I've been trying to get all the staff to use the messaging system in AC. That way, I can forward an approval on to the RN who can save it to the chart or print or fax the prescription or order. This works with lab orders when the order is picked off of a right click on the patient name - a message is created after the order is printed. This can be forwarded to the doc for approval. Refills can also be printed and saved to a message that can be forwarded. All the messages can be saved to the chart.