Changes during verification (Ch 6)
If you make changes in verification, does anyone get notified of the change? - ANS-No
notification is sent - the MAR display changes but no obvious indication of what the
original order looked like
When should you change an order in Verify orders? - ANS-If there is no change in
clinical intent with this change; if there is an error
When should you discontinue an order and place a new order? - ANS-If the change will
show a change in clinical intent, and you'd like to notify the MD/RN of the change
What field allows you to control whether a physician receives a cosign message? -
ANS-Order mode. When you click "Sign", the window pops up allowing you to enter
ordering mode, provider and authorizing provider. If you select "per protocol" or
"transcribed from paper", a cosign is not required
How can you document time spent intervening on an order? - ANS-ivents
What is the advantage of leaving an I-Vent open? - ANS-its best to leave it open until
the problem is resolved. this leaves an area to document progress/steps that have been
taken to rectify the situation before it is completely taken care of; also leaves the open
ivent icon on the pharmacist verify queue as a reminder
Who can see I-Vents? - ANS-only pharmacists
Define I-Vent - ANS-intervention documentation on a patient's medication
Describe the steps to change a detail of an order during verification - ANS-RPh can
click on "edit clinical & dispensing information", "Edit admin instructions & note to
pharmacy", "Edit label comments & prep instructions", or ERX name to change the ERX
How can a pharmacist identify non-formulary orders? - ANS-blue bar of knowledge -
states this is non-formulary
When would it be appropriate to discontinue and place a new order instead of changing
an order in Verify orders? - ANS-If you are changing the clinical intent of the order, and
you want to notify the prescriber of the change
, When would it be appropriate to change an order in Verify orders instead of
discontinuing and placing a new order? - ANS-If you're switching from "non-formulary
drug" to the actual product, there's no need to notify the prescriber; changing the
product packaging to dispense; adding an admin instructions note or label comments or
prep instructions
What is the purpose of I-vents? - ANS-Documents time spent on interventions; types of
interventions performed; value added to the ordering process by pharmacy; providers
who generate problematic orders; improved communication
What are the two main ways to change new orders? - ANS-change the existing order in
Verify orders; discontinue and place new order in the Orders activity
True/False: When an RPH discontinues and places a new order in the Orders activity,
the nurse receives notification of this change - ANS-True
True/False: When an RPH discontinues and places a new order in the Orders activity,
the change is not obvious on the MAR - ANS-False - it will appear as two separate lines
on the MAR, very obvious
True/False: When an RPH discontinues and places a new order in the Orders activity,
the physician needs to cosign - ANS-Sometimes. They will most likely need to cosign,
unless its per-protocol
Why might a pharmacist not be able to find a certain medication in Epic? - ANS-Newly
approved (by FDA) meds need to be created by Epic administrators before they can be
ordered
How can you allow a doctor to order a trial drug (not FDA approved and not on your
formulary) to a patient while they are inpatient (when the drug is not on the RPh
Database tab)? - ANS-Leave the non-formulary request on the MAR, which allows the
nurse a place to document administrations
How can a pharmacist/anyone see the changes made directly in verification? -
ANS-MAR -- > click on drug name --> scroll down --> "Order Audit Trail" --> can see the
details, items that have changed are crossed off and in red
What is a SmartPhrase? - ANS-you can save a string of text so that you don't have to
type it every time
If you make changes in verification, does anyone get notified of the change? - ANS-No
notification is sent - the MAR display changes but no obvious indication of what the
original order looked like
When should you change an order in Verify orders? - ANS-If there is no change in
clinical intent with this change; if there is an error
When should you discontinue an order and place a new order? - ANS-If the change will
show a change in clinical intent, and you'd like to notify the MD/RN of the change
What field allows you to control whether a physician receives a cosign message? -
ANS-Order mode. When you click "Sign", the window pops up allowing you to enter
ordering mode, provider and authorizing provider. If you select "per protocol" or
"transcribed from paper", a cosign is not required
How can you document time spent intervening on an order? - ANS-ivents
What is the advantage of leaving an I-Vent open? - ANS-its best to leave it open until
the problem is resolved. this leaves an area to document progress/steps that have been
taken to rectify the situation before it is completely taken care of; also leaves the open
ivent icon on the pharmacist verify queue as a reminder
Who can see I-Vents? - ANS-only pharmacists
Define I-Vent - ANS-intervention documentation on a patient's medication
Describe the steps to change a detail of an order during verification - ANS-RPh can
click on "edit clinical & dispensing information", "Edit admin instructions & note to
pharmacy", "Edit label comments & prep instructions", or ERX name to change the ERX
How can a pharmacist identify non-formulary orders? - ANS-blue bar of knowledge -
states this is non-formulary
When would it be appropriate to discontinue and place a new order instead of changing
an order in Verify orders? - ANS-If you are changing the clinical intent of the order, and
you want to notify the prescriber of the change
, When would it be appropriate to change an order in Verify orders instead of
discontinuing and placing a new order? - ANS-If you're switching from "non-formulary
drug" to the actual product, there's no need to notify the prescriber; changing the
product packaging to dispense; adding an admin instructions note or label comments or
prep instructions
What is the purpose of I-vents? - ANS-Documents time spent on interventions; types of
interventions performed; value added to the ordering process by pharmacy; providers
who generate problematic orders; improved communication
What are the two main ways to change new orders? - ANS-change the existing order in
Verify orders; discontinue and place new order in the Orders activity
True/False: When an RPH discontinues and places a new order in the Orders activity,
the nurse receives notification of this change - ANS-True
True/False: When an RPH discontinues and places a new order in the Orders activity,
the change is not obvious on the MAR - ANS-False - it will appear as two separate lines
on the MAR, very obvious
True/False: When an RPH discontinues and places a new order in the Orders activity,
the physician needs to cosign - ANS-Sometimes. They will most likely need to cosign,
unless its per-protocol
Why might a pharmacist not be able to find a certain medication in Epic? - ANS-Newly
approved (by FDA) meds need to be created by Epic administrators before they can be
ordered
How can you allow a doctor to order a trial drug (not FDA approved and not on your
formulary) to a patient while they are inpatient (when the drug is not on the RPh
Database tab)? - ANS-Leave the non-formulary request on the MAR, which allows the
nurse a place to document administrations
How can a pharmacist/anyone see the changes made directly in verification? -
ANS-MAR -- > click on drug name --> scroll down --> "Order Audit Trail" --> can see the
details, items that have changed are crossed off and in red
What is a SmartPhrase? - ANS-you can save a string of text so that you don't have to
type it every time
