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Setting Up Favorite Orders in your EHR

After documentation, the second time-consuming tasks that clinicians dread is putting orders in their EHR.

This study shows that it takes an average of 62 clicks to order a Tylenol, and worse, with an error rate of 7%. Having a set of favorite or quick-pick orders is essential to save precious time in the clinic.

Like with dot phrases, taking time to organize your preferred orders will save you time with future patient encounters.

Favorite orders should include labs, imaging, medications, immunizations, POC tests, in-office meds, referrals, and billing codes.

Below you will find a recommended set of favorite orders for primary care. 

Labs

(They are based on Quest’s test menu)

CBC w/ Differential

Vitamin D 1,25 Dihydroxy Level

CMP

Copper Level

Iron and IBC w/ Rfx

PTH Intact and Calcium

Zinc Level

Vitamin B12 and Folate

Renal Function Panel

CBC w/ Differential

PTH Intact and Calcium

C difficile Toxin

WBC Stool

Rotavirus Stool

Ova + Parasites x3

BMP

Hemoglobin A1c

Lipid Panel

Microalbumin/Creat Ratio

Fecal Globin (occult blood)

Hepatitis C Antibody

PSA, Total with Reflex to PSA, Free

Basic Metabolic Panel (BMP)

Comprehensive Metabolic Panel (CMP)

TSH with Reflex to Free T4

CBC (includes Differential and Platelets)

Urinalysis, Complete

Urinalysis, Complete, with Reflex to Culture

Culture, Urine, Routine

Vitamin B12 and Folate

CBC w/ Differential

Antibody Screen

ABO and Rh Blood Type

RPR (Diagnosis) with Reflex

Hepatitis B Surface Ag with Rfx Conf

Rubella Virus Ig Ab

Culture Urine

HIV 1/2 Ag/Ab

 

Drug Monitoring, Panel 5, with Confirmation

Drug Monitoring Tramadol

Drug Monitoring Carisoprodol

Drug Monitoring Amphetamines

Pap with Age-Based Screening Protocols

Tissue, Pathology Report

Sed Rate by Modified Western (ESR)

C-Reactive Protein (CRP)

Rheumatoid Factor

Cyclic Citrunilated Peptide (CCP) Antibody (IgG)

 

HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexes

Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital

RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing​

Varicella-Zoster Virus Antibodies (IgG, IgM)

MMR (IgG) Panel (Measles, Mumps, Rubella)

Imaging

It’s important to save your favorite details of each order. (i.e.: in a Lumbar XR. Reason for Exam: Back Pain.) This saves time and speeds up your workflow.

US Abdomen Complete

US Abdomen Limited

US Pelvis/Transvaginal, Non-OB

XR Cervical Spine

XR Lumbar Spine

MR Lumbar Spine w/o Contrast

AAA Screening Ultrasound

Bone Density DEXA

CT Chest w/o Contrast – Lung Screening

Mammogram Screening, Bilateral

XR Chest

Knee XR, Bilateral

Knee XR, Left

Knee XR, Right

MR Lower Extremity Joint w/o Contrast, Left

MR Lower Extremity Joint w/o Contrast, Right

Immunizations

Influenza

Influenza, High Dose

Tdap

Pneumococcal 23

Pneumococcal 13

Zoster

Hepatitis B

Hepatitis A

IPV

Typhoid vaccine

PPD

POCT

Hemoglobin

Glucose

Urinalysis Dipstick

Rapid Strep

Influenza

EKG

Echocardiogram, Transthoracic

Exercise Stress Test

GI Cocktail

Albuterol Nebulization 2.5 mg/3 mL Inh

Ceftriaxone 250 mg IM inj

Ceftriaxone 1 g IM inj

Clonidine 0.1 mg PO tab

Ketorolac 30 mg IM inj

Ketorolac 60 mg IM inj

Ondansetron 4 mg IM inj

Prednisone 60 mg PO tab

Promethazine 25 mg IM inj

Pulmonary Function Test

Rx Medications

Make sure you save your favorite prescriptions with 90-day supply and 3 refills when applicable. 5 or 30-day supply when saving a controlled substance prescription. Save special PRN indications or instructions (i.e. prednisone taper). Complete as many details as possible. This will keep the work flow in your clinic smooth and save you time at the end of the day.

