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Bert Offline OP
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Exactly.


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Which is also what John said above.


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I see all the posts but I am new to e-rx. Does anyone have a quick guide how to do this from start to finish. I thought somewhere here it would show but I don't see. Also are nurses doing this or docs? If nurses is it possible to send all rx's to doctor to sign off on all for day? I don't trust my nurse to send them all in electronically a little scary.
Thanks


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Can someone send me a step by step how to do e-rx. I have not done this yet and need to teach my staff.Also is staff doing it or docs?


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Bert Offline OP
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First, welcome to AC and the forums. If possible, if you could give a name in your signature and where you are from and what you do. Some like to contact those who are close or physicians checking AC out may be near you. Who knows, there may be another doctor in Bismark, ND.

OK, tutorial, albeit a short one:

http://amazingcharts.com/support/i-want-to-help-myself/how-to-guide-for-users/

No, you can't have them ready for signature. Once, they are done, it's too late. In 6.0, you can have the nurse sign them under your name. A workaround would be for her/him to click on them to be ready, then prescribe, then close the writer and the scripts would be on the left hand side of the script writer, but that would be fraught with problems.

I must say, if you trust your nurse to call or fax them in, then why not ePrescribe. In 6.0, there is a good audit system. In pediatrics, our patients would never wait until 6 pm to get their scripts and their pharmacies would be closed not to mention the extra work for you.

The MA could add the patient to the message area, do a "refill" but not send it, send the message to you and you could then send it back if you approve. Probably the best method if you want to approve them. The ePrescribe won't even let you send level Vs.

Personally, life is too short. Have her send them as above and send them to you after she does them. This solves two problems. One you see what she wrote within minutes and can save it to the chart.


Bert
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This seems like an active thread, so I will jump in and see.

I have been using AC for about 4 months with no hitch. So far, every question I have had has already been asked and answered on these forums -- but now I am stumped, and this is the first time I have posted.

I am testing v6.06 on a different machine from my "real" installation. I have registered E-prescribing, but so far, I can't get it to work (runs fine on my regular system) -- it say I am "verified", but there is a red warning below the Rx writer that say "not valid for ERx" because the DEA# is wrong -- or words to that effect. Is there some place to enter my DEA# -- I did that in the original registration when I had to print the contract and FAX it somewhere.

Tom Duncan
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Tom Duncan
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I answered my own question, I think.

I edited the DEA# in my Administrative Profile. Even though it was copied from the working version it wasn't correct. Now, everything seems to work.

Next question -- DEA says they have a procedure for scheduled drugs by ERx. So far, I can't get that to work. Does anyone know about that?


Tom Duncan
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I am in North Dakota but Bismarck is pretty far. Nevertheless, I can help out with any AC matters as I have been using it for years.

Lois Freisleben-Cook
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Bert Offline OP
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Tom,

There are ways to use ePrescribe that the FDA has laid out and has been posted here.

It is kind of like the wedding poem:

Something you have
Something you are
Something you know

A flash drive type key
An eye scan (for real)
A password

I think you need two of those three.

For me, it's too much of a hassle.


Bert
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A retinal scan? Oh, come on! You.Are.Kidding. Right?


Wayne
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Our hospital uses fingerprint identification for dispensing sedatives in the endoscopy suite. Retinal scanning wold not be much weirder.


David Grauman MD
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Bert Offline OP
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I have a VPN so I don't need this, but our hospital as that password thingy where it changes every ten seconds. Sure, it could fall into the wrong hands but so could the one our hospital uses with access to 1,000,000 patients.

At some point, we need to balance CII diversion with prescribing proper medications.

Eye scanning
Password
Flash drive

Is just a little much.

Wouldn't eye scanning or thumb prints be enough?


Bert
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Bert Offline OP
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http://en.wikipedia.org/wiki/Electronic_prescribing

http://www.msv.org/MainMenuCategori...g/eHealth-spotlight-E-prescribing--.aspx

Wikipedia gets a bit confused with CII vs normal meds. There are many, many websites talking about my post.

The good news is since retinal scanning is invasive and can actually cause eye damage over time, companies are coming out with iris scanning. I wish it were more accurate. The chance of two irises looking the same is as high as 1 out of 10 to the 78th power. Which is almost what NextGen costs.


Bert
Pediatrics
Brewer, Maine

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