AMB400 Review questions

S-How many OCC records are needed to satisfy the previous scenario?

2

7-If. Dr. mica signs five orders for a patient during one visit, how many order records are created?

5

S-The comment has been created. What must you specify as a condition when you like to this comment?

An order class.

7-These would use set directive

Cause charge triggering for this order to happen now. Change the priority of the order from Routine to STAT

9-Which of the following can be set up in a message type definition record?

Command buttons, Columns, presence of Reply button, Message type

10-The delegate for Dr. Mica's Out of Con5tact Occasion reads a message and clicks the DONE button. Dr. Mica sees a message about his in a Covered Work folder because marking a message as Done is listed as a _____ in _____.

Covered work action in Epic-Wide settings

5-I need to set up administration instructions stating "refrigerate and shake well before administering" for 15 medications. What is the most efficient way to set this up?

Create a SmartText for administration instructions. link the 15 medications to that Smart Text.

4-There is a special lab test for which you do not want users to be able to change the order class (it will have a default value specified). What must you do to prevent users from even seeing the Class field in the order composer?

Create an OCC record that does not include Class as a display item, and link the procedure to that OCC.

S-In the Preference List Composer, Casey adds a blood test. In its composer details, what is the effect on end users if Casey leaves all fields blank?

Default values from the procedure hierarchy will be used.

10-A certain physician often forgets to close encounters. What is a possible reason that different supervisors are being notified about his open encounters?

Different supervisors to notify are specified in various department records. This physician has encounters in different departments.

2-You plan to build a group that will have rows for recording the recommended amount, type and intensity of exercise. the group should appear as "recommended Exercise" to end users. When you create it, which would be appropriate settings?

Display name: recommended exercise Row Type: flowsheet Group

8-Resident Roxanne places an order and lists Dr. Micha as the authorizing provider. Which provider record will results routine check as it looks for a linked results routine scheme record?

Dr. Mica's

10-Continuing from the preceding question, where is that set up ?

Epic-Wide Settings

10-Your organization would like to have a special message type called 'Tips and Tricks" that can be chosen when users clink the arrow next to the NEW MSG button. Where would you list this special message type?

Epic-Wide Settings

10-What controls In Basket setting for all users?

Epic-wide Settings (vs. system def does not)

S-Based on the following default order class setup, when dr. Smith logs in to the Rheumatology department and orders this imaging test from database Lookup, what will the default order class be? Procedure record: External Procedure category for this procedure: Ancillary Performed Rheumatology lab preference list: Clinic Performed

External (other options not correct - Clinic Performed, Ancillary Performed, It will be blank)

3-True/false: review flowsheets must be specified in a profile in order to be available to users.

False

4-True/false: Procedures that are orderables should be marked as active for billing.

False

5-True/False: Dose buttons (for example, 50 mg or 100 mg) are set up on the same screen on which you set up other item buttons.

False

6-True/False: When you enter override details for a procedure in the Preference List Composer, end users see those override details when they select that procedure from both the Pref list and database lookup tabs.

False

7-True/False: For the Send, Do, and Set directives, the final step order transmittal does is to consult the Destination Map master file?

False

9-True/False: for all users, the system-level profile is the most global level at which you can specify message type setup.

False

True/False: review flowsheets must be specified in a profile in order to be available to users?

False

S-True/False - It is possible to set up one group of users with a maximum In Basket search range of 1 year. and another group with a maximum search range of 6 months/

False.

5-Why would you link a medication to a SmartText?

For instructions that will appear in the Order composer.

6-Nurse Memphis is unable to add anything to her user preference lists, but all the other nurses in her group can add to theirs. A possible reason is

Her user record is set to OFF for all the user preference lists.

5-Clinicians are complaining that 25 particular medications offer inappropriate choices whey they click the "Selection button in the Frequency field. Describe how you would fix this.

In each medication record, set up allowed frequencies.

4-If you list Glucose as a result component in a Gluose Accucheck procedure record, how does that affect the end user who results this test?

In the Enter/Edit Results activity, the end user sees the component by default, thus saving her time.

S-When nurses enter results for a particular point of care test in Enter/Edit results, they must look up its components. What can you do to make the components appear automatically for this procedure?

