INP 401 EPIC (Actual) Exam Rated A+
10-Once an order has been signed (or pended), it becomes a record in the
___________ master file. - ANSWER-Orders (ORD)
10-True or False? A one-time procedure order (like a CBC ordered with a frequency of
"One Time") will result in one parent order and one child order. - ANSWER-True. Even
one-time orders will result in a parent and a child. Remember, though, that medication
orders do not use the parent-child structure.
10-True or False? If an order is placed with an informational frequency, no child orders
will be created. - ANSWER-False. Informational frequencies will always create one child
order.
10-When you select an order from Order Entry, you're selecting an order from the
___________ or _____________ master file. - ANSWER-Medications (ERX) or
Procedures (EAP)
10-Where can you go to find the ID number of a child order? - ANSWER-Order Review
or Chart Review
10-Which master file do parent and child orders live in?
a) EAP
b) ERX
c) ORD
d) All of the above - ANSWER-C) ORD. Parent and child orders are signed orders,
which do not live in EAP or ERX.
11-Respiratory therapists in my organization are allowed to sign only a handful of non-
medication orders (such as "incentive spirometry" or "chest physiotherapy"). They are
not able to sign medication orders.
Which of the following approaches could I use to set up this restriction? Choose ALL
that apply.
a) Don't give them certain EpicCare security points
b) In their profiles, list out the order types that they are allowed to sign
c) Set up their preference lists to include only the orders they can sign
d) Use a second sign rule to prevent them from signing certain orders - ANSWER-A and
D. For A: Since they can't sign any medication orders, you could simply not give them
any of the EpicCare security points they need to sign meds. For D: since they need to
sign some non-medication orders, they need the EpicCare security point to allow them
to sign any non-med orders. You'd then use a second sign rule to restrict which order
types they could or could not sign.
Regarding B: your profile can contain a list of order types that don't need a cosign, but
not a list of order types you are allowed to sign.
, Regarding C: you could do this for their profile-level preference lists (and probably
should), but the RTs would still have access to the facility pref list (which includes all
orderables for the hospital).
11-The second sign rule determines that a resident needs a cosign on a particular
order. The resident enters that order with an order mode of "per protocol." System
Definitions is set up so that "per protocol"
orders don't require a cosign.
Does this order need to be cosigned? - ANSWER-No. The cosign requirements that the
second sign rule makes only apply if the order mode is standard. For any other order
mode, the settings at System Definitions take priority. Since System Defs says that "per
protocol" orders don't require a cosign, this order does not need one.
11-What is the difference between an order that requires a cosign and an
order that needs a second sign? - ANSWER-An order that needs cosign is released and
will be acted upon. It simply
needs a retroactive review. An order that needs a second sign is NOT
released, and needs a proactive review before the order is released and
acted upon.
2-At which of the three levels for procedure order configuration (Procedure, Procedure
Category, or System Definitions) can you set a default frequency? - ANSWER-A default
frequency can be set at the Procedure (EAP) or Procedure Category (EDP) level. Refer
to the Where Can Settings Be Made table earlier in this chapter.
2-At which of the three levels for procedure order configuration (Procedure, Procedure
Category, or System Definitions) could you potentially do ALL of your build? Why would
this be a bad idea? - ANSWER-It is possible to make all settings at the Procedure
(EAP) level. However, doing so would be inefficient and difficult to maintain.
2-On which screen are the buttons for priority and frequency that display in the Order
Composer configured? - ANSWER-Buttons for priority and frequency are set on the
Inpatient Order Composer Button Selections - I screen (also referred to as the tic-tac-
toe screen).
2-True or False? Linking your Procedures to a Procedure Category is optional. -
ANSWER-False. All Procedures must be linked to a Procedure Category. The link is
made in the Procedure record.
3-28 What value request cannot be removed from an order. - ANSWER-Frequency
It is hard coded and not possible to make Frequency not required by an order.
