Entering prescriptions

You can quickly enter a prescription in a patient's record by using one of your prescription templates, or you can write a prescription from scratch.

To enter a prescription for a patient

1. How to get there

   1. If the correct patient is not already selected, use the Patient Search box to access the patient's record.

   2. On the Patient menu, under General, click (or tap) Prescriptions.

      The patient's Patient Prescriptions page opens.

   On a patient's Patient Prescriptions page, click (or tap) Enter New Prescription.

   

   The New Patient Prescription page opens and displays all of your prescription templates grouped by category.

   

   Tips:

   • To search for an existing template, under Prescription Templates, in the Search box, begin typing part of a drug name. The matching templates appear as a list or in categories of expandable and collapsible sections. Continue typing as needed to narrow the search results.

   • If Group by category is selected, expand a section to locate a prescription template in that category.

2. Do one of the following:

   • Use Template - Use a prescription template that does not require any modifications:

     1. Select a prescription template.

        

        The prescription appears.

        

     2. Go to step 4.

   • Customize Template - Use a prescription template that requires some modifications:

     1. Select a prescription template.

        

        The prescription appears.

        

     2. Click (or tap) Customize.

        

        The options for editing the prescription become available.

        

     3. Go to step 3.

   • Create New - Create a new prescription from scratch:

     1. Click (or tap) Add New Prescription.

        

        The options for adding a prescription become available.

        

     2. Go to step 3.

3. Enter or modify the prescription details, such as the category, drug name, dosing instructions, amount to dispense, and number of refills.

   Set up the following options:

   • Drug category - Select a category for the drug; or, if the category you want to use does not already exist, click (or tap) Create a new category in the list to enter a new category (for example, "Pain").

   • Drug name - Enter the drug name (for example, "Tylenol III 1000mg").

   • Controlled substance - To specify that the prescription is a controlled substance and to have the prescribing provider's DEA number appear on the prescription, select this checkbox.

     Note: In addition to the DEA number, the prescribing provider's NPI number, state license number, and Texas-specific identification number (for practices in Texas only) may appear on the prescription to comply with state regulations.

   • Sig - Enter the dosing instructions (for example, "Take 1 pill orally as needed for pain.").

   • Dispense - Enter the amount to dispense (for example, "6").

   • Unit - Select the unit type. If the type that you want to use does not already exist, click (or tap) Add new unit in the list to enter a new type (for example, "Capsule").

   • Substitution allowance - If a generic version of the drug is not allowed, select Dispense as written; otherwise, select Generic substitution permitted.

   • Refills - Enter the number of refills allowed, or use "0" if no refills are allowed.

   • Patient note - Enter any additional notes for the patient.

   • Provider - Select the prescribing provider. Only providers who have access to the current location and who are flagged as charting providers are available.

4. If you are customizing a template or creating a new prescription, to save this prescription (without the selected provider) as a new template that can be used later with any patient, select the Save this prescription as a template checkbox.

5. Click (or tap) Add Prescription.