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Vital Link Program

  

The Vital Link Program is a collaborative effort by American Red Cross, CVPH Medical Center, and the United Way of Clinton & Essex Counties, Inc.

 

 

Vital Link Goals

o    improve access to accurate up-to-date

    ~  basic medical/emergency information

    ~ complete medication profile

    ~ agencies providing services

 

o    decrease medication misuse

 

o    increase patient accountability

    ~ communicating vital information

    ~ maintaining up-to-date medication profile

    

 

Vital Link Components

 

Community-wide program targeted to persons 60 or older by key health care providers and agency staff to include:

 

o  Completion of the Vital Link form which outlines basic medical history and medications.

 

o  A magnetized plastic holder for posting the Vital Link Form on refrigerator.

 

o  Importance of bringing "brown bag" with all medications and "Vital Link" form to doctor or         pharmacist.

 

o  Review of pamphlet outlining rules for safe medication use.

 

o  Education of all health care providers.

 

 

Vital Link Medication Record

 

Here is a sample of the Vital Link Medical Record.  Participants are encouraged to place this on the front of their refrigerator, use it to keep a record of their medications, and bring the record when they visit their doctor or health care provider and ask them to help them keep it updated.

 

____

___________________________________________________________________________

Name:________________________________________      Allergies:____________________________________

          (First)                 (M.I.)                    (Last)                                   ____________________________________

 

Address:________________________________________                ____________________________________

            (Street, Apt #)           (City)               (State, Zip code)

 

Phone:_____________________                                            Date of Birth:_____________      

 

Number in Household:_____________                                    Pharmacy:___________________________

 

 

CURRENT MEDICATIONS...(Include prescription and non-prescription)

 

 

 

 

 

Medications

Dosage

Frequency

Date Started

Date Ended

Doctor

Notes

1.

-

-

-

- - -
2. - - - - - -
3. -

-

-

- - -
4. -

-

- - - -
5. - -

-

- - -
6. - - - - - -
7. - -

-

- - -
8.

-

-

- - - -
9. - -

-

- - -
10. - - - - - -

 

 

DOCTOR/S NAMES AND PHONE NUMBERS...

 

____________________________________
____________________________________
____________________________________

____________________________________

Insurance Information:_________________

____________________________________

 

ADVANCE DIRECTIVES:

Non-hospital DNR (Do Not Resuscitate)____yes____no (attach original)

Health Care Proxy____yes____no (attach a copy)

 

 

IN CASE OF EMERGENCY...

                                    

Name: __________________________________________________________  

                    (First)                (M.I.)                (Last)                    

 

Address: ________________________________________________________

                (Street,Apt.#)                (City)                    (State, Zip Code

 

Phone: ___________________________

 

Relationship: ______________________

 

 

PAST MEDICAL HISTORY...()

Heart Problems: ________________________    Pacemaker: ____________________

Breathing Problems: _____________________    Bleeding Problems: ______________

Seizures: ______________________________    Diabetic: ______________________

Hearing Problems: _______________________     Sight Problems: ________________

Prosthesis: _____________________________    Depression: ___________________

        Hearing Aid: _______________________

        Contacts: _________________________

        Glasses: __________________________

        Dentures: _________________________

        Other: ____________________________

 

 

Other/Comments: __________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

 

Good Pill, Bad Pill Program

The Good Pill, Bad Pill Program is designed to educate patients regarding drug interactions.  It encourages participants to review with their doctors/pharmacists all medications they are taking to avoid drug interactions.  Below is some information about this 

GOOD PILL?

 

  

(Art donated by Sid Couchey)

BAD PILL?

Play it safe with medicines!

Older Americans take more than 443 million prescription drugs annually, and about half are taken incorrectly.  This often leads to serious illness and hospitalization.  Play it safe with your medicines by following these rules:

Know the names of your medicines and why you are taking them.

Understand the directions and follow them carefully.  Pay special attention to instructions like "do not take on an empty stomach" or "avoid alcoholic beverages." Ask your doctor or pharmacist to explain anything you do not understand.

Keep each medicine in its original bottle and read the label whenever you use it.

Take medicines when you're supposed to - develop a system to keep track if you must take several different ones.  Check with your pharmacist about what to do if you forget to take a dose.

Take only the prescribed amount of any drug - never more or less.

Don't stop taking a drug suddenly without checking with your doctor - even though you are feeling better.

Keep an up-to-date record of all the medicines you are taking, including nonprescription (over the counter) drugs.

Call your doctor if you notice any unexpected symptoms or side effects.

Never share your prescription with your friends, or take drugs prescribed for someone else.

Throw away all old or expired medicines - don't let them sit in your medicine cabinet.

Take your medicine record with you whenever you go to see any doctor, dentist, or other health professional, or if you must go to the hospital emergency room.

About Drug Interactions

Medicines can interact with other medicines, with foods and beverages, or with medical conditions.  These interactions can make a medicine less effective or even harmful for you.

This is a concern for people of all ages, but seniors are at the greatest risk because they generally take more medicines.  More than nine million adverse drug reactions occur in older Americans annually.

Remember that eye drops, prescription shampoos or lotions, vitamin supplements, pain relievers, sleep aids, cold remedies, and laxatives should be considered drugs and may react with other medicines.  When you make your medication record or take your medicines for a checkup, be sure to include all of them!

     

Take Your Medicines for a Checkup! 

Put all your prescription and nonprescription medicines (don't forget vitamins, pain relievers, sleep aids, cold remedies, and laxatives) in a bag and take them with you the next time you visit your doctor or pharmacist.  He will answer any questions you might have and check to see that:

  • your medicine record is up-to-date, listing all your medicines

  • your medicines are not beyond their expiration date

  • there is no duplication (same product with different names)

  • your medicines will not cause an adverse interaction.

The Vital Link Program Information was provided as part of a public awareness campaign by a coalition of concerned community health care agencies and financed by the CVPH Medical Center Foundation and United Way of Clinton & Essex Counties, Inc.

 

To find out more about the Vital Link Program or to access forms to help you record all your medical information you can contact:

American Red Cross - 561-7280

United Way of Clinton & Essex Counties, Inc. - 563-0028

CVPH Medical Center - 561-2000

   

 

 

 

 

United Way of the Adirondack Region, Inc. * 45 Tom Miller Road * Plattsburgh, NY 12901