EPIC

What is the whole process for a taper?

1. Give order an end time of # of doses 2. Click Link Orders choose " followed by" 3. Repeat if desired

How do I open up a SmartList?

Press F2

What does the Accordian reports help?

They help in reviewing patients charts.

True or False Each specialty has its own system list?

True

What can you use to enter and manage orders?

Use Order entry Order review Rounding Navigator

To start a taper,before you did any linking,you had to indicate what?

When the first order would end.

What documentation do you typically complete to track a patient's progress.

Write a note.Manage orders

Okay how about a titration? What was special about the dose when you ordered the dopamine titration?

You put in a ranged dose

When charging,what do you choose if rounds for the patient were routine?

choose subsequent Hospital Care,Level 1 by clicking in the checkbox to the left of the charge.

A pended order is like a _______

rough draft

When is the patient going home deals with what?

Discharge

True or False Discharging puts patients on your list automatically?

False, Discharging takes pt's off your list

What is the summary sentence?

It shows you the details specified in the order, so you don't have to open the order to know if the settings are appropriate.

What action helps you manage your patient's orders and write the patient's progress note?

Keeping the problem list up to date

What did you do to taper off the steroids?What button did you click in the order composer?

Link Orders(or followed-by)

True or False a pended order is a rough draft?

True

True or False many patients will have other problems associated with their prinicipal problem.

True and these other problems will be listed as hospital problems that will be monitored or addressed during the hospitilization but are the main reason for the hospitilization.

What do you see when you expand your My Patients list?

A red and blue icon that says All My Patients

When do you use the Modify button?

When you are changing the details of the same order.

How are you usually notified when someone wants you to consult with a patient?

Recieve a phone call or page, the on-call physician in my specialty assign me

When are patients automatically removed from the system list ?

When they are discharged or when your assignment with them ends.

Lesson 4

Continue On Daaaaaaaaarling!!!

What is the first screen that you see when you log in?

The Home screen or Startup Activity

What is t +2 ?

The expected discharge date of two days from today

heights are measured in

inches

Weights are measured in

kg

What is a one-stop-shop, meant to streamline documentation.

A Navigator

What is used to organize by your most common workflows.

A Navigator

What does red text mean?

Abnormal values

What do I click to extend a order?

Change end time

If I wanted to extend a order by 48 hours what would I put?

Extend by

True or False Admitting takes pt's off your list?

False Admitting puts pt's on your list automatically

True or false for a Titration enter a special bolus?

False enter in a ranged dose

What does the tiny arrow next to the red and blue icon?

It indicates that this is a shortcut to the Neurology system list.

What is the Table of Contents?

It list the sections of the navigator

What are the two list in the top left corner of the screen called?

My Patients My Specialty/Consults

Now uthat you are assigned to Frank , what othere list does he appear on?

My Patients system list.

What are some other Navigators

Navigators for Admission,Discharge,and Transfer

can others see and act upon a pended order?

No

What is the list called My Patients?

This is a list of all the patients you are following.

While charging,what does Pr mean?

This means that it's a charge for professional services.

True or False anytime you write a consult note, the system prompts you to associate the note with any rders related to that note.

True

Lesson 7

Come on Baby

Lesson 10 -

Go

What 2 note documentation tools are designed to hep speed up your note documentation?

SmartTools and the NoteWriter

What is one place that allows you to view all of your pt's current orders?

The Patient Summary

What is highlighted in blue?

A SmartLink

True or false use admin instructions for to send the pharmacy a msg?

false use admin instructions for parameters

True or False In the real world patients are always going to be straightforward?

false, in the real world patients will be anything but straightforward.

How can you indicate a discharge of a week from now?

y + 1 or t+365

I made a mistake while I was filling out a SmartList. can I reopen the list to select from the choices again?

yes, Click the undo button to undo what you had previously filled in, or right-click the selection you made and choose Reselect This SmartList's Selections

What is the difference between viewing a patient's I/O in the Comprehensive Flowsheet report vs. the Intake/Output Activity?

The I/O Activity shows information displayed in a graph. Weight-based I/O details

What is the first report that you see when opening up the Patient Summary?

The Index Report

What is the criteria for this All My Patients system list that you are listed as?

