Creating a New Prescription

1. Navigate to the EMR section.

2. Go into the encounter notes tab.

3. Within the Medical History band to the left side of the window, see “Active Medications”

4. To create a new prescription, select the add button (green plus).

Searching

Accuro provides you two options when searching for Prescriptions:

Required Fields

• Route

• Drug Use

• Dosage OR SIG Instructions

• Quantity

Default Options

1. Default prescription options can be set int he prescription window by selecting the cogwheel.

2. Set prescription defaults per drug for:

   1. Default drug use

   2. Default allow substitutions

   3. Default auto-expire

   4. Enable: Use patients' preferred pharmacy for renewals

   5. Enable: Include pharmacy on printed prescriptions

   6. Enable; Include pharmacy on faxed prescriptions

Auto Expire

1. When auto expire is checked, prescriptions automatically fall off the active medications list when the patient runs out of the drug.

2. When auto expire is unchecked, prescriptions turn red and stay in the active medications list until a user manually checks the expiry.

3. For auto expire to work properly, the prescription requires the dosage section to be filled out.

Renew, Renew, Renew

1. Always renew when possible (this eliminates duplicate therapy interactions).

2. Select the edit button in active medications.

3. Highlight the prescription you want and select the renew button (two blue arrows)

Favorites

1. Click the gold star in the bottom right hand corner of the add prescription window

 Grouped Favorites

1. Click the gold star in the bottom right hand corner of the add prescription window.

2. Click the add button.

3. Add favorite title.

4. Add button to add multiple medications to single favorite entry.

5. Click OK.

• Save multiple variations of medications for quicker prescribing (different common dosages)

• Naming your favorites by disease name / condition may be helpful when searching.

• Add a quick action button linked to favorite medications for more convenient prescribing.

External Medications

1. Can be added with details or without.

2. You can save external medication entries as favorites.

   1. Click the gold star when adding an external medication

Medications

1. To view all current, recently active and historic medications navigate to the EMR > medications tab.

   

2. Right click on a medication to:

   1. Reprint

   2. Edit SIG

   3. Change Pharmacy Instructions

   4. Check Expiry

   5. Print Prescription Summary

User Preferences

1. Go to: Accuro Start Menu > File > User Preferences > Display > EMR Workflow

2. Some user specific settings that can be enabled are:

   1. Checking for early prescription renewals

   2. Default prescription allow substitutions

   3. include prescriptions and allergies in VC search

   4. Show eye option for prescription dosages

   5. View warnings when applying preferred managements

   6. Include pharmacy on printed or faxed prescriptions

      1. Pharmacy can be set on patient demographics as default

Preferred Drug Interaction Management

1. Go to Accuro Start Menu > Tools > Preferred Prescription Managements

 Interaction Management Levels

1. You can choose to eliminate Drug to Drug interaction management altogether or simply lesson the frequency of the warnings.

2. You can also remove low dosage alerts completely by deselecting the checkbox.

Indicators on the Chart

 Orange Triangle

• Drug to drug interaction OR duplicate therapy warning was managed.

 Green Triangle

• Medication dosage alert was managed.