Description: In the article which centers on practice fusion login, the author talks about how to use the practice fusion EHR. It’s best to use it or open it via Google Chrome. This article is also an overview of charting comprehensive exams, contact lens evaluation and dilation exams.
This tutorial will show you how to use the practice fusion EHR, first of all it’s best to use it or open it via Google Chrome, instead of using this bookmark make sure you type in practice Fusion on the top, you’ll want to log in, once you’ve logged in, go to the left hand side to view the schedule.
Click on the little calendar on the schedule, it’ll show you all the appointments for the day by the appointment type, what they’re there for and the provider, I like to use this day tab better since it’s color-coded, it is a little bit easier to see.
In the first column are the eye exam appointments, in the middle are the staff appointments such as the deliveries, adjustments or picking out frames, to the right are the check appointments, a contact lens evaluation or dilation exams.
Let’s open up the 930 eye exam patients chart, you go to the upper right hand corner and click on chart, under the summary you can see the previous diagnoses, any allergies to any medications, upcoming appointments, to the upper right hand corner the encounters, you’ll click on the exam button.
It’ll show you the physician, the faculty and the location, under our chief complaint we normally have eye exam establish patient or new patient, it’s not their actual chief complaint in this section but a title for us so that we can see it easier when we’re looking at their charts under the timeline.
Under the timeline it shows all the times that they came in, usually our phone sheets will be towards the bottom when we first created their chart notes, here are the eye exams, glasses prescriptions or whatnot, you can also click here to get to the chart note.
If you scroll down, you’ll see the subjective, you’ll want to hit edit, to the left are your templates, here’s comprehensive eye exam IDC 10.com template, the pretester will go through this part of the exam review, the case is with the patients before you get them.
If you want to add something on the template like some common phrases that we use, the patient decreased distance vision or that they wanted to renew their contact lens prescription, if you want to write in anything else, you can feel free to edit as you wish.
Down at the bottom right you’ll go to the next section of the chart, it is the objective, the pretester will help you fill out those sections, you’ll want to enter in the unaided distance vision, for kids we also do color vision testing, you can see on the template.
If you click on it, it’ll shoot the words over to that right hand side, you do color vision and stereo vision testing as well, you’ll want to write in the subjective refraction, you need to write this section neatly because we’re going to copy this, this will go to our glasses prescription.
If you scroll down, an established patient will carry over the angles and any notes here in the anterior, posterior segment, if there are new patients, be sure that it’s set populated to normal, but be sure that you enter the grades, you’ll want to go to the assessment.
We have this already set up for you, you need to modify it, that patient has high cholesterol and high blood pressure, I enter the refraction code on the left hand side, I tend to use the IDC ten codes most, so you can see the refractive codes, the high cholesterol, high blood pressure and the type 2 diabetes.
Then you’ll want to head over to the plan, here’s where you’ll paste that spectacled prescription, at this point the patient may get glasses with the staff or they may get dilated, I will normally save it, you need to make sure that in order to keep the patient flow for the office for the day smoothly.
You need to finalize the glasses RX, we will have this already made for you as well with the expiration date, but you need to scroll down under the notes section where it says glasses RX, we’ll paste it there, you’ll want to sign it to finalize it.
I’m not going to do it here because this is a patient’s chart note but I’ll save it, normally you want to make sure that you sign it so that once you sign it, the staff could start with their job order, it is entering everything in while you’re seeing your next patient.
You get the patient back, after they’ve dilated, you want it to add a couple of notes, you’re going to tell them the side effects of the dilation, signs and symptoms of retinal tear detachments, controlling their blood sugar levels if they’re diabetic, these are some of the things that I tend to use often.
You can add a template item or edit anything by clicking on these at the bottom, you want to check something from a previous chart note, this little clock is a handy feature, you want to click on it, you could see all the prior patient encounters from the years before.
You can scroll down, you can go to look and compare if you want to see what his subjective refraction was, you want to cut and paste something, you can simply do that as well, once your chart is signed, you can’t edit it anymore, but you can go back in and make an addendum.
Let’s go back to our schedule, a patient’s coming in for contact lens evaluation, we also have these chart notes set up ahead of time for you, what you want to do is to edit, review cleaning solution wearing time, replacement schedule.
We’ll have their habitual contact lenses, you’re going to get them some new trials today, you want to enter those in, these are also populated, you need to specify if it’s a one week follow-up or if they’re okay to order, I’ll usually have two of these, you can erase the one that you’re not using but be sure to advise the staff if you need them to come back for a follow-up appointment or not.
Then you’ll want to sign that, one last example is a dilation example, if you want to click on that one, go back to the chart note, double click on their dilation exam, the staff will help you to enter the dilation exam, they’ll enter the time of the dilation, they will enter the drops.
This is taken from their exam notes but if there is anything else you’d want to modify, please do so, we usually have a basic, everything is at the normal when you want to see them again, this is a simple note that you want to make sure that you sign afterwards.
The exam notes are the only ones that are soap notes, if you need to create a new exam note, you do that in the upper right hand corner, click on the soap note that would be for your comprehensive eye exams, these sections are the ones that are set and practice fusion that we can’t modify.
If you go down, these are our type of check appointments, these are simple notes, they don’t have that soap format, it’s one section to have all your notes in, everything other than our comprehensive eye exams is simple note such as contact lens checks, training appointments, any prescriptions like glasses or contact lenses prescriptions.