Does anybody have experience making multiple custom prescriptions for the *same medication and dose*, and then allowing each custom Rx to reside separately in the memory of Script Writer.

For example, I might want two different custome Rx's for Prednisone 10 mg:

Eg.Rx#1: "Prednison 10mg 6 day taper" Prednisone 10mg #42: SIG Begin six tablets daily, decrease dose by one tablet each day until finished

Eg.Rx#2: "Prednisone 10mg 5 day course" Prednisone 10mg #20 Two tablets orally BID for 5 days.

It seems the script writer will remember the *last* Rx written for a medication and dose, but is there a way for it to store, as individual scripts, multiple different accessible Sigs for the same drug and dose?

Thanks,

Bruce Morgenstern, MD (Neurology)
Denver, CO

I don't believe you can do that with codified scrips

It DOES appear that AC remembers custom scripts. For example, I just wrote this custom Rx in script writer:

prednisone 10mg - ( 5 day taper)

#15

Begin five tablets daily (all at once) on first day

Decrease dose by one tablet each day until finished (Eg. 5->4->3->2->1->stop)


when I leave script writer and return to it and begin to type "Prednisone" in the Rx box, my named "prednisone 10mg - ( 5 day taper)" appears and will populate.

Now, does anyone know how to GET RID OF many of the many other scripts that AC Scritp Writer came pre-populated with and that I would like to delete?

Bruce Morgenstern, MD (Neurology)

Denver CO

It is true, the custom scripts are there but they are not codified scripts and can't be eprescribed. I customized all my scripts initailly as I didn't like how some of the scripts were mixed with lower and uppercase letters. This is how apparently they are codified. Not sure how you can get rid of these codified forms of drugs. They are the ones that work with eprescribing.

Let me know if this is all a mistake. This is my understanding. I seem to be eprescribing without difficulty now.

The upper and lower case looks funny, but are required - something called "tallman" or something like that. It is designed to make sure that the name is differentiated from similar appearing names for safety. I wish they could be all upper case in notes and tallman otherwise but can live with it as I have seen it elsewhere.

It is true that you are not using codified with the customized med which makes it so there are no safety checks and you are not e prescribing. You have a choice - use noncodified or use codified and meet meaningful use criteria.

I would also like to know how to get rid of the drop down scripts that the AC Script writer shows.

If I wrote a non-codified script as a mistake last week, it will pop up in the AC writer making it easier for me to make the same mistake again.

That "tallman" thing is annoying but makes some sense.