EPIC WILLOW UPDATED EXAM SCRIPT QUESTIONS AND
SOLUTIONS RATED A+
✔✔True or false: A pharmacist can make changes and approve an order for a non-
formulary request in verify orders - ✔✔True. The pharmacist does not need to notify
anyone as the intent of the order is not changing. Within verify order, they can select the
product (ERX) and package (NDC). The physician does not cosign the order, the nurse
does not acknowledge it, and the MAR is changed.
✔✔What does the binoculars icon mean on verify queue? - ✔✔Someone else opened
the Verify Orders activity for this patient, but it's not open now. The order still needs to
be verified.
✔✔What doesthe icon with the person and binoculars stand for? - ✔✔You were the last
person to open the Verify Orders activity for this patient, but you don't have it open now.
✔✔What does the the pencil icon mean in the verify queue? - ✔✔Someone else
currently has the Verify Orders activity open for this patient.
✔✔What does the pencil and person icon mean? - ✔✔You have the Verify Orders
activity open for this patient.
✔✔What does the star icon in verify queue stand for? - ✔✔The patient's orders were
previously seen but not verified. Now, there are new or modified orders for the patient.
✔✔How do you obtain a list of orders needing to be prepped for surgeries the following
day? - ✔✔Advanced Prep Report
✔✔What happens when a pharmacist changed an existing order in verify orders?
(modify) - ✔✔- No notification of the change is sent to anyone.
- The MAR displays only the changed order
- There is no obvious indication of what the order originally looked like on the MAR
✔✔What happens when you discontinue an order and reorder ? - ✔✔- The nurse
received a notification of the change
- MAR shows both old and new order
- The physician might need to cosign the order
✔✔When should you discontinue the order? - ✔✔When there is a change in