Vocabulary List: gtt, QD, BID, TID, QID, QHS, QAM, PRN
New Crop
New Crop is an electronic interface, accessed through compulink, that assists with the accumulation of a patient’s current medication and medication allergy list. It is also used to electronically transmit prescription medications, cross-referencing with the patient’s medication allergy list as well as their drug plan formularies.
New Crop is accessed at on the menu bar as highlighted in the image below.
Updating Current Medication/Allergies Lists
To enter medications in the patient’s current medication list in New Crop, you will use the Med Entry Tab. Here you will see the most recent list of a patient’s medications and allergies.
To add a medication to the list, first type unknown into the “replace current doctor” box. Then type the medication into the box below and click “drug search”
This will open up a page with a list of possible medications and dosages based on what you entered in the drug search field. If the patient knows the dosage the select the correct medication and dosage. If the patient knows the medication but not the dosage then select the lowest dose of that same medication.
Selecting a medication will bring you back to the Med Entry tab with the medication you selected added to a temporary list. If you have no more medications to add, then click “select to Move to Current Meds. If you have more medications to add, repeat the above two steps for each additional medication. Then after you have added all new medications to the temporary list, click select to Move to Current Meds.
This will add the temporary list to the full Current Medications List.
Finally, once you exit out of New Crop, New Crop will try to sync it’s current medication list with the medication list in Compulink. If you freetyped a medication into the list in Compulink as a place holder until updating New crop, then click on the place holder to replace it with the identical medication from the New Crop List. If you did not enter a place holder in the Compulink list, then press escape and the medication from the New Crop list will be added to the Compulink list.
There was no place holder entered for Omeprazole in the Compulink list here, so you would just press escape to add Omeprazole to the Compulink list. If this had been an entry for Metformin, you would click on the Compulink entry for Metformin on the left to replace it with the Metformin from the New crop list.
Adding Allergies
Next, we’ll look at how to add allergies into new crop so that they can later be cross-referenced for interactions before we send prescriptions to the patient’s pharmacy. In the example below, we entered a placeholder for the allergy, Erythromycin, in Compulink (see HH/ROS module). You could bypass this step and just enter the allergy into new crop; however, if you don’t have time during the workup to enter everything into New Crop, you can free-type placeholders in Compulink that will be replaced when you are able to update the list in New Crop later.
Next, open up Newcrop and access the Med Entry Tab. Below, you can see that New Crop will try to import meds and allergies that are in the Compulink list but not yet in the New Crop list. First, we will delete these imported allergies.
To delete imported allergies or meds, click on the check boxes to the right marked “delete” then press the delete button above.
Now that the imported allergies are deleted, we will add them to the list by clicking on Add Allergy.
Next, enter the allergy in the search box and click “Search for Allergy”
This will populate a list of possible options, select the most appropriate one. Alternatively, if it is a common allergy, you could select using the common allergies/intolerance box (if the patient has no drug allergies, select No Known Drug Allergies from this set).
Once you have selected an allergy, using the dropdown, indicate the severity of the allergy and click “Save Allergy”.
This will add the allergy to the patient’s medication allergy list.
When exiting New Crop, it will attempt to synchronize the New Crop and Compulink list. If you did not enter a place-holder in Compulink, then press escape to add the allergy you entered in New Crop to the Compulink List. If, as in the example below, you did enter a place-holder in Compulink then click on the place-holder in the list below to replace it with the New Crop entry indicated at the top of the window.
The medication allergy list is now synchronized.
Prescribing Medications
If the doctor prescribes a medication, we use New Crop to electronically transmit the prescription directly to the patient’s pharmacy. First, open New Crop and go to the Select Dr./Staff tab. Here select the prescribing doctor using the drop down and press “save”.
Next, go to the Pt Details tab where we can access the patient’s preferred pharmacy list as well as select the medication being prescribed. We’ll begin by selecting their pharmacy. In the example below the patient does not have a pharmacy entered into their list. To add a pharmacy, click “Modify List”.
Next, complete at least two of the search fields, such as pharmacy name and city, then click “Search All Pharmacies”.
Select the correct pharmacy by clicking the checkbox on the left and then “Save Changes”
This will add the pharmacy to the patient’s preferred pharmacy list. Next we’ll click “Save/Go to Compose Rx” to select the medication being prescribed.
This will take us to a page similar to entering medications to the patients current medication list. Enter the medication being prescribed into the search box and press “Drug Search”.
This will populate a list of potential medications based on the search. Click on the most appropriate option (be sure to double check with the doctor if you are unsure of the percentage or modality).
This will take you to a page to select the medication regimen. Fill in the fields as the doctor prescribed, selecting the correct quantity, form, route, frequency, quantity, and refills. Enter any additional appropriate notes in the additional sig or Pharmacist message fields at the bottom, then click Save Rx.
The medication is now pending. From here there are two options. If you have filled out the prescription and the doctor is no longer in the room you will click Review/Prescribe.
This will take you to this page where you will click “Leave for Doctor Review. This means that when the Doctor opens up New Crop they will be able to access the medication you set-up, review it, and transmit it to the patient’s pharmacy.
If the Doctor is still in the room, you would instead click “Transmit/Prescribe” (see above) which would take you to this page where the doctor, through your New Crop login, can visually review the medication and the patient’s pharmacy, and immediately transmit it by clicking “Transmit Rx/Add to Record.”
Pharmacy Specific medications
There are some medications that must be sent to specific pharmacies. To make it easier to send these medications, we have created a cheat sheet (seen below) you can reference to know which pharmacies to enter for each of these medications along with any other specific instructions. This cheat sheet (title: Medications) is found in the OA Helpful Things folder on the desktop (subfolder cheat sheets).
Rx abbreviations
Medication prescriptions are usually written using abbreviations. So rather than saying “Tobradex, one drop both eyes three times per day for seven days” the prescription is written “Tobradex 1 gtt OU TID x 7 days”.
Here is a list of the common abbreviations you will encounter and what they mean.
gtt: drop
ung: ointment
QD: daily
BID: two times per day
TID: three times per day
QID: four times per day
QHS: before bed
QAM: in the morning
q2h: every two hours (every three hours would be q3h)
PRN: as needed
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