EPIC WILLOW FINAL COMPREHENSIVE EXAM UPDATED
QUESTIONS AND SOLUTIONS RATED A+
✔✔When scheduling a cart schedule, what does the 'start' time mean? - ✔✔The
number of minutes before the interval that the system identifies doses to be
included on the cart. Only verified orders will be included.
✔✔When scheduling a cart schedule, what does the 'Update' time mean? - ✔✔The
number of minutes before the interval that the system identifies any new or
discontinued orders since the previous update.
✔✔What does first doses refer to? - ✔✔First doses are those that are not included in a
cart fill
✔✔Is there only one "first dose"? - ✔✔There can be many as they could be due after
the next cart fill has been finalized, and would need to be delivered throughout that
entire interval.
✔✔What are the two types of labels? - ✔✔Production and Dispense
✔✔Typically Production Labels are only printed for which type of medications? -
✔✔Mixtures and syringes. They are basically a recipe card.
Print just one label for all doses of a single order included in one cart interval.
✔✔What are dispense labels? - ✔✔Dispense labels are basically dose labels and
include a barcode.
- For unit dose meds and pre-mixes, there is an NDC barcode printed on the package
already (that the nurse scans), so the dispense label barcode is for pharmacy tracking
purposes only.
- For mixtures prepared in a pharmacy, a patient specific barcode is on the label which
is scanned by the nurses
✔✔What determines how many labels do you need to print when dispensing? - ✔✔-
Print label one per dose if a patient‐specific barcode is needed to scan for
administration (or if each dose should have a label attached, like a premix IV bag).
- Print one for a group of doses if the nurse can scan the NDC barcode for
administration, and the
doses are sent together in a baggie or envelope (like unit dose tablets).
✔✔What does FD in the bottom left hand corner of the dispense label stand for? -
✔✔First Dose
,✔✔What does CF in the bottom left hand corner of the dispense label stand for? -
✔✔Cart Fill
✔✔What is a CRT Record? - ✔✔A CRT Record is a cart record. Epic groups certain
medications together and Central Pharmacy prep and dispense these on the same
schedule. Typically IV and Syringes are prepped and part of the same record, while Unit
Doses are prepped and batched together on another CRT record.
✔✔What is the "Dispense Queue"? - ✔✔The Dispense Queue is an activity which
allows pharmacy staff to access an accurate and up to date work list in which you can
print labels as you are ready to prep the medications.
You can choose to have just certain meds or doses sent to the queue.
✔✔What are the benefits of a Dispense Queue? - ✔✔1. Allows your workflows to drive
your labels rather than letting the printer drive your workflows.
2. Efficiency. Labels can be sorted before printing
3. Fewer lost or damaged labels
4. Fewer unnecessary dispenses as you are not filling and then running an update
report.
✔✔What is Dispense Tracking? - ✔✔The Dispense Tracking Activity is designed to
track dispenses as they leave the pharmacy and arrive on the floor. Epic > Pharmacy >
Dispense Tracking
✔✔How do you track individual dispenses? - ✔✔Open the activity, scan the med,
confirm the destination, indicate method of travel.
✔✔How do you send multiple doses via a container? - ✔✔Pharmacy> Print container
labels > Scan the Epic‐generated barcode on the container > Scan the barcode on each
dose label you are including in the container > indicate method of travel.
✔✔True/false: When a nurse receives a container of medicines, they must scan each
individual dose in the container? - ✔✔False. When the container arrives on the floor, the
receiving user only scans the container and clicks Receive. All
doses in the container are tracked as "received".
✔✔Which three ways can the order report be accessed? - ✔✔1. From the Orders
activity: click Order Report under the More Actions dropdown for an order
2. From the MAR activity: click the name of an order
3. From the Medications activity: double‐click the order
✔✔What places can you view the status of a dispense? - ✔✔Order report, Order Hx,
MAR message window, pharmacy dispense status dashboard,
, ✔✔True or False: The Dispense Queue is an optional feature - ✔✔True
✔✔The Dispense Preparation activity - ✔✔used by technicians to document preparing a
dose of an IV or a
custom syringe. They scan the dose being prepared and the
products used to prepare it.
✔✔The Dispense Check activity - ✔✔Pharmacists document that they have checked a
dispense after it's been prepared, and ready to go to the floor
✔✔Where can you view the clinical scoring report? - ✔✔Beneath the clinical overview
list
✔✔Can you sort by intervention required on clinical overview list? - ✔✔Yes
✔✔Name the 3 monitoring reports - ✔✔Antimicrobial Steardship. ClinicalOverview and
Transitions of Care
✔✔What does the Clinical Rounding Anagram IPRX stand for - ✔✔I - Identify your
patients
- by location
- by service
- by med
- by renal function
P - Prioritize patients
- severity, acuity, issue based scoring, tasks
- time (last interaction/review)
- changes
R - Review, recommend, record
- labs, notes, medications, flowsheets, vitals, intake/output, i-vents
- orders, navigators
X - x'em off
- cross them off the list and move along to the next person
✔✔Is the Dispense Queue an optional feature? - ✔✔Yes. An organization can continue
to batch print should they wish to.
✔✔What is the purpose of Dispense Checking? - ✔✔This allows pharmacists to review
the medication that has been prepared by the tech. Both the documentation and even
an image if mid prep review is being done. It is then approved for use or discarded.
✔✔Can the end user tell if a medication will be charged at dispense or administration
when placing an order? - ✔✔No. The pharmacist can tell by looking at the order hx after
it has been verified, but not before.
