Bundle
Bundle of Study Epic Willow Inpatient exam, latest updated
7 Items
Study Epic Willow Inpatient RX100, questions and answers with rated solutions |graded A+
?Change the existing in Verify Orders No notification of change is sent to anyone On the MAR: only displays the changed order No obious indication of wh... [Show More] at the order originally looked like on the MAR ?Discontinue and place a new order in order activity Nurse recieves notification of change Change on MAR Psysician might need to cosign ?If you make changes in Verification, does anyone get notified of the changes? Nope! Only change things do not alter the intent of the order ?When should you change an order in verify order? If there is an error you can correct without changing the intent of the order ?When should yoh discontinue an order and place a new order Modification which change 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? Order mode ?How can you document time spent intervening on an order Create a new I-vent ?What's the advantage of leaving an i-veng open? If the issue is unresolved, an icon appears on the verify queue as a reminder ?Who can see i-vents Only pharmacy users. They are not part of the legal medical record and do not appeR to nurses or physicians ?How can a nurse send a message to the pharmacy? Where does the message appear? On the MAR; rx icon next to relevent order. It will appear in the medicatikn messages folder of the in basket ?What are 2 ways a pharmacist can send a message to a nurse Adding comment to a message, the nurse send him Or click Rx message in verify orders or medication activity ?How can the pharmacist change the way a verified order is being dispensed without entering a new order Reverify order, go to medication, order Hx, reverify orders ?3 things you can modify about an order without creating multiple rows an the MAR End date/time, administration instructions, rate ?Difference between Let Expire and Discontinue Let expiring: clears expiring flag but keeps it active untill its end time. Discontinue: cancels the order immediately ?What do you have to do to change an order from IV to PO Discontinue IV order, enter new order PO form ?Nurse send message to pharmacy from Mar, home supply is run out , pharmacist starts dispense order Pharmacist from Inbasket- clicking Order HX and reverify _ edit dispense information, clear patient supplied for checkbox Back in basker: done! Or done with comment ?True or false: the only way to adjust the ongoing schedule for an order is to discontinue it and enter a new order False ; a pharmacist can reschedule an active order from the medications activity or crom medication message in the in basket, using the adjust time button, just edding excist orders it doesnt create a new order ?True or false: epic will automatically pick a dispense location for each order True! ?What 3 main things does Epic use to determine the dispense location for order? Patient unit Dispense location Products available in each dispense location ?True or false: the med.list(EFY) record attached to a dispense location reflects the number of packages currently stocked in that dispense location False. Med list do nog 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? When the order is verified( door apotheker) ?A physician orders a morphine 5 mg/ml syringe for his patient. Epic picks a dispense location of ADS LOAD PHARMACY. Why? It's a narcotic ?Do you need to do anything to geg a batch to run? No, batches run automatically ?CF means, wat does the time on a label next to CF indicate? CartFill: time indicates;time label was printed ?When are first dose labels printed ( or sent to the dispense queue) for an order that will be included in a batch? After the order is verified ?True or false, an order might have any number of first doses (including none) True ?True or false: dispense queue is an optional feature True ?Suppose your hospital is using the dispense queue in its central pharmacy. You open the queue and find that you aren't seeing any dispenses to print, what might be wrong? There might be not any outstanding first doses or redispenses in the queue. Alternately, if you are looking at cart fills all of the dispenses may have been printed allready ?Dispense preperation Technicians use this to document preparing a dose of an IV or custom syringe. They scan the dose being prepared and the products used to prepare it. ?Dispense check activity Pharmacists document that they have checked a dispense after it's been prepared, and ready to go to the floor ?Dispense tracking activity Pharmacy staff (personeel) to record that they have send doses to the floor, and by nurses or unit clerks on the floor to record that dose have been received ?What does it mean for an order to be sign and held An order in the system with a signature, but that is not yet released. It will be released ( usually by a nurse) when the patient arrives at the appropriate place of care ?Examples of orders that require advanced preparation Pre-op orders for patients with surgeries scheduled today or tomorrow. (Scheduled infusions: bv chemo) ?True or false, when you click verify, the system prints labels for every order included in the current set of results False!!it only prints labels for the orders you currently have selected in the results ?What is the different between saving the results of a report and making the report favorite Saved results: reflect a specific moment in time A favorite report is just easier to find and run. ?True or false: you can configure carts to be started manually or automatically True ?You've already done an a initial cart fill, including an order for acetaminophen tablets with a dose of 650mg (2*325mg) q8h. The fill says to add 6 tab. Someone modifies the dose of this order, reducing it to 325mg (1tab 325mg tab) q8h. How will this change be reflected on the update fill list? It will tell you to remove all 6 tablets of the original order, and then to add 3 of the same tablets for the new order ?How can you tell the difference between an uldate fill list and a total fill list? In the header on the first page, in the upper-right corner, an update fill list says "update report" a total fill list says " full report" ?Where can you find how an order is charged. Charging on dispens/ charging on administration From the Order History activity ?What triggers a charge for an order that is charged for on administration Documenting it as given on the electronic MAR ?True or false: if an order is charged for on administration, you do not need to return an unused dose to generate a credit True, because it wasn't used, it was not documented on the MAR as given and a charge was not triggered ?What is the purpose of the Bulk charge activity The bulk charge activity is used to drop charges when an order is not documented as dispensed in Epic or not documented as administratered in Epic ?Where can you see if a medication has been verified and whether any doses have been dispensed? Order history activity ?How can you see dispenses that were sent to dispense queue? In order history: put a check in the box for show in-process dispenses ?How can you manually dispense another dose of a nedication to replace a damaged or missing dose Redispense by clicking dispense in order history ?What is the advantage of using the reprint labels activity, rather than reprinting from label history? Reprint labels allows you to select multiple labels over time, while label history reprints only one order or dose at a time ?If you want to view a label before you reprinted it for a single order, how could you do that? Go to med. Activity click label Hx >> reprint /preview labels click Preview to preview the label. Click print to reprinft it. ?If you wanted to find all the orders for a certain drug in your hospital, how would you do it? The Rx search medication Orders Report ?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? Vanco iv ?why comes only one choice of vancomycine on the preferende list? Even though it can be dispensed in many different ways. What is causing this to happen? Intelligent medication selection for iv's causes only one choice to be found on the preference list. ?when a pharmacist places orders, what appears on the preference list tab? On the database lookup tab? The pharmacist pref list tab contains everything that is availlable, or in stock, in their pharmacy. The database lookup tab contains every single record from the third party data, including medication and non-medication records ?which order modes will caus the ordering provider to receive a cosign request? Verbal with readback and telephone with readback will cause a cosign request for the ordering provider. Per protocol and transcribed from paper will not. ? What is summary sentence The gray order details below the order name ?true/false. a nurse must acknowledge dicontinued orders True. All new, modified or discontinued medications must be acknowledged by a nurs ?You are supposed to hang a IVPB for your patient, but is hasn't arrived on the floor yet. Sometimes IVPBs come from Central Pharmacy and sometimes they come from th Satellite Pharmacy on 2nd floor. HOw can you figure out where it is coming from On the MAR, click the summary sentence for the order and look at the dispense location. ?The nurse next to you is frustrated. The doctor asked her to order some D5N5 with potassium phosphate for a patient, and she can't find an order for that. What should she do? She should search for " custom " and use the custom IV infusion builder order. ?Who can enter the height and weight for a patient? any clinician with access to Flowsheets can enter the height and weight. Typically this will be the nurse, but pharmacists can also enther them ?You see that the pharmacist has not verified an order for Percocet for your patient, but it is on the override list for the ADS cabinet. THe physiscian tells you to administer the med right away. What steps