Adding and Printing an Acute Prescription

An acute prescription is a one-off item usually prescribed for acute conditions.

1. From Consultation Manager , select the patient and start a consultation if required.
2. Select List Acute Therapy , all acutes and repeat issues are listed.
3. Simply start typing, or press <Esc> and the Acute Therapy - Add screen displays:

4. Complete as follows:
   • Date Prescribed - Defaults to today's date, update if required.
   • Prescriber - Defaults to the prescriber logged on, if the person logged on is not a prescriber, the usual GP is selected. Update if required.
   • Source of Drug - Defaults to In practice, select from the available list if you are recording this medication from another source.
   • P/Admin - Tick to record medication given for example an injection.
   • Dispensed - Tick to record medication handed to the patient.
   • Private - Tick to record this as a private prescription.
   • Print Script - Remove tick to stop this prescription being printed, for example if it had been hand written on a visit and you are recording it.
   • PRN - Adding a drug with an As Needed dosage instruction automatically selects the PRN option on Therapy Add. This enables PRN items to print separately from other items. Remove the tick to deselect, if required.
   • Repeats - Enter the number of repeats if required, if selected this prescription becomes a Repeat Master not an acute.
   • Drug - Enter the first three or four letters of the drug name required, optionally followed by the form and then the strength, for example 'amox cap 250' and press <Enter>.
     •  The medication you require should be returned, if not either:
       • Use the up and down arrows to move through the medication list.
       • Select Switch to generic drug , or
       • Press <F3>, the Select Drug screen displays, complete as follows:

   

   •  Complete as follows:
     • Name - Enter the first three or four letters of the medication you require.
     • Form - Select if required.
     • Strength - Select if required.
     • Select Find and highlight the medication you require.
     • Select OK.

   See Using the Select Drug Screen for further details.

   • Quantity - Enter the number or amount required.
   • Preparation - Automatically completes with the medication default, update if required.
   • Pack Size optional - Select if required.
   • Treat Days optional - Enter if required
   • Batch Number optional - Select if required
   • Dosage - Completes with the medication default, update if required, standard abbreviations are accepted, for example 1 OD displays as 1 Every Day, 2 PRN displays as 2 When Required.
   • Drug Class - Completes with the medication default, update if required.
   • Additional Information - Select to enter information to print on the right-hand side of the prescription form.
   • Instalment Dispensing - Select to enter additional information for instalment dispensing.
5. Check the Allergy and Intolerance section, if there are any drug allergies recorded this section is highlighted in red.
6. Select OK.
7. Drug Checks are now performed, displaying any contraindications, interactions or drug doubling before you proceed with the prescription, see Drug Checks for details.
8. Providing you want to proceed, select Yes to any warning and where appropriate enter the reason.
9. Select Proceed.
10. The Therapy Records screen re-displays, from which you can print the prescription.
11. If you link medications to Problems, the Add Medication to Problem screen displays. Tick the relevant problems and select OK, see Consultation Manager Setup - Management for details.
12. If you need to issue more than one acute medication repeat the process from step 3 above.
13. Press <F9> to issue.
14. The Therapy Print Records / Prescription Manager screen displays, all acutes added with today's date are listed. Check the Authorised Signatory, this defaults to the clinician signed on, update if required. The Authorised Signatory prints on the prescription.
15. Press <F9> again to print the prescription.

If you need to prescribe an acute again, you can:

• Enter it again,
• Copy an initial acute prescription, simply right click on the item and select Copy, or
• Create a repeat master based on this acute, see Make an Acute into a Repeat for details.