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An overview of various workflows and documentation practices within the epic electronic health record (ehr) system. It covers topics such as patient encounters, medication management, order entry, results review, messaging, and note-writing. The document aims to educate users on the correct procedures and best practices for efficiently navigating and utilizing the epic ehr to provide high-quality patient care. It includes detailed information on specific features, functionalities, and workflows within the system, as well as common scenarios and troubleshooting tips. By understanding the concepts presented in this document, healthcare professionals can optimize their use of the epic ehr and improve their overall productivity and patient outcomes.
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AMB 100 EpicCare Ambulatory | 106 Questions WITH COMPLETE SOLUTIONS What are the date shortcuts for 2 days ago and 1 week from now? correct answer: t-2, w+ What is true about office visit encounters and viewing a patient's chart? correct answer: An office visit encounter has activities such as Rooming and Plan so you can document visit-specific information. A patient chart workspace allows you to view information in the patient's chart, but not to document visit- specific information. Both have a workspace tab that has the patient's name on it. Both have activity tabs on the left T or F: To most effectively completion match, enter the first few letters of the word you want to look up and the click the 'Selection' button correct answer: False In the exam room, the nurse opens Lisa's encounter. Dr. Pepper will be coming into the exam room when the nurse is done rooming Lisa. T or F: When done rooming, the nurse should keep Lisa's workspace open and secure the workstation correct answer: True T or F: You are limited to choosing one reason for visit per encounter correct answer: False A nurse looks up a reason for visit by typing "twisted ankle." She selects that row and then "ankle sprain" appears in the field. This is because correct answer: "twisted ankle" is a synonym
T or F: You should mark a medications as Not Taking if the patient is possibly allergic to it correct answer: False What is true about allergy documentation in Epic? correct answer: "Not on File" means there has never been allergy documentation entered in this patient's chart. "No known allergies" means it is documented that the patient is not aware of any allergies How can you move from field to field in the Vital Signs section? correct answer: Press TAB T or F: When documenting a patient-reported medication in the Medications section, a provider name is not required correct answer: True, offered but no hard-stops For a result message to be sent, what status must you select for a result in Enter/Edit Results? correct answer: Final Kristi informs the nurse that she received a flu vaccination at her workplace last month. Where should the nurse document this? correct answer: Immunizations activity T or F: To enter dates for a series of historical immunizations, you can use a template correct answer: True The physician ordered an immunization. The nurse needs to document the details after giving the immunization. What does the nurse click in the Immunizations activity to open the details form? correct answer: Administer
Richard needs a TSH test every three months for the next year. What status should that order be? correct answer: Standing T or F: If an order has a recommended field, the user can sign the order without entering anything in that field correct answer: True, that would not be a 'hard-stop' A physician signed an order for a lab test and realized that it was the wrong test. It has not yet been resulted. How can she cancel this order? correct answer: In 'Meds & Orders' in this encounter, click 'Cancel'. In 'Enter/Edit Results' in this encounter, click 'Cancel'. In 'Enter/Edit Results' in any encounter for this patient, click 'Cancel'. How can you tell a medication is expired? correct answer: There is a strikethrough What medication would be visible in the MAR? correct answer: The 'syringe' since it was administered in the facility Kristi's medication is expired , but it is listed in the Medication section, which should only show current medications. Why is it appearing there? correct answer: It is marked 'long term' (Thumb-Tack) Harold's prescription is nearing its end date. To quickly order more in Medications & Orders, click: correct answer: Reorder T or F: To discontinue a medication, clear the 'Taking' check box correct answer: False
T or F: Use the 'Visit Diagnoses' section to associate orders with diagnoses correct answer: False Dr. Mica saw a scheduled patient yesterday. Today, he wants to finish his documentation, but does not see the patient on his schedule. What are possible reason? correct answer: He is looking at a personalized schedule view that does not include his patients. He is looking at today's schedule T or F: To close an encounter, click the X on the patient's workspace tab correct answer: False Workspace correct answer: The entire area within a tool bar Activity correct answer: Modules within a workspace, tabs on the left T or F: In the 'Developmental History' section, you can't add free text comments correct answer: False T or F: The 'Hearing/Vision Screening' section shows the most recent hearing and vision results for this patient correct answer: True A patient needs an immunization during today's visit: P1: First step in the process? P2: Second step in the process? P3: Third step in the process? correct answer: P1: Sign an immunization order P2: Go to the immunizations activity P3: Click Administer
Data Field correct answer: Free text because patient can't remember exact dates How do you specify the pool named EMC Peds when sending a message? correct answer: p EMC Peds T or F: To send a task-based message to a group, use a pool and not a class correct answer: True You are expecting a new 'Rx Request' message, however you do not see an Rx Request folder. Why? correct answer: There are no Rx Request messages in my In Basket T or F: To see a legend for the icons in an In Basket folder, click the folder name, and then click on a message correct answer: False To find all messages in your In Basket regarding one patient correct answer: Open a workspace for the patient and look in the Opened Patients view of In Basket. Run a search in the In Basket that specifies the patient T or F: You can use a result note to send a message correct answer: True T or F: If you get a result message for a urine culture, you can only place reflex orders for repeat urine cultures correct answer: False
Dr. Graphite reads a result message and wants to document his thoughts about it. How should he do that? correct answer: Write a result note T or F: You can compose a letter to a patient in a result note correct answer: False T or F: To change the status of a message without responsibility, click 'Done' or press 'DELETE' correct answer: True You want to view all visits that Dr. Ness had with Sally for which the encounter diagnoses was sinusitis. P1: Where should you do this? P2: For filtering, you would filter on correct answer: P1: Chart Review, Encounters tab P2: Provider = Ness Richard calls to inquire about his most recent TSH lab test. Which of the following is the least number of steps to get that information? correct answer: Use Results Review With 'Chart Search', you can correct answer: Summon information in a patient's chart that appears in one spot In SnapShot, a nurse sees five buttons at the top that are the names of reports. T or F: That means she has only those five reports available correct answer: False Dr. Mica wants to see if changes in diabetic medications over the past two years have affected Richard's A1c test levels.
