I have 3 methods -
1) Staff takes a message and e-mails me - I just hit refill meds and do the scrip - takes as long to type an e-mail with the med name, sig, qty, etc as it does to do a scrip and I never have to worry that my staff did it exactly as I want.
2) Pharmacy faxes - I look at fax on screen and open chart - do refill and send - I don't document a chart note as refill - history for med shows refill.
3) E-refills - come in and I look under e-prescribing, see pt name, open their chart and use NEWCROP SCREEN to refill/deny - it saves to chart and I go to next person and do theirs. This is the most cumbersome, but the lead programmer at AC is working to improve this and move it to AC screens. Hopefully will be done soon.