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Exam (elaborations)

AMB 100 Epic Care Ambulatory Exam Graded A+

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What are the date shortcuts for 2 days ago and 1 week from now? - ANSWER-t-2, w+1 What is true about office visit encounters and viewing a patient's chart? - ANSWER-An office visit encounter has activities such as Rooming and Plan so you can document visit-specific information. A patient chart workspace allows you to view information in the patient's chart, but not to document visit-specific information. Both have a workspace tab that has the patient's name on it. Both have activity tabs on the left T or F: To most effectively completion match, enter the first few letters of the word you want to look up and the click the 'Selection' button - ANSWER-False In the exam room, the nurse opens Lisa's encounter. Dr. Pepper will be coming into the exam room when the nurse is done rooming Lisa. T or F: When done rooming, the nurse should keep Lisa's workspace open and secure the workstation - ANSWER-True T or F: You are limited to choosing one reason for visit per encounter - ANSWER-False A nurse looks up a reason for visit by typing "twisted ankle." She selects that row and then "ankle sprain" appears in the field. This is because - ANSWER-"twisted ankle" is a synonym T or F: You should mark a medications as Not Taking if the patient is possibly allergic to it - ANSWER-False What is true about allergy documentation in Epic? - ANSWER-"Not on File" means there has never been allergy documentation entered in this patient's chart. "No known allergies" means it is documented that the patient is not aware of any allergies How can you move from field to field in the Vital Signs section? - ANSWER-Press TAB T or F: When documenting a patient-reported medication in the Medications section, a provider name is not required - ANSWER-True, offered but no hard-stops For a result message to be sent, what status must you select for a result in Enter/Edit Results? - ANSWER-Final Kristi informs the nurse that she received a flu vaccination at her workplace last month. Where should the nurse document this? - ANSWER-Immunizations activity T or F: To enter dates for a series of historical immunizations, you can use a template - ANSWER-True The physician ordered an immunization. The nurse needs to document the details after giving the immunization. What does the nurse click in the Immunizations activity to open the details form? - ANSWER-Administer T or F: Schedule folders under 'My Schedule' are created by users - ANSWER-True Dr. Wenzel wrote in a visit's progress note about how the patient can take care of himself. Where should this have been documented so the patient can take that information home? - ANSWER-Patient Instructions T or F: To enter am LOS code for the visit, you must use an LOS button - ANSWER-False What detail about a medication does Epic use to decide if the medication is "current"? - ANSWER-Its ending date What is true about medications in Epic? - ANSWER-An expired medication is one that has passed its end date. A discontinued medication is one that a clinician has chosen to end What are reasons why a medication warning will appear? - ANSWER-The patient is allergic to the medication. The patient has a similar current prescription In 'Medications & Orders', Dr. Wenzel wants to change the detail of an order so that it will be released as soon as it is signed. What detail controls this? - ANSWER-Status: Normal T or F: If nurse Denver does not have security to sign orders, then that means she cannot look up orders - ANSWER-False Richard needs a TSH test every three months for the next year. What status should that order be? - ANSWER-Standing T or F: If an order has a recommended field, the user can sign the order without entering anything in that field - ANSWER-True, that would not be a 'hard-stop' A physician signed an order for a lab test and realized that it was the wrong test. It has not yet been resulted. How can she cancel this order? - ANSWER-In 'Meds & Orders' in this encounter, click 'Cancel'. In 'Enter/Edit Results' in this encounter, click 'Cancel'. In 'Enter/Edit Results' in any encounter for this patient, click 'Cancel'. How can you tell a medication is expired? - ANSWER-There is a strikethrough What medication would be visible in the MAR? - ANSWER-The 'syringe' since it was administered in the facility Kristi's medication is expired , but it is listed in the Medication section, which should only show current medications. Why is it appearing there? - ANSWER-It is marked 'long term' (Thumb-Tack) Harold's prescription is nearing its end date. To quickly order more in Medications & Orders, click: - ANSWER-Reorder T or F: To discontinue a medication, clear the 'Taking' check box - ANSWER-False T or F: Use the 'Visit Diagnoses' section to associate orders with diagnoses - ANSWER-False Dr. Mica saw a scheduled patient yesterday. Today, he wants to finish his documentation, but does not see the patient on his schedule. What are possible reason? - ANSWER-He is looking at a personalized schedule view that does not include his patients. He is looking at today's schedule T or F: To close an encounter, click the X on the patient's workspace tab - ANSWER-False Workspace - ANSWER-The entire area within a tool bar Activity - ANSWER-Modules within a workspace, tabs on the left T or F: In the 'Developmental History' section, you can't add free text comments - ANSWER-False T or F: The 'Hearing/Vision Screening' section shows the most recent hearing and vision results for this patient - ANSWER-True A patient needs an immunization during today's visit: P1: First step in the process? P2: Second step in the process? P3: Third step in the process? - ANSWER-P1: Sign an immunization order P2: Go to the immunizations activity P3: Click Administer T or F: After details for an immunization administration are recorded, they can be viewed in the Medications & Orders section in the 'Plan' activity - ANSWER-False In a SmartSet, how do you open a pre-selected progress note item? - ANSWER-Click the EDIT link next to it In a SmartSet, Dr. Quartz sees a subsection called URI Antibiotics, but no items are listed.


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