Delegated Prescriptions Queue Guide

for Controlled Prescriptions

The Delegated Prescriptions Queue helps streamline controlled prescription workflows by allowing ancillary staff and mid-level providers to draft prescriptions, while ensuring that supervising providers maintain full oversight and final approval.

This workflow supports compliance with prescribing regulations, reduces bottlenecks, and enhances patient safety by making it easier for providers to review, modify, and approve prescriptions efficiently.

 

Setting up a Supervising Provider

1. Log in as a user with administrator permissions
2. Navigate to Administration > EMR Setup > Supervising Providers
   • The page “Rendering Provider to Supervising Provider“ will open
3. From the “Rendering Provider” list, locate the ancillary staff member or mid-level provider you want to assign.
4. From the dropdown menu, select the appropriate supervising provider.
5. Click Make Changes button to save and confirm the assignment.

 

 

 

Delegation Workflow for Controlled Prescriptions

For Ancillary Staff and Mid-Level Providers

1. Draft the Prescription

○ Navigate to the Medications / Medications 2.0 page in the patient chart.

○ Create the prescription as usual, including:

• • • Medication name
    • Dose and instructions

○ Ensure all necessary clinical details and notes are included.

 

 

2. Delegate the Prescription to a Supervising Provider

• Confirm the Supervising Provider for Delegation:

a. Regular Delegation:
If the ancillary staff or mid-level provider has already been assigned to a Supervising Provider, that provider will appear pre-selected in the “Supervising Provider” dropdown. This ensures quicker delegation for routine workflows. 

See Setting up Supervising Provider steps for more details. 

b. One-Time Delegation or Reassignment:
If the prescription needs to be sent to a different Supervising Provider, the user can manually select or reassign from the “Supervising Provider” dropdown on the Add Prescription entry page.

 

 

• Click Add Prescription to save. The medication will appear in the Current Note Prescriptions list.

3. Sending the Prescriptions to the Supervising Provider’s Controlled Rx Queue

• From the Current Note Prescriptions list, select the medications to delegate. 

• Review them on the Prescription Preview page, then click Send to Delegated Rx Queue to forward them to the Supervising Provider’s Controlled Rx Queue for approval.

Ancillary staff’s preview page:

Midlevel Provider’s preview page:

 

 

• Once submitted:

a. The prescription appears in the supervising provider’s Delegated Prescriptions Queue.

b. The system records the delegation timestamp and the identity of the delegating provider.

For more information on prescription workflow options, please refer to this guide.

 

Managing Controlled Prescriptions Queue for Supervising Provider

Step 1. Access the Controlled Prescription Queue

• Log in to the EHR.
• Navigate to:  EMR > Controlled RX Queue.
• The Controlled RX Queue page displays all pending controlled prescriptions awaiting review..

 

 

Note that there are three other sections available in the page:

• Unsent Prescriptions: List of all prescriptions added to the queue.
• Sent Prescriptions: List of all prescriptions sent to the pharmacy. 
• Archived Prescriptions: List of all prescriptions moved to the archive.

The prescription queue is grouped by patient, ensuring compliance, improving patient safety, and making it easier for providers to quickly review the most recent prescriptions for continuity of care.

Step 2. Reviewing the Queue

Each record in the queue displays:

• Patient information & prescription details
• Timestamp & delegating staff/provider
• Available actions:
  •   Send Prescription – trigger the sending to pharmacy
  • Modify Prescription – review, update, or reassign
  • Archive Prescription – move prescription to archive

Step 3. Select Prescriptions to Send

Note: For a smoother workflow, all unsent prescriptions in the queue are pre-selected.

• Bulk Send:
  • Select the checkboxes for multiple prescriptions (or use Select All at the top).
  • Click the Send Controlled button at the top right of the list. 
• Individual Send:
  • Click the Send Prescription icon on a specific row.

Step 4. Review Before Sending

• A Prescription View page will appear before sending, showing all selected prescriptions.

 

 

• Double-check prescription details and then,  click Approve and Send to proceed.
• The Controlled Signoff page pops up. Enter your Token Password and Security Code, then click Sign + Send to electronically sign the prescription and transmit it securely to the pharmacy.

 

Step 5. Confirmation of Sent Prescriptions

Prescriptions are transmitted to the pharmacy and moved to the Sent Prescriptions list.

 

 

💡 Visual Status Indicator:

• Sent Prescriptions. Indicates that the electronic sending is in progress.
•   Received. Indicates that the pharmacy has received the request.
• Failed. A red alert symbol indicates that sending has failed.
• Canceled. The provider / sender cancels the sending of prescriptions.

 

Modifying a Prescription

If corrections are needed, click Modify.

• In the Edit Prescriptions Page, providers can review and update any information in the SIG (i.e. adjust dosage, frequency, choose pharmacy, provide notes)
• Click Save to apply the changes.

 

 

• Providers can also reassign the prescription to another supervising provider
  • Simply select a new Supervising Provider from the dropdown.
  • Click Save.

Once saved, the prescription will be removed from your list and automatically routed to the new provider’s Delegated RX Queue.

 

Archive Prescriptions

Prescription records from the queue can be moved to Archived, so it can later be reviewed, modified and sent when needed.

• Bulk Archive
  • Select multiple prescriptions by selecting the checkboxes (or Select All at the top).
  • Click Archive at the upper-right.

Note: Bulk archive for controlled prescriptions is grouped per patient — meaning you can archive multiple medications for one patient at once, but not across different patients.

• Individual Archive
  • Locate the prescription row.
  • Click Archive for that specific prescription.

The selected prescriptions are automatically moved to the Archived Prescriptions list.

 

Send Prescriptions through Archives

The items in the Archived sections can be modified to create and send prescriptions.

 

 

1. Locate the prescription from the Archived Prescriptions list, click Modify.

2. Review and update SIG, then Save.

3. Click Send, for final review, then click the Approve & Send button.

 

 

4. The Controlled Signoff page pops up. Enter your Token Password and Security Code, then click Sign + Send to electronically sign the prescription and transmit it securely to the pharmacy.

 

 

5. The prescriptions will be moved to the Sent Prescriptions List.

 

Checking of Logs

To quickly view all actions made in the patient’s prescriptions:

• Go to Administration > Medication Setup > Medication Management. 

• Alternatively, this can also be accessed from EMR All Notes > Medication Transactions

• Or, to view directly inside the note:

1. Search for the patient and navigate to the patient’s chart in the EHR.

2. Go to Medications (or Medications 2.0) within the chart.

3. From the prescription list, right-click on the desired prescription, select View All Actions from the menu.

 

4. All actions, edits, and prescription details can be viewed here for review or auditing purposes.

 

 

• Another way to view prescription logs is by navigating to Administration > Logs > Clinical Logs in the EHR.