INP 402
F
(T/F): Flowsheet Templates, Groups, and Rows are all built in a specific master file unique to them.
T
(T/F): do you build assessment flowsheet bottom up by creating small records and attaching them to larger structures, and also configuring the cascading functionality so you can test work at every step?
N
(Y/N): If you entered "PER MINUTE" in the Units field for this row, users would need to enter "PER MINUTE" every time they entered a value.
No
(Yes/No): Does value type define the purpose of a record?
true
(true/false) some settings in released records cannot be altered, even if you create a new version/contact
1. create "placeholder" flowsheet groups 2. build rows 3. attach rows to group 4. build template and attach groups
4 steps in building flowsheet rows
1. diagram of every record 2. build assessment flowsheet without cascading functionality 3. test work 4. add cascading 5. test cascade
5 steps in cascading flowsheet build
hyperspace
All flowsheet records are built within ______ and can be accessed, edited, and built through the same activity (Edit Flowsheets (FLT & FLO))
warning maximum
Any value above this number is flagged as abnormal.
warning minimum
Any value below this number is flagged as abnormal.
row record
Determining what triggers a cascade and what groups/rows are added is always configured within which record?
release this version
Enables the record to be used in a production environment with real patient data.
decimal places
Enter the number of decimal places you want a user to be able to enter in the flowsheet row. If you leave this field is left empty, the system displays values out to two decimal places.
cancel
Exits the record without saving any changes.
hidden or removed
Instead, it's better to provide nursing users with one place to document the initial pain site (or lack thereof) and allow them to add additional pain rows if needed. To do this, you can add groups to a template and have them begin ______ or ______ by clicking the Start removed and clicking allow remove
B. group not listed as preferred
A nurse opens a flowsheet template and click Add Row. After making a selection, the row he chooses drops to the bottom and appears under a group named OTHER. Which of the following are causing this to happen (choose ALL that apply) a. The row is not listed within the group record b. The group is not listed as the preferred group within the row record c. The group is not listed within the template record d. The row is not listed within the template record
cannot
A person (can/cannot) enter "fever" into a temperature row, because the temperature row has a value type of temperature, which restricts users to only using numeric values in Fahrenheit or Celsius when documenting.
Value type
This field answers the question "What type of information will the row display?" following are available: blood pressure category type custom list date height numeric type patient height patient weight string type temperature time weight
charting to a definition
This model of clinical documentation, where clinicians record only abnormal values, is called _____.
maximum
Users are not allowed to enter a value higher than this number. "hard stop"
minimum
Users are not allowed to enter a value lower than this number. "hard stop"
restrict rows
When you select this check box, only rows or groups listed in the Group/Row column below are allowed on the flowsheet template. Select this check box to prevent users from adding any groups, rows, or LDAs to the flowsheet other than those listed in the Group/Row field.
a and b
Which of the following does "releasing" a flowsheet accomplish? (Choose ALL that apply). a. Releasing grays-out certain fields in the record, making them un-editable. b. Releasing makes the records available to users in a production environment. c. Releasing flowsheet rows allows you to add them to groups. d. Releasing flowsheet groups allows you to add them to templates.
rows and groups
Which of the following records can be released? (Choose ALL that apply). a. Flowsheet rows b. Flowsheet groups c. Flowsheet templates
b and d
Which of the following settings does your respiration rate row likely share with SpO2, Heart Rate, and BP rows included in this group? (Choose ALL that apply). a. Display Name b. Row Type c. Value Type d. Preferred Group
b. text-side utility
Whoa! That's potentially a lot of records. Good thing you can use a text - side utility to release these records en-masse. a. A Hyperspace utility b. A text-side utility
a. greater than
You want a rule that identifies adult patients. Which of these would be the <Operator> for your criterion? a. greater than b. 17 c. age in years
c. age in years
You want a rule that identifies adult patients. Which of these would be the <property> for your criterion? a. greater than b. 17 c. age in years
b. 17
You want a rule that identifies adult patients. Which of these would be the <value> for your criterion? a. greater than b. 17 c. age in years
can
You, as an builder, (can/cannot) prevent row display names from being cut off.
user experience
aims to create meaning behind tasks in the system by focusing on the capabilities of users, how those users feel, and the emotional connection users have with the system.
automatic cascades
cascade type that adds new groups and rows to the flowsheet without additional input from the user
prompted cascades
cascade type that allows the user to pick which groups and rows to add to the flowsheet
are
cascading flowsheets (are/are not) useful only for facilities that choose to chart to a definition
simplicity and minimalist design
dialogues should not contain information that is irrelevant or rarely needed. every extra unit of information in a dialogue competes with the relevant units of information and diminishes their relative visibility. examples are: category lists avoid too much irrelevant information
FLT
each flowsheet template is a record in what master file?
tab
each template is represented by its own _____.
G
epic recommends prefacing all group record names with what letter?
R
epic recommends prefacing all row record names with what letter?
Rule records (CER)
flexible records which evaluate whether a patient matches certain conditions and are used throughout Clinical Documentation build. evaluate discrete data to drive other features, determines if true
Edit Flowsheets (FLT & FLO)
flowsheet build activity name in Hyperspace
are not
flowsheet groups (are/are not) the records where users record data
released
flowsheet groups and rows are two examples of records that must be ____ in order to be used or found by users
Flexibility and Efficiency
heuristic where accelerators - unseen by the novice user - may often speed up the interaction for the expert user such that the system can cater to both inexperienced and experienced users. Allow users to tailor frequent actions. examples are: providing tools for workflows, but not creating clutter and users ability to re-arrange screen elements (menus) to suit their needs.
