We will cover prescribing over 2 parts.
Part I: How To Prescribe Rx.
Part II: How To Discontinue and Delete an Rx.
Part I: How to Prescribe Rx:
In order to prescribe Rx, open the Patient’s Chart.
1. Scroll on your left to the Rx Clinical Section click on the +Treatment or simply click on the Treatment on the bookmark section and this automatically opens a Treatment section on the right of the page. Note, instead of Rx, the Clinical Section may be called Medications or Treatment, depending on what the Clinic Administrator has decided to call it.
2. Now, from your list of favorites, select a medication from My List. Alternatively, you can click Formulary and search from a list of 90,000 brands and 1,800 generics. Click on the +button beside the medication. For example, Amoxicilin 500 is selected here.
3. The Medication will be added to your left to the Current Visit. You can now input the drug protocol. Drug Protocols consist of Dosage, Dose Unit, Frequency, REG, PRN/SOS, DUR, Route, Instructions, Quantity, and Refills of the medications given. All these terms can be pre-fed and saved as a favorite. Let us review the elements of a drug protocol.
Dosage: Dosage is the strength per unit of the medication prescribed. For example, Dosage Rx- Take Azithral 500 mg. 500 mg is the dosage.
Dos Unit: Dos unit is the unit of measurement present in the prescribed medication. For example, Dosage Rx- Take Azithral 500 mg, mg is the unit of measurement.
Frequency: is the Frequency at which medication prescribed must be taken. For example, Dosage Rx- Take Azithral 500mg, twice a day (1-0-1).
Route: Route refers to the method by which a prescribed drug can be taken. For example either orally, intramuscular, intravenous, intradermal, etc.
Days/Weeks/Months: Specify how long the patient should have a particular drug. For example, A patient is given Amoxicillin 500mg and is asked to take it for 10 days. Until 10 days this medication will appear as Current Rx the patient is on, on the 11th day it moves automatically to the Past Rx section.
Regular: is usually suggested when a medication is prescribed to a patient for consumption on a regular basis. For example, A patient suffering from high blood pressure has been prescribed a drug to be taken regularly, there is no specific duration or timeline given. Regular medications will appear under the Current Rx section of the patient’s chart.
PRN: Pro Re Nata (Latin) and As Needed (English) It is used in cases where a need may arise. For example: Take Ibuprofen only when there is a need such as a sudden backache. It is also referred to as SOS: Si Opus Sit (Latin) and If Needed (English). PRN medications will appear under the Past Rx section of the patient’s chart.
Instructions: In a medical prescription, instructing a patient on the use of medication prescribed is termed as instructions. For example: To take the tablet after meals or apply an ointment before going to bed etc. The most common instructions for consumption like After Food/Before Food has already been added. This saves you time typing it down every time.
Quantity: quantity prescribed usually depends on the dosage and the course of medications prescribed. It is prescribed by the doctor for the pharmacy. In cases where an antibiotic is prescribed, there is a set minimum dosage. For example: Take 6 tablets, twice a day for 3 days. The pharmacy can then provide the patient with the full required prescription.
Quantity Unit: is the quantity of medication, represented by a single unit. For example, 1 bottle of Ascoril has been prescribed to a patient. The bottle of medication is the quantity unit.
Refills: Refills are the continuation of a prescribed medication, which is noted by the pharmacy and given to the patient when required. For example, Monthly medication prescribed to diabetic patients. The pharmacy can give the patient 1 months’ supply and then give a refill in the following month.
Such Drug Protocols can be preset for 1 Click Prescribing and can be extremely useful to the doctor, patient, and pharmacy as it ensures in creating and maintaining of systemic and accurate medical prescriptions.
Just in case, should you happen to prescribe a medication with exactly the same protocol as the previous one, Clinicea will present you with a prompt warning that the medicine has already been prescribed.
Part II: How To Discontinue or Delete an Rx:
1. If you want to Discontinue an ongoing Rx.
a. Open a Patient Chart | Rx | Click on the Discontinue option from the drop-down under three vertical dots.
b. Reason to Discontinue window will open up, you must enter the appropriate Reason and click on Save to Discontinue the medication. Example: Allergy.
c. The Discontinued Rx will appear in the Medical Summary under Discontinued Rx.
2. Discontinue is useful when you want to cease an already prescribed Rx. However if during prescribing a new medication you make a mistake in the Current visit and want to Delete an Rx, then, click on the Delete option from the drop-down of the three vertical dots.
3. Now you can also choose to combine Dosage and Frequency with Morning, Afternoon and Evening options.
Prescribe the same Rx as above but this time the dosage and frequency have been combined together.
Note: Depending on the user’s preference, the layout can be chosen and set accordingly on to the account such that every time an Rx is prescribed, the layout set is displayed.