will you have to take after the order is verified You will need to find the new order on the MAR, click LINK to RELATED order, and indicate the OVerride Pull is associated with this order. ?true/false: nursus begin barcode-enabled medication administration by scanning the medicatien false. Nurses should scan the patient to begin medication administration ?what are two ways to begin documenting an administration scan the medication barcode or click a due time on the MAR ?how does barcode scanning help the nurse to check the 5 rights of medication administration? using barcoding helps ensure accuracy for most of the five rights. When the nurse scans the patient and the medication, all details can be checked against the active order in the system. While the nurse should still personally check the five rights, Epic will warn the nurse if the patient, themedication, the dose, or the time ar not correct. ?What are 2 reasons why a nurse might have to pull a medication from an ADS Cabinet on override for a patien? because the order has not yet been entered into Epic, or it has been entered but not yet verified. In that case, the nurse will not find the order on the patient's profile; if the patient needs the medication immediately. the nurses only option is to pull it on override ?How does an override pull look on the MAR an override pull is marked with the color fucsia and ADS cabinet icon ?when and why should the nurse link an override pull on the MAR after the medication order is verified, the nurse should link the override pull to the active order. THis shows that the doctor indeed placed the order for this med and the nurse didn't just give the patient a medication with no associated order ?wich barcode should be scanned for different types of medications NDC barcode closest to the medication ?in wich section of the medication reconciliation navigator do you decide whether a home med should be ordered for this admission? in the reconcile Home medications section you determine whether the medication should be ordered, not ordered, replaced or discontinued ?When reviewing the patient's home medications, what does the person icon indicate? the house icon indicates that the medication was entered in Epic as an outpatient prescription ?When revieweing the patient's home medications, what does the person icon indicat? the erson icon indicates that the patient reported taking that medication ?What additional information do pharmacists see in the order composer? dispense information ?what is the difference between pharmacist an physician preference list? the preference list for physicians is smaller and specific to their specially; it also includes non-medication orders. ?what is the difference between pharmacst an physician facility list there is no difference ?what does it mean to Sign&Hold an order? It means that the order has been authorized, but it is not released or active untill the patient arrives to another location or stage of care ?Where can you see a patient's diagnoses for this admission? in the summary activity, on the overview report, in the problem list section. Or in the patient Header ?list three places you can review a patient's lab result. How is each different? Summary activity: overview report; shows only specific common lab results, and only those from the last 48 hours Summary activity; Labs - entire admission report: shows all the lab results from the current admission Results review activity; shows all results in patient's chart, regardless of which encounter they were on Chart Search; finds all lab orders and results that match your search, regardless of which encounter they came from; also finds diagnoses, medication, and procedure orders ?How can you determine whether a patient has an active, unresulted lab order? look in the orders activity. On the active tab, check the Lab section for active unresulted orders. If ther is no Lab section, there are no active orders for labs. ?which patients appear in the verify queue? any patients with orders needing verification in units your filters allow you to see ?After selecting a filter, do you have to select it again if you log in to a different computer? or will it stick with you from one computer to the next? after you select a filter, it will continue to apply to you and only you no matter what computer you log in to ?How can you identify a recordered home medication when verifying orders? Ter is a Recordered from link to the home medication ?what is the duration of an order? duration is the infusion time for an IVPB ?How can you identify that an order was edited and what was edited? a warning about the edit appears at the top of the screen and the edit is highlighted in blue ?what types of changes to an order causs an Edit to appear for pharmacists to verify? Changes in rate-based dose, end date or admin instructions are the only types of edits. All other changes cause a discontinue and reorder. [Show Less]
- Exam
- $15.45
- 0
- 130
Rx 100 - Epic Willow Inpatient Basics questions and answers, graded A+
Database tab for Pharmacists vs Physicians Pharmacists have access to Database tab at all times. It contains all items that have been imported from the FD... [Show More] B, including unapproved medications Physicians only have access to this tab when reconciling home meds Preference List for Pharmacy vs Preference List for Phsyicians Pharmacists - Preference List contains all items that are formulary or non-formulary that are in stock. All of these should be configured. Physicians - Drugs and procedures that are applicable to speciality Where do physicians typically leave notes like "okay to use pts own", or "actually looking for drug x" Notes to pharmacy When reviewing a patient chart, how can you see if they have ever had a stroke? Chart Search If you add a patient to "My List" will they drop off when they are discharged No. They would drop off of a system list, but not My List. When should you mark a patient as reviewed on the Clinical Overview list? What does marking a patient as reviewed do? when you have completed all actions you will be at that time. This restarts the clock. Who should use the Antimicrobial Monitoring List? An infections disease pharmacist covering a large population. Who should use the Clinical Overview list? A pharmacist covering a smaller population Do Orders entered by a Pharmacist require verification? Depends on how the order is signed. No - if no cosign is required and the pharmacist selects "sign", then the order will be verified. Yes - if a cosign is required, the order will appear in the verify queue when signed, or if the pharmacist selects sign and verify, the order will be placed in queue. Who will be viewable to the pharmacist if they select "Orders" from the main toolbar? Any patient in Epic, not necessarily admitted. Good way to enter order for guaifenesin-codeine liquid, 10ml PO, q4h PRN gua cod liq ERX A record for a drug which includes drug, form, and strength. If two drugs have the different strengths, will they have the same ERX No - a different strength would mean a different ERX Where do ERX records come from? They are generally part of an upload, like FDB, but are built by analysts as necessary (mixtures etc) Facility List for Pharmacists vs Physicians Exact same for both - All approved drugs and procedures which are in stock When a physician wishes to order a medication that is not viewable from their preference or facility tab, what should they do? Enter an order of "help" which will make a non-formulary order appear. They physician should then continue to populate the order with the details. How will a non-formulary medication appear in the verify queue? "Non-formulary" will be the drug name What does the binoculars icon mean on verify queue? Someone else opened the Verify Orders activity for this patient, but it's not open now. The order still needs to be verified. What doesthe icon with the person and binoculars stand for? You were the last person to open the Verify Orders activity for this patient, but you don't have it open now. What does the the pencil icon mean in the verify queue? Someone else currently has the Verify Orders activity open for this patient. What does the pencil and person icon mean? You have the Verify Orders activity open for this patient. What does the star icon in verify queue stand for? The patient's orders were previously seen but not verified. Now, there are new or modified orders for the patient. How do you obtain a lsit of orders eneding to be prepped for surgeries the following day? Advanced Prep Report What happens when a pharmacist changed an existing order? (modify) - No notification of the change is sent to anyone. - The MAR displays only the changed order - There is no obvious indication of what the order originally looked like on the MAR What happens when you discontinue an order? (discontinue) - The nurse received a notification of the cahnge - The change is obvious on the MAR and elsewhere - The physician might need to cosign the order When should you discontinue the order? When there is a change in clinical intent A physician needs assistance withan order as he is unable to see the drug he wants on his preference list or facility list, though you are able to see the drug. where are you seeing this drug? On your preference list, as it shows you all drugs that are in stock, whether they be formulary or not, while the physician would only be able to see what is on their pref list (specific to speciality), or what is in formulary. A physician has requested a medication for which their is a preferred alternative which they did not acknowledge. If there is a documented understanding that the pharmacist has the ability to make a change to the order so that the alternative is selected and the clinical intent is not affected, what is this called? per protocol drug changes or therapeutic interchange Does the Verify Orders activity refresh on its own? No! This