Hey all, I know each state is different. So I am not asking for super specific answers. I am a case manager in a psychiatric clinic that associated with a major hospital system. So NOT CMH. I do a variety of things. On intake I ask what medications they are currently taking and have taken previously. I ask what has worked well or not well. But that’s it. Today I was calling an established patient who was having some hallucinations and triaged to see if they needed to go to the ER or to the MD earlier than the next appointment. After I was done, I routed the note to the psychiatrist who said next time ask about med adherence and side effects in more detail. I don’t typically ask these questions, because if it is specifically med related the RN can go over that with them. I did tell the patient if there are medication issues or questions to call the RN and never make changes to medications without talking to the RN/MD first.
My question is this - what is our role concerning medications. I feel like detailed questions about medications is out of my scope. Honestly, I don’t like asking about them on intake and feel this should be done by the MD at the initial appointment. But maybe I’m drawing a line in the sand where there shouldn’t be one.