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EPIC IMP 100/ 85 Quizzes & Correct Ans/ 2024-
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. 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. What does EPIC call the first screen a user sees when they log in? - Answer: Startup Activity What is a My List? - Answer: A list of patients that I am following during my shift. I control the columns, the default report, and I manage the list of patients What is a system list, and how can it be used to organize patients? - Answer: A list of patients that is automatically updated by the system. You can make a shortcut to these lists in a My List. How can a surgeon quickly sort her list of patients by unit? - Answer: Click the Unit column in Patient Lists.
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 must you do before that unfinished order can be acted upon? - Answer: Complete and sign the order. When searching for a dietary consult order, you enter "con die" in the search field. What search method are you using? - Answer: EnRol What happens behind the scenes when you modify the frequency of a medication order? - Answer: The original order is discontinued and a new order is entered. As a result, two rows appear on the MAR for nurses. What happens behind the scenes when you modify the rate of a medication? - Answer: The original order is just modified. As a result, only one row appears on the MAR for nurses. Dr. Asparagus would like to order an acetaminophen-codeine (TYLENOL #3) tablet for his patient. In the search field, he types "T3" and finds the order. Why did Dr. Asparagus find the order after typing, "T3"? - Answer: T3 is a synonym for the acetaminophen-codeine (TYLENOL#3) tablet order. Where should a physician go to order a patient's home medication if it wasn't originally ordered during the admission process? - Answer: Home Meds tab of the Orders activity -> Reorder Home Meds
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.
How would you change the Work List to display only medication tasks organized by patient? - Answer: Change to Patient View and filter on Medications True or False? The Work List only allows a nurse to view tasks for one patient at a time. - Answer: False. If the nurses selects a list of patients and clicks Work List, tasks for all patients on that list appear in the Work List to review. When first opened, for what time frame does the Work List display tasks? - Answer: Current Shift True or False. The Work List includes all tasks that a night nurse might have to complete throughout a shift. - Answer: False. There are things a nurse is responsible for that are not listed as discrete tasks on the Work List. Give two advantages of using the Work List instead of the Due Meds report to review your patients' medications. Then give two advantages of using the Due Meds report instead of the Work List. - Answer: Work List: Can see ALL medications for ALL patients; can see other tasks at the same time; can document without opening a patient's chart. Due Meds: Can see ALL of one patient's medications due within the current shift; can see last administration time of all meds; can easily see administration instructions.
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.
If a clinician enters WDL in the "Within Defined Limits" row for a system, what does this mean? - Answer: "WDL" means that all values taken within that system fall within the defined range. No other data needs to be entered. True or False? Epic does not have an audit trail for values in Flowsheets that have been edited or deleted. - Answer: False. Epic does have an audit trail for edited or deleted data, and any values that have been edited or deleted are flagged. How does a nurse document that all values are normal except for a few? - Answer: Enter an "X" in the WDL row. (This documents that all values are within defined limits, except...) Then enter the abnormal information in the appropriate rows. Where can a nurse look to find information on the "defined" values for a given row? - Answer: A nurse can view the Row Information in the Details report on the right side of the screen. This gives him information about normal values, possible choices, and the last filed data. If the Details report is hidden, click the left facing arrow in the middle or the right side of the screen to expand the report. When a nurse does into a flowsheet and wants to enter new values, what should be done before documenting any information to ensure the data is entered under the correct date and time? - Answer: The nurse should click the Add COl button or the ow hyperlink. This drops a new column with the current date and time. If charging values taken in the past, the Insert Col button should be used.
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
How can you quickly indicate the patient's last dose of all of home medications was today? - Answer: Click MARK UNRECONCILED TODAY in the Review Home Medications section of the navigator. Why might an Order Set be suggested in the New Orders section? - Answer: Based on a diagnosis listed in the patient's Problem List, based on a BestPractice Advisory, or based on the type of navigator. What does it mean to Sign and Hold an order? - Answer: It means that the order has been authorized, but it is not released or active until the patient arrives to another location or stage of care. Why are orders signed and held when written for a patient being admitted from the ED? - Answer: Orders are held so they are not sent to the ED. They need to be held until the patient arrives in the inpatient unit. What can you type in the search field if the patient tells you they are taking a medication but they do not know the medication name? - Answer: Type "Help" in the search field to add Unknown to Patient to the med list. (You can also just type "Unknown.") You might need to click the Database Lookup tab to find it. Before a nurse releases signed and held order for a new patient who just arrived on the floor from the ED, what other step needs to be done first? What will happen if this step is not done? - Answer: Before releasing signed and held orders,
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. 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
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.