In the procedure record, link to the appropriate result component records. (incorrect - In each appropriate result component record, link to the procedure record. Set up a high/low reference range in each result component record. Set up result components to appear as a display item.)

4-If you choose a display item that has "collapsed' in its name (like Comment Collapsed), how does that appear in the Order Composer?

It appears as a hyperlink.

7-In the destination mapping hierarchy for a particular order: Department map has: printer_line>Printer A Location map has: printer_line>Printer B For an order placed in that department that sends to printer_line, what will happen?

It will go to Printer A

4-Describe the most efficient way to have the same question appear for all the diagnostic imaging procedures.

Link the procedure category for those imaging tests to the question.

5-Five display items are defined in the system-level OCC record for medications. For a particular medication, you need those same display items and one more. In your medication-level OCC record, do you list the six display items in total or just the extra one? Explain.

List all six items. Reason: The system searches in a hierarchy, so if you just listed the one item in the medication-level OCC record, only that one would show as a display item.

6-As you add orders to a preference list record, those items are from:

Medication Master file & Procedure master file

10-If the top-down order of In Bakset folders is configured in Epic-Wide settings, why are Dr. Smith's folders not identical in top-down order to Dr. Jones (assume they have the exact same folders with messages)?

One of them did a user override (personalization) on the In Basket folder order set up.

9-In a message type definition record (HIS), the administrator set ENABLE responsibility? to Yes. The new HIS is linked into the hierarchy correctly. Upon testing, the folder is not responsibility enabled. Why?

Only Certain message types are programmed for responsibility.

5-To what type of questions can you link a medication?

Order-Specific

4-The questions "Is the patient pregnant?" should appear for any imaging orderables. What type of question record needs to be built?

Order-Specific Question

8-Results routing is suppressed for "inpatient pre-discharge". This kind of suppression is based on ...

Patient status

S-To work efficiently, you should take advantage of the ____ master file, and you will need to build ____ record(s) in that master file.

Procedure Category, 1 record

9-ED Physicians need to have special setup in for Deficiency Update Errors message types. What level in the message type hierarchy would be most appropriate for accommodating their need?

Profile

8-Dr. Lenite works in an outpatient department that will go live three months from now. What field in his provider record would you affect to prevent him from getting a build-up of results messages?

Recipient Type

2-You're building a row to record the type of exercise recommended to the patient. There are more than ten possible values, and they are specific to patients with MS. Any patient might have more than one exercise prescribed. When you create it, which would be appropriate settings?

Record name: R PT Exercise Type Row Type: Data

S-Currently, "comment" is a display item for the procedures, but there is no default comment template. in which master file do you build a comment?

SmartText

10-Where do you set the number of days that must elapse before a message is sent regarding an office visit encounter being left open too long?

System Defintions

4-Dr. Quartz complains that whenever he orders any outpatient referral, a default department specialty of OB appear. What did an administrator do incorrectly, and what should have been done?

The administrator defined that department specialty in the referral procedure category. She should have defined it only in appropriate referral procedure records.

4-Dr. Quarts complains that whenever he orders any diagnostic imaging test for any patients, the questions "Is the patient pregnant?" appears. What setup is wrong?

The linked question record should have been limited to females of a certain age.

7-The nurse in North peds complain that point of care lab orders are going to the department printer instead of as a message to their pool. Why?

The matched rule has "if order type +POC, then send to printer_line. "

S-You added a particular command button to one message type definition (HIS) record, and are now attempting to add that same button to another HIS. However, you can't find that button during lookip in the second HIS. WHY?

The message type of the second HIS does not allow that button.

6-You make a system preference list. To make this preference list available to users in a particular department when they go to the Pref list tab in the order lookup window, specify this preference list in

The profile that affects their department.

4-Dr. Mica orders a procedure call Amb Referral to Dermatology. Would this be an orderable, performable, chargeable or combination? Explain.

The referral would be an orderable because it is like saying "Somebody please do this" and isn't actually being performed or charged now.

5-What is the purpose of the Dispendable Product field in a medication record?

The system automatically looks to the linked dispensable procedure medication record for information.

