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Clinical

Prescriptions & Orders

e-Prescriptions from the medicine master with dose, route, frequency and duration, checked against the patient’s allergies before signing, sent to the pharmacy queue and — for inpatients — to the ward’s medication schedule. A prescription has a validity window; the pharmacy refuses one that has lapsed.

For:PhysiciansPharmacistsNurses

Where:Clinical › Prescriptions · Orders & Results

Before you start

Validity
Patients › Configuration › Settings › Prescription validity (days). Twelve months is the common default; 0 never expires.
Medicine master
Pharmacy › Medicines: generic, form, strength, high-alert flag, barcode.

How to

Write a prescription

  1. On the visit, Prescription › New (or Clinical › Prescriptions › New).
  2. Add lines: medicine, dose, route, frequency, duration, instructions; the quantity computes itself.
  3. An allergy match is refused with the allergy named; a high-alert medicine is marked.
  4. Sign. The prescription is printed for the patient and appears in Pharmacy › To Dispense.

Prescribe for an admitted patient

  1. From the admission or the ward visit, Prescription › New; tick Inpatient.
  2. The frequency generates the doses on the ward’s Medication Administration record (eMAR) for the nurse to give.
  3. Stop or change a line: the remaining doses are cancelled and re-generated.

Order tests, studies and procedures

  1. On the visit, Orders › Add: laboratory test or panel, imaging exam, procedure or nursing order, with the clinical indication and urgency.
  2. Each order becomes a request in the laboratory, radiology or nursing queue, charged to the visit.
  3. Results return to the same Orders & Results tab with abnormal and critical flags; critical values also notify you.

Renew or repeat a prescription

  1. Open the previous prescription › Repeat; a new visit is required if the previous one is signed.
  2. An expired prescription shows a red banner; the patient needs a new one, not a renewal.

See also: Pharmacy & Dispensing Nursing Station & Barcode eMAR Laboratory & Specimens Radiology