Home Forums Discussions Problems medications

Have upgraded to 6.1.2 without any issues, except one.

I really dislike the way the medicines work and I really can not figure it out.

I see a patient and write an Rx:...it adds it to this visit! That makes no sense as they are only taking it after the visit. It looks like they are on it during the visit.

Not sure why this was changed.

This is a critical problem.

As far as it appears, need to inactivate the med to remove it from the current med list, but that messes the list up for next time.

Hi Neil,

I believe that if you make changes using the left "Current medications" window, then the changes will appear for the current visit.

If you use the right "Write scripts" box, the changes will not appear in the current visit.

At least that is how it works for us, including 6.1.2

Gene

Maybe a bug...tried it again and even sent it off to Medco for a test patient....still happening...

Prescription writer seems to have several problems or I am missing some thing.
1.When a one time prescription is given, for example antibiotics this will show in current medication list as if patient is taking this mediation for long term. Then when you go to delete this from the list you have to write a comment for doing so.
2.When a medication is entered in prescription section and if it is deleted for any reason before printing or transmitting and a different dispense quantity or strength is picked then both the prescriptions the deleted and prescribed will show in the plan section.
3.In quick rx writer there is no drop down menu to pick for topical applications or inhalers.
3. When continuity of care is printed out for the patient it shows all the medications active and inactive, this causes a lot of confusion for the patient.
Is there a way to fix these problems.
Thanks.

1) Unfortunately AC has not developed timed med to fall out although I like at next visit easily seeing last episodic med.

2) relatively easy to erase from plan.

3) don'use drop downs as if you print plan for pt it is better to use plain English (my opinion )

4). I think inactive and active is a pain and I hope AC makes choices in future (I think they will.

Hello,

We are currently using version 6.2.2

Whenever we update medication section during a current patient visit, it doesn't seem to stay updated once we transfer chart to another user.

This seems to be happening since Beta version was installed. We have to update this section each time it is transfered to a different user, which creates confusion as to what patient is currently on versus past prescriptions.

Any solutions?

@nisar Unless the chart is finished, the med list should contain the old meds, not the ones you wrote on the current visit but did not finalize by closing the chart. V6.2.2 does have issues with old "legitimate" meds being recognized when you renew them. They often show italicized like custom meds.

I realize that Neil seems to have this problem, but they should not show up unless you update the prior med list by going into that section. If you only deal with the active prescription writer page this should not put them in past history.

Ok,

Think I solved my issues.

Apparently if I add meds in the room with the patient (Rx:), can't go back to the medication list to edit anything if they changed something prior to the visit as my med list is now changed for good....

So, need to update all meds in the room with the patient, then write new meds, and can then go back later for the rest of the note.

Cannot edit meds at any time after you have written new meds as the med list is now updated with the new meds.

The med list should really only change after the visit is signed off.

No big deal, just knowledge about this and will change my behavior that was ok with previous versions.

Not quite true tceg, actually if you double click on the medication box in the LLQ of the screen, you can delete meds, and update the med list.

yes, you can correct the meds that way, but if you follow the normal flow this is an issue.

You need to correct and update meds first, then write new Rx:. If you go back to the med box afterwards, before your note is signed, and update the med list again, the new medication that you wrote after the visit will appear in this box and your note will be confused...it will appear that the pt was on the medication at the visit, but wasn't.

This wasn't like this before and is really more complicated then it should be!

"If you go back to the med box afterwards, before your note is signed, and update the med list again, the new medication that you wrote after the visit will appear in this box and your note will be confused...it will appear that the pt was on the medication at the visit, but wasn't."

I hated this, because it didn't seem that I could highlight and delete the new med from the med list in the note. But then I found that I could "cut" it out by hightlighting the new med and pressing CTRL X, as if I was then going to paste it in somewhere else, which I don't. It leaves a space in the med list, but that's better than having the med there. So, if I make a mistake and do things out of order, at least I can fix it.

That solves it!


I was inactivating in the summary sheet and re-activating.....cutting is much better!

You can also highlight and backspace or hit delete button as well.

"You can also highlight and backspace or hit delete button as well."

Wendell, I can't get either of those maneuvers to remove a med from the Current Medications box at the bottom left, without actually inactivating the med.

For the problem of medications prescribed during a visit prematurely transferring to "current meds" list before the visit is complete (Thus suggesting the patient was arrived already taking the medications you just prescribed before a note or letter is generated) try this:

1. Call up the patient's chart.

2. Enter all the patient's current medications through the routine "current medication" box on lower left.

3. THEN: Save the chart to your personal in-box by typing "Ctrl S".

4. NOW: Retrieve the chart from your inbox.

5. Proceed with the visit as you normally do and prescribe meds using the "Write Scipts" icon on the chart's right side. For some reason (AC Developers- are you listening?) the act of having saved and retrieved the chart after the incomming medicines are documented prevents the newly prescribed meds from prematurely transferring over. IT does appear that newly Rx'd drugs are later transferred to the right sid med list, but no longer prematurely. I do not know why this works, but it seems to.

Any thoughts?

Bruce Morgenstern, MD
Neurology, Denver

I misunderstood, I thought you were talking about removing it from the Plan area. No, if you don't want it to show up as a current med, it must be deactivated. The only way is to correct the med list (via the current med list) before you write new ones and they will not show up on the current med list.