Setting Up Favorite Orders in your 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
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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