Benzoyl peroxide 10% foam, top app qday

Clindamycin 1% gel, top app bid

Doxycycline hyclate 100 mg, 1 cap PO qday

Claravis 20 mg, 1 cap PO bid

Tretinoin 0.05% crm, top app qhs

 

Folic Acid 1 mg tab PO qday

Gabapentin 300 mg cap PO, 1 cap tid on day 1-3, then 1 cap bid on day 4, then d/c. Take 1 cap qday prn alcohol withdrawal breakthrough symptoms.

Pyridoxine 25 mg tab PO qday

Lorazepam 1 mg tab PO tid prn alcohol withdrawal

Naltrexone 50 mg tab PO qday

Thiamine 100 mg tab PO qday

 

Artificial Tears preserved opht sol, 2 gtt qid prn dry eye

Cetririzine 10 mg tab PO qday

Cromolyn nasal 5.2 mg/inh, 1 spray ea nostril qid

Fluticasone nasal 0.05 mg/inh, 1 pray ea nostril qhs

Ipratropium nasal 0.03%, 2 spray ea nostril tid prn nasal congestion

Montelukast 10 mg tab PO qpm

Naphcon-A opht sol, 1 gtt qid prn red eye

Olopatadine opht 0.1% sol, 1 gtt bid

Systane Nightime opht oint, 1 app qhs prn dry eye

Systane Ultra preservative free opht sol, 2 gtt qid prn dry eyes

 

Colace 100 mg cap PO bid prn constipation

Ferrous Sulfate 325 mg tab PO qMWF

Vitamin C 500 mg tab PO qday

 

Albuterol 90 mcg/inh, 2 puff inh q4h prn wheezing/SOB

Albuterol 0.083% NEB, 2.5 mg, 3 mL inh q6h prn wheezing/SOB

Qvar Redihaler 40 mcg/inh, 2 puff inh bid

Flovent HFA 110 mcg/inh, 2 puff inh bid

Advair Diskus 100 mcg-50 mcg/inh, 1 puff inh bid

Wixela Inhub 250 mcg/50 mcg/inh, 1 puff inh bid

AirDuo RespiClick 113 mcg/14 mcg, 1 puff inh bid

Azithromycin 250 mg tab, 2 tab PO on day 1 followed by 1 tab PO qday on day 2-5

Levofloxacin 750 mg tab, 1 tab PO qday x7 days

Prednisone 50 mg tab, 1 tab PO qday x5 days

 

Finasteride 5 mg tab, 1 PO qhs

Tamsulosin 0.4 mg cap, 1 PO qhs

Finasteride 1 mg tab, PO qday for hair loss

Prednisone 50 mg tab, PO qday x3 days

Cetirizine 10 mg tab, PO qday prn itching

Hydrocortisone 1% crm, top apply bid prn itching

Amoxicillin-Clavulanate 875 mg-125 mg tab, PO bid x 7 days

Cephalexin monohydrate 500 mg tab, PO tid x 7 days

Clindamycin 300 mg cap, PO q6h x 7 days

Dicloxacillin 250 mg cap, PO q6h x 7 days

Doxycycline hyclate 100 mg cap, PO bid x 7 days

Mupirocin 2% oint, top app tid x 7 days, #22 g

Sulfamethoxazole/Trimethoprim 800 mg/160 mg tab, PO bid x 7 days

 

Erythromycin opht 0.5% oint, 0.5 inch in eye(s) qid x 5 days

Ofloxacin opht 0.5% sol, 1 gtt in eye(s) qid x 5 days

Polytrim opht sol, 1 gtt in eye(s) qid x 7 days

 