can lead to confusion. if you go to Orders and discontinue an order, it's in the Verify Orders activity as a new order to eb verified. It won;t disappear until you close the patient's chart, or click the x at the top of the Verify Orders activity to close it Are i-vents part of the emdical record? no, but they will be in the background foever Who can see i-vents? Only other pharmacy staff members Where do you modify orders? In the Orders Activity What elements of an order cannot be changed by "Modifying" and order? route, does, frequency Can you change the stregth or form of a drug by modifying the order? No. Either of these cahnges would result in a new ERX record being selected, therefore a new order would have to be placed. In which section of the medication order do you adjust the schedule? Edit Clinical and Dispensing Information How do you change dispense information on a medication which has already been verified (example - selecting a different package for future dispense) Medications > Order Hx > Reverify If you are attemting to reverify an order and find that it is read-only, why would this be? You have not closed the chart after initially verifying. Do so, and you eill be able to reverify. A nurse sends a message to Pharmacy from the MAR indicating the patient's home supply of a medication has run out. The pharmacist decides to start dispensing this order. What steps should they take? Select Medications > Select Drug > Edit Dispense Information > Remove the Patient Supplied Tick Box and Remaining Dose What would you ahve to do to change an order from IV to PO? Discontinue and place a new order What three things does EPic consider when choosing a dispense location for a drug? 1. Patient Location (Unit, sometimes room depending on how many ADS cabinets are assigned) 2. What pharmacies serve that location (PHR) 3. What is available at each of the pharmacies? A med list (EFY) contains a list of meds (ERX) and packages (NDC) What is an NDC? Package of drug Can a pharmacist view a medication list? Medication toolbar - Pharmacy > Medication List Admin What does the red dot on a medication list represent? This NDC is dispensed by default What does the yellow dot on a medication list represent? The entire package is dispensed What does the check mark mean on a medication list? This means that the medication is available at this location What does it mean when a medication is crossed out on a medication list (EFY)? It means that this medication is no longer manufactured, but you might still have it in stock? What does a bolded medication name mean on a EFY (medication list)? It means that this package is no longer being manufactured and should be pulled out of the supply chain If a contiuous fluid is ordered, will IPS (Intelligent Package Selection) kick in? No, a default package will be selected. If a specific amount is requested, then the IPS will kick in. Do medication lists track inventory? NO! What does the number in the count column of the EFY reflect? This is the number of packages that arrive in the larger container when purchased and delivered. What does it mean when a dispense label has lists a location of ADS Load Cabinet? It means that the med that has been verified is one that has been assigned to always dispense from an ADS cabinet. What happens when an ADS Cabinet Load label prints? A tech would fill the order and load it into the ADS cabinet on the appropriate unit. When does a dispense action show up in Order Hx for an order coming from an ADS? When the medication has been pulled When is a medication added to a patient's profile? When the order has been signed What is a cart interval? Defines the due times of doses to be included on this cart. What does first doses refer to? First doses are those that are not included in a cart fill Is there only one "first dose"? There can be many as they could be due after the next cart fill has been finalized, and would need to be delivered throughout that entire interval. What are the two types of labels? Production and Dispense Typically Production Labels are only printed for which type of medications? Mixtures and syringes. They are basically a recipe card. What are dispense labels? Dispense labels are basically dose labels. They are used by the pharmacy to track items should there be a an applicable NDC label on the product, and are attached to meds that are mixtures or not in the original package that sent to units and are scanned by the nurse at the time of administration. [Show Less]
- Exam
- $14.95
- 0
- 182
Epic: Willow questions and answers with rated solutions
1) For each medication listed below, match it to the most appropriate OCC record. OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS(a unit dose compound) RX SIMPL... [Show More] E MED For each medication listed below, match it to the most appropriate OCC record. AMLODIPINE-HYDROCHLOROTHIAZIDE (MODURETIC 5/50) COMBO TABS (a solid form mixture) RX BULK PRODUCT NO DOSE REQUIRED The solid form mixture points to this one. For each medication listed below, match it to the most appropriate OCC record. HYDROCHLOROTHIAZIDE 12.5 MG CAPS(an IMS solid) RX SIMPLE MED For each medication listed below, match it to the most appropriate OCC record. HYDROCHLOROTHIAZIDE 6.25 MG SPLIT TABLETS(a custom ERX for split tablets) RX SIMPLE MED You've been asked to configure the ERX records for phantasidose (Trainex) tablets. This new knowledge-enhancing medication is available in three commercial strengths: 50 mg, 100 mg, and 200 mg tablets. Your P&T committee approved the medication, and your buyer has purchased all three strengths. When you configure these three ERX records, which of the following fields should have the SAME values in ALL THREE records? a. Order Display Name b. Medication Short Name c. Medication Brand Name d. Inpatient Order Name Suffix e. Default charge method f. Default Frequency g. Suggested Doses (dose buttons) h. Medication Unit i. Administration Unit j. Dispense Unit k. Equiv Qty and Unit[JPS1] l. Allowed Order Units m. Allowed (& Default) Routes n. Frequency Buttons o. Route Buttons Equiv Qty and Unit This should be different, reflecting the strength of each pill. Which of the three phantasidose (Trainex) tablet ERX records should be on your central pharmacy's medication list? What about on your formulary medication list? All three should be on both 1) On each of the lists in question 3, which ERX records should have a green dot next to them? Why? Only the 50 mg tab should have a dot. It's an IMS drug (multiple strengths of the same drug + form), so you only want/need one of them on the linked preference lists. 1) After you set the records up, a technician approaches you with this first dose label for 3 first doses: He points out the dispense amount. "1.5 tablets? But we don't dispense partial tablets unless they've been split and repackaged in bulk." He's right, you don't. Which of the following do you need to do to fix this? Choose ONE answer only. a) Change the Allowed Order Units in the ERX record to only include "tablet" b) Change the Default Dispense Code to "Solid Form Mixture" in the ERX record c) Change the Dispense Rnd Factor to "1" in the ERX record[JPS1] d) On the Label Routing table for your pharmacy, change the Group? column for this dispense code This is the problem. Each dose is 0.5 tablets, but in this scenario, you should be dispensing 3 separate tablets. The Rnd Factor is set to 0.5 (or blank). And yes, it should be 3 tablets being dispensed. There are 3 first doses. Each one should have a dispense amount of 1 tablet. This label is grouped, so it should be 3 tablets for 3 doses. 1) Trainex has been so popular that there's now a shortage on 50 mg tablets. You run out! The 100 mg are still available, so you start splitting them in bulk and repackaging them as 50 mg "split tablets." You configure your custom ERX for phantasidose (Trainex) 50 mg split tablets, add it to your central med list, and select it in the Orders activity. But when you change the dose from 50 mg to 100 mg, it doesn't change to the 100 mg tablets; it's dispensing 2 x 50 mg split tablets from Central Pharmacy. Name two settings that could be preventing IMS from working correctly.[JPS1] [JPS1]See chapter 3 In the ERX, possible culprits are: · Use IMS when this is ordered? (should be Yes) · GPI/GMI/GPK: must match commercially available products. · Medication Unit: must be in units like mg, not tablet or split tablet. Also: maybe you've only got 50 mg split tabs on the central list. You might have accidentally removed the 100 mg tabs from the list! The Strength & Strength Unit are also important, but not in this specific scenario. If they were wrong in the commercially available 100 mg tab record, they could prevent the system from changing to them. But if it was wrong in the 50 mg split tab, you'd see the problem when the dose 50 mg, not when you changed it to 100 mg. Also, the Proxy might come up, but it's not about IMS. See next question. See chapter 3 In the ERX, possible culprits are: · Use IMS when this is ordered? (should be Yes) · GPI/GMI/GPK: must match commercially available products. · Medication Unit: must be in units like mg, not tablet or split tablet. Also: maybe you've only got 50 mg split tabs on the central list. You might have accidentally removed the 100 mg tabs from the list! The Strength & Strength Unit are also important, but not in this specific scenario. If they were wrong in the commercially available 100 mg tab record, they could prevent the system from changing to them. But if it was wrong in the 50 mg split tab, you'd see the problem when the dose 50 mg, not when you changed it to 100 mg. Also, the Proxy might come up, but it's not about IMS. See next question. The makers of phantasidose (Trainex) tablets also manufacture Super Trainex, or METHYLPHENIDATE-PHANTASIDOSE 10-50 MG PO TABS. Your hospital has started to get patients who have PTA prescriptions for it, and your physicians are ordering it during med rec. Your P&T committee hasn't approved Super Trainex, but they have approved METHYLPHENIDATE HCL 10 MG PO TABS. 1) Which of the following should you create? (choose ALL that apply) a) An "and" linked panel for Super Trainex b) A custom simple ERX record for Super Trainex c) A solid-form mixture for Super Trainex d) An inpatient Alternative record that redirects away from the Super Trainex[JPS1] simple ERX [JPS1]These two. Though, the second one is BTB. Try it out with Vytorin. · On Caleb >> Admission >> Admission Orders >> Review PTA meds à add Vytorin (any dose) · On Reconcile Meds à order it! See alternative suggesting solid form mixture. These two. Though, the second one is BTB. Try it out with Vytorin. · On Caleb >> Admission >> Admission Orders >> Review PTA meds à add Vytorin (any dose) On Reconcile Meds à order it!See alternative suggesting solid form mixture. 