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You need to place an order for a dose of vancomycin, to be given intravenously. What could you type in the Place new order field? correct answer: You could type "vanco iv" to efficiently find this order. When you enter the order for the vancomycin, it is pulled right in to the Orders sidebar, even though it can be dispensed in many different ways. What is causing this to happen? correct answer: Intelligent Medication Selection for IVs causes only one choice to be found on the Preference List. Since there is only one choice on the Preference List, Epic will select it for you (pulling it in to the sidebar) and choose the correct product(s) to dispense based on the dose and what is available in the dispensing pharmacy. When a pharmacist places orders, what appears on the Preference List tab? On the Database tab? correct answer: The pharmacists' Preference List tab contains everything that is available, or in stock, in their pharmacy. The Database tab contains every single record from the third party data, including medication and non-medication records True/False: If a medication is signed, but not yet verified, it will appear on the MAR. correct answer: True. Medication orders that are signed appear on the MAR; they will have a red stop sign icon and no dispense location until they are verified.
You are supposed to hang an IVPB for your patient; it's verified but it hasn't arrived on the floor yet. How do you know if it's coming from the Central Pharmacy or the Satellite Pharmacy? correct answer: On the MAR, look at the dispense location listed in the row for that medication. The nurse next to you is frustrated. The doctor asked her to order some D5NS with potassium phosphate for a patient, and she can't find an order for that. What should she do? correct answer: She should search for "custom" and use the custom IV infusion builder order. There is a pre-built order for potassium phosphate in dextrose 5%; if the nurse found this order, she could include a Note to Pharmacy requesting that the base be changed from dextrose 5% to D5NS. In which section of the medication reconciliation navigator do you decide whether a home med should be ordered for this admission? correct answer: In the Reconcile Home Medications section, you determine whether the medication should be Ordered, Not Ordered, Replaced, or Removed. When reviewing the patient's home medications, what does the house icon indicate? correct 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? correct answer: The person icon indicates that the patient reported taking that medication.
patient arrives, run a report to find these orders ahead of time. In the Verification Queue, how can you identify that an order was edited and what was edited? correct answer: A warning about the edit appears at the top of the screen and the edit is highlighted in blue. How can you distinguish between a new and a discontinued order? correct answer: There is a discontinue icon and reason at the top of the screen. If you make changes in Verification, does anyone get notified of the change? correct answer: Nope! No one is notified of these changes. This way of making a change should be limited to changes that do not alter the intent of the order. When should you change an order in Verify Orders? correct answer: If there is an error you can correct without changing the intent of the order. When should you discontinue an order and place a new order? correct answer: If there is a modification to make which changes the intent of the order or that other clinicians should be aware of. What field allows you to control whether a physician receives a cosign message? correct answer: Order mode How can you document time spent intervening on an order? correct answer: Create a new i-Vent.
What is the advantage of leaving an i-Vent open? correct answer: If the issue is unresolved, the open i-Vent will cause an icon to appear on the Verify Queue as a reminder. Who can see i-Vents? correct answer: Only Pharmacy users can see i-Vents. They are not part of the Legal Medical Record, and do not appear to nurses or physicians. For what type of orders will a Solid form mixture label print? What is different about this label? correct answer: Any order with multiple products (ERX) uses a Solid Form Mixture label. This label prints one copy for each dose and clearly lists the multiple products. If you get an order with a comment of "use patient's own supply," what do you have to do with that order? How does this affect dispensing? correct answer: You have to check the Patient Supplied box. This stops dispensing from occurring. What happens on the MAR when you change an order in verification? When does this happen on the MAR? What notification does the nurse receive? correct answer: The MAR is updated with the changes as soon as you click Verify. The nurse does not receive any notification and the MAR does not show what the order used to look like. What is a good rule of thumb for the types of changes that can be made in the Verify Orders activity? correct answer: Only
True or False: The only way to adjust the ongoing schedule for an order is to discontinue it and enter a new order. correct answer: False. A pharmacist can reschedule an active order from the Medications activity or from a medication message in the In Basket, using the Adjust Times button. This just edits the existing order; it doesn't create a new order. True or False: Epic will automatically pick a dispense location for each order. correct answer: True What three main things does Epic use to determine the dispense location for an order? correct answer: The patient's current unit, the dispense locations serving that unit, and the products available in each dispense location. True or False: The Medication List (EFY) record attached to a dispense location reflects the number of packages currently stocked in that dispense location. correct answer: False. Medication Lists do not track the number of packages. They only track when products and packages SHOULD be available in that location. When is an order added to a patient's profile? correct answer: When the order is verified (not when it is signed). A physician orders a morphine 5 mg/mL syringe for his patient. Epic picks a dispense location of ADS LOAD PHARMACY. Why? correct answer: Because it's a narcotic and the hospital wants narcotics to dispense from ADS cabinets, the medication list for the ADS LOAD PHARMACY includes morphine. It is
not currently loaded in the unit's cabinet (no pocket is assigned to this med), so Epic chose the ADS LOAD PHARMACY as the dispense location. What will the order for the morphine 5 mg/mL syringe show as the dispense location on the MAR? correct answer: "Pharmacy to load in ADS." A nurse just took the last acetaminophen-codeine tablet out of the 1 East ADS, so the pocket is empty. True/False: Epic will choose the ADS LOAD PHARMACY as the dispense location for a new order for acetaminophen-codeine tablets. correct answer: False. The pocket is empty, but it is still assigned to this medication; in other words, the acetaminophen- codeine is still "loaded". The 1 East ADS is still considered the dispense location. Do you (or any other pharmacy staff) need to do anything to get a batch fill to run? correct answer: No. Batches run automatically. What does [CF] mean on a label? What does the time on a label next to [CF] indicate? correct answer: CF stands for "cart fill." Epic refers to batches as cart fills, even if they aren't delivered on a cart. A [CF] on a label indicates that it was generated as part of a batch (or an actual cart fill). The time next to the [CF] is the time when the label was printed, NOT the time the dose is due.
The Dispense Check activity is used by pharmacists to document that they have checked a dispense after it's been prepared, and it's ready to go to the floor. The Dispense Tracking activity is used by pharmacy staff to record that they have sent doses to the floor, and by nurses or unit clerks on the floor to record that doses have been received. Where can you see if a medication has been verified and whether any doses have been dispensed? correct answer: The Order History activity shows verification and dispense information for all medication orders. How can you see dispenses that were sent to the Dispense Queue? correct answer: In Order History, put a check in the box for Show in-process dispenses. If you wanted to view a label before you reprinted it for a single order, how could you do that? correct answer: Go to the Medications activity. Click Label Hx >> Reprint/Preview Labels. Click Preview to preview the label. Click Print to reprint it. As a physician, enter a new medication order. After it is signed, how could a: Physician change the dose? correct answer: Modify (in Orders activity) As a physician, enter a new medication order. After it is signed, how could a:
Pharmacist change the dose? correct answer: Modify (in Orders activity); technically this change can also be made in Verify Orders As a physician, enter a new medication order. After it is signed, how could a: Pharmacist change the dispense code? correct answer: Change in Verify Orders As a physician, enter a new medication order. After it is signed, how could a: Pharmacist change the due times? correct answer: Change in Verify Orders Verify the order as pharmacist. How does this change how a: Physician could change the dose? correct answer: Modify (in Orders activity) Verify the order as pharmacist. How does this change how a: Pharmacist could change the dose? correct answer: Modify (in Orders activity) Verify the order as pharmacist. How does this change how a: Pharmacist could change the dispense code? correct answer: Reverify Verify the order as pharmacist. How does this change how a: Pharmacist could change the due times? correct answer: Adjust Times
What is the Medication List for an ADS cabinet? correct answer: The meds that are loaded in the cabinet, in other words, for which the ADS has a pocket assigned What is the Medication List for the Central Pharmacy? correct answer: The NDCs that are available in the central pharmacy What makes the Facility List different from the Formulary? correct answer: The Facility List contains all the formulary medications, plus all the all orderable non-medication (procedure) orders for the hospital. What makes the Preference List (for a pharmacist) different from the Facility List, different from the Formulary, and different from the Medication List for the Central Pharmacy? correct answer: o The Formulary only lists approved medications. o The Facility List has approved medications, plus all orderable non-medication (procedure) orders for the hospital. It's the same for every user (but changes based on which hospital the patient is in). o The Preference List (for a pharmacist) has all stocked meds (including non-formulary meds) whether anyone should be able to order them or not. o The Central Pharmacy Medication List includes all of the NDCs for the things on the Preference List (for a pharmacist).
How does re-stocking a cabinet affect Willow Inpatient? correct answer: It does not affect Willow at all. How does loading/unloading a cabinet affect Willow? correct answer: It causes Willow to update the cabinet's medication list and reevaluate the dispense location of existing orders. Can you get Epic to print an ADS load label if nurses use up all of the medication in a pocket? correct answer: No. Epic does not receive information about how much medication is in a pocket. Can you get Epic to print an ADS load label if a tech unloads a medication from a pocket? correct answer: Yes. If an unloaded medication is on the list of medications that should always be loaded, an ADS load label prints. How could a nurse get a medication if it is out of stock in the cabinet? correct answer: The nurse could wait for the normal restocking process or call the pharmacy to get the medication more quickly. How could a nurse get a medication if it is not loaded in the cabinet? correct answer: The MAR shows the nurse the dispense location of each order. A medication that is not loaded must be dispensed from some other dispense location and the nurse should check there. True or False: You can configure carts to be started manually or automatically. correct answer: True
True/False: Once you document review on the Daily Monitoring list, the Last Reviewed column on the Clinical Overview also updates. correct answer: False. Review on one list does not update review on another. True/False: When you add a system list to one of your My Lists, the My List might include patients who don't actually need any monitoring. correct answer: True. All the patients who meet the criteria of the system list will appear, regardless of whether they need monitoring on the My List. What type of report can you use to see relevant medication doses, lab results, and vital signs arranged by time? correct answer: An accordion report (such as Antimicrobial Monitoring or Anticoagulation Monitoring). You're reviewing a patient, and wondering if they've ever had a stroke. What tool can you use to quickly find out? correct answer: Chart Search (CTRL+SPACE). It searches all the patient's notes, diagnoses, orders, and results. True or false: When you create an ad hoc report, the system saves your modified criteria so you can run it again on subsequent days. correct answer: False. Ad hoc reports are one- time events. If you want to run the report again with the same criteria, you have to recreate the ad hoc report. You want to generate an annual report on pharmacy revenue broken down by fiscal quarter and nursing unit.
Would you use an operational report (such as Reporting Workbench) or an analytical report (such as a Crystal Report)? correct answer: An analytical report (such as Crystal Report) would be necessary, because you want to generate a report for a comprehensive set of data and summarize it. Reporting Workbench wouldn't work, because it can only look back a limited period of time. This is an annual report, meaning it needs to look back at least a year. You want to generate a report that shows all of the Order Clarification interventions generated in the last week, with the ability to open each i-Vent directly from the report results Would you use an operational report (such as Reporting Workbench) or an analytical report (such as a Crystal Report)? correct answer: An operational report (such as Reporting Workbench) would be best, because you only need to look back 7 days, you want to see each result individually, and you want to be able to take action (opening the i-Vents) directly from the results. You COULD do this with a Crystal Report, but it would require more specialized knowledge to create it. Also, it would not include any Order Clarification interventions written today, because the Clarity database is updated overnight. You just ran a Crystal Report showing the history of documented Adverse Drug Events interventions, broken down by unit. Was the report run against a database with an index/tree-based structure or a database with a table structure? correct answer: The report was run against a database with a table structure. Crystal Reports require a table data structure and