Polyethylene Glycol 3350 oral kit, 1 pkt PO daily, mix w/ 8 oz of water, #30 pkt

Metamucil 1.7 g PO tid prn constipation

 

Microgestin 1/20, 1 tab PO qd x3wk, off 1wk

Microgestin 1/20, 1 tab PO qd x12wk, off 1wk

Xulane 150 mcg/35 mcg, apply patch qwk x3wk, off x1wk

NuvaRing 0.12 mg/0.015 mg, apply vaginal ring x3 wk, off x 1wk

Condoms, 1 box, use during intercourse

Provera 10 mg tab, PO qday x10d for vaginal bleeding

 

Metformin 1000 mg tab PO bid

Glipizide 5 mg tab PO qam

Lisinopril 20 mg tab PO qday

Atorvastatin 20 mg tab PO qday

Aspirin 81 mg tab PO qday

Glipizide 5 mg tab PO bid

Pioglitazone 30 mg tab PO qam

Januvia 100 mg tab PO qam

Alogliptin 25 mg tab PO qam

Invokana 100 mg tab PO qday

Victoza 18 mg/3 mL, 0.6 mg SC qday x1wk, then 1.2 mg SC qday, #6 mL

Bydureon 2 mg SC inj qwk, #4 ea

Lantus solostar pen 100 units/mL, inj 5 units SC qhs, #15 mL

Basaglar kwikpen 100 units/mL, inj 5 units SC qhs, #15 mL

Humalog kwikpen 100 units/mL, inj 5 units SC qac, #15 mL

Admelog solostar pen 100 units/mL, inj 5 units SC qac, #15 mL

Glucose Monitor, insurance approved glucose monitor, #1 ea

Glucose Test Strips, insurance approved glucose test stripts, #100 ea

Lancet Device, insurance approved lancets, #100 ea

Insulin Pen Needles, BD Ultra Fine Pen Needle 4 mm x 32G, 1 inj SQ qid, #100 ea

Insulin Syringes, insulin syringe U-100, 0.03 mL, use up to 4x/day, #100 ea

Sildenafil 20 mg tab, 1-2 tab PO 30 min prior to sexual intercourse

Zeasorb 2% powder, top app bid, #71g

Terbinafine 1% crm, top app bid, #30g

Triamcinolone 0.025% crm, top app bid #30g

Clotrimazole 1% crm, top app bid, #45g

Hydrocortisone 2.5% crm, top app bid, #30g 

Ketoconazole 2% crm, top app bid, #60g

Ciclopirox 8% sol, apply to nail qhs, clean nail w/ alcohol q7d

Fluconazole 150 mg tab, 2 tab PO once a wk x2wk, #4

Ketoconzaole 1% shampoo, top app q3d, #120mL

Clotrimazole 10 mg lozenge, PO 5x/day x14 days

Ranitidine 150 mg tab, PO bid prn heartburn

Omeprazole 20 mg cap, PO bid

Maalox Max Strenght susp, 20 mL PO qid prn indigestion, #360 mL

Simethicone 30 mg tab, chew tid after meals, prn gas

Bismuth Subsalicylate 262 mg tab, 2 tab chew qid prn dyspepsia

Amoxicillin 500 mg cap, 2 cap PO bid x14d

Clarithromycin 500 mg tab, PO bid x14d

Pylera, 3 caps PO qid x10 days

Metamucil 1.7 g PO tid prn constipation

Americaine Hemorrhoidal 20% rectal ointment, top app 5x/d prn pain, #28g

Hydrocortisone-Lidocaine 0.5%-3% rectal crm, PR app bid, #140g

Preparation H Medicated Wipes 50% rectal pad, top qid, #48 ea

Vitamin D3 2,000 unit tab, PO qd

Lisinopril 20 mg tab, PO qd

Amlodipine 5 mg tab, PO qd

HCTZ 12.5 mg tab, PO qd

Losartan 25 mg tab, PO qd

Lisinopril/HCTZ 20 mg/12.5 mg, PO qd

Doxazosin 1 mg tab, PO qd

Blood Pressure Monitor, check blood pressure once a day and record

Dicyclomine 20 mg tab, PO qid prn abdominal cramps

Loperamide 2 mg tab, PO q4h prn loose stools, #12, not to exceed 16 mg/day

Metamucil 1.7 g PO tid prn constipation

Culturelle tab, 1 tab chew daily

Sumatriptan 25 mg tab, PO qday prn headache, #9, may repeat dose after 2 hrs up to 100 mg/24h

