Navigating Epic Workflows and Features, Exams of Nursing

Insights into various epic workflows and features, including how to navigate the system, access patient information, manage orders and medications, document patient care, and utilize tools like the work list and flowsheets. It covers a range of topics such as finding patient notes, modifying medication orders, documenting prn medications, working with flowsheets, creating and using smartphrases, and understanding the significance of different icons and indicators in the system. The information presented can help healthcare professionals, particularly nurses and physicians, become more efficient and effective in their use of the epic electronic health record system.

Typology: Exams

2024/2025

Available from 09/12/2024

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EPIC IMP 100/ 85+ Quizzes & Correct Ans/
2024-2025.
How can you tell if there are values hidden within a time interval in accordion
reports? - Answer: A plus sign appears next to the value displaying in a given
column.
How do you know which notes are new? - Answer: A clock icon appears in a
column next to the note.
How can you quickly find a patient's H&P within the Notes activity? - Answer:
Click the H&Ps. Or, from the All Notes tab, click the Type column header to sort by
note type.
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EPIC IMP 100/ 85+ Quizzes & Correct Ans/

How can you tell if there are values hidden within a time interval in accordion reports? - Answer: A plus sign appears next to the value displaying in a given column. How do you know which notes are new? - Answer: A clock icon appears in a column next to the note. How can you quickly find a patient's H&P within the Notes activity? - Answer: Click the H&Ps. Or, from the All Notes tab, click the Type column header to sort by note type.

You want to Time Mark the new notes for your patient. Will that action Time Mark your patient's notes for anyone else who opens her chart? - Answer: No. Clicking Time Mark automatically marks ALL notes as no longer new for the user to Time Marks, but nobody else. True or False? Time Mark means that you have actually read all of the notes in the patient's chart. - Answer: False. Time Mark serves as a bookmark and organization tool for you. It simply marks the notes as no longer new. On the Add or Remove Buttons from Toolbar window, what is the difference between the Reports and Display Name columns? - Answer: In the REPORTS column, you enter the name of the report you want to have as a shortcut on the Reports toolbar. The name in the DISPLAY NAME column is what you actually see on a report's button in Summary. Assume the following scenario: You are searching for an order, and you are unable to find it on your preference list, so you search the facility list and find it there. The next time you search for this same order, you don't want to have to expand your search to the facility list. What can you do? - Answer: Add the order to your preference list by clicking the star to the right of the order. As you are writing an order for your patient, your pager goes off. What can you do with this unfinished order? - Answer: Pend the order by clicking Save Work.

What does the pushpin mean if it is next to a problem in the problem list? - Answer: The pushpin indicates that the problem is a chronic problem (an ongoing problem for the patient). What is the Principal problem? - Answer: The Principal problem is the main reason for the patient's hospitalization. When documenting with a positive/negative button in the NoteWriter, how can you quickly indicate that the specific condition is present or positive? - Answer: Left-click or click the plus sign. WHen documenting with a positive/negative button, how can you quickly indicate that the specific condition is absent or negative? - Answer: Right-click or click the minus sign. When documenting with a positive/negative button, how can you quickly add a comment? - Answer: Hover your mouse cursor over the positive/negative button and start typing. Or, double click the positive/negative button to open the comments window and then start typing. How can you tell if a comment has already been added to a positive/negative button? - Answer: The positive/negative button is underlined.

True or False? You can add free text to a note in the Note form. - Answer: True. You can add additional information to your note by using SmartPhrases or free text in the white space withing the note. How do you add yourself to the treatment team for a patient? - Answer: Click Sign In and select your patients from the department list. How do you remove yourself from the treatment team for a patient? - Answer: Find the patient in the My Patients lists. Right-click on the patient's name and select END MY ASSIGNMENT. How can you search for a patient that is not admitted to the hospital? - Answer: Click PATIENT LOOKUP to search through the entire database of patients, including those who are not admitted. What activity should you use to get report at start of shift? - Answer: Summary activity When writing a sticky note, what should you include at the end? - Answer: Your name and the date you are writing the note. True or False? When you log out, the system remembers all filters and views that you set on the Work List. - Answer: False. The Work List only saves the last view selected by the user. The filter is not saved.

What does an "!!" icon next to a medication on the MAR mean? How is the administration workflow different for that medication? - Answer: The medication requires dual sign-off. Another nurse will need to review and verify the administration and enter his user ID & password when documenting the administration. You're about to give a pain medication to a patient. You know the patient hasn't received any doses of this medication, but you'd like to see the last time he received any pain medications over the last 24 hours. How can you do that without having to scroll through multiple shifts of the MAR? - Answer: Use the MAR Report in the MAR activity. How do medications that are discontinued appear on the MAR? - Answer: The medication row appears with all the cells highlighted in yellow. What is the main difference between documenting a PRN medication compared to a scheduled medication? - Answer: PRN medications do not have scheduled times that appear on the MAR. To document giving the medication, the nurse clicks anywhere in the cell and documents administering the medication. Scheduled medications appear with a due time in the cell at the time the medication is scheduled to be given. To document administering the medication, click the due time on the MAR.

