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While ePrescribe is accessed from the Rx Ability, utilizing ePrescribe is a distinctly different process. If you are seeking more information on how to use ePrescribe, we encourage you to refer to the ePrescribe article as this article will be focused exclusively on using the Rx Ability to create and print paper prescriptions.
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In short, if you have ePrescribe, select FDB. If not, select RxNorm. And if you need to use Custom Medications, you can select Custom.
Setting a Default Rx Form
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Each of these forms are essentially the same, just formatted differently. It is important to note that the 4 per sheet and Half Page can print multiple prescriptions for one patient, but not for multiple patients. We'll address this later in the Create a Prescription section.
Adding Medications via Medications Manager (4.4 and earlier)
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The Rx Sidebar contains three folders for all of your patient prescriptions, separated into status categories. A fourth folder provides access to the ePrescribe module, which is addressed in the our ePrescribe article.
If no patient is selected, each of these categories will display all medications that belong in that category for all patients in the database.
If a patient is selected, only that patient's medications will be displayed in each category.
You can also move medications from category to category by dragging and dropping them into the desired category.
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Pending Meds: You will only see this category if you have ePrescribe. This category contains medications that have been ordered in ePrescribe but haven't yet been transmitted, printed, or cleared out.
Active Med List: This category contains all medications that the patient is currently taking. It will include all meds that were created in MacPractice and all meds created in the ePrescribe node.
Inactive Meds: This category contains any medications that the patient used to take but is not currently taking right now. A prescription can be moved from Active to Inactive by simply dragging and dropping the record in the sidebar into the Inactive Meds folder.
ePrescribe: This node will access the ePrescribe ability.
Prescription Discount Card: This node provides a link to a printable card provided by Rx for Miracles for prescription discounts.
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Medication: This is a field that, when clicked, will allow you to search all medications from the database indicated by your Coding Database in Preferences > Coding.
Route: This field allows you to select the method of taking the medication by a drop down menu. This field should automatically update based on the selected medication, but should be checked to confirm regardless.
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Incident: All prescriptions fall under a particular Incident in the patient's Clinical Summary. This selection defaults to the most recently used Incident.
Provider: This field indicates the Provider that prescribed the medication. By default, this should automatically populate from the Provider set in the Patients Ability > Patient Tab for the currently selected patient.
Office: This field indicates the Office where the prescription was written. This should automatically populate based on the Office set in the Patients Ability > Patient Tab for the currently selected patient.
Form: This field allows you to select the prescription form that will be used. This is automatically set to the Default Rx Form that you have set in Form Preferences.
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PRN Checkbox: Latin for "pro re nata"; indicates a medication should be taken as needed or as necessary.
May Substitute Checkbox: Indicates a pharmacist may substitute a generic medication for a brand name one.
Take: The amount of medication per dose.
Drug Form: The form of the medication, such as tablet, pill, capsule, etc.
Frequency: How often the medication is taken.
Duration: How long the medication should be taken.
Dispense: Total amount of the medication to be prescribed, i.e. how many doses there are.
Refills: Number of refills the pharmacist should allow.
Additional Sig: Special instructions for the patient or additional information regarding the prescription; will appear on the prescription label.
Special Instructions/Note to Pharmacist: Further information for the pharmacist regarding the prescription or patient; will not appear on the prescription label, but will appear on the printed prescription.
Non-Printed Notes: Notes associated with the prescription that are internal to MacPractice only.
National Drug Code: Used to search and tie the NDC number to the current medication.
Prescription Order Number: Used to notate the order number; internal to MacPractice.
First Record of Order: Used to indicate this is the first record of this prescription being written for the patient- that it was written within MacPractice and did not exist on paper or elsewhere first.
Administered During Visit: Used to indicate that the medication was given to the patient at the visit; restricts the prescription from being printed.
Package Description: Indicates the package, bottle, or container based on the NDC code; internal to MacPractice.
Dose Calc: Indicates the method of dose calculation; internal to MacPractice.
Unit Qualifier: Indicates the units for the overall prescription; internal to MacPractice.
Ordered Date: Date that the prescription was originally requested.
Prescribed Effective Date: Date that the prescription was created for the patient.
Dispensed Date: The date that the pharmacy dispensed the medication to the patient.
Started Date: Date that the patient should start taking the medication.
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If all prescriptions in the queue are using the same form, such as the Prescription [4 per sheet] form, multiple prescriptions can be printed to the same page, as long as they are for the same patient.
Multiple patients will be split to their own prescription pages regardless of the form set.
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Note: The Prescription [Half-page] form does not pull two prescriptions onto the form. It will only print a single prescription. |
If you navigate away from the Active Med List with items left in the Print Queue, you'll bel prompted whether you'd like to clear the queue or continue to a different view. Typically we recommend that you print off your queue prior to leaving the Rx Ability just to make sure you don't forget to resolve your prescriptions. You can also choose to Cancel and remain in the Active Meds node.
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Tracking a Prescription
Once prescriptions have been added to a patient's record, you will be able to track them using a variety of tools.
First, all prescriptions for a patient will appear in the Patient's Clinical Ledger, accessible from the patient's ledger in the Ledger Tab of the Patients Ability. You can use the View Options menu to display Rx records.
Prescriptions are also viewable for a patient in the Clinical Summary in the Clinical Ability (Or the Clinical Tab of the Patients Ability in Builds older than 11 of MacPractice). These will be located in the Medications widget (or sub-tab in older builds)
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