7. Prescription and Prevention

[0] Chapter Contents

[1] oscarRx

[2] Patient Demographics and Preferences | [3] Patient Drug Profile | [4] Allergy Profile

[5] Writing a Prescription | [6] Custom Drugs

[7] oscarPrevention

Table of Contents

[1] oscarRx

ACCESS

There are three ways to access the oscarRx program:

• Click on the Rx of the patient’s appointment bar
• In the patient’s Main Demographic Page, click “prescriptions” under the “Clinical Modules” heading.
• In the patient’s E-Chart, click “prescriptions” under the “Clinical Modules” heading, or click “PRESCRIPTIONS” where the patient’s current prescriptions are displayed above his/her Encounter notes.

Return to TOP

[2] Patient Demographics And Preferences

The patient’s name, age, and preferred pharmacy are displayed under ‘Patient Demographics’.

• Clicking on the “Preferred Pharmacy” link will display the pharmacist’s name, address, phone and fax number, e-mail and notes.
• Clicking “Send to Personal Health Record” (??)

EDIT PHARMACY

• This link, found under the Special heading on the left, takes you to the Select Pharmacy page

• Click “Add Pharmacy” if you wish to enter another pharmacy onto the list
• Click “Edit” if you wish to change the information of a listed pharmacy
• Click the name of the pharmacy that you wish to associate with this patient

FAVOURITE PRESCRIPTIONS

• Common prescriptions for a patient are listed on the left side, under the Favourites heading
• This list can be edited by clicking “Edit Favourites” under the Special heading
• To add a prescription from the Patient Drug Profile, click the name of the prescription, then click the ‘Add to Favourites’ button
• To add a new prescription to the list, click the ‘Add to Favourites’ button??

Return to TOP

[3] Patient Drug Profile

Past prescriptions are displayed here.

REPRESCRIBING A PRESCRIPTION

If the prescription you wish to give the patient is already listed, you may click the corresponding checkbox under “Represcribe”. Click the ‘Represcribe’ button, then follow the directions for the Step 3 screen as detailed below

DELETING A PRESCRIPTION

If you wish to delete a current prescription, check the corresponding checkbox, then click ‘Delete’.

Return to TOP

[4] Allergy Profile

• The patient’s allergies are listed on the left under the Allergies heading
• To view more details about a patient’s allergies or make changes to the list, click the ‘View/Edit Allergies’ button at the bottom of the Patient Drug Profile.

  

ADD AN ALLERGY

1. Type in the name of the drug, select the areas of the drug database that you wish to search, then click ‘Search’
2. Do other things that I can’t see…

Return to TOP

[5] Writing a Prescription

STEP 1- SEARCH FOR DRUG

1. In the box beside ‘Drug Name’ type in the name of the drug you want to prescribe. For prescription recommendations for certain diagnoses, click the ‘Drug of Choice’ link to the right of the box.
2. Click on the SEARCH button.

STEP 2- SELECT THE DESIRED DRUG

1. The next screen will give you a choice between generic and brand names for this drug
2. Click on the hyperlink of the drug you want to prescribe. See below for steps to take if you cannot find the drug you are looking for.

STEP 3- WRITE THE PRESCRIPTION

1. The final screen brings up selections to actually write the prescription. Make selections from the drop down menus to customize the prescription for your patient. Note how the text in the “Special Instructions” box changes as you make your selections.
2. If the program does not automatically calculate the correct total for the prescription, click the << beside the ‘Quantity’ box
3. Check ‘No Subs’ or ‘PRN’ if appropriate
4. To put ‘Special Instructions’ in the box on the right, click on the desired instructions from the box on the left and then click the << arrows to insert the text
5. The ‘Special Instruction’ box can also be typed in to add your personalized instructions. Avoid adding numerals.
6. Drug-Drug Interaction Information : If one of the patient’s current prescriptions is known to have an interaction with the new prescription, an alert will appear at the bottom of the page.
   Drug Allergy Information : If the new prescription contains an ingredient that has been listed under the patient’s allergies, an alert will appear at the bottom of the page.
7. When all selections are made, click on either of the 3 buttons below the ‘Special Instruction’ box:

• UPDATE: This will simply save the prescription in the Pending Prescriptions section
• UPDATE AND GET NEW DRUG: This will save the prescription in Pending Prescriptions, and bring up the STEP 1 screen so that you may repeat the process
• UPDATE, PRINT AND SAVE: This will save the current prescription and any Pending Prescriptions in the Patient Drug Profile, and bring up a print preview (step 5)

STEP 4- EDIT OR DELETE PENDING PRESCRIPTIONS

1. At the bottom of any oscarRx screen, there is a list of Pending Prescriptions.
2. Click “Edit” to make changes, and “Delete” to delete the prescription. “Info” pulls up information about the drug.

STEP 5- PRINT THE PRESCRIPTION

1. From the STEP 1 screen: Click the ‘Save and Print’ button.
   From the STEP 3 screen: Click the ‘Update, Print and Save’ button
2. Click ‘Print’. If you wish for a record of the prescription to appear in you Encounter notes, click ‘Print & Paste into EMR’
3. Your prescription is at the printer, ready for your signature!

Custom Drugs 

If you can’t find the drug you are looking for, you can create a custom drug prescription. This can be done from the screens for both Steps 1 and 2, as well as the link “I can’t find what I’m looking for” on the step 2 screen.

Warning: Only use this feature if absolutely necessary, as you will lost the following functionality:

• known dosage forms/ routes
• drug allergy information
• drug-drug interaction information
• drug information

Fill out the information and dosage as you would for a normal prescription, taking care to enter the name of the custom drug in the top text field.

Return to TOP

[7] oscarPrevention

oscarPrevention keeps track of the most common procedures that help prevent disease in a patient. These include vaccines and common tests (ex. Flu shots and PAP smears).

If the prevention link is red, the patient is missing information on an important prevention. Clicking on the prevention link will reveal what information is needed.

ACCESS

The main oscarPrevention screen can be accessed from the patient’s Encounter screen. Click the “prevention” link under the heading “Clinical Modules” from the left-hand menu.

ENTERING PREVENTION HISTORY

1. Click on the test/vaccination that you wish to document. For an explanation of the abbreviations, click a “#” link.
2. Select the date from the calendar next to the Date text box. Select whether the prevention was Completed, Refused, or Ineligible.
3. Fill out the rest of the information about the prevention. You can set the date of the next prevention, with the option of not being reminded of it (??). Click ‘Save’.

Return to TOP