1) Phantasidose (Trainex) is now available as an IV injection with a 25 mg/mL concentration. When ordered for adults, the most common doses are 25, 50, and 100 mg. When ordered for pediatric patients, typical dosage is 0.25 mg/kg and 0.5 mg/kg. You want your dose buttons for this ERX record to change based on the patient. What will you need to create to accommodate this? Two (at least) override contexts for the TRAINEX injection. 1) Assume that the ERX record for PHANTASIDOSE HCL 25 MG/ML IJ SOLN is configured like so: If you order it at 0.5 mg/kg for your Buffy patient (who weighs 29.3 kg), what will the Administer Dose be? (HINT: see page 6.13 for rounding!) Step 1: Simplify the ordered dose 0.5 mg/kg x 29.3 kg = 14.65 mg Step 2: Calculate & Round Admin Amount 14.65 mg x (1mL/25mg) = 0.586 mL Per System Level Liquid Rounding Table, round to nearest 0.01 mL à 0.59 mL Step 3: Calculate Administer Dose 0.59 mL x (25mg/1mL) = 14.75 mg Your IPS table for ADS and robot pharmacies in your hospital record looks like this Which of the following statements are true? (Choose all that apply.) a) ADS cabinets and robots will dispense up to 999 packages of controlled substances. b) ADS cabinets and robots will dispense up to 3 packages of either controlled or non-controlled substances. c) ADS cabinets and robots will only dispense exact matches of packages. d) If you switch the order of the two rows in the table above, it will change IPS's behavior. A: TRUE. Per the first row, this is true. B: FALSE. While leaving Controlled Substance blank does allow for either controlled or non-controlled substances to be included, because we have a row before it that specifies Yes, the second row can only include No. C : FALSE. Leaving Matches Allowed blank will default to Allow Partial. D: TRUE. Switching the order will mean that all medications (controlled or non-controlled) have 3 max packages when coming from an ADS or robot. 1) When you prepare custom doses of phantasidose (Trainex) injections (with a dispense code of "Syringe"), you want a dose label and a grouped production label to print. You'll print these labels when you dispense first doses, dispense cart doses, dispense PRN first doses, and when you redispense a dose. Assuming this hasn't already been configured, how many rows will you need to add to the Label Routing table of your central pharmacy to get such labels to print? 8 rows total 4 actions (Dispense [First Dose], Dispense [Cart Fill], PRN Par Dispense [First Dose], and Redispense) x 1 dispense code (Syringe) x 2 different SmartTexts (labels) = 8 rows total. 1) Which of the following must be true for Epic to dispense a "phantasidose (Trainex) IVPB in 100 mL" mixture from a satellite pharmacy serving the patient's unit? (Choose ALL that apply.[JPS1] ) a) All of the ingredients must be on the pharmacy's Medication List b) Any of the ingredients must be on the pharmacy's Medication List c) The mixture must be on the pharmacy's Medication List d) The pharmacy must support the mixture's Prep Type A & D You want to configure an ERX record for phantasidose (Trainex) IVPB in 100 mL. It can be mixed in either 100 mL of D5W or NS; no other volume or bases should be allowed. NS is the most commonly used base. You want there to be dose buttons for 100 mg, 200 mg and 400 mg; 200 mg should be selected by default. Suggested doses Dose Units Default? 100 mg 200 mg yes 400 mg You test your PHANTASIDOSE IVPB IN 100 ML mixture, and find that the order name at the top of the Order Composer reads: "phantasidose (Trainex) IVPB 200 mg" You want it to read: "phantasidose (Trainex) 200 mg in sodium chloride 0.9% (NS) 100 mL IVPB". What setting did you forget to make? What specific value should you enter in that setting to get the name you want?[JPS1] [JPS1]Order Naming Extensions Enter 34917 - IP RXNAME STANDARD (MAIN INGREDIENT WITH BASE DISPLAYED AND BASE QUANTITY) Order Naming Extensions Enter 34917 - IP RXNAME STANDARD (MAIN INGREDIENT WITH BASE DISPLAYED AND BASE QUANTITY) Which of the following must be true for Epic to dispense a "phantasidose (Trainex) IVPB in 100 mL" mixture from a satellite pharmacy serving the patient's unit? (Choose ALL that apply.[JPS1] ) a) All of the ingredients must be on the pharmacy's Medication List b) The mixture must be on the pharmacy's Medication List c) The pharmacy must support the mixture's Prep Type [JPS1]A + C; the mixture should be added to the Central Pharmacy Med List, but it not necessary on the Satellite Pharmacy Med List A + C; the mixture should be added to the Central Pharmacy Med List, but it not necessary on the Satellite Pharmacy Med List You configure an IMS Orderable for phantasidose (Trainex) IVPB. You configure dispensable mapping like so: You order this medication for your Caleb patient and enter a dose of 200 mg. Assuming it's coming from the central pharmacy, which dispensable would you expect it to choose? Why?[JPS1] [JPS1]It will choose the 2nd line (IVPB IN 100 ML) because Caleb weighs more than 40 kg and the dose falls in the "0-400 mg" row. That takes precedence over the exact match on the premix. It will choose the 2nd line (IVPB IN 100 ML) because Caleb weighs more than 40 kg and the dose falls in the "0-400 mg" row. That takes precedence over the exact match on the premix. Now suppose you order this medication for your Buffy patient, again with a dose of 200 mg. This time, however, IMS picks the 3rd dispensable (the premix IV) instead of the 1st dispensable (the injection). What are two different reasons it might have done so? Reason 1: The 1st row might not be on the central pharmacy's medication list (if it's not available, IMS won't select it). Note: that would also prevent it from picking line 2, because (as you can see in Question 14, PHANTASIDOSE 25 MG/ML IJ SOLN is the main ingredient of the mixture in row 2). Reason 2: The Premix IV might be loaded to an ADS cabinet that serves Buffy's unit, while the injection is not. It's technically a viable match for the order, so the system would choose to dispense that rather than getting the injection from central. · Suppose the system chooses to dispense the 2nd dispensable (PHANTASIDOSE IVPB IN 100 ML, a main ingredient mixture). You notice, however, that the Dispense Code for the order is "Unit Dose" instead of "IVPB Mixture." In which record would you need to go to fix the dispense code? (Choose ONE only.) A) PHANTASIDOSE IV ORDERABLE (the IMS orderable record) B) PHANTASIDOSE IVPB IN 100 ML (the main ingredient mixture being dispensed)[JPS1] C) PHANTASIDOSE 25 MG/ML IJ SOLN (the simple ERX record that is the main ingredient for the mixture) D) SODIUM CHLORIDE 0.9 % IV SOLN (the simple ERX record that is the base for the mixture) The dispense code comes from the ERX record being dispensed (in this case, the mixture). 1) You're configuring a mixture for EXAMPALIN 20 OR 40 UNITS/ML IN D5W INFUSION. It has these properties: · The dose is usually 0.5 or 1 Unit/kg/hr. · The frequency is "Continuous" and the route is "Intravenous." · There should be two choices for concentration in the Order Composer: "20 Units/mL" and "40 Units/mL". · The mixture is always prepared in 250 mL of D5W. The concentration affects how much EXAMPALIN 100 UNITS/ML IJ SOLN is put in the bag. Based on these details, answer the following: a) What type of mixture is this? (pick 1) a. IV Fluid Mixture b. Main Ingredient Mixture c. Ratio-Based Mixture d. Concentration-Based Mixture a.Wrong! It's not a ratio-based mixture, it's a concentration-based mixture c.WRONG! You don't put the multiple concentrations on MIXTURE SETUP 2. You put them on the CONCENTRATION OPTIONS screen. See ch 10 If there was only one concentration, you could do it like this D. Correct. It's always in this volume E. Correct! There's only one base, so it should always be selected. NOTE: You should not configure the ORDER COMPOSER SECTION SETUP screen to say "Base" >> Allow only one? "Yes" and Selection Required? "Yes" Since there's only 1 base, and it's always selected, this will throw an error. You probably SHOULD set Allow custom dose? To "No" for the D5W on the MIXTURE ORDER COMPOSER ITEMS screen. a) Which OCC should you use? (pick 1) a. RX SIMPLE MED b. RX MAINTENANCE IV c. RX MAIN INGREDIENT MIXTURE NO COMPONENTS DISPLAYED d. RX MAIN INGREDIENT MIXTURE DISPLAYING BASE e. RX CONCENTRATION DOSED MIXTURE f. RX CONCENTRATION DOSED MIXTURE DISPLAYING BASE E, RX CONCENTRATION DOSED MIXTURE. There's only 1 base, so use this one (which doesn't display to base to end users). When the concentration of "20 Units/mL" is selected, the Order Name for this mixture should be:exampalin (Learnix) 5,000 Units in dextrose 5% 250 mL (20 units/mL) infusionIf they choose "40 Units/mL," the name should change to match. Assume that the EXAMPALIN 100 UNITS/ML IJ SOLN and the DEXTROSE 5 % IV SOLN are already configured appropriately. What settings in the MIXTURE record would you make to get the name to appear as described? Mixture suffix: "infusion" Order Entry and After Ordering naming extension: 4083492101 - IP RXNAME DOSE WITH BASE, STRENGTH, AND TOTAL VOLUME [Show Less]