P2: Where do you use the tool(s) in this situation? correct answer: P1: SmartPhrase and SmartText P2: Notes activity In a note template, how can you edit text that appears in the orange SmartBlocks? correct answer: Edit in the corresponding NoteWriter form T or F: Diagnoses on the problem list are not associated with orders for billing correct answer: True Arm fracture is on a patient's problem list, and is no longer an ongoing issue, as it is healed. What should be done with this problem diagnosis? correct answer: Mark it as resolved Where do you document the administration details for a facility- administered medication? correct answer: MAR activity What is an example of why you would add a charge in Charge Capture? correct answer: To add a charge for the administration of a medication What causes a surgical case request to be created? correct answer: Order a case request T or F: Both SmartSets (in Plan) and Order Sets (in Prep for Case) can be used in surgical consult encounters correct answer: True
What can administrators set up to categorize orders into groups to help facilitate the sign and release workflow? correct answer: Phases of Care T or F: The Write H&P section can be set up to offer NoteWriter correct answer: True What is something you can do in an Order Set? correct answer: Create a surgical case and write a progress note T or F: A pregnancy episode should be created at the beginning of each prenatal encounter correct answer: False What is true about EDD in Epic? correct answer: While more than one dating method can be documented, only one can be selected as the working EDD at any time. The working EDD is the official EDD in the patient's chart. The working EDD appears in the patient header Best describes Pregnancy Checklist? correct answer: Tool for keeping track of topics discussed during each prenatal visit In the Results Console, what does it mean if a result value is highlighted blue? correct answer: The result was entered manually as an external result T or F: Episode reports are available in Chart Review correct answer: True A nurse says that he wrote on a patient's OB Sticky, and now it is gone
T or F: If you select a procedure from a procedure NoteWriter form, you must compose your procedure note using point-and- click in that form correct answer: False Ways to get procedure charges into Epic? correct answer: Documents in a flowsheet, place an order and use the Charge Capture section In a procedure NoteWriter form, what two things happen when you click a button such as "Suture removal"? correct answer: That procedure is ordered and signed. A procedure-specific note-writing form opens What is the benefit of using the Quick Procedure activity? correct answer: A procedure note template for NoteWriter is pre-selected. The Charge Capture section can be accessed without going to Wrap-up. When you compose a note here, the note type is Procedure T or F: In an encounter, use the Consult Orders section to link this encounter to the specialty referral order correct answer: True Assuming Foundation System setup, how do you file the data when you are done documenting in a flowsheet-embedded section in the Rooming activity? correct answer: Close the section T or F: Letters marked as Sent can be edited later correct answer: False
What type of SmartTool s a letter template? correct answer: SmartText You want to copy information from a Chart Review report into a letter. What tool should you use? correct answer: PasteBoard When documenting in a flowsheet, how can you identify that cascading was set up? correct answer: After making a selection in one row, more rows appear T or F: Only registration and scheduling staff can run queries for outside records correct answer: False The Documents tab in the Care Everywhere activity is similar to correct answer: Encounters tab in Chart Review In the outside lab report, why would the data NOT match what you see in Results Review in the patient's local chart correct answer: It is only outside lab data T or F: Use the Care Everywhere activity to copy medications from a patient's outside chart into his local chart correct answer: False ENDED AT CHAPTER 15, DO CHAPTER 16