Tuesday, May 25, 2021

Editing and Updating Allergies in ePrescribe

Dentrix ePrescribe stores a patient's allergies and resulting sensitivities (reactions or intolerances) that you have entered for them. However, there may be times when you'll need to edit the patient's allergies. For example, a patient may no longer be allergic to a specific drug or food, may have new or added sensitivities to a drug, or may have had an allergy mistakenly entered.

In ePrescribe, once an allergy is entered and saved for a patient, you cannot remove it, as it remains part of the patient's medical record; however, you can change its sensitivity type, edit its sensitivities, inactivate it, or even mark it as entered-in-error (EIE). When inactivated or changed to EIE, ePrescribe no longer double-checks it against medications you are prescribing for the patient.

Editing or Updating Allergies

  1. As an authorized ePrescribe user, in Dentrix, select the patient for whom you want to edit an allergy.
  2. Click the Prescriptions button, and then click the Electronic Rx button.
  3. Under Act. Allergies, select an allergy.
  4. To edit an allergy, click Edit.

  5. Edit the allergy as needed:
    • Activate or inactivate the allergy by selecting either Active or Inactive.
    • Change the sensitivity type by selecting either Allergy or Intolerance.
    • Select additional sensitivities or remove sensitivities as needed.

  6. To save your changes, click Save, and the changes will display with the allergy you edited.

Marking an Allergy as Entered-in-Error (EIE)

  1. Perform steps 1-4 above.
  2. To mark an allergy as entered-in-error, click EIE. The allergy is removed from the Active list. Once an allergy is set as EIE, it cannot be undone.
  3. When complete, click Back to return to ePrescribe's main page.
Once an allergy is removed from the Active list by marking it as EIE, you can only view it by selecting the All option under Patient Allergy. Here the allergy is shown with a line through it, and its Active status is changed to E (for entered-in-error).

You can also access the patient's Act. Allergies window from the Office Manager.
  1. Open the Office Manager, and click the Electronic Rx Task Mode button.

  2. Select the patient and follow the steps above to edit an allergy.

Bonus Tips

  • To view a patient's active allergies in the Act. Allergies window, select Active. To view the patient's inactive allergies, select Inactive. And, click All to view all of the patient's active, inactive, and EIE allergies. Note that EIE allergies are NOT set as inactive; therefore, they only display in the All list.  
  • When an allergy is active, a Y appears in the Active column for that allergy in the Active list. An N indicates that the allergy is no longer active, and the allergy appears in the Inactive list. An E means that the allergy has been set as entered-in-error and the allergy only appears when viewing the All list.
  • ePrescribe allows you to reactivate a previously inactive allergy. To do so, open the Inactive (or  All) Act. Allergies list. Click Edit and select Active. Edit the sensitivities as needed, and then click Save. (This is also an easy way to change an allergy's sensitivity type from Allergy to Intolerance, and vice versa, without entering the allergy again.) The allergy will be restored to the Active list. You cannot reactivate an allergy that has been set as EIE.
  • Be sure to view the ePrescribe Quick Start, which includes helpful articles, videos, tutorials, and documentation.

Tuesday, May 18, 2021

Complete Efficiency—Tips for Setting Appointments Complete

When you set an appointment complete, you can choose which provider completed each procedure. Of course, you already knew that! This tip is about being even more efficient while you do that. There are a couple of options hidden within the Set Appointment Procedures Complete dialog box that can propel your proficiency.
First, did you know that you can change the provider for more than one procedure at a time? Click the first procedure, then hold down the CTRL key on the keyboard while you select additional procedures. After all procedures you want to reassign are selected, click the Change Provider button and choose the provider.

But wait… there's more! Instead of clicking the Change Provider button, you might find it even faster to right-click one of the selected procedures instead. A menu will open that offers you the same options, but without having to move the mouse pointer up to that button first. This may not sound like a big deal, but the seconds you save multiple times a day will add up, and the motion will quickly become second nature to you.

They say that good things come in threes, so here is one more useful option. In the Appointment Book, from the menu bar select Setup > Practice Appointment Setup. On the right side of the window, consider selecting the Use TX Provider by Default on Appointment Complete option. When this option is selected, treatment planned procedures will come up in the Set Appointment Procedures Complete dialog box already assigned to the provider who treatment planned them. That can save you a little more clicking and having to change providers with each completed appointment.