The Patient's admitting or attending provider, the PCP, or a consulting physician

What button should you click if you want to add a new report to the toolbar?

The Wrench button

Where else beside the Rounding Navigator can you see that you have a order to cosign?

Look at the Patient's List column and see the Cosign Ord icon in that column 2. In reports from the Patient Summary 3. In there In Basket

What is the date of a month from now

M+1 or t +30

Each time that you are opening up a pt's chart you open up ____________

A workspace

What report hyperlink should we click to see a pt's current orders?

Active orders

Tabs that are within a pt's chart are called?

Activity Tabs

And then how do you communicate to the nurse what the parameters were of the titration?

Administration instructions

What column could you sort by if you wanted to see all notes written by phsicians grouped together?

Author Type

How does Epic calculate the Ideal Weight?

Base Weight + 2.3 * (Height-60)

What does EnRol stand for?

Enhanced Record Lookup

When there is a positive/negative button for a condition,how do you document that it's a positive/present?If it's a absent/negative?

If it's a positive/present,click the plus sign or left-click. If it's a negative/absent,click the minus sign ir right-click.

Where can we complete our consult documentation?

In our Consult Navigator

Where else can you see a patients Intake and Output besides the Intake Output Activity?

In the Patient Summary,Accordion Reports/Comprehensive Flowsheet

What activity allows you to enter orders?

In the Rounding Navigator. Then click orders

What kind of info does the My Patient List display?

Information about each patient

What does the ED Summary allow you to do?

It allows you to see everything that happened while the patient was in the ED.

What must a physician do to verify that he /she has reviewed and updated the problem list and confirmed that it's reflection of the patient's current conditions.

Mark As reviewed!

What does OOB stand for?

Out of Bed

What does the + signs mean? What do those indicate?

That there are more values documented within that time interbal than what appears in that column

What happens when you click on the Patient Name column header?

The patients are sorted alphabetically

A red and blue icon is called

a System List

Lesson 3

Let's Do This

What is a System List?

A list of patients who meet specific criteria

Patients are automatically added to the system list when the order is what?

Signed

The purpose of a navigator is ?

streamline your workflow and make it easy to complete all of the related documentation from one place in your patient's chart

True or False Once a order is signed it is released into the system,where others can act on it.

True

True or False a Patient's Lists columns can alert you to task that you need to take care of ,before you ever open a patient's chart?

True

While working in the Add and Remove Reports window, it is also possible to add buttons for reports that are not currently open. How can you do this?

By clicking in the next available row but instead of clicking Add Current,click clicking in the next available row but instead of clicking Add Current,click the Selection button.

What med is 0.45%

Normal Saline

In regards to patient privacy ,can anyone who can see a system list go into the chart for a patient on that list?

yes, but your organization can run reports to see who has accessed a chart. Special security can also be put in place to require a password to access the charts of some patients.

True or False the Cosign Orders section will show you just your orders that need to be signed?

False the Cosign Orders section will show all orders placed for this patient that need to be cosigned,NOT just the one's that you authorized.You should only cosign the orders that you are responsible for.

For tapers what do you do?

Give 1st order an end time or # of doses

Lesson 8 Vitals, Intake and Output, and Results

Go

Lesson 9- Advanced Ordering

Go

Physician 100-Lesson 2

Go

Which section would you choose for rounding charges?

Hospital

All My Patients list is what?

I'm assigned to the patient

How does Epic calculate the Adjusted Weight?

Ideal Weight + 0.4 * ( Actual weight- Ideal Weight)

Where in Epic can you complete all of your documentation?

In the Rounding activity tab

If you changed a steroid from IV to PO(Intravenously to Orally),could you use the Modify button in the rounding navigator?

No, you have to discontinue the current order

What happens when you walk away from a computer without signing your orders?

The system will automatically pend them.

What is Filed Time

The time that the note was accepted into the pt's chart

How are new notes flagges

There's a icon the New column.(Looks like a clock with a red check mark)

While charging, what does HC mean?

This measn that it's a charge for a hospital,such as a bed charge for a medication.

What else does the Intake/Output activity show ?

View only information about a patient's daily intake and output in table or graph form.

patients will be removed when the order has been what?

completed

How do I remove patients from All My Patients system list?

patients will automatically be removed when they are discharged or if you are the consulting physician you can right click the patient's name and click End My Assignments

What does a pended order imply?