Can a nurse document giving a medication that has NOT been verified by pharmacy? - Answer: Yes. He sees warnings that the medication has not been verified but can continue with the administration. What are two reasons why a nurse might need to pull a medication from an ADS cabinet on override? - Answer: -No one has entered an order for the medication into Epic -An order has been entered in Epic, but pharmacy hasn't verified ti yet, so it does not appear on the patient's ADS profile. List at least three pieces of information that can be found in the Details report within the Flowsheets. - Answer: The value, comments, time taken, time recorded, user taken, user recorded, show audit. How do values appear prior to filing them to a patient's chart? How doe they appear after they are filed? - Answer: Values have a grayed edge in their cell prior to being filed. Values do not have this icon after filing. True or False? If a clinician closes a patient's chart without clicking File in the Flowsheets activity, any unfiled data in the flowsheet is lost. - Answer: False. The system automatically files any pending data when the end user changes flowsheet templates, leaves the Flowsheets activity, closes the patient's chart, or logs out.

In the Problem List section of the navigator, how can you indicate what the patient's principal problem is? What must this problem be marked as first? - Answer: You select the check box in the Principal column after indicating that the problem is a hospital problem. What is a SmartText and how can it be pulled in to a note? - Answer: A SmartText is a template for writing a note. It can be pulled in from the Insert SmartText field. Embedded within a SmartText are SmartLists. How can you start filling out a SmartList? Make a selection? Accept your selection? - Answer: To start filling out a SmartList using the mouse, use the Next Field option (under the All Other Tools menu). To make a selection, left-click, and to accept your selection, right-click. True or False? a note can be signed even if all of the SmartLists have not been completed. - Answer: False. All SmartLists and wildcards must be completed before the note can be signed. What is the purpose of a wildcard? - Answer: A wildcard, denoted by ***, is intended to provide the clinician with a place to enter free text. True or False? When creating a User SmartPhrase that includes a SmartText, a physician should insert the SmartText into the note before clicking the green plus sign. - Answer: False. If you are creating a User SmartPhrase that contains a SmartText, click the green plus sign first. Then, pull your SmartText in to your note

window. This prevents any patient-specific information from being saved in your template. After creating a User SmartPhrase that includes a SmartText, using the green plus sign, how can you pull the new text into a note to use it for patient documentation? - Answer: You have created a SmartPhrase, so you can summon it into your note by typing a 'dot' and the SmartPhrase name or by clicking the List My Phrases (.my?) button. After filing a note to the patient's chart, where in Hyperspace can that note be read? - Answer: The note can be viewed from the Notes activity or an encounter report in Chart Review. In which section of the medication reconciliation navigator do you decide whether a home med should be ordered for this admission? - Answer: In the Reconcile Home Medications section, you determine whether the medication should be Ordered, Not Ordered, Replaced, or Discontinued. When reviewing ht patient's home medication, what does the house icon indicate? - Answer: The house icon indicates that the medication was entered in Epic as an outpatient prescription. When reviewing the patient's home medications, what does the person icon indicate? - Answer: The person icon indicates that the patient reported taking that medication.

the patient's arrival on the unit must be confirmed in Epic using the Unit Manager activity. If this is not done, the system will think the patient is still in their original unit and orders might be affected (medication might be dispensed to the wrong place, etc). What does it mean to release signed and held orders? - Answer: Releasing orders means you are making them active. Other clinicians will be notified of the orders and can start acting on them. True or False? Documenting the patient's vitals in the navigator will also populate the Vital Signs flowsheet template int he Flowsheets activity. - Answer: True. All documentation that you complete in a navigator will automatically populate the appropriate places throughout the patient's chart. True or False? BestPractice Advisories (BPAs) notify clinicians of tasks that they must perform for the patient. - Answer: False. BPAs present clinicians with suggestions to do things like add to the patient's care plan or place orders. If clinicians don't agree with the BPA suggestion, they can clear the check box in the BPA before clicking Accept. What are two ways templates can be added to the Care Plan activity? - Answer: Care Plan templates can be added automatically by accepting a recommendation in a BestPractice Advisory or they can be added manually by clicking APPLY TEMPLATE.

What are two ways Education titles can be added to the Education activity? - Answer: Education titles can be added automatically if a Care Plan goal or intervention requires teaching, or they can be added manually by clicking ADD TITLE. True or False? Teaching points are always attached to a teaching topic. - Answer: False. A teaching point can be added to a topic or directly to a title. The topic just serves as an organizer for multiple points. On which tab can you document progress of education provided to the patient? - Answer: The Education tab. How can you tell when a teaching point has been completed? - Answer: A green check mark appears next to it. How can you most efficiently document several teaching points to several learners? - Answer: Select multiple topics or points before clicking Document, or select more than one learner after clicking Document for the appropriate pieces of the patient's education. What should you do when all of the teaching points for a topic are complete? - Answer: Resolve the topic. True or False? A Care Plan problem is the same thing as a medical disagnosis on the Problem List. - Answer: False. A Care Plan Problem is commonly referred to as

What types of information can a surgeon gather from reports at the bottom of the startup activities? - Answer: Vitals, I/O, Current Meds, and more How can a clinician open a patient's chartg? - Answer: Double-click the patient from Patient Lists. What are the tabs along the left of the screen in a patients' chart called? - Answer: Activities How can you tell there is an abnormal value within a specified time interval in accordion reports? - Answer: There is a red exclamation point next to the value. How can you tell if there are values hidden within a time interval in accordion reports? - Answer: The abnormal value appears in red.