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A comprehensive overview of the epic electronic health record (ehr) system, covering various features and functionalities that healthcare professionals can utilize to streamline their workflow and patient care. The document delves into topics such as sorting and managing patient lists, accessing and documenting patient notes, entering and managing orders, charge capture, and advanced ordering capabilities. It also addresses key concepts like meaningful use requirements, problem list management, and the use of smarttools and notewriter to enhance documentation efficiency. The information presented aims to equip users with the knowledge and skills necessary to navigate the epic ehr system effectively, ultimately improving patient outcomes and enhancing the overall healthcare experience.
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How can you quickly see a Pt's meds without opening his or her chart? - Answer: Click on the Meds report How can you quickly sort my patients by unit? - Answer: Click Unit column Physician 100-Lesson 2 - Answer: Go Each time that you are opening up a pt's chart you open up ____________ - Answer: A workspace what can you do in the Activities Tabs? - Answer: It allows you to move from one part of the chart to another.
What is the first screen that you see when you log in? - Answer: The Home screen or Startup Activity Tabs that are within a pt's chart are called? - Answer: Activity Tabs What is the first screen called? - Answer: Home workspace or Starup Activity What are the list called that are located inside of your My Patients Lists? - Answer: My patients and My Specialty /Consultants What kind of info does the My Patient List display? - Answer: Information about each patient What can you do if you want to see your patient listed alphabetically? - Answer: Click the patient’s name column How can you customize the columns? - Answer: Click on my patients folder name and left click on property. Then you can select or remove the column headers How can you find out information on your patient without opening up there chart
Sorting notes by the column header doesn't hide notes, it simply does what? - Answer: It re-organizes them to make it easier for you to find the notes that are relevant to you. What tab should we click to see only the consulting pediatrician's notes? - Answer: Consults what icon helps identify that there are new notes in a column? - Answer: A clock with a red checkmark on it How can we indicate that some notes are no longer new to us? - Answer: Click the Time Mark What is Time Mark? - Answer: 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 happens to the note after you select Time Mark? - Answer: All of the icons in the New column disappeared. Lesson 3 - Answer: Let's Do This What is one place that allows you to view all of your pt's current orders? - Answer: The Patient Summary
What is the Patient Summary - Answer: It allows you review information from the patient's current hospitilization. What is the first report that you see when opening up the Patient Summary? - Answer: The Index Report What report hyperlink should we click to see a pt's current orders? - Answer: Active orders What med is 0.45% - Answer: Normal Saline How often does a nurse check a pt's vital signs? - Answer: Every 4 hours What button should you click if you want to add a new report to the toolbar? - Answer: The Wrench button What do you click if you want to add the report you are currently looking at to the list of report buttons? - Answer: Click in the next available row and click Add Current 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? - Answer: 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.
True or False updating the problem list is a way to meet Meaningful Use? - Answer: True What action helps you manage your patient's orders and write the patient's progress note? - Answer: Keeping the problem list up to date 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? - Answer: No once you update the problem list then you don't have to update it in other areas. What indicates a pt's prinicipal problem? - Answer: A check in the Principla Problem checkbox In other parts of the chart the Principal Problem is denoted by what type of icon?
hospital problems that will be monitored or addressed during the hospitilization but are the main reason for the hospitilization. What does the push pin icon represent? - Answer: A chronic problem or ongoing problem 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. - Answer: Mark As reviewed! What does Mark as Reviewed imply? - Answer: 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. If you just reviewed the existing information and didn't confirm with the patient,do you Mark As Reviewed? - Answer: No,you should only Mark as Reviewed if you are actually confirmed the information is accurate at the time. When is the patient going home deals with what? - Answer: Discharge when discharging a patient is the date binding? - Answer: 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.
