No, Wendell, you did not and I am glad I can commiserate with you on this. Two points:
Even if you did make all the decisions on vaccines and not your MA, I don't see how you can a) take the time to choose them from the order section and send them to your MA and, then, b) hope that she gets in front of her PC and decides to refresh the messages to see the orders. God forbid, she or he is in another room doing a neb or shots or whatever. I would rather put up the red flag or talk to her in the hall. She will know it is a well child who needs shots.
For me, I would rather make my office efficient by delegating the decision on vaccines to my MA who now knows the vaccine schedule both on time and behind better than I. There will still be areas that I am better in, which is why I check them on the Superbill. It is so much better for her to go over the shots at triage, do the VIS and have them drawn up by the time the patient is ready to leave. Plus, when I am behind, it makes much more sense for her to have already given them.
Maybe I am too trusting.
