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An overview of various smarttools and functionalities within the epic electronic health record system, specifically focused on the anesthesia workflow. It covers topics such as smartlinks, wild cards, smarttexts, smart lists, smart phrases, order history, active tab, med rec, and various actions related to order management, vitals documentation, procedure notes, and post-operative care. The document also discusses concepts like ad hoc procedures, anesthesia macros, postprocedure navigator, and integration with bedside monitors. It aims to equip anesthesia providers with the knowledge to efficiently navigate and utilize the epic system to deliver comprehensive patient care.
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Match the SmartTools below to their functions within Epic: SmartLinks - Answer: Links information from the patient's record directly into your note Wild Cards - Answer: Free text fields identified by *** SmartTexts - Answer: Templates of text used to record common documentation Smart lists - Answer: Lets you choose for a pre-set list of choices within a SmartText or SmartPhrase
Smart Phrase - Answer: Typing a few letters automatically expands into a longer phrase or paragraph Order History - Answer: Review all patient orders during current encounter Active - Answer: Can modify, discontinue, or reorder orders from this tab Med Rec - Answer: Reconcile patient meds at admit, transfer, and D/C 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
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 will pull in vitals validated by nursing from 15 minutes prior to clicking the button up to one hour afterward. - Answer: Face Time
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 Toolkit - Answer: Access activities needed to complete Intraprocedure documentation
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 Which methods can be used to change the time of an event in the Quick Event Sequence? Choose all that apply: - Answer: 1) Click the File at Time button 2} Click on the Event icon on the Timeline and choose an alternate time
3} Patient Lists>Chart Review button 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.
