Willow Inpatient RX100
"Pharmacy to load in ADS." - ANS-What will the order for the morphine 5 mg/mL syringe show
as the dispense location on the MAR?
1. What unit/room is the patient in?
2. What "pharmacies" serve that unit/room (and in what order)?
3. What meds are on the Medication List for each pharmacy that serves the patient? -
ANS-What three main things does Epic consider when picking a dispense location for a
medication?
A dispense location's Medication List (EFY) record. This means that Epic will dispense an order
from an ADS cabinet if there is a pocket assigned for that medication ﴾that is, the medication is
loaded﴿, even if the pocket is empty ﴾that is, the stock is "0"﴿. - ANS-What does NOT track the
amount of inventory, only which products and packages are loaded in each dispense location?.
A navigator - ANS-What tool guides users through a workflow, with all the tasks that need to be
completed being easily accessible?
Adjusting the Scheduled Times of an Order - ANS-Nurses adjust individual due times on the
MAR.
Pharmacists adjust an order's scheduled times from the Medications activity ﴾or from an In
Basket
message﴿.
You cannot adjust times for the following kinds of orders:
PRN. There are no scheduled times.
One time. The nurse can manually adjust the MAR.
Continuous. Again, there are no scheduled times.
Discontinued. The patient is no longer receiving the order, so there's no reason to adjust the
times.
After signing - ANS-At what point does the medication orders appear on the MAR?
an order can't be verified without a package. If a pharmacist enters an order without a package,
the order will not autoverify. - ANS-Because NDCs are required by payers and CMS, and
because they can have such a large impact on how medications are dispensed and charged for
Answer: B. The system will skip Floor Stock, since the medication is not on the Med List. The
ADS #1 cabinet is preferred over Central Pharmacy and has an NDC selected on the Med List,
so the system will dispense from there. The red dot in Central Pharmacy is not significant,
because the ADS is
, preferred and has the medication and package available. - ANS-There are three dispense
locations serving a patient's unit: Floor Stock, ADS #1, and Central Pharmacy, and that is the
preferred order for dispensing.
An order is placed for a fentanyl patch, which is on the medication list for ADS #1 and Central
Pharmacy ﴾but not Floor Stock﴿. The same NDC has a check mark in both locations, but Central
Pharmacy Med List also has a red dot by the NDC.
Which dispense location will Epic select for this order? ﴾Choose only one.﴿
A. Floor Stock
B. ADS #1
C. Central Pharmacy
Answer: C. It is most efficient since you would just remove the "low glucose" piece. D could
work, but it would require finding and adding all criteria you need. A and B might technically
work, but because you want to run this report daily they are not the best options; you'd have to
re‐do your work every day. - ANS-You've found a report called "Rx Blood Glucose, < 40 or >
400", but you need a report that will be run each day for only patients with high glucose. Which
of the following should you do? ﴾Chooseonly one.﴿
A. Run this report and filter the results
B. Edit this report and run it
C. Edit this report and click "Save As"
D. Create a new report from the template
Answer: C. Use the brand name (not the generic) and the form to reduce the number of
matches. Do not include strength for medications that use IMS. - ANS-What could you type in
the Place new order field to order acetaminophen tablets, 500 mg, Q8H PRN for fever, without
searching through a huge number of matches? ﴾Choose ONE.﴿
A. ace
B. ace 500
C. tyl tab
Answers A (binoculars) and D (open i‐Vent). A snowflake appears if new orders have been
placed since the last time a pharmacist looked at them (B) and a pencil appears if someone else
has the orders locked (C). - ANS-You see an order in the Verify Queue, with a binoculars icon
and a yellow yield sign. What does
that mean? ﴾Choose ALL that apply﴿.
A. Someone has viewed the orders but not verified them, and closed the chart
B. There have been changes to the patient's orders since a pharmacist's last review
C. One of your colleagues is currently looking at the patient's orders
D. There is an open i‐Vent for the order
Answers A and D. An accordion report (such as Antimicrobial Summary or Anticoagulation
Monitoring) and the Timeline show time‐based information. - ANS-What type of report can you
use to see relevant medication doses, lab results, and vital signs arranged by time? ﴾Choose
ALL that apply.﴿
"Pharmacy to load in ADS." - ANS-What will the order for the morphine 5 mg/mL syringe show
as the dispense location on the MAR?
