Creating variable dose prescriptions (new prescriber)

Note: This information applies to the new prescriber (see New prescriber).

View video tutorial:

Prescribing multiple doses

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Variable dose prescriptions are used when a patient is instructed to reduce or increase doses between days or weeks in a step-wise manner. For example, if you are weaning a patient off of prednisone, you can indicate that the patient is to reduce their daily intake, by a set amount each week. For variable dose prescriptions, you enter an initial dose and final dose, and then indicate how much the medication should increase or decrease at each step. Based on this information, the EMR creates all of the dosage lines for you.

In the medical summary and medication history, variable dosage prescriptions display VARIOUS as the dosage.

Steps

1. Start a prescription, and search for and select the medication you want to prescribe. See step 1 to step 4 in Creating basic prescriptions (new prescriber).
2. In the Prescription SIG Directions area, in the prescription type list, select Variable. The EMR displays a prescription entry area that enables details to be added for a patterned dosage change.
3. In the Initial Dose field, enter the daily dose that the patient is to start at. For example, 8 tablets.
4. In the Final Dose field (to the right of the Initial Dose field), enter the daily dose that the patient is to finish at. For example, 0 tablets.
5. In the Vary By field, enter the amount the daily dose is to increase/decrease with each change. For example 1 (tablet).
6. In the Duration field, enter the duration for each dosage step. For example, 1 week.
7. If the patient is starting the prescription on a day other than today, in the Start Date calendar, double-click the start date.
8. Click Calculate . The EMR displays multiple dosage lines with most of the fields populated.

9. Modify text or selections in any of the dosage line fields as needed. For example, you can modify the frequency.
10. In the Dispense Quantity field, enter a dispense quantity, or to have the EMR calculate the quantity, click .
11. In the Refills field, enter the number of refills.
12. Print or save the prescription. See step 13 in Creating basic prescriptions (new prescriber).