- Exam
- $13.45
- 0
- 144
Willow IP Admin RX305/405 questions and answers 100% correct
Where the record name appears
Database Tab, Order Composer, Dispense Product
Where the Order Name appears
Orders Activity, MAR
Order Name
... [Show More]
- Exam
- $14.95
- 1
- 345
Epic Modules questions and answers, graded A+
Cadence Cadence is the Epic scheduling module for Outpatient and Specialty clinics. Grand Central Grand Central is Epic ADT. ADT stands for Admiss... [Show More] ion, Discharge, Transfer. MyChart MyChart is the Epic patient portal application. OpTime OpTime is Epic's operating room management system combining clinical & decision support tools with integrated scheduling for the management of hospital operating rooms & ambulatory surgical centers. Benefits Engine The Epic Benefits Engine holds the benefit information (what services are covered) for each insurance plan. Welcome Welcome is Epic's kiosk is about the size & shape of a small ATM, & allows patients to check in for appointments, pay co-pay amounts, sign documents, print receipts & other materials. Healthy Planet Healthy Planet is Epic's accountable care and population management system module. It enables partners to gather patient information across multiple data sources, including EHRs, claims, pharmacies & satisfaction surveys allowing for sophisticated analytics & a more complete view of the patient & better decision support. EpicCare Inpatient EpicCare Inpatient is Epic's inpatient EHR. EpicCare Ambulatory EpicCare Ambulatory is Epic's outpatient ambulatory EHR. Wisdom Wisdom is Epic's dental module. Willow Willow is Epic's pharmacy system. Officially known as the "Willow Inpatient Pharmacy System". Stork Stork is Epic's obstetrics module for managing pregnancy episodes on the Outpatient side, and documenting deliveries in the hospital. Radiant Radiant is Epic's Radiology module. It provides documentation, film tracking, and viewing of Radiology images. Phoenix Phoenix is Epic's transplant module. It supports the focused clinical workflows and detailed regulatory requirements of solid organ transplants. Cupid Cupid is Epic's cardiology module. There are special clinical tools focused on cardiology care. Epic can integrate with external EKG devices to bring the EKG readings into the medical record. BedTime BedTime is Epic's bed management module. Beacon Beacon is Epic's oncology module. It is the chemotherapy module in Epic. It is built around treatment plans for patients who are undergoing cancer treatment. Whereas most patient visits are either Outpatient or Inpatient, these visits are considered Series Visit Types, which span a longer amount of time. ASAP ASAP is Epic's ER module. It tracks which rooms are occupied, displaying room and bed status on monitors that are mounted on the walls near the nursing stations. Anesthesia Anesthesia is Epic's anesthesia module. CareEverywhere CareEverywhere is Epic's information exchange application for caregivers that use Epic. It allows doctors & nurses across multiple organization to electronically exchange patient medical information so long as they are on Epic. Connect Formerly "Community Connect", Connect is Epic's structured method for sharing an electronic record system to independent physician practices and hospitals, including e-learning content, user training and support specialists. EpicCare Link EpicCare Link is Epic's web-based application for connecting organizations to their community affiliates. It allows independent physicians to easily refer & follow up with patient progress through a read only, secure, web-based access. Home Health Home Health is Epic's Home Health module that allows visiting caregivers (Nurse, Nurse Aides, PT, OT, etc) document care done in a patient's home. Clinicians use a remotely installed software program that allows them to document in settings where they might not have any Internet connection. Then after they finish their work, they can reconnect to their organization's network and perform a sync that uploads their documentation to the main Epic servers. Resolute Resolute is Epic's Hospital Billing (HB) and Professional Billing (PB) system. It manages revenue cycle and overall billing. HIM HIM stands for Health Information Management, which provides tools to simplify medical records management tasks, including chart and film tracking, chart deficiencies, release of information and coding and abstracting. Beaker Beaker is Epic's laboratory system for hospital lab. Orders placed either in Epic or in an external system are transmitted to Beaker via an HL7 Interface for processing. When patients arrive to have their blood drawn, the results are entered into Beaker, which then get transmitted back to the ordering doctor. Bridges Bridges is Epic's module for installing, configuring and maintaining clinical interfaces to other systems. See the reference below to learn more about interfaces. Caboodle Caboodle: This area of Epic refers to the data warehouse and analytical tools used to store and retrieve large amounts of clinical data. The data can be queried to provide all manner of reporting to support care decisions, manage costs, and identify trends. Other data can be brought in from non-Epic systems, and then used along with Epic data to provide reporting results. Until mid-2016, the trade name for these tools was Cogito, from the Latin phrase ergo sum: "I think, therefore I am". In mid-2016, Epic renamed it to "Cabooble", ie Kit & Caboodle. Hyperspace Epic Hyperspace is not a clinical module in itself, but rather the actual application client that is presented to users of most areas of Epic. When a nurse, doctor, therapist, or administrative staff launch Epic, the front-end software that is presented to them is called Hyperspace. It is typically installed on hosted servers that are accessed by many workstations throughout an enterprise, rather than being installed on individual users' PCs. Citrix commonly used to host Hyperspace. Since it is a core component of the Epic system, upgrades almost always include an update of Hyperspace. Epic Hyperspace is configured to display different menus, tasks, and options to users depending on their specific roles. For example, a pharmacist will be presented with many medication-related options, while a family practice physician will be presented with options to document clinical visits, place orders, and perform other clinically relevant tasks. Haiku Epic Haiku is an App for Android and Apple that allows doctors to access a limited version of EpicCare Ambulatory. Kaleidoscope Epic Kaleidoscope is the Ophthalmology (Eye Care) module for Epic. It allows Ophthalmologists and Optometrists to perform eye exams, document eye related procedures, and write contact lens and eyeglass prescriptions. Lucy Lucy is not exactly a module, but is a concept of allowing patients to download and print their medical record in a usable format. This is called a Continuity of Care Document (CCD), and is considered a form of a personal health record. MyChart Bedside Where MyChart is focused mainly on the outpatient and specialty parts of the patient record, MyChart bedside is intended for use while a patient is admitted to the hospital. It provides online tools for tracking your progress toward discharge, and can be configured to provide patient education material. Radar Radar is the dashboard configuration that is shared across almost all other Epic modules. Dashboards support reports, graphs, performance measures, helpful links, and much more pertaining to each area. For example, an OB dashboard will have measures relating to C-Section rates and number of births. Reporting Workbench This is Epic's application-side reporting solution which allows IT analysts to create and manage reports on date from most parts of the system. Users work from templates to get data on patient lists, orders, appointments, diagnoses, and much more. In Reporting Workbench, users do not run SQL queries to the database, as the tool is visually oriented. Epic Rover Epic Rover is the module that uses mobile devices to allow Inpatient nursing staff to do review and documentation tasks. Some of the functions that Rover helps with are chart review, medication administration, flowsheet documentation, and recording patient photos. It is not intended to take the place of Epic Hyperspace, the standard client for accessing clinical functions. ClinDoc Epic's application for clinical documentation and care plans. Documentation (notes, records of medication administrations, etc.) entered in a patient's hospital chart. ICU The Epic application that supports physicians and staff in the super acute, comprehensive care and interventional care areas. Features include a well organized, concise overview of relevant patient events and data (e.g., vital signs, orders, results and IVs), as well as the ability to trend clinical parameters such as hemodynamics and drips. Identity Identity is Epic's identification and duplicate record management application. Orders The Epic application for placing and managing electronic orders. Tapestry The integrated managed care application, offering tools to automate key workflows and tasks associated with managed care administration such as utilization management, authorizations, workflow, bed day tracking and financial case management. At the elbow support Individual help in using Epic that is provided by Super Users, Epic team members and staff from Epic (the software vendor for Epic) during go-live and for a period of time post go-live. Activity The place where users enter and view data in Epic. For example, the Order History activity is used to view information for an order and the Medications activity is used to manager a patient's prescription. BCMA Barcode Medication Administration - A system that uses barcodes to electronically administer medications in an