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Donna-Walker #119 06/10/2006 1:08 AM
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It has been very frustrating to me that when a patient calls in for a refill on a medication that there is no way to update it in the computer without generating another visit. I end up going in and writing over the last note, as if the patient was in for a visit in order to be able to change the last refill date on a particular medication, in order to document it. Other providers do not bother to do this, as they deal with more of the telephone refills than I do and therefore there is not a good record of how many refills the patient has had for a medication. The secretaries at our office write phone messages, including requests for refills on a message pad and it ends up getting scanned in, but unless someone thinks to look for it, there is really not a good way to keep track of medications. I understand that the office staff not utilizing Amazing Charts to the full extent may be contributing to the problem, but there is still no way for me to easily document the refills I authorize. If there was a way to go into a different interface and update medications without going into the last note, this would be helpful.

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Your working too Hard!

Have the receptionist enter the Med request as an E-mail message and send it to you.

Then you Reply, you elaborate on the need for the Rx , and document as you please. You can even make templates for this. (There is no need to generate a Visit). Then hit the Refill Med button, (this is not just for Refills), this takes you to the Rx writer. Enter your Rx and Print, or if you want ,don't print, but close the Rx writer. You will then find your exact Rx already entered as text in your message along w/ your documentation.

Then you can save this message to the chart and it will appear as a Msg in the Past encounters section, and be permanently a part of the chart!, or you can forward it to someone else for action. If you forward it for action to someone else, make sure that after they act on it that they save it. The bottom line is that whoever is the last person in the chain of action, needs to save it. :lol:

This is one of the coolest features of AC.

Good Luck


Neil E Goodman MD, FAAP, FSAM
2500 Starling Street,#401
Brunswick, GA 31520
Donna-Walker #121 06/23/2006 5:19 PM
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I am using the beta 3 version and found a way to add and delete meds without signing it. Go to the scheduling page, put up their name and right click on their name. Choose "Medications / Prescription Pad", add or change medications and then close the pad. It will put it in the plan on the last enounter if you open it up, but that will delete when you open a new note. It seems to work well.


Erich Widemark, NP
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Eric,
Thanks for that tip. That works well and answers one of the points on my wish list.

Leslie Strouse, M.D.

Donna-Walker #123 06/28/2006 5:41 PM
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We have the receptionist email the nurse WITH THE CHART ATTACHED TO THE EMAIL MESSAGE. Then the nurse checks to be sure we haven't already addressed the issue, whether patient is due for follow up, etc. If she can handle it she does. Otherwise she forwards to us. In the email message on the right hand side we just click on the Medication button, write the prescription, close the window and the prescription appears in our reply to the message. We send back to the nurse who calls out the prescription. Glenda


Glenda J. Clemens, ARNP
Donna-Walker #124 06/29/2006 11:31 AM
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We have used carbon rxes in the past, but now the staff is having a problem tracking my scripts through the computer (I am the only one that uses the computer, they use paper). Is there a way to track the rxes (like a report or something) especially for narcotics?

Erich


Erich Widemark, NP
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You can print 2 scripts, have the front desk stamp as copy
We will do this with orders if we want one to go to the patient and one to keep on file just in case there are issues with an order. Not as computer savvy but it works ok

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There is the option to print with or without a copy on the NYS Rx's since there is extra room on our paper. It's in the admin section in 3.0, beta. We've opted not to use it because the EMR keeps the record for us. Hope this helps....
Paul


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