Drug + Strength + Form
What is the definition of a simple ERX record?
ERX (drug + strength + form) + Package SIZE + package TYPE +
... [Show More] manufacturer
What 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]