4-In a procedure category for Lab Send Outs, two buttons were set up for the Class field. However, whenever Dr. Mica orders an iron assay (which is a procedure linked to the Lab Send Outs procedure category) she sees four buttons for the Class field. Explain why.

The system searches for details using the procedure>procedure category hierarchy, so it found the four buttons defined in the procedure record and displayed them.

S-clinicians in two different specialty departments see the same display in a particular Synopsis view, but their view buttons are names differently. What are possible reasons for this?

There are two Synopsis view records, and the only variation in their build is the button display name. It is the same Synopsis view, and in one specialty department's profile, an override display name was specified.

S-Which of the following are true statements about dose button (for example, 90 mg) setup in a medication record?

They are not set up on the Outpatient Order Composer Button Selections screen. Each button is composed of one value. (incorrect answers - They are set up on the Outpatient Order Composer Button Selections screen. Each button is composed of one value. If you specify a button as the default, then that does overrides age-based doses for that medication. Dose button setup is dependent upon the values in the equivalency table for the medication

What is one reason a clinician would want to use a review flowsheet?

They offer a convenient way to look at disparate information from the patient's chart over time.

10-You can have certain groups of users prompted to copy In Basket message notes into their telephone encounters. The reason you can affect some users but not all is because:

This is a profile setting, so the profile hierarchy can be used.

7-These would use send directive

Transmit information about the order through the lab interface. Cause an order to print at a label printer.

10-Dr. Coal marked a message as Done 50 days ago. He tries to search for it, but there are no search results. True/false: The setting that controls the number of days before 'Doned' messages are pursed was set to 50 or fewer days ago.

True

4-True/false: Lab-related SmartLinks can look to result components.

True

5-True/false=the presence of item buttons for the Route field has no impact on whether the Route field is a display item in the Order Composure.

True

6-True/false: In a procedure preference list record, you must create at least one section.

True

7-True/False: 'Order type' and 'Priority' are properties that order transmittal can be told to evaluate in a condition statement.

True

8-True/False: One reason why a patient will not see a final test result in MY chart is because the provider did not release it to My Chart.

True

9-True/False: End users can override message type column setup by rearranging the column order in their In Basket folders.

True

9-True/false: In a message type definition, you can change the name of a report button without also changing the report that will show.

True

5-True/False: The display item that appear when the Additional Order Details hyperlink is clicked in the Order Composure are not set up in an OCC of context=Ambulatory.

True.

9-If AutoAdvance is turned on, what is the effect on end users?

When an end user completes a message, the next message in the list is automatically selected and displayed.

4-I created a SmartText with functional type MR orderders. Why am I unable to use it for a process instruction in a procedure.?

You cannot use it because MR Orders is the functional type for SmartText used as comments.

3-You built a review flowsheet for a group of specialists to be used in the Review Flowsheet activity. However, when the specialists go to that activity, the flowsheet is not there. Which of these explains whys?

You didn't release the flowsheet.

S-In a row record, what value type would you choose if you want the responses to be a unique list?

custom List

2-You find an existing row in the Foundation System titled R ASTHMA IMPACTON ACTIVITY. it's currently in use in the Asthma pulmonary Function flowsheet template. it has exactly the same display name and custom list choices you want to use for a row in your MS template. True/False" If you use this same row record for your flowsheet, the responses made by end users on your flowsheet will appear only in your flowsheet.

false

5-True/false: if you set up a Use Free Text button for dose, then administration instructions automatically appear as a display time.

false

8-Results routing consults a results routine scheme record. none of its condition statement rows are perfect matches. True/False: Results routing will move to the next results routing scheme record in the hierarchy?

false

8-True/False: You must use an administrative login to be able to enable the support report view.

false

4-True/false: Additional order detail display items can only be set up in tan OCC record that you link to System Definitions

false.

S-There are 50 hematology procedures that belong to the same procedure category. of these procedures, 45 of them need the same display items, and the remaining 5 have the same exceptional display item needs. The rest of the setup details for all the hematology orders are identical.

questions regarding this scenario on next 4 questions

3-What is one reason a clinician would want to use a review flowsheet?

they offer a convenient way to look at disparate information from the patient's chart over time.

8-In results routing, when does the error pool specified in System Definitions get noticied?

when there is an issue with pool recipeient. When there is an issue with provider recipient.