For additional information, see the Setting Procedures Complete and Setting Procedures Complete for Additional Providers topics in Dentrix Help.

Tuesday, May 11, 2021

Clearing the Data from a Previous Perio Exam

When you open the Dentrix Perio Chart, the patient's last saved exam information is shown in light-colored text. This option was included as a convenience so that you can use this saved exam as a starting point for a new exam by only changing the measurements and data that is different from the last visit.

 However, some examiners find it confusing to type over the old information with new measurements and would prefer to start with a clean slate. If this is your preferred way to record a perio exam, here is an easy way to sweep the screen clean and conduct the exam without displaying the previous exam measurements.

 Type the number "1" in the first site.

Click Save (or press CTRL+S on the keyboard). When prompted, choose to save New Entries.

The exam is saved, and previous entries are cleared. Press the Undo button (or press CTRL+Z on the keyboard). You now have a fresh start. Conduct the perio exam as normal.
For additional tips about the Dentrix Perio Chart, read the following:

Tuesday, May 4, 2021

Entering Allergies into ePrescribe

Dentrix ePrescribe helps automate the process of writing and electronically transmitting prescriptions to pharmacies, while helping to detect potentially dangerous drug-to-drug interactions, drug allergies, dosage errors, and other problems. For example, if you know that a patient is allergic to sulfa-based antibiotics, you wouldn't knowingly prescribe Sulfadiazine for that person. ePrescribe automatically flags such dangerous interactions before you can complete the prescription process, but only if the allergy has been entered into ePrescribe.

Use these steps to enter a patient's allergies into ePrescribe:

  1. As an authorized ePrescribe user, in Dentrix, select the patient for whom you want to enter an allergy.
  2. Click the Prescriptions button.
  3. Click the Electronic Rx button.
  4. In the Act. Allergies line, click None entered. (Or, click any allergy that displays in the line, as previously entered for the patient.)

  5. Click Add Allergy.
  6. Search for a class of medications or a specific medication by selecting either Class or Medication.
  7. Enter a class or medication in the search field and click the Go button.
  8. Select the class or drug name from the resulting list.

  9. Enter a date when the allergy was first noticed or reported if different from today's date.
  10. Select as many sensitivity types as needed by clicking either Allergy or Intolerance, and then select the applicable sensitivity. 
  11. Click Save.
  12. Repeat steps 5 - 11 to add more allergies.
  13. When all allergies have been entered and saved, click Back to return to ePrescribe's main page.
After entering the allergies for the patient, they appear in red text on the Act. Allergies line as a reminder of the patient's allergies when you prescribe medications.

If there are any contraindications between the drug(s) you are attempting to prescribe and the patient's allergies, ePrescribe displays a warning message. 

Bonus Tips

  • While you can also enter and save a patient’s allergies as part of a patient's Health History in Dentrix, these items are NOT transmitted to ePrescribe — you must enter them manually!
  • It's good practice to enter your patient's allergies into ePrescribe before creating electronic prescriptions for them. Doing so enables ePrescribe to use the information to check for dangerous drug interactions with the patient's allergies.
  • Before any allergies are entered for a patient, ePrescribe highlights the Act. Allergies line with None entered in red text to remind you to ask the patient about any allergies that they might have. If you discuss and confirm with the patient that they DON'T have any known allergies, select No Known Allergies in the Act. Allergies window. If this line is left as None entered, it leaves the allergy question open to whether the provider verified any allergies with the patient.
  • It's also good practice to periodically confirm the listed allergies, and any new allergies, with your patients while creating electronic prescriptions.
  • As an alternative to listing a medical reaction to a drug (or class of drugs), you can enter a patient's intolerance to it instead.
  • If the patient's sensitivity is not listed in the Act. Allergies reaction list, you can enter it manually.
  • You cannot enter both reactions and intolerances to the same drug in the same Act. Allergies window. If you need to enter both, create an allergy and a reaction and then and save it. Then, open another Act. Allergies window and create an allergy and an intolerance to the same drug and save it.

Additional Information