That you have work to finish

when we want to start writing our consult note for our patient , which activity do you think we can use?

The Consult Activity

How does the system yse the patient's most recently documented weight and the volume of fluid intake or output?

To calculate the weight based total.

What is CPOE?

Computerized Physician Order Entry

Name some Meaningful Use requirements?

1.Revieiwing Allergies and Mark as reviewed 2.Updating the Problem List and Mark as reviewed 3.Entering and ordering orders is a Meaningful Use requirement

In other parts of the chart the Principal Problem is denoted by what type of icon?

A blue diamond

What icon's indicate that you can use the date and time shortcuts?

A calendar or a clock icon

What indicates a pt's prinicipal problem ?

A check in the Principla Problem checkbox

what icon helps identify that there are new notes in a column?

A clock with a red checkmark on it

What happens to the note after you select Time Mark?

All of the icons in the New column disappeared.

What is a hospital formulary?

All of the medications that are allowed to be ordered for a particualr hospital.

If you are in the middle of documenting a note and get called away,how can you save what are you are working on?

Click Pend

How do you remove a incorrect order prior to signing?

Click Remove to the right of the one of the Zrtec orders

What do you click if you want to add the report you are currently looking at to the list of report buttons?

Click in the next available row and click Add Current

How can you customize the columns?

Click on my patients folder name and left click on propertie. Then you can select or remove the column headers

How can you quickly see a Pt's meds without opening his or her chart?

Click on the Meds report

How can you read a pt's notes?

Click on the Notes Activity Tab

How can we indicate that some notes are no longer new to us?

Click the Time Mark

What can you do if you want to see your patient listed alphabetically?

Click the patient name column

Modify means

D/C & Reorder(Discontinue and Reorder)

How often does a nurse check a pt's vital signs?

Every 4 hours

What is the upside for physicians when they enter there own orders?

Fewer Callbacks Orders entered more quickly Patient Safety

What should you do if you see a mistake on the note tab and need to fix it before signing?

Go back to the form where the documentation was originally completed and change the documentation.

How do you add a comment to a positive/negative button?

Hold your mouse pointer over the positive/negative button and start typing. You can also double-click the positive/negative button.

What is the first screen called?

Home workspace or Starup Activity

Facility List showa all orders that are available at your ?

Hospital

Where can we change the details of a order?

In the order composer

What does the overview report show you?

Info such as the pt's treatment team, any progress notes written for the last 24 hours, and orders to cosign

What is the Patient Summary

It allows you review information from the patient's current hospitilization.

what can you do in the Activities Tabs?

It allows you to move from one part of the chart to another .

Why are notes sorted by Note Time?

It allows you to see the most recent note appearing at the top of the list

What does a yellow yield sign mean?

It indicates a recommended field

Sorting notes by the column header doesn't hide notes, it simply does what?

It re-organizes them to make it easier for you to find the notes that are relevant to you.

How can you save changes you made to a medication order(Zrytec) so that you don't have to make those edits the next time you enter that order in the system?

Just click the yellow star on the right of the (Zrytec) order and this will add the order to your own user preference list.

Lesson 5

Let's Do It New York Bound!!!

What are the list called that are located inside of your My Patients Lists?

My patients and My Specialty /Consultants

If you click Pend instead of Sign, is the note available for others to view?

No

when discharging a patient is the date binding?

No this date is by no means,binding and can be changed at any time but it is valuable for those working with the patient.

If you just reviewed the existing information and didn't confirm with the patient,do you Mark As Reviewed?

No,you should only Mark as Reviewed if you are actually confirmed the information is accurate at the time.

How can you find out information on your patient without opening up there chart

Select the overview report in the lower part of the screen.

What does Mark as Reviewed imply?

That you have verbally verified the information with your patient and confirmed the information is accurate at that time.And tells others when the information was last reviewed,your name, the date, and the current time appear in the "Las Reviewed by" sentence at the bottom of the section.

What is Note Time?

The time that the note was started

When do you use the Discontinue button?

When you are placing a new order

What is the Sign Orders button for?

When you are ready to release the orders into the system.

What does the push pin icon represent?

A chronic problem or ongoing problem

True or False the charge Capture section will allow you to quickly file charges on your patient that will go directly to billing.

