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A comprehensive overview of the epic hyperspace system, focusing on the key features and functionalities related to anesthesia documentation. It covers a wide range of topics, including order management, medication administration, vital sign integration, and various navigators and tools within the system. Structured as a series of questions and answers, guiding the user through common workflows and scenarios encountered in an anesthesia setting. By studying this document, users can gain a deeper understanding of the epic hyperspace system and its capabilities, enabling them to efficiently and accurately document patient care during anesthetic procedures. The content is tailored for healthcare professionals, particularly anesthesia providers, who need to navigate the epic hyperspace system effectively to deliver high-quality patient care.
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You wish to change the intravenous zofran order to oral. Which button would you click (modify or discontinue) to change the form of this medication? - Answer: Discontinue Active - Answer: Can modify, discontinue, or reorder orders from this tab Mark as Reviewed - Answer: Used by CRNA to show preop eval is complete in facilities with a supervising Anesthesiologist Physician Reviewed - Answer: Mark as Reviewed
Physician Reviewed - Answer: Used by CRNA to denote patient ready from Anesthesia standpoint at facility with no Anesthesiologist supervising Physician Reviewed - Answer: Used when Anesthesiologist is only Anesthesia provider on the case Mark as Reviewed - Answer: shows you have reviewed and updated that section of the patient's chart Which two pieces of information must be clicked in the NoteWriter form of the Preop Eval in order for the info to flow over to other parts of the patient's chart? - Answer: ASA score and Anesthesia Type T or F? The File at Time button can be used to back time the displayed event in the Quick Event Sequence. - Answer: T T or F Reminders are generated by the chosen macro and are color coded to tell you how soon they are due. - Answer: T Match the SmartTools below to their functions within Epic: SmartLinks - Answer: Links information from the patient's record directly into your note
What are two ways to access the Medication Administration window? - Answer: from the grid and the meds toolkit button Start/Stop Vitals Steal - Answer: Integrates vitals from nurse's bedside monitor into Anesthesia record, commonly used with Bedside macro Facetime - Answer: Places vitals validated by bedside nursing into Anesthesia record for brief procedures, commonly used with Intubation and Labor Epidural macros Start/Stop Data Collection - Answer: Used in OR/procedural room to automatically pull vitals into Epic, commonly used with General Anesthesia or MAC macros Intraoperative Case Macros cue up - Answer: Reminders, events, medications. Mark Now - Answer: can be used to pinpoint the time of an urgent situation to remind us to return and document details when we have time. Assuming the Prepare Blood order has already been placed, put the steps below for documenting blood administration in the correct order: - Answer: Click Blood toolkit button, choose blood produce, select volume, scan unit #, Scan product code, click add, enter bag volume. When any blood product is needed for a case, what order HAS to be placed? Assume the type and cross has been completed. - Answer: Prepare
Place the statements below regarding Post-op Ordering into the appropriate categories: - Answer: Meds charted against active orders selected from the Active tab will not auto discontinue when Anesthesia Stop is documented. PACU orders can be placed from the Intraop or Postop Navigators. What Postprocedure Navigator section would you use to document PONV during the procedure for future Anesthesia provider awareness? - Answer: Anesthesia History Which Postprocedure Navigator sections will the first set of validated PACU vitals flow into automatically? - Answer: Anesthesia Stop, Handoff to Receiving Nurse, Post-op Evaluation Place the steps below for ordering and administering labor epidural infusion meds in the correct sequence: - Answer: Access Orders activity via Epidural Meds reminder or Orders toolkit button; Click on Active tab of Manage Orders;Place labor epidural infusion med order via Anesthesia Labor Epidural order set; Return to Epidural activity; Click Meds toolkit button; Click on epidural infusion med located on Active tab of Med Admin window; Document epidural infusion med administration. What
event button. - Answer: Start Vitals Steal What would be the correct sequence to locate a patient for an Ad Hoc procedure and create an Ad Hoc procedure encounter? - Answer: Patient Station>Click on admission>Click Procedure button>Click on desired procedure. Patient Lists>Double click on correct patient>Click on desired procedure. What Smart phrase is used to pull labs into a chart? - Answer: .ibrst My Dashboard - Answer: Provides access to Tip Sheets and Quick Start Guides to assist with workflows L&D Grease Board - Answer: Displays patients in L&D, those with epidurals, those with scheduled C-Sections, and those in Postpartum Guardian - Answer: Allows Anesthesiologists to view the status of multiple patients on one screen Patient Lists - Answer: Facilitates access to patients at only your facility for Ad Hoc procedures Status Board - Answer: Displays patients who are scheduled for surgery/Lumens appointment at your facility today
Place the statements regarding Ad Hoc procedures into the correct categories below: - Answer: Accessing a patient for an Ad Hoc procedure should be done through Patient Lists or Patient Station. Clicking on the Ad Hoc procedure from the Record Select window will automatically cue up a macro for that procedure. If you have marked an In Basket message as DONE by mistake, where can you retrieve the message from? - Answer: Completed Work If you want nursing to place a scopolamine patch preoperatively, where should you place that order? - Answer: Manage Orders activity Place the statements regarding Orders tabs from the Manage Orders activity into the correct categories: - Answer: Preference List Tab pulls from your department login context. Browse Tab shows your personal order favorites you created. If a cardioversion is being done with the patient bedded in ICU, what event will take the nursing vitals and place them into the Anesthesia Record? - Answer: Start Vitals Steal Events - Answer: Time stamp key moments in the patient's procedure Reminders - Answer: Color coded to tell provider when the documentation is due
To document your removal of an epidural, what toolkit button is used? - Answer: LDA Place the steps below in the correct sequence for documenting administration of a medication from the Intraop activity: - Answer: medication, time of admin, dose, line/IV for admin, close When a patient receives an epidural for a vaginal delivery and is later converted to a C-section, what two pieces of documentation are needed to close the epidural encounter? - Answer: Anes stop and noting in post eval that patient is being converted into a C section. T or F: If the type of anesthesia changes during a case, you can add a second macro to cue up additional reminders, meds, and events that will assist you in documenting all components of the encounter - Answer: True the location of the Postop Navigator containing links to documentation needed to close the encounter: - Answer: Requirements A patient arrives in the OR with a fluid IV already started in the Pre-Op area. Click on the tab of the Medication Administration window that will allow you to document against the already ordered fluid: - Answer: Active Choosing what order determines when/where the order is carried out. - Answer: phase of care
Click on the homespace location I would use to find a patient in the ICU who needs an unscheduled intubation: - Answer: little man with 3 lines by him Where can you locate connection guides that can help troubleshoot device integration issues? - Answer: My Dashboard homespace>OSF Anesthesia Learning Home Dashboard Which of the Preop Navigator sections below will need to be Marked as Reviewed to show you have reviewed and updated that section of the patient's chart? - Answer: Problem List Medication Review How would an Anesthesia provider indicate that a case was canceled in the Pre-op area in order to close the Anesthesia Record that was created? - Answer: Intraop activity>Events>Admin tab>Case Canceled in Preop event