effort ensure patients received the correction medication at the correct time. BPA Best Practice Alert - A pop-up that notifies clinicians when they need to tend to important tasks, such as reviewing a patient's allergies, writing orders, and completing charting. Collaborative Build Design/build of Epic that will reflect workflows and collaborative best practice for Cottage Health System. CT Credentialed Trainer - Person who has knowledge of Epic workflows and is responsible for training Epic end users, administering end-user proficiency assessments, and providing go-live support. In Basket The electronic messaging system used within Epic. ID Instructional Designer - These individuals are Epic-certified trainers who develop lesson plans and implement Epic end-user training programs. They also build and maintain the Epic training environment; train credential trainers (CTs), Super Users, and end users prior to go-live; as well as provide on-going support to Epic end users and new staff after initial go-live. IVR Interactive Voice Response - A voice recognition phone capability that allows users of Epic to speak into a phone and have their message transcribed. Commonly used by patients/clients to schedule appointments or place pharmacy orders. MOA Manager Orders Activity - Activity within the EHR to place orders. MAR Medication Administration Record - An electronic entry and documentation of drugs administered to a patient. Playground A replica of the Epic training environment (with the same patient and user information used in training) that allows physicians and employees to practice what they learned in Epic training. Reengineering Additional sessions following the Validation Sessions to review more complex workflows and/or discuss decisions that didn't get made due to time constraints during the Validation Sessions. Cadence Cadence is the Epic scheduling module for Outpatient and Specialty clinics. Grand Central Grand Central is Epic ADT. ADT stands for Admission, Discharge, Transfer. MyChart MyChart is the Epic patient portal application. OpTime OpTime is Epic's operating room management system combining clinical & decision support tools with integrated scheduling for the management of hospital operating rooms & ambulatory surgical centers. Benefits Engine The Epic Benefits Engine holds the benefit information (what services are covered) for each insurance plan. Welcome Welcome is Epic's kiosk is about the size & shape of a small ATM, & allows patients to check in for appointments, pay co-pay amounts, sign documents, print receipts & other materials. Healthy Planet Healthy Planet is Epic's accountable care and population management system module. It enables partners to gather patient information across multiple data sources, including EHRs, claims, pharmacies & satisfaction surveys allowing for sophisticated analytics & a more complete view of the patient & better decision support. EpicCare Inpatient EpicCare Inpatient is Epic's inpatient EHR. EpicCare Ambulatory EpicCare Ambulatory is Epic's outpatient ambulatory EHR. Wisdom Wisdom is Epic's dental module. Willow Willow is Epic's pharmacy system. Officially known as the "Willow Inpatient Pharmacy System". Stork Stork is Epic's obstetrics module for managing pregnancy episodes on the Outpatient side, and documenting deliveries in the hospital. Radiant Radiant is Epic's Radiology module. It provides documentation, film tracking, and viewing of Radiology images. Phoenix Phoenix is Epic's transplant module. It supports the focused clinical workflows and detailed regulatory requirements of solid organ transplants. Cupid Cupid is Epic's cardiology module. There are special clinical tools focused on cardiology care. Epic can integrate with external EKG devices to bring the EKG readings into the medical record. BedTime BedTime is Epic's bed management module. Beacon Beacon is Epic's oncology module. It is the chemotherapy module in Epic. It is built around treatment plans for patients who are undergoing cancer treatment. Whereas most patient visits are either Outpatient or Inpatient, these visits are considered Series Visit Types, which span a longer amount of time. ASAP ASAP is Epic's ER module. It tracks which rooms are occupied, displaying room and bed status on monitors that are mounted on the walls near the nursing stations. Anesthesia Anesthesia is Epic's anesthesia module. CareEverywhere CareEverywhere is Epic's information exchange application for caregivers that use Epic. It allows doctors & nurses across multiple organization to electronically exchange patient medical information so long as they are on Epic. Connect Formerly "Community Connect", Connect is Epic's structured method for sharing an electronic record system to independent physician practices and hospitals, including e-learning content, user training and support specialists. EpicCare Link EpicCare Link is Epic's web-based application for connecting organizations to their community affiliates. It allows independent physicians to easily refer & follow up with patient progress through a read only, secure, web-based access. Home Health Home Health is Epic's Home Health module that allows visiting caregivers (Nurse, Nurse Aides, PT, OT, etc) document care done in a patient's home. Clinicians use a remotely installed software program that allows them to document in settings where they might not have any Internet connection. Then after they finish their work, they can reconnect to their organization's network and perform a sync that uploads their documentation to the main Epic servers. Resolute Resolute is Epic's Hospital Billing (HB) and Professional Billing (PB) system. It manages revenue cycle and overall billing. HIM HIM stands for Health Information Management, which provides tools to simplify medical records management tasks, including chart and film tracking, chart deficiencies, release of information and coding and abstracting. Beaker Beaker is Epic's laboratory system for hospital lab. Orders placed either in Epic or in an external system are transmitted to Beaker via an HL7 Interface for processing. When patients arrive to have their blood drawn, the results are entered into Beaker, which then get transmitted back to the ordering doctor. Bridges Bridges is Epic's module for installing, configuring and maintaining clinical interfaces to other systems. See the reference below to learn more about interfaces. Caboodle Caboodle: This area of Epic refers to the data warehouse and analytical tools used to store and retrieve large amounts of clinical data. The data can be queried to provide all manner of reporting to support care decisions, manage costs, and identify trends. Other data can be brought in from non-Epic systems, and then used along with Epic data to provide reporting results. Until mid-2016, the trade name for these tools was Cogito, from the Latin phrase ergo sum: "I think, therefore I am". In mid-2016, Epic renamed it to "Cabooble", ie Kit & Caboodle. Hyperspace Epic Hyperspace is not a clinical module in itself, but rather the actual application client that is presented to users of most areas of Epic. When a nurse, doctor, therapist, or administrative staff launch Epic, the front-end software that is presented to them is called Hyperspace. It is typically installed on hosted servers that are accessed by many workstations throughout an enterprise, rather than being installed on individual users' PCs. Citrix commonly used to host Hyperspace. Since it is a core component of the Epic system, upgrades almost always include an update of Hyperspace. Epic Hyperspace is configured to display different menus, tasks, and options to users depending on their specific roles. For example, a pharmacist will be presented with many medication-related options, while a family practice physician will be presented with options to document clinical visits, place orders, and perform other clinically relevant tasks. Haiku Epic Haiku is an App for Android and Apple that allows doctors to access a limited version of EpicCare Ambulatory. Kaleidoscope Epic Kaleidoscope is the Ophthalmology (Eye Care) module for Epic. It allows Ophthalmologists and Optometrists to perform eye exams, document eye related procedures, and write contact lens and eyeglass prescriptions. Lucy Lucy is not exactly a module, but is a concept of allowing patients to download and print their medical record in a usable format. This is called a Continuity of Care Document (CCD), and is considered a form of a personal health record. MyChart Bedside Where MyChart is focused mainly on the outpatient and specialty parts of the patient record, MyChart bedside is intended for use while a patient is admitted to the hospital. It provides online tools for tracking your progress toward discharge, and can be configured to provide patient education material. Radar Radar is the dashboard configuration that is shared across almost all other Epic modules. Dashboards support reports, graphs, performance measures, helpful links, and much more pertaining to each area. For example, an OB dashboard will have measures relating to C-Section rates and number of births. Reporting Workbench This is Epic's application-side reporting solution which allows IT analysts to create and manage reports on date from most parts of the system. Users work from templates to get data on patient lists, orders, appointments, diagnoses, and much more. In Reporting Workbench, users do not run SQL queries to the database, as the tool is visually oriented. Epic Rover Epic Rover is the module that uses mobile devices to allow Inpatient nursing staff to do review and documentation tasks. Some of the functions that Rover helps with are chart review, medication administration, flowsheet documentation, and recording patient photos. It is not intended to take the place of Epic Hyperspace, the standard client for accessing clinical functions. ClinDoc Epic's application for clinical