QUESTIONS AND SOLUTIONS RATED A+
✔✔When scheduling a cart schedule, what does the 'start' time mean? - ✔✔The
number of minutes before the interval that the system identifies doses to be
included on the cart. Only verified orders will be included.
✔✔When scheduling a cart schedule, what does the 'Update' time mean? - ✔✔The
number of minutes before the interval that the system identifies any new or
discontinued orders since the previous update.
✔✔What does first doses refer to? - ✔✔First doses are those that are not included in a
cart fill
✔✔Is there only one "first dose"? - ✔✔There can be many as they could be due after
the next cart fill has been finalized, and would need to be delivered throughout that
entire interval.
✔✔What are the two types of labels? - ✔✔Production and Dispense
✔✔Typically Production Labels are only printed for which type of medications? -
✔✔Mixtures and syringes. They are basically a recipe card.
Print just one label for all doses of a single order included in one cart interval.
✔✔What are dispense labels? - ✔✔Dispense labels are basically dose labels and
include a barcode.
- For unit dose meds and pre-mixes, there is an NDC barcode printed on the package
already (that the nurse scans), so the dispense label barcode is for pharmacy tracking
purposes only.
- For mixtures prepared in a pharmacy, a patient specific barcode is on the label which
is scanned by the nurses
✔✔What determines how many labels do you need to print when dispensing? - ✔✔-
Print label one per dose if a patient‐specific barcode is needed to scan for
administration (or if each dose should have a label attached, like a premix IV bag).
- Print one for a group of doses if the nurse can scan the NDC barcode for
administration, and the
doses are sent together in a baggie or envelope (like unit dose tablets).
✔✔What does FD in the bottom left hand corner of the dispense label stand for? -
✔✔First Dose
,✔✔What does CF in the bottom left hand corner of the dispense label stand for? -
✔✔Cart Fill
✔✔What is a CRT Record? - ✔✔A CRT Record is a cart record. Epic groups certain
medications together and Central Pharmacy prep and dispense these on the same
schedule. Typically IV and Syringes are prepped and part of the same record, while Unit
Doses are prepped and batched together on another CRT record.
✔✔What is the "Dispense Queue"? - ✔✔The Dispense Queue is an activity which
allows pharmacy staff to access an accurate and up to date work list in which you can
print labels as you are ready to prep the medications.
You can choose to have just certain meds or doses sent to the queue.
✔✔What are the benefits of a Dispense Queue? - ✔✔1. Allows your workflows to drive
your labels rather than letting the printer drive your workflows.
2. Efficiency. Labels can be sorted before printing
3. Fewer lost or damaged labels
4. Fewer unnecessary dispenses as you are not filling and then running an update
report.
✔✔What is Dispense Tracking? - ✔✔The Dispense Tracking Activity is designed to
track dispenses as they leave the pharmacy and arrive on the floor. Epic > Pharmacy >
Dispense Tracking
✔✔How do you track individual dispenses? - ✔✔Open the activity, scan the med,
confirm the destination, indicate method of travel.
✔✔How do you send multiple doses via a container? - ✔✔Pharmacy> Print container
labels > Scan the Epic‐generated barcode on the container > Scan the barcode on each
dose label you are including in the container > indicate method of travel.
✔✔True/false: When a nurse receives a container of medicines, they must scan each
individual dose in the container? - ✔✔False. When the container arrives on the floor, the
receiving user only scans the container and clicks Receive. All
doses in the container are tracked as "received".
✔✔Which three ways can the order report be accessed? - ✔✔1. From the Orders
activity: click Order Report under the More Actions dropdown for an order
2. From the MAR activity: click the name of an order
3. From the Medications activity: double‐click the order
✔✔What places can you view the status of a dispense? - ✔✔Order report, Order Hx,
MAR message window, pharmacy dispense status dashboard,
, ✔✔True or False: The Dispense Queue is an optional feature - ✔✔True
✔✔The Dispense Preparation activity - ✔✔used by technicians to document preparing a
dose of an IV or a
custom syringe. They scan the dose being prepared and the
products used to prepare it.
✔✔The Dispense Check activity - ✔✔Pharmacists document that they have checked a
dispense after it's been prepared, and ready to go to the floor
✔✔Where can you view the clinical scoring report? - ✔✔Beneath the clinical overview
list
✔✔Can you sort by intervention required on clinical overview list? - ✔✔Yes
✔✔Name the 3 monitoring reports - ✔✔Antimicrobial Steardship. ClinicalOverview and
Transitions of Care
✔✔What does the Clinical Rounding Anagram IPRX stand for - ✔✔I - Identify your
patients
- by location
- by service
- by med
- by renal function
P - Prioritize patients
- severity, acuity, issue based scoring, tasks
- time (last interaction/review)
- changes
R - Review, recommend, record
- labs, notes, medications, flowsheets, vitals, intake/output, i-vents
- orders, navigators
X - x'em off
- cross them off the list and move along to the next person
✔✔Is the Dispense Queue an optional feature? - ✔✔Yes. An organization can continue
to batch print should they wish to.
✔✔What is the purpose of Dispense Checking? - ✔✔This allows pharmacists to review
the medication that has been prepared by the tech. Both the documentation and even
an image if mid prep review is being done. It is then approved for use or discarded.
✔✔Can the end user tell if a medication will be charged at dispense or administration
when placing an order? - ✔✔No. The pharmacist can tell by looking at the order hx after
it has been verified, but not before.