help and documentation
heuristic where even though it is better if the build can be used without documentation, it may be necessary to provide some. Any such information should be easy to search, focused on the user's task, list concrete steps to be carried out, and not too large. examples are: provide quick reference materials
recognition, not recall
heuristic where minimize user's memory load by making objects, actions, and options visible. the user should not have to remember information from one part of the dialogue to another. instructions for use of the build should be visible or easily retrievable. examples are: toolbars and startup activities provide shortcuts
system matches real world
heuristic where system should speak the users' language with words, phrases, and concepts familiar to the user. follow real-world conventions, making information appear in a natural and logical order. examples are: print groups and reports with intuitive names; navigators, activities, and toolbars in right order
Consistency and Standards
heuristic where users should not have to wonder whether different words, situations, or actions mean the same thing. Follow platform conventions. examples are: words like similar tools and uses org's terminology and naming conventions
in text
how can you release a bunch of flowsheet rows at once?
usability
is a part of the overall user experience and focuses on understanding what users do, making those tasks easy to accomplish, and removing roadblocks to task completion.
shift + F4
key command to delete a row in your list
F4`
key command to insert a blank row in your list
WDL
means within defined limits
definition
one key difference of WDL rows and rows are that WSL rows should always provide a _____ of what "defined limits" means for your organization. this information is entered in the row information field
does not
releasing a group in hyperspace (does/does not) release the affected rows
purpose
row type defines the ______ for a record
groups, rows
rows link out to ____, and groups link out to ____
template
seen as a "tab" in flowsheet activity. used to organize different categories of documentation
heuristics
simple rules that you can use to approximate a larger probable truth from smaller truths that are easier to observe. general rules of thumb that can be used to help make decisions
data
some examples of row types are flowsheet group, and the most common option for flowsheet row records, _____
row type
the available value types for flowsheets change based on what selection is made for _____. This field answers the question "What is the purpose of this record?"
bottom up
the steps for building flowsheets follow the (top down/bottom up) principle
false
true or false: flowsheet rows, groups, and templates are stored in the same master file
automatic and prompted
two types of flowsheet cascades
group
used to organize individual documentation rows; row with bigger, colorful font in the flowsheet activity
comparison value
value that the end user can file in the row to trigger the cascade - not case sensitive - spelling sensitive - if custom list has abbreviations, list abbreviation as comparison value
type of information
value types defines the _______ you are entering in a row
popup saying value cannot be entered
what happens if you enter a number in the flowsheet higher than the maximum setting?
flowsheet template
what is A
flowsheet row
what is B
details report
what is C, provides clinicians extra details about the row they are documenting in, like minimum and maximum values, and who documented on the row last.
table of contents
what is D
flowsheet group
what is E
preferred group
when a user adds a row on the fly, it gets added to the ______ from the row record. Enter the group in which this row should appear if someone adds the row individually to a flowsheet. Note: Entering this is not the same as attaching the row to the group-it only indicates where the row should appear if someone adds the row to a flowsheet individually.
row
where data is documented, row with normal sized, black font in flowsheet activity
rule editor in hyperspace
where do you create new CER rules?
comparison operator
where you enter the logical operator to determine if cascading rows are triggered
b. start removed
which flowsheet template setting allows a builder to hide a flowsheet group until the end user adds it? a. topic b. start removed c. restrict rows
expanded
without topics, all groups are ________by default in the table of contents. these group similar flowsheet groups for easier reading. free text headers builders can use to compress Table of Contents
ready for use
you should only release flowsheet records when they are _______
Accept
Saves your changes and exits the record.
save
Saves your changes and keeps the record open.
Allow Copy Forward
Select this check box if users should be able to right-click the row in Doc Flowsheets and copy a previous assessment to the current time column.
start removed
Select this check box if you would like a row or group to be part of the flowsheet template, but not to appear when the user first opens the flowsheet. When users add a group marked as this, it appears in the order it is listed in the Group/Row column. takes precedence over preferred group. Build term that allows the builder to hide groups and rows from the template until they are needed by the user. This check box is always selected when you attach an LDA to the flowsheet template. Each LDA must be manually added by the user.
usage
Shows a report displaying information on where this FLO record exists throughout the system.
row information
Stores a text formatted description of this flowsheet's row/group. This item is enabled for SmartTool use and can have hyperlinks to outside sources and even contain picture images.
topic
The _______ column organizes similar groups together under the table of contents in a flowsheet template. if left blank, name of flowsheet group will be used
group form
The _______ in a flowsheet group record is where you can specify all the rows that should normally show up in the group by default.
Start Removed
The ____________ setting allows certain groups to be hidden from view by default, but will allow those groups to appear if a user manually adds the group to the flowsheet template they are using.
display name
The name of the group heading that appears for end users. Use title case to make your display name easier to read or the name that appears to end user in embedded flowsheet navigator sections
record name
The name of the record as seen by builders.
tab name
The name that appears on the toolbar in the Flowsheets activity. If left blank, the display name will be used.
highlighted red
If a value is above the warning maximum in the row record, what happens in the flowsheet?
allow remove
If checked, users can right-click and remove this group. Only rows without previous values will be removed.
X
If you do find something outside defined limits, you enter ___ in the WDL row which causes other rows to cascade onto the flowsheet and allows you to document exceptions to the normal defined limits for that body system
allow copy forward
If you select this check box, it allows end users to copy forward previous documentation into another flowsheet row for that encounter.
allow completion
If you select this check box, it allows end users to mark a flowsheet row as completed by right-clicking the row and selecting Complete. By marking a row/group complete, it indicates that no further documentation will be done on that row/group. A row/group can also be reactivated if it becomes necessary to document on the row/group again.
cross encounter
If you select this check box, it will allow flowsheet data to copy across encounters.
FLO
Groups and rows are records in what master file?
select restrict rows
How to restrict flowsheet groups and rows? It prevents users from adding any groups or rows to this template not listed in flowsheet record