documentation and care plans. Documentation (notes, records of medication administrations, etc.) entered in a patient's hospital chart. ICU The Epic application that supports physicians and staff in the super acute, comprehensive care and interventional care areas. Features include a well organized, concise overview of relevant patient events and data (e.g., vital signs, orders, results and IVs), as well as the ability to trend clinical parameters such as hemodynamics and drips. Identity Identity is Epic's identification and duplicate record management application. Orders The Epic application for placing and managing electronic orders. Tapestry The integrated managed care application, offering tools to automate key workflows and tasks associated with managed care administration such as utilization management, authorizations, workflow, bed day tracking and financial case management. At the elbow support Individual help in using Epic that is provided by Super Users, Epic team members and staff from Epic (the software vendor for Epic) during go-live and for a period of time post go-live. Activity The place where users enter and view data in Epic. For example, the Order History activity is used to view information for an order and the Medications activity is used to manager a patient's prescription. BCMA Barcode Medication Administration - A system that uses barcodes to electronically administer medications in an effort ensure patients received the correction medication at the correct time. BPA Best Practice Alert - A pop-up that notifies clinicians when they need to tend to important tasks, such as reviewing a patient's allergies, writing orders, and completing charting. Collaborative Build Design/build of Epic that will reflect workflows and collaborative best practice for Cottage Health System. CT Credentialed Trainer - Person who has knowledge of Epic workflows and is responsible for training Epic end users, administering end-user proficiency assessments, and providing go-live support. In Basket The electronic messaging system used within Epic. ID Instructional Designer - These individuals are Epic-certified trainers who develop lesson plans and implement Epic end-user training programs. They also build and maintain the Epic training environment; train credential trainers (CTs), Super Users, and end users prior to go-live; as well as provide on-going support to Epic end users and new staff after initial go-live. IVR Interactive Voice Response - A voice recognition phone capability that allows users of Epic to speak into a phone and have their message transcribed. Commonly used by patients/clients to schedule appointments or place pharmacy orders. MOA Manager Orders Activity - Activity within the EHR to place orders. MAR Medication Administration Record - An electronic entry and documentation of drugs administered to a patient. Playground A replica of the Epic training environment (with the same patient and user information used in training) that allows physicians and employees to practice what they learned in Epic training. Reengineering Additional sessions following the Validation Sessions to review more complex workflows and/or discuss decisions that didn't get made due to time constraints during the Validation Sessions. [Show Less]
- Exam
- $10.45
- 0
- 124
Dispensing Tools (Ch 11) questions and answers with verified content
True/False: The dispense queue is an optional feature True - its available to go, you just have to turn it on! Just a few easy tweaks to get it going! ... [Show More] Suppose your hospital is using the Dispense Queue in its central pharmacy. You open the queue and find that you aren't seeing any dispenses to print. What might be wrong? The default display is First Doses/Redispenses so switch it to view all; Or you might be looking at Cart Fills after all of them have been printed for that cart Describe the purpose of the Dispense Preparation activity Allows for documentation and checks during tech preparation process, tracking of NDCs and lots/exp dates of products Describe the purpose of the Dispense Checking activity Allows pharmacists to review completed preparations and document it's ready to go to the floor Describe the purpose of the Dispense Tracking activity Tracks and documents dispenses/doses as they leave the pharmacy and arrive on the floor What is the "Dispense Queue" activity? Allows your pharmacy staff to work off a real-time electronic work queue, printing labels for orders as you are ready to prepare them. Define "Dispense Preparation" activity Tracks whether a dispense has been prepared, when it was prepared, and who prepared it; this ensures that products being dispensed match the order; allows tracking of specific packages and lot numbers actually dispensed/used to prepare a dose In Epic, how do you get to the "Dispense Tracking" activity? Epic > Pharmacy > Dispense Tracking Define "Dispense Status Dashboard" activity An activity that displays an overview of the status of all dispenses for a unit or pharmacy; shows how long orders have been in process, status of the dose (label queued/printed/prepped/checked/etc) Describe the steps to take to print labels from the Dispense Queue Select dispense type (first doses/cart fills) --> filter orders by due time --> use buttons or column headers to sort --> select an order and then select similar dispenses --> click print selected labels Describe how to locate dispense status and events (4 ways) Order Report; Order Hx; MAR Message Window; Dispense Status Dashboard How does the Dispense Queue activity change the dispensing workflow in a pharmacy? Instead of printing labels in bulk for carts, you can print them off as you are going to make them, and organize them by due times/drug/type of medicine/etc How does a technician use the Dispense Prep activity to document preparing a dose? Print label from Dispense Queue > Scan the label in Dispense Prep > scan the NDC barcodes for each ingredient/diluent (can configure to require lots/exp dates to be entered) > take a picture (of ingredients) > [RPH mid-prep review] > prepare the drug > click Final Review and a RPh will get it in their queue to check How do the dispensing tools benefit your pharmacy (4 main things)? Fewer unnecessary dispenses; accurate expiration dates/times; efficiency; fewer lost/ruined labels True/False: if enabled in a CRT, that cart populates the dispense queue True If you hospital uses the Dispense Queue, when do labels automatically print off? They don't, they appear in the electronic queue and techs will print them off as they fill them (unless you have them set to print off automatically - ie STAT drugs) What happens to labels that would have printed at the cart finalize time if your hospital uses Dispense queue? These labels will appear in the Dispense queue at the finalize time How do you navigate to the Dispense Queue? Epic button arrow >> pharmacy >> dispense queue What is the default view when you first open the Dispense Queue activity? First Doses/Redispenses In the Dispense Queue activity, what must you do in order to choose a cart fill? Choose dispense type = Cart fills, then enter the name of the cart/batch you need to see The Dispense Queue can be configured to include these 5 types of activities: all medications that are scheduled for a specific cart/batch; all first doses for a particular dispense code; all manual Redispenses for a particular dispense code; STAT orders; IV and syringe orders (vs unit dose/TPN/bulk) Why does the Dispense Queue minimize unnecessary dispenses? discontinued orders are removed from the queue; modified orders update in real time Why does the Dispense Queue allow for more accurate expiration dates/times? Labels print right before they are prepared, so the expiration dates that Epic displays on the label are more accurate (expiration times are based on time of label print and stability of med) Why does the Dispense Queue maximize efficiency? Labels can be sorted electronically, before they are printed; techs can open the queue from any workstation whenever they're ready for more labels Why does the Dispense Queue minimize lost/ruined labels? Printing fewer labels at a time means fewer labels lost to printer jams and human error How are expiration dates/times calculated for drugs? based on time of label print and stability of med Which function of the dispensing tools allows for tracking of specific packages and lot numbers that are actually dispensed/used to prepare a dose? Dispense Preparation Where in Epic do pharmacists complete mid-prep review for Dispense Prep? Pharmacist Queue > Preparation Review tab Where in Epic do pharmacists complete Final review for Dispense Prep? What is this called Pharmacist Queue > Dispense Check; called "Dispense Check" Which user primarily uses Dispense Queue? Pharmacy tech Which user primarily uses Dispense Preparation? Pharmacy tech Which user primarily uses Dispense Check? Pharmacist Which user primarily uses Dispense Tracking? Pharmacy techs (sending) and nurses/unit clerks (receiving) What are the steps a pharmacist takes to Check a Dispense? Pharmacist Queue > Dispense Check tab > select the order/scan the barcode/manual entry using order number > review the details and images > Approve/request change/reject > scan next order (which documents your approval of this order) or click Complete Sign Off or print a Dispense Check label What is contained in "Prep Info" during RPH Dispense check? Details from the preparation of the dispense What is contained in "Order Report" during RPH Dispense check? Additional dispense and order information During RPH Dispense check, if a pharmacist wants to reject the order, what options must they decide as well? Indicate a reason; if a new dispense and label should be generated; if inventory should be returned During Dispense Check, what happens when a pharmacist scans the next order label, after approving/requesting change/rejecting the previous