Prescribing (Physician)

1. Prescribing (Physician) Chapter 17

2. Objective • Place dispensed and prescribed medications orders

3. Key Concepts • Dispensed medications • Prescribed medications • ePrescribing

4. Prescribing Medications • Dispensed medications are those that the medical facility has on hand to provide to the patient • Prescription medications are those for which the patient needs to have a prescription filled at a pharmacy • Meaningful Use Core Objective 4 is ePrescribing which calls for physicians to electronically generate and transmit prescriptions and prescription-related information • Do This! Pg. 215

5. Ordering Medications using The Problem-Focused Method • Place cursor in Medications field on Visit Documentation screen (Figure 17-1) • At top of screen MedTrak displaces patients allergies to medications which complies with Meaningful Use Core Objective 11 • Two ways for physicians to prescribe medications are the same two ways the physician uses to place orders for x-rays or treatments • Click Medications button on Visit documentation screen(Figure 17-2) • Use plus and minus signs to navigate to correct medication hen click green cross to select medication • Do This! Pg. 217

6. Ordering Medications using The Order Code Method • Second way to place order for medication is to use order code • Order code can be entered directly in Medication Field on Visit Documentation screen • Enter order code in Medication field • Press ENTER key • This method is faster because you just type the name of medication rather than locate it on the medication tree • Order by Code screen appears which reads the code and displays the related order (Figure 17-4) • Click SUBMIT button to confirm this is the correct medication

7. Order By Code • Next screen is order details screen for the medication displaying number to dispense and directions for taking the medication • MedTrak populates the standard way a physician writes the prescription to save time • This can also be standardized by the medical facility or individual physician • The physician can type over the prescribed amount to change the directions • This screen has the same functionality as Open Orders screen • If wrong medication was ordered click CANCEL ORDER button • Do This! Pg. 221-222

8. Printing The Patient’s Chart • You will need to print and turn in the patient documentation for the patient you completed in the electronic health record • Do This! Pg. 222

9. For Prescription Medications • MedTrak includes two questions about samples: • 1. How many samples did the physician dispense? • 2. What is the lot number of the sample medication? • If there was a recall on the sample medication given to the patient the facility could run a report and see which patients received that lot number of the sample and notify the patients about the recall • To finish ordering click Submit Answers button • MedTrak refreshes Order by Code screen displaying addition of the medication chosen to the right(Figure 17-7)