1. What unit/room is the patient in?
2. What "pharmacies" serve that unit/room (and in what order)?
3. What meds are on the Medication List for each pharmacy that serves the patient? -
ANS-What three main things does Epic consider when picking a dispense location for a
medication?
A dispense location's Medication List (EFY) record. This means that Epic will dispense an order
from an ADS cabinet if there is a pocket assigned for that medication ﴾that is, the medication is
loaded﴿, even if the pocket is empty ﴾that is, the stock is "0"﴿. - ANS-What does NOT track the
amount of inventory, only which products and packages are loaded in each dispense location?.
A navigator - ANS-What tool guides users through a workflow, with all the tasks that need to be
completed being easily accessible?
Adjusting the Scheduled Times of an Order - ANS-Nurses adjust individual due times on the
MAR.
Pharmacists adjust an order's scheduled times from the Medications activity ﴾or from an In
Basket
message﴿.
You cannot adjust times for the following kinds of orders:
PRN. There are no scheduled times.
One time. The nurse can manually adjust the MAR.
Continuous. Again, there are no scheduled times.
Discontinued. The patient is no longer receiving the order, so there's no reason to adjust the
times.
After signing - ANS-At what point does the medication orders appear on the MAR?
an order can't be verified without a package. If a pharmacist enters an order without a package,
the order will not autoverify. - ANS-Because NDCs are required by payers and CMS, and
because they can have such a large impact on how medications are dispensed and charged for
Answer: B. The system will skip Floor Stock, since the medication is not on the Med List. The
ADS #1 cabinet is preferred over Central Pharmacy and has an NDC selected on the Med List,
so the system will dispense from there. The red dot in Central Pharmacy is not significant,
because the ADS is
, preferred and has the medication and package available. - ANS-There are three dispense
locations serving a patient's unit: Floor Stock, ADS #1, and Central Pharmacy, and that is the
preferred order for dispensing.
An order is placed for a fentanyl patch, which is on the medication list for ADS #1 and Central
Pharmacy ﴾but not Floor Stock﴿. The same NDC has a check mark in both locations, but Central
Pharmacy Med List also has a red dot by the NDC.
Which dispense location will Epic select for this order? ﴾Choose only one.﴿
A. Floor Stock
B. ADS #1
C. Central Pharmacy
Answer: C. It is most efficient since you would just remove the "low glucose" piece. D could
work, but it would require finding and adding all criteria you need. A and B might technically
work, but because you want to run this report daily they are not the best options; you'd have to
re‐do your work every day. - ANS-You've found a report called "Rx Blood Glucose, < 40 or >
400", but you need a report that will be run each day for only patients with high glucose. Which
of the following should you do? ﴾Chooseonly one.﴿
A. Run this report and filter the results
B. Edit this report and run it
C. Edit this report and click "Save As"
D. Create a new report from the template
Answer: C. Use the brand name (not the generic) and the form to reduce the number of
matches. Do not include strength for medications that use IMS. - ANS-What could you type in
the Place new order field to order acetaminophen tablets, 500 mg, Q8H PRN for fever, without
searching through a huge number of matches? ﴾Choose ONE.﴿
A. ace
B. ace 500
C. tyl tab
Answers A (binoculars) and D (open i‐Vent). A snowflake appears if new orders have been
placed since the last time a pharmacist looked at them (B) and a pencil appears if someone else
has the orders locked (C). - ANS-You see an order in the Verify Queue, with a binoculars icon
and a yellow yield sign. What does
that mean? ﴾Choose ALL that apply﴿.
A. Someone has viewed the orders but not verified them, and closed the chart
B. There have been changes to the patient's orders since a pharmacist's last review
C. One of your colleagues is currently looking at the patient's orders
D. There is an open i‐Vent for the order
Answers A and D. An accordion report (such as Antimicrobial Summary or Anticoagulation
Monitoring) and the Timeline show time‐based information. - ANS-What type of report can you
use to see relevant medication doses, lab results, and vital signs arranged by time? ﴾Choose
ALL that apply.﴿
