Cheri Lattimer, RN, BSN, Executive Director, Case Management Society of America, 6301 Ranch Drive, Little Rock, AR 72223. Telephone: (501) 225-2229. Email: email@example.com.