3-At which Procedure levels do the Process Instructions (SmartText) attach? -
ANSWER-Procedure (EAP) and Procedure Category (EDP)
10-Once an order has been signed (or pended), it becomes a record in the
___________ master file. - ANSWER-Orders (ORD)
10-True or False? A one-time procedure order (like a CBC ordered with a frequency of
"One Time") will result in one parent order and one child order. - ANSWER-True. Even
one-time orders will result in a parent and a child. Remember, though, that medication
orders do not use the parent-child structure.
10-True or False? If an order is placed with an informational frequency, no child orders
will be created. - ANSWER-False. Informational frequencies will always create one child
order.
10-When you select an order from Order Entry, you're selecting an order from the
___________ or _____________ master file. - ANSWER-Medications (ERX) or
Procedures (EAP)
10-Where can you go to find the ID number of a child order? - ANSWER-Order Review
or Chart Review
10-Which master file do parent and child orders live in?
a) EAP
b) ERX
c) ORD
d) All of the above - ANSWER-C) ORD. Parent and child orders are signed orders,
which do not live in EAP or ERX.
11-Respiratory therapists in my organization are allowed to sign only a handful of non-
medication orders (such as "incentive spirometry" or "chest physiotherapy"). They are
not able to sign medication orders.
Which of the following approaches could I use to set up this restriction? Choose ALL
that apply.
a) Don't give them certain EpicCare security points
b) In their profiles, list out the order types that they are allowed to sign
c) Set up their preference lists to include only the orders they can sign
d) Use a second sign rule to prevent them from signing certain orders - ANSWER-A and
D. For A: Since they can't sign any medication orders, you could simply not give them
any of the EpicCare security points they need to sign meds. For D: since they need to
sign some non-medication orders, they need the EpicCare security point to allow them
to sign any non-med orders. You'd then use a second sign rule to restrict which order
types they could or could not sign.
Regarding B: your profile can contain a list of order types that don't need a cosign, but
not a list of order types you are allowed to sign.
, Regarding C: you could do this for their profile-level preference lists (and probably
should), but the RTs would still have access to the facility pref list (which includes all
orderables for the hospital).
11-The second sign rule determines that a resident needs a cosign on a particular
order. The resident enters that order with an order mode of "per protocol." System
Definitions is set up so that "per protocol"
orders don't require a cosign.
Does this order need to be cosigned? - ANSWER-No. The cosign requirements that the
second sign rule makes only apply if the order mode is standard. For any other order
mode, the settings at System Definitions take priority. Since System Defs says that "per
protocol" orders don't require a cosign, this order does not need one.
11-What is the difference between an order that requires a cosign and an
order that needs a second sign? - ANSWER-An order that needs cosign is released and
will be acted upon. It simply
needs a retroactive review. An order that needs a second sign is NOT
released, and needs a proactive review before the order is released and
acted upon.
2-At which of the three levels for procedure order configuration (Procedure, Procedure
Category, or System Definitions) can you set a default frequency? - ANSWER-A default
frequency can be set at the Procedure (EAP) or Procedure Category (EDP) level. Refer
to the Where Can Settings Be Made table earlier in this chapter.
2-At which of the three levels for procedure order configuration (Procedure, Procedure
Category, or System Definitions) could you potentially do ALL of your build? Why would
this be a bad idea? - ANSWER-It is possible to make all settings at the Procedure
(EAP) level. However, doing so would be inefficient and difficult to maintain.
2-On which screen are the buttons for priority and frequency that display in the Order
Composer configured? - ANSWER-Buttons for priority and frequency are set on the
Inpatient Order Composer Button Selections - I screen (also referred to as the tic-tac-
toe screen).
2-True or False? Linking your Procedures to a Procedure Category is optional. -
ANSWER-False. All Procedures must be linked to a Procedure Category. The link is
made in the Procedure record.
3-28 What value request cannot be removed from an order. - ANSWER-Frequency
It is hard coded and not possible to make Frequency not required by an order.
3-At which Procedure levels do the Process Instructions (SmartText) attach? -
ANSWER-Procedure (EAP) and Procedure Category (EDP)