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? - Answer: 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. How do you add a comment to a positive/negative button? - Answer: Hold your mouse pointer over the positive/negative button and start typing. You can also double-click the positive/negative button. If you are in the middle of documenting a note and get called away,how can you save what are you are working on? - Answer: Click Pend If you click Pend instead of Sign, is the note available for others to view? - Answer: No What should you do if you see a mistake on the note tab and need to fix it before signing? - Answer: Go back to the form where the documentation was originally completed and change the documentation. Lesson 5 - Answer: Let's Do It New York Bound!!! What is the upside for physicians when they enter there own orders? - Answer: Fewer Callbacks Orders entered more quickly Patient Safety
What activity allows you to enter orders? - Answer: In the Rounding Navigator. Then click orders When do you use the Modify button? - Answer: When you are changing the details of the same order. When do you use the Discontinue button? - Answer: When you are placing a new order Where can we change the details of a order? - Answer: In the order composer Modify means - Answer: D/C & Reorder(Discontinue and Reorder) When you are Modifying a order what do you need to be aware of? - Answer: 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. Name some Meaningful Use requirements? - Answer: 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 What does EnRol stand for? - Answer: Enhanced Record Lookup
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? - Answer: Just click the yellow star on the right of the (Zrytec) order and this will add the order to your own user preference list. How do you remove a incorrect order prior to signing? - Answer: Click Remove to the right of the one of the Zrtec orders What is the Pend Orders button for? - Answer: When you haven't finished the order.The order is still a draft. What is the Sign Orders button for? - Answer: When you are ready to release the orders into the system. What is the middle button called Sign & Hold used for? - Answer: When you want to transfer orders that you don't want to have immediately releasedinto the system. True or False Once a order is signed it is released into the system,where others can act on it. - Answer: True Lesson 6 - Answer: Yeah O'le Let's Do This BAM BAM BAM WAKA FLOCKA FLAME Brrrrrrrrrrrrrrrrrrrr!
How can I resolve a patient's problem? - Answer: Click on the problem and then click Resolve How can you view a resolved problem? - Answer: Click the Options button and then select the check box for Resolved. Where else beside the Rounding Navigator can you see that you have a order to cosign? - Answer: Look at the Patient's List column and see the Cosign Ord icon in that column
What does the + signs mean? What do those indicate? - Answer: That there are more values documented within that time interbal than what appears in that column Where else can you see a patients Intake and Output besides the Intake Output Activity? - Answer: In the Patient Summary,Accordion Reports/Comprehensive Flowsheet What is the difference between viewing a patient's I/O in the Comprehensive Flowsheet report vs. the Intake/Output Activity? - Answer: The I/O Activity shows information displayed in a graph. Weight-based I/O details What else does the Intake/Output activity show? - Answer: View only information about a patient's daily intake and output in table or graph form. What does the Intake/Output activity calculate? - Answer: 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. How does the system yse the patient's most recently documented weight and the volume of fluid intake or output? - Answer: To calculate the weight based total. Lesson 9- Advanced Ordering - Answer: Go
True or False In the real world patients are always going to be straightforward? - Answer: false, in the real world patients will be anything but straightforward. What does the Accordian reports help? - Answer: They help in reviewing patients charts. What is CPOE? - Answer: Computerized Physician Order Entry What can you use to enter and manage orders? - Answer: Use Order entry Order review Rounding Navigator How does Epic calculate the Ideal Weight? - Answer: Base Weight + 2.3 * (Height-
How does Epic calculate the Adjusted Weight? - Answer: Ideal Weight + 0.4 * ( Actual weight- Ideal Weight) Weights are measured in - Answer: kg heights are measured in - Answer: inches can others see and act upon a pended order? - Answer: No
True or false use admin instructions for to send the pharmacy a msg? - Answer: false use admin instructions for parameters What did you do to taper off the steroids?What button did you click in the order composer? - Answer: Link Orders(or followed-by) To start a taper,before you did any linking,you had to indicate what? - Answer: When the first order would end. For tapers what do you do? - Answer: Give 1st order an end time or # of doses What did you click to create the second step of the taper? - Answer: Link Orders and choose follow by What is the whole process for a taper? - Answer: 1. Give order an end time of # of doses
What did you have to do to change the form of a medication? - Answer: Discontinue it, and place a new order because you are ordering a different product. What is the process of discontinuing the current order - Answer: Discontinue the current order. To change form( like IV to PO)
