We do med reconciliation in the ER on every single patient. I ask them what prescription meds and/or OTC meds they take, they tell me, and I enter them in the computer. Sometimes they give me a list, sometimes they hand me a bag with 6 or 7 med bottles. With nursing home patients you know you're going to spend 15 minutes searching through the chart and then entering 23 meds, but at least they are on two or three pages and usually in alphabetical order.
And then sometimes you get a patient that defies all expectations.
Like the patient whom EMS dropped off with a suitcase of meds.
A suitcase. There were ONE HUNDRED AND NINETEEN pill bottles in the case. I know, because I counted them. And read them. And entered them in the computer. Every single one.