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Flashcards Terms in this set (186)What is the first screen called? Home workspace or Starup Activity What are the list called that are located inside of your My Patients Lists? My patients and My Specialty /Consultants What kind of info does the My Patient List display? Information about each patient What can you do if you want to see your patient listed alphabetically? Click the patient name column How can you customize the columns? Click on my patients folder name and left click on propertie. Then you can select or remove the column headers How can you find out information on your patient without opening up there chart Select the overview report in the lower part of the screen. What does the overview report show you? Info such as the pt's treatment team, any progress notes written for the last 24 hours, and orders to cosign How can you quickly see a Pt's meds without opening his or her chart? Click on the Meds report How can you quickly sort my patients by unit? Click Unit column Physician 100-Lesson 2 Go Each time that you are opening up a pt's chart you open up ____________ A workspace what can you do in the Activities Tabs? It allows you to move from one part of the chart to another . What is the first screen that you see when you log in? The Home screen or Startup Activity Tabs that are within a pt's chart are called? Activity Tabs How can you read a pt's notes? Click on the Notes Activity Tab How are new notes flagges There's a icon the New column.(Looks like a clock with a red check mark) Why are notes sorted by Note Time? It allows you to see the most recent note appearing at the top of the list What is your visual cue that notes are currently being sorted by Note Time? A little triangle appears in the column header for Note Time.
What is Note Time? The time that the note was started What is Filed Time The time that the note was accepted into the pt's chart What column could you sort by if you wanted to see all notes written by phsicians grouped together? Author Type
Sorting notes by the column header doesn't hide notes, it simply does what? It re-organizes them to make it easier for you to find the notes that are relevant to you. What tab should we click to see only the consulting pediatrician's notes? Consults what icon helps identify that there are new notes in a column? A clock with a red checkmark on it How can we indicate that some notes are no longer new to us? Click the Time Mark What is Time Mark? is a way that you can flag notes written since you last scanned the Notes activity.It's like using a bookmark for keeping track of what you have already seen. What happens to the note after you select Time Mark? All of the icons in the New column disappeared. Lesson 3 Let's Do This What is one place that allows you to view all of your pt's current orders? The Patient Summary What is the Patient Summary It allows you review information from the patient's current hospitilization. What is the first report that you see when opening up the Patient Summary? The Index Report What report hyperlink should we click to see a pt's current orders?
Active orders What med is 0.45% Normal Saline How often does a nurse check a pt's vital signs? Every 4 hours What button should you click if you want to add a new report to the toolbar? The Wrench button What do you click if you want to add the report you are currently looking at to the list of report buttons? Click in the next available row and click Add Current While working in the Add and Remove Reports window, it is also possible to add buttons for reports that are not currently open. How can you do this? By clicking in the next available row but instead of clicking Add Current,click clicking in the next available row but instead of clicking Add Current,click the Selection button. What field would I need to change if I wanted to change the name of the report button? Display Name Lesson 4 Continue On Daaaaaaaaarling!!! Where in Epic can you complete all of your documentation? In the Rounding activity tab What is a one-stop-shop, meant to streamline documentation. A Navigator What is used to organize by your most common workflows. A Navigator The purpose of a navigator is ? streamline your workflow and make it easy to complete all of the related documentation from one place in your patient's chart What are some other Navigators Navigators for Admission,Discharge,and Transfer What is the Table of Contents? It list the sections of the navigator What documentation do you typically complete to track a patient's progress. Write a note.Manage orders True or False updating the problem list is a way to meet Meaningful Use? True What action helps you manage your patient's orders and write the patient's progress note? Keeping the problem list up to date In Epic if you update the problem list in the chart ,do you have to update it in the note or other areas in a patient's chart? No once you update the problem list then you don't have to update it in other areas. What indicates a pt's prinicipal problem ? A check in the Principla Problem checkbox In other parts of the chart the Principal Problem is denoted by what type of icon? A blue diamond What is the prinicipal problem indicate? The main reason for the patient's hospitilization. True or False a patient can have more than one principal problem. False a patient can only have one principal problem. True or False many patients will have other problems associated with their prinicipal problem. True and these other problems will be listed as hospital problems that will be monitored or addressed during the hospitilization but are the main reason for the hospitilization.