True

How can you quickly sort my patients by unit?

Click Unit column

Lesson 11

Go

What is the prinicipal problem indicate?

The main reason for the patient's hospitilization.

To change its form(like IV to PO)

1. D/C current order 2. Enter a new order

Could you just pick "normal saline" amd change it to be a bolus?

No you have to pick a special bolus order.

What is your visual cue that notes are currently being sorted by Note Time?

A little triangle appears in the column header for Note Time.

How can I resolve a patient's problem?

Click on the problem and then click Resolve

How can you view a resolved problem?

Click the Options button and then select the check box for Resolved.

How can you Open the Order Composer?

Click the summary sentence

When you perform a consult with a patient, what are some of the things that you do?

Consult workflow,Review the patients chart, Examine the patient,Write a consult note,Write orders

What tab should we click to see only the consulting pediatrician's notes?

Consults

How can I fix a note that I made a mistake on and already accepted.

Create a addendum to the original note. In the Notes activity, find the note you need to change. Select it and click Addendum. Make your changes in the window that appears and click Accept.

What did you have to do to change the form of a medication?

Discontinue it, and place a new order because you are ordering a different product.

What is the process of discontinuing the current order

Discontinue the current order. To change form( like IV to PO) 1. Discontinue current order

What field would I need to change if I wanted to change the name of the report button?

Display Name

True or False a patient can have more than one principal problem.

False a patient can only have one principal problem.

How often do you think you will access your specialty's system list of patients needing a consult?

Frequently

What does the Intake/Output activity calculate?

It calculates a patient's fluid intake and output as weight-based totals. The weight-based totals appear in parentheses beneath values in the total rows.

While charging, what happens if I decided I should have chosen a Level II charge? I've already filed a charge for Level I.

Just delete it by clicking on the black X next to the charge.Then go back to the new charges sect above . click charges and then click Hospital. I choose Subsequent Hospital Care Level II in the new Charges section. Click File Charges again

What did you click to create the second step of the taper?

Link Orders and choose follow by

I'm trying to accept my note, but the system is not letting me. Why?

Most likely you haven't finished filling out all of pt your SmartLists or wildcards(***). To see if that is why you cannot accept your note,Press F2 . if the system automatically jups you to a list or a wildcard, you know you need to complete that information prior to accepting the note.

In Epic if you update the problem list in the chart ,do you have to update it in the note or other areas in a patient's chart?

No once you update the problem list then you don't have to update it in other areas.

When you are Modifying a order what do you need to be aware of?

Pay attention to the administration due times to make certain that your patient is not going to miss a dose that should be administered in between the time you modify the order and the next due time of the medication.

How do you assign yourself as the consulting physician?

Right Click the name of your Frank patient and select Assign Me.Then click the selection button and choose a relationship of Consulting Physician. Click Accept, and then click Accept to close the Assign Me window.

How can I assign a resident to a patient?

Right Click the patient's name and choose Assign Others.

Preference List shows all orders that are available at your?

Specialty

What is the middle button called Sign & Hold used for?

When you want to transfer orders that you don't want to have immediately releasedinto the system.

What was special about ordering a bolus of fluid?

You had to just pick "normal saline"

How do you indicate that you are no longer caring for a patient?

You right click on a patients name and choose End My Assignments

For bolus IV fluids type ______ in search field

bolus

What is the Pend Orders button for?

When you haven't finished the order.The order is still a draft.

What does a red stop sign mean?

It indicates a required field that must be completed before Epic will let you sign the order.

What is a SmartLink?

It pulls in information directly from the patient's chart into your note.

True or False if you don't make a entry in the field with the yield sign,you'll recieve a pop-up reminder when you click Sign Orders, but you won't be prevented from signing the order.

True

True or False updating the problem list is a way to meet Meaningful Use?

True

Lesson 6

Yeah O'le Let's Do This BAM BAM BAM WAKA FLOCKA FLAME Brrrrrrrrrrrrrrrrrrrr!

What is Time Mark?

is a way that you can flag notes written since you last scanned the Notes activity.It's like using a bookmark for keeping track of what you have already seen.

What is the shortcut to entering a date of two days from today?

t + 2

What is highlighted in peach?

text that will be added as you complete your progress note documentation using the NoteWriter.