Excedrin 250 mg/250 mg/65 mg, 2 tab PO q6h prn headache

Propranolol 20 mg tab, PO bid

Amitriptyline 10 mg tab, PO qhs

Verapamil 40 mg tab, PO tid

Topiramate 25 mg cap, PO qd

 

Paroxetin 10 mg tab, PO qhs

Venlafaxine 37.5 ER cap, PO qday x1wk, then 2 cap qday

Gabapentin 100 mg cap, PO qhs

Premarin 0.625 mg/g vaginal crm, vag qday, #30g

Vagifem 10 mcg tab, PV 2x/wk, #8

Climara Pro 0.045 mg/0.015mg patch, top qwk, #12

Prempro 0.3 mg/1.5 mg tab, PO qd

Climara 0.025 mg patch, top qwk, #12

Premarin 0.3 mg tab, PO qd

Ciprodex otic susp, 4 gtt in ear(s) bid x7d, #7.5 mL

Ofloxacin 0.3% sol, 10 gtt in ear(s) qd x7d, #5 mL

Acetasol HC sol, 3 gtt in ear(s) qid x7d, #10 mL

Clotrimazole 1% sol, 4 gtt in ear(s) qid x7d, #30 mL

 

Tylenol 500 mg tab, PO tid prn pain

Ibuprofen 800 mg tab, PO tid prn pain

Meloxicam 15 mg tab, PO qday

Celecoxib 200 mg cap, PO qday

Flexeril 5 mg tab, PO tid prn muscle spasm

Tramadol 50 mg tab, PO qday prn severe pain, #5

Norco 5 mg/325 mg tab, PO qday prn severe pain, #5

Naloxone 4 mg/0.1 mL nasal spray, 4 mg nasal x1 prn opiod overdose, may repeat q2-3min until pt responsive, #2

Gabapentin 100 mg cap, PO qhs

Duloxetin 30 mg cap, PO bid

Misc Rx: 3% diclofenac, 10% ketamine, 6% gabapentin, 5% lidocaine, apply 2 pumps to affected area 2-3x/day transdermally for pain, #30g (compound rx)

Salicylic acid topical 3% shampoo, app top qd, #120 mL

Triamcinolone 0.1% crm, app top bid, #60g

Calcipotriene 0.005% crm, app top bid, #60g

Clobetasol 0.05% crm, app tob bid, #60g

Bupropion 150 mg ER PO bid

Buspirone 10 mg PO bid

Clonazepam 1 mg PO qday prn panic attacks

Clonidine 0.1 mg PO qhs prn nightmares

Citalopram 20 mg PO qday

Fluoxetine 10 mg PO qday

Hydroxyzine 50 mg PO qid prn anxiety/panic attacks

Lorazepam 1 mg PO 30 min prior to imaging study

Melatonin 5 mg PO qhs prn insomnia

Methylphenidate 5 mg PO bid

Mirtazapine 7.5 mg PO qhs

Paroxetine 10 mg PO qday

Propranolol 20 mg PO tid prn panic attack/palpitations

Sertraline 50 mg PO qday

Trazodone 50 mg PO qhs

 

Hydrocortisone 2.5% crm, app top bid, #30g

Triamcinolone 0.1% crm, app top bid, #30g

Fluocinolone 0.01% crm, app top bid, #15g

Clobetasol 0.05% crm, app top bid, #30g

Efudex 5% crm, app to AK lesion bid x4wk, #40g

AmLactin 12% lotion, app tob bid prn dry skin, #225g

Permethrin 5% crm, app to skin from neck to feet x1, remove by washing after 8-14hrs, may repeat in 2wks if mites still present, #60g

Metrogel 1% gel, app top qday, #60g

Valacyclovir 1000 mg tab, 2 tab PO bid x1d

Docosanol 10% crm, app top 5x/d to affected area on lips, #2g

Valacyclovir 1000 mg tab, PO tid x7d

Calamine-Pramoxine 8%-1% lotion, app topqid  prn itching, #118mL

 

Nicotine 7 mg patch, top qday, #28

Nicotine 14 mg patch, top qday, #28

Nicotine 21 mg patch, top qday, #28

Bupropion SR 150 mg tab, PO bid

Chantix Starter Pack

Chantix Continuing Month

Azithromycin 500 mg tab, 2 tab PO x1

Valacyclovir 1000 mg tab, PO bid x7d

Valacyclovir 500 mg tab, PO bid x3d prn herpes recurrence

Atovaquone-Proguanil 250 mg/100 mg tab, PO qd, start 2 days before entering endemic area and continue for 7d after return, #30

Chloroquine 500 tab, PO qwk, start 1 wk prior to exposure, continue while in endemic area and for 4wks after leaving, #15

Pseudoephedrine 120 mg ER tab, PO bid prn nasal congestion

Pseudoephedrine 30 mg tab, PO q6h prn nasal congestion

Fluticasone nasal 0.05 mg/inh, 1 pray ea nostril qhs

Diphenhydramine 25 mg tab, PO qhs

Afrin 0.05% nasal spray, 2 spray nasal bid prn nasal congestion

Codeine-Promethazine 10 mg/6.25 mg syrup, 5 mL PO q6h prn cough, #60 mL

Tylenol 500 mg tab, PO tid prn fever or pain

Naproxen 500 mg tab, PO tid prn fever or pain

Amoxicillin/Clavulanate 875 mg/125 mg tab, PO bid x7d

Clindamycin 300 mg cap, PO bid x7d

Oseltamivir 75 mg cap, PO bid x5d

Amoxicillin 500 mg cap, PO bid x10d

 

Tylenol Children’s 160 mg/5 mL susp, 2.5 mL PO q6h prn fever, #120 mL

Ibuprofen 100 mg/5 mL susp, 5 mL PO q6h prn fever, #120 mL

Sudafen Children’s 15 mg/5 mL susp, 5 mL PO qid prn nasal congestion, #118 mL

Acetaminophen 160 mg tab, chew 2 tab q6h prn fever, #24

Ibuprofen 100 mg tab, chew 1 tab q6h prn fever, #24

Sulfamethoxazole-Trimethroprim 800 mg-160 mg tab, PO bid x3d

Macrobid 100 mg cap, PO bid x5d

Pyridium 200 mg tab, PO tid after meals prn painful  urination

Oxybutynin 5 mg tab, PO tid prn urinary discomfort

Ciprofloxacin 500 mg tab, PO bid x3d

Metronidazole 500 mg tab, PO tid x7d

Vandazole 0.75% vaginal gel, vag app qhs x5d, #70g

Fluconazole 150 mg tab, PO x1

Clotrimazole 2% vaginal crm, vag app qhs x3d, #21g

Podofilox 0.5% sol, app to wart bid x3d follow by 4d w/o tx, may repeat up to 4 cycles, #3.5 mL

Salicylic acid 17% gel, app to lesion qhs, #14g

Referrals

Chiropractor, back pain

Physical Therapy, back pain

Ophthalmology, DM retinopathy screen

Sleep Medicine, OSA screen

Audiology, hearing loss

GI, colon cancer screen, colonoscopy

Behavioral Health, anxiety

Nutrition, obesity

Speech Therapy, dysphagia, swallow eval and tx

What do you think? What are some of your orders favorites? Do you have some lab or medication that you frequently use? Comment below!

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Posted on: October 19, 2019, by :

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