What does the push pin icon represent? A chronic problem or ongoing problem What must a physician do to verify that he /she has reviewed and updated the problem list and confirmed that it's reflection of the patient's current conditions. Mark As reviewed! What does Mark as Reviewed imply? That you have verbally verified the information with your patient and confirmed the information is accurate at that time.And tells others when the information was last reviewed,your name, the date, and the current time appear in the "Las Reviewed by" sentence at the bottom of the section. If you just reviewed the existing information and didn't confirm with the patient,do you Mark As Reviewed? No,you should only Mark as Reviewed if you are actually confirmed the information is accurate at the time. When is the patient going home deals with what? Discharge when discharging a patient is the date binding? No this date is by no means,binding and can be changed at any time but it is valuable for those working with the patient. What is the shortcut to entering a date of two days from today? t + 2 What is t +2 ? The expected discharge date of two days from today What is the date of a month from now M+1 or t +30 How can you indicate a discharge of a week from now? y + 1 or t+365 What icon's indicate that you can use the date and time shortcuts? A calendar or a clock icon What 2 note documentation tools are designed to hep speed up your note documentation? SmartTools and the NoteWriter What is a SmartLink? It pulls in information directly from the patient's chart into your note. What is highlighted in blue? A SmartLink What is highlighted in peach? text that will be added as you complete your progress note documentation using the NoteWriter. When there is a positive/negative button for a condition,how do you document that it's a positive/present?If it's a absent/negative? If it's a positive/present,click the plus sign or left-click. How do you add a comment to a positive/negative button? Hold your mouse pointer over the positive/negative button and start typing. You can also double-click the positive/negative button. If you are in the middle of documenting a note and get called away,how can you save what are you are working on? Click Pend If you click Pend instead of Sign, is the note available for others to view? No What should you do if you see a mistake on the note tab and need to fix it before signing? Go back to the form where the documentation was originally completed and change the documentation. Lesson 5 Let's Do It New York Bound!!! What is the upside for physicians when they enter there own orders? Fewer Callbacks What activity allows you to enter orders? In the Rounding Navigator. Then click orders When do you use the Modify button? When you are changing the details of the same order. When do you use the Discontinue button? When you are placing a new order Where can we change the details of a order? In the order composer Modify means D/C & Reorder(Discontinue and Reorder) When you are Modifying a order what do you need to be aware of? Pay attention to the administration due times to make certain that your patient is not going to miss a dose that should be administered in between the time you modify the order and the next due time of the medication. Name some Meaningful Use requirements? 1.Revieiwing Allergies and Mark as reviewed What does EnRol stand for? Enhanced Record Lookup What does OOB stand for? Out of Bed Preference List shows all orders that are available at your? Specialty
Facility List showa all orders that are available at your ? Hospital What is a hospital formulary? All of the medications that are allowed to be ordered for a particualr hospital. What does a red stop sign mean? It indicates a required field that must be completed before Epic will let you sign the order. What does a yellow yield sign mean? It indicates a recommended field True or False if you don't make a entry in the field with the yield sign,you'll recieve a pop-up reminder when you click Sign Orders, but you won't be prevented from signing the order. True What is the summary sentence? It shows you the details specified in the order, so you don't have to open the order to know if the settings are appropriate. How can you Open the Order Composer? Click the summary sentence How can you save changes you made to a medication order(Zrytec) so that you don't have to make those edits the next time you enter that order in the system? Just click the yellow star on the right of the (Zrytec) order and this will add the order to your own user preference list. How do you remove a incorrect order prior to signing? Click Remove to the right of the one of the Zrtec orders What is the Pend Orders button for? When you haven't finished the order.The order is still a draft. What is the Sign Orders button for? When you are ready to release the orders into the system. What is the middle button called Sign & Hold used for? When you want to transfer orders that you don't want to have immediately releasedinto the system. True or False Once a order is signed it is released into the system,where others can act on it. True Lesson 6 Yeah O'le Let's Do This BAM BAM BAM WAKA FLOCKA FLAME Brrrrrrrrrrrrrrrrrrrr! How can I resolve a patient's problem? Click on the problem and then click Resolve How can you view a resolved problem? Click the Options button and then select the check box for Resolved. Where else beside the Rounding Navigator can you see that you have a order to cosign? Look at the Patient's List column and see the Cosign Ord icon in that column True or False a Patient's Lists columns can alert you to task that you need to take care of ,before you ever open a patient's chart? True True or False the Cosign Orders section will show you just your orders that need to be signed? False the Cosign Orders section will show all orders placed for this patient that need to be cosigned,NOT just the one's that you authorized.You should only cosign the orders that you are responsible for. What do I click to extend a order? Change end time If I wanted to extend a order by 48 hours what would I put? Extend by Lesson 7 Come on Baby True or False the charge Capture section will allow you to quickly file charges on your patient that will go directly to billing. True Which section would you choose for rounding charges? Hospital When charging,what do you choose if rounds for the patient were routine? choose subsequent Hospital Care,Level 1 by clicking in the checkbox to the left of the charge. While charging,what does Pr mean? This means that it's a charge for professional services. While charging, what does HC mean? This measn that it's a charge for a hospital,such as a bed charge for a medication. While charging, what happens if I decided I should have chosen a Level II charge? I've already filed a charge for Level I. Just delete it by clicking on the black X next to the charge.Then go back to the new charges sect above . click charges and then click Hospital. I choose Subsequent Hospital Care Level II in the new Charges section. Click File Charges again Lesson 8 Vitals, Intake and Output, and Results Go What does red text mean? Abnormal values What does the + signs mean? What do those indicate? That there are more values documented within that time interbal than what appears in that column Where else can you see a patients Intake and Output besides the Intake Output Activity? In the Patient Summary,Accordion Reports/Comprehensive Flowsheet What is the difference between viewing a patient's I/O in the Comprehensive Flowsheet report vs. the Intake/Output Activity? The I/O Activity shows information displayed
in a graph. What else does the Intake/Output activity show ? View only information about a patient's daily intake and output in table or graph form. What does the Intake/Output activity calculate? It calculates a patient's fluid intake and output as weight-based totals. The weight-based totals appear in parentheses beneath values in the total rows. How does the system yse the patient's most recently documented weight and the volume of fluid intake or output? To calculate the weight based total. Lesson 9- Advanced Ordering Go True or False In the real world patients are always going to be straightforward? false, in the real world patients will be anything but straightforward. What does the Accordian reports help? They help in reviewing patients charts. What is CPOE? Computerized Physician Order Entry What can you use to enter and manage orders? Use Order entry How does Epic calculate the Ideal Weight? Base Weight + 2.3 * (Height-60) How does Epic calculate the Adjusted Weight? Ideal Weight + 0.4 * ( Actual weight- Ideal Weight) Weights are measured in kg heights are measured in inches can others see and act upon a pended order? No A pended order is like a _______ rough draft What does a pended order imply? That you have work to finish True or False a pended order is a rough draft? True What happens when you walk away from a computer without signing your orders? The system will automatically pend them. What was special about ordering a bolus of fluid? You had to just pick "normal saline" Could you just pick "normal saline" amd change it to be a bolus? No you have to pick a special bolus order. For bolus IV fluids type ______ in search field bolus Okay how about a titration? What was special about the dose when you ordered the dopamine titration? You put in a ranged dose And then how do you communicate to the nurse what the parameters were of the titration? Administration instructions True or false for a Titration enter a special bolus? False enter in a ranged dose True or false use admin instructions for to send the pharmacy a msg? false use admin instructions for parameters What did you do to taper off the steroids?What button did you click in the order composer? Link Orders(or followed-by) To start a taper,before you did any linking,you had to indicate what? When the first order would end. For tapers what do you do? Give 1st order an end time or # of doses What did you click to create the second step of the taper? Link Orders and choose follow by What is the whole process for a taper? 1. Give order an end time of # of doses If you changed a steroid from IV to PO(Intravenously to Orally),could you use the Modify button in the rounding navigator? No, you have to discontinue the current order What did you have to do to change the form of a medication? Discontinue it, and place a new order because you are ordering a different product. What is the process of discontinuing the current order Discontinue the current order. To change form( like IV to PO) To change its form(like IV to PO) 1.
D/C current order Lesson 10 - Go How do I remove patients from All My Patients system list? patients will automatically be removed when they are discharged or if you are the consulting physician you can right click the patient's name and click End My Assignments In regards to patient privacy ,can anyone who can see a system list go into the chart for a patient on that list? yes, but your organization can run reports to see who has accessed a chart. Special security can also be put in place to require a password to access the charts of some patients. How can I assign a resident to a patient? Right Click the patient's name and choose Assign Others. When you perform a consult with a patient, what are some of the things that you do? Consult workflow,Review the patients chart, Examine the patient,Write a consult note,Write orders How are you usually notified when someone wants you to consult with a patient? Recieve a phone call or page, the on-call physician in my specialty assign me What are the two list in the top left corner of the screen called? My Patients What is the list called My Patients? This is a list of all the patients you are following. What do you see when you expand your My Patients list? A red and blue icon that says All My Patients A red and blue icon is called a System List What is a System List? A list of patients who meet specific criteria What is the criteria for this All My Patients system list that you are listed as? The Patient's admitting or attending provider, the PCP, or a consulting physician All My Patients list is what? I'm assigned to the patient When are patients automatically removed from the system list ? When they are discharged or when your assignment with them ends. True or False Discharging puts patients on your list automatically? False, Discharging takes pt's off your list True or False Admitting takes pt's off your list? False Admitting puts pt's on your list automatically True or False Each specialty has its own system list? True Patients are automatically added to the system list when the order is what? Signed patients will be removed when the order has been what? completed What happens when you click on the Patient Name column header? The patients are sorted alphabetically How do you assign yourself as the consulting physician? Right Click the name of your Frank patient and select Assign Me.Then click the selection button and choose a relationship of Consulting Physician. Click Accept, and then click Accept to close the Assign Me window. Now uthat you are assigned to Frank , what othere list does he appear on? My Patients system list. How often do you think you will access your specialty's system list of patients needing a consult? Frequently What does the tiny arrow next to the red and blue icon? It indicates that this is a shortcut to the Neurology system list.
How do you indicate that you are no longer caring for a patient? You right click on a patients name and choose End My Assignments What does the ED Summary allow you to do? It allows you to see everything that happened while the patient was in the ED. Lesson 11 Go How do I open up a SmartList? Press F2 How can I fix a note that I made a mistake on and already accepted. Create a addendum to the original note. In the Notes activity, find the note you need to change. Select it and click Addendum. Make your changes in the window that appears and click Accept. I made a mistake while I was filling out a SmartList. can I reopen the list to select from the choices again? yes, Click the undo button to undo what you had previously filled in, or right-click the selection you made and choose Reselect This SmartList's Selections I'm trying to accept my note, but the system is not letting me. Why? Most likely you haven't finished filling out all of pt your SmartLists or wildcards(***). To see if that is why you cannot accept your note,Press F2 . if the system automatically jups you to a list or a wildcard, you know you need to complete that information prior to accepting the note. when we want to start writing our consult note for our patient , which activity do you think we can use? The Consult Activity Where can we complete our consult documentation? In our Consult Navigator True or False anytime you write a consult note, the system prompts you to associate the note with any rders related to that note. True Students also viewedAHN15 terms ashley_maria7 EPIC IMP 10085 terms melissa_francis54 Epic training93 terms themiraa
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engineering For each of the following algebraic expressions for the z-transform of a signal, determine the number of zeroes in the finite z-plane and the number of zeroes at infinity. $$ (a)z^{-1}(1-½z^{-1})/(1-1/3z^{-1})(1-¼z^{-1})\text{ (b)}(1-z^{-1})(1-2z^{-1})/(1-3z^{-1})(1-4z^{-1})\text{ (c)}z^{-2}(1-z^{-1})/(1-¼z^{-1})(1+¼z^{-1}) $$ Verified answer Recommended textbook solutions
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Where is the discharge navigator in epic?First, access Discharge Navigator under the Navigators activity. The best first step is to check for any cosign orders that need to be signed. They will be found in the Cosign orders section, if any.
What are the steps for the discharge of a patient?The process of discharge planning includes the following: (1) early identification and assessment of patients requiring assistance with planning for discharge; (2) collaborating with the patient, family, and health-care team to facilitate planning for discharge; (3) recommending options for the continuing care of the ...
What are the things to prepare before patient discharge?As you prepare for discharge:. Make sure that family members or anyone assisting you understands the type of care you will need, what to look for if your condition changes, when to call for help and whom to contact.. Make sure you know how to operate any equipment or devices that are going home with you.. |
From what Activity can you complete A Transfer and discharge a patient in Epic
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