PCC eRx – Prescribe Medications
PCC Videos & Podcasts / Jun 26, 2017
Watch this video to learn how to prescribe medications in PCC eRx in PCC EHR 8.0, coming to all practices in 2017.
Hi everyone, this is Douglas at PCC. By watching this video, you will learn how to prescribe medications in PCC eRx in PCC EHR. You can work with prescriptions in a patient’s chart at any time, but, for this example, I’m pretending that I’m charting an asthma visit, and I need to send in the patient’s prescriptions.
I’ve got the chart open, and I’ll click the PCC eRx ‘chart navigation’ button. Just like a chart note, PCC eRx is a series of components on a scrolling ribbon, and I’ve got anchor buttons over here for navigation. Each component is a powerful tool for working with a patient’s medication information. At the top, I’m always going to see any drug allergies here in red. I can see the vitals that my nurse collected for this visit. I see this patient doesn’t have a pharmacy listed, so I’ll add one. Pharmacy searching is amazing in PCC eRx. It automatically searches from zip codes as showing me the closest pharmacies. As I type a pharmacy name, a city, a street name, even two streets for a street corner, the list updates and shows me the closest matching result.
Okay, before I prescribe, I might normally review the patient’s drug allergy details, I can see the patient’s problem list here, and any non-drug allergies will be here, too. I can even query the retail pharmacy history, optionally copy any records I find into the patient’s chart. The prescription history shows me prescription records for this patient and the medication history shows me all the medication records in the patient’s chart right now. If they tell me some new medication they’re on, I’ll update that right here. That’s all very important, but I want to prescribe now.
The easiest way to create a new prescription; I could renew an old prescription, at any time, I could just click the light blue ‘Rx swoosh,’ the renew button. I’ll see it here, under the prescription history, and here, too, on their full medication history. The renew button will create a new prescription, based on the previous one.
Today, I need to prescribe new medications for this patient, so I’ll visit the prescribe component. PCC eRx automatically keeps track of my prescribing habits and will build a list of customizable favorites for me, so, I can create a prescription just by clicking this green ‘plus.’ There, I’ve created the prescription for the Aerochamber the patient will need. It appears down below on the review and sign component, which we’ll look at in just a minute. I can also create a prescription a little slower, by clicking a blue ‘link’ on my favorites list, to edit a prescription before I prescribe it.
Favorites are powerful, of course, but you don’t really need them; PCC eRx has incredibly cool search features. As I start typing a medication, I see results, including common variations. I’ll even see drug alerts and warnings, right over here; this patient is allergic to penicillins. I’ll get other warnings later if I continue prescribing, but the alerts in this column are a great reminder.
Okay, for this asthma patient, I want to prescribe a flovent inhaler. PCC eRx corrects any spelling errors and helps me find the drug I need; I’m going to pick the 110 right here. Next, PCC eRx offers me common orders, which include the dose-form of the drug. These common and less common order lists come from a huge library of prescription options; I don’t have to create these as favorites, they’re right here for me. I click this green ‘plus’ next to 110, two puffs twice a day, and I’ve created and queued up that prescription. Okay, let’s do one more; I have to get this patient their rescue inhaler, too. I pick the HFA 90; once again it offers me the most common details I would send with this prescription. This time I want to customize the order a bit, so I click the blue ‘link’ instead of the green ‘plus.’ When I do that, I get to see all the various details about a prescription that I might enter. Notice that the dose-form and route and frequency from my selection are already filled out for me; I don’t have to type them in. I can make changes to any of these details I want.
Now, depending on the medication, I would see a weight-based dosing calculator here, or other adjustment tools and considerations. The actual prescription details and formulary support look up appear right here; I could adjust the amount on the script, for example. And I might add or edit instructions, or an internal note, or choose from a list of patient problems, to add them as indications. When it’s all set, I’ll click ‘save’ to que up the prescription. So we just created three different prescriptions, now let’s go send those prescriptions.
We’ll visit the review and sign component. In the review and sign component, I see the prescriptions I’ve created. At this point, of course, I could click the ‘red pencil’ icon over here to edit them, and delete one if I made a mistake. This ‘I’ for information button gives me complete drug information, but, I’m all set, I’m going to click ‘finalize prescriptions. One last time I get to review the patient’s information, the prescriber information, (that’s me, the doctor I’m playing in this video), the pharmacy, where the prescriptions are going, and the important details about each prescription. The ‘lightning bolt’ over here means I’m going to send this as an electronic prescription, but if I need to print out the prescriptions instead, of course I could do that by checking here; I’m all set so I’ll click ‘send prescriptions.’ You’ll notice, I didn’t enter any password; unless it’s a controlled substance, my PCC EHR log in credentials and my assigned eRx role are sufficient.
You can see that each of today’s prescriptions are now prescribed, and, if I look back up here at that medication history component, it now reflects the patient’s new medications. I can also see the patient’s updated list of medications in the medication history component back on the medical summary in the patient’s chart. And, my practice also has that same medication history component right on the chart note review. Now, whenever I make a new prescription, the record of that prescription activity, is also added to the chart note in the prescriptions component, down here. This component shows me the prescriptions I just made for today’s visit and it’s going to appear on any chart note, or phone note or other encounter when I’ve made new prescriptions.
That’s how you create and make new prescriptions in PCC eRx. There’s lots of other cool features and tools like weight-base dosing, a provider agent can create prescriptions on the behalf of an MD, that PCC eRx automatically checks for drug and drug interactions and, actually, you know what, the list is too long! PCC is building a library of PCC eRx tutorial videos on learn.pcc.com. And as always, speak with your client advocate about any questions, or for help getting PCC eRx to work with your practice’s work flow. Thanks for watching.