order? The previous order is documented as completed, without clicking Complete Sign Off What does the Complete Sign Off function in Dispense Check do? Documents all approved orders True/False: The Dispense Tracking activity is intended to work on a public terminal True Describe the steps involved in tracking an individual dispense (sending a dose from pharmacy to floor) Open Dispense Tracking > scan the barcode on each dose label (this adds it to the screen) > confirm doses are being sent to correct destination > indicate HOW the doses are being delivered (automatically marked as "sent") In Dispense Tracking, how can you tell that Dispense Prep and Dispense Check are complete? There are icons to indicate that each have been completed Which step in Dispense Tracking does Epic record the doses as "sent" to the floor? When you select the delivery method What activity in Epic do nurses/unit clerks use to indicate a dose has arrived to their unit? Dispense Tracking (to receive orders); can also be done on Rover Describe the steps a nurse/unit clerk would take to document that a dose has arrived on their unit Open Dispense Tracking (Receive Doses) > scan barcode > Receiving Unit field populates w/original destination (option to change) > click Receive to confirm What do you do in Epic if you receive a dose in a different unit than the original destination that it was being sent to? Change the Receiving Unit field (a warning will appear) and Epic tracks where the medication was actually received What does it mean to track a dispense via containers? If you are dispensing a number of doses at once to the same location, you can receive them in bulk via a container instead of each dose individually Describe how to send multiple doses in Dispense Tracking using a container Open Dispense Tracking > scan the Epic-generated barcode on the container > scan barcodes on each dose you're sending (they will appear nested under the container) > choose a delivery method > (automatically marked as "sent") How do you print labels for Container Dispense Tracking? Epic > Pharmacy > Print Container Labels Which user primarily uses Dispense Tracking? Pharmacy techs AND nurses/unit clerks that receive the doses Which user primarily uses Dispense Status Dashboard? Pharmacists (and maybe techs?) How is the Order Report to view the status of a dispense accessed in Epic (3 ways)? From Orders activity (click on the clipboard icon next to an order); from the MAR (click the name of an order); from the Medications activity (double-click the order) Within the Order Report, how do you see what Dispense actions have occurred with this medication? Scroll to Pharmacy Actions section > select Dispense > view the action summary, which will include dispense tracking and prep details Within the Order Hx activity, how do you see what Dispense actions have occurred with this medication? Click on Dispense line > details will be shown under a heading of Action Summary -- "Dispense Tracking Events" Within the MAR Message window, how do you see what Dispense actions have occurred with this medication? R Sidebar heading of "Recent dispensing events" [Show Less]
- Exam
- $13.45
- 0
- 145
Willow Admin 1 questions and answers 100% correct |graded A+
Drug + Strength + Form What is the definition of a simple ERX record? ERX (drug + strength + form) + Package SIZE + package TYPE + manufacturer Wh... [Show More] at is the definition of a Package (NDC) record? c) Most ERX records are initially created from third-party data d) When you search for a new medication order, you're searching for an ERX record Which of the following statements about the Medication (ERX) master file are TRUE? (Choose ALL that apply.) a) Each hospital at your organization has its own set of ERX records b) Every ERX record in your system needs to be configured c) Most ERX records are initially created from third-party data d) When you search for a new medication order, you're searching for an ERX record a) Each hospital at your organization can use different NDCs for the same ERX b) Most NDC records are initially created from third-party data d) You can't verify a medication order without an NDC Which of the following statements about the Package (NDC) master file are TRUE? (Choose ALL that apply.) a) Each hospital at your organization can use different NDCs for the same ERX b) Most NDC records are initially created from third-party data c) When you search for a new medication order, you're searching for an NDC record d) You can't verify a medication order without an NDC ERX Which type of record (ERX or NDC) controls: Which Order Composer Configuration (OCC) to use (What fields appear in the Order Composer and which fields are required) ERX Which type of record (ERX or NDC) controls: The Order Name (The name that appears in the Orders activity, on the MAR, and on labels) ERX Which type of record (ERX or NDC) controls: The default frequency and route for an order (Also, the buttons and available choices for each) NDC Which type of record (ERX or NDC) controls: How much the hospital paid for the medication (Which affects how much they'll charge for it) By plugging in a medication list record (an EFY record) in the Medication List field of the pharmacy record. How do you define which medications can be dispensed from a pharmacy? If you check the Use PRN par level to calculate the number of doses to dispense check box, the PRN par level will be used to dispense doses. If you leave this box unchecked, you will get one dose when first and cart doses are generated. What setting in a Pharmacy (PHR) record controls the number of doses to dispense for PRN orders? In the Hospital record in Hyperspace, enter your central pharmacy record in the Main Pharmacy field. How do you designate a pharmacy as the Main Pharmacy? The central pharmacy EFY record contains every medication that is dispensed in your hospital. This EFY record (like all EFY records) defines which NDCs are physically stocked and dispensed for each ERX record. Name two purposes that the central pharmacy Med List (EFY) record serves. A multi-dose package should be dispensed only once automatically after it is ordered and verified. Any redispenses will be requested manually. A single-dose package should automatically dispense a new package for each dose due. How should you dispense a multi-dose package differently from a single-dose package? In the medication (ERX) record, you must enter "yes" in the Package contains multiple doses (single patient) field. What must you do in Epic to force a package to dispense only once automatically? Dispense (first dose), PRN Par Dispense (first dose) and Redispense are a few. Name three actions that can generate label printing. False. It will print for ANY medication when that action is triggered, regardless of dispense code. True or False: If you leave the Dispense Code column blank for an action in the Label routing table, that action will never cause any labels to print. False. In System Definitions, Unit Dose is the default Dispense Code. Therefore, in each unit dose ERX record, you can leave Dispense Code blank. True or False: You must assign a Dispense Code to every medication (ERX) on your central pharmacy medication list. You want to indicate "yes" to Group? when only one label should print regardless of how many doses are being dispensed for an order at that time. In other words, grouping labels causes all of the doses to be represented by a single label. What is the purpose of the Group? column? A cart is where the pharmacy techs take all the medications needed for a particular period of time, prepare them and then put them on a cart for delivery to patients on the floor. Define a cart. A batch is where the pharmacy techs take all the medications needed for a particular period of time and prepare them at once. These medications may be delivered any number of ways; via runner, via pneumatic tube, etc. They do not necessarily go onto a cart for delivery. Define a batch. In Rx Admin > System Definitions. It's possible to override the cart group from system definitions in the ERX record; however this is not commonly done. Where do you generally set the Cart Group for a medication? Where can you override that setting if needed? In the Time field you enter in the time of day when doses from the cart are first due to be administered to the patient. This represents the interval of doses due for the cart. Explain the Time field in the Cart schedule section of a cart record. What does it represent? False. If you change the cart's schedule at the wrong time, you will lose doses from the cart. Always ask your Technical Services representative before making changes to carts in a live production system. Labor Day is coming up. You need to temporarily change your cart's schedule. True or false: You can change the cart's schedule any time before Labor Day to make this adjustment. Package (NDC) A Pharmacy (PHR) record's Medication List (EFY) record tells the system which medications can be dispensed from there. The Medication List (EFY) record also determines which specific _______ will be dispensed from that pharmacy. False. The hospital's central pharmacy is the "dispense location of last resort." True or False: If a medication is not on your central pharmacy's medication list, the system won't dispense the medication from there. The Package field will be blank. A pharmacist will have to manually select a package to verify the order. What happens if a medication is dispensed from your central pharmacy, but it isn't on the central pharmacy's medication list? What field is missing? [Show Less]
- Exam
- $12.45
- 0
- 158
Purchase the bundle to get the full access instantly
- 3 Million+ Study Documents
- 100% Money Back Guarantee
- Immediate Download Access
Add To Cart
Reviews 0
Bundle Details
$32.95
- Trusted by 800,000+ Students
- 24/7 Money Back Guarantee
- Download is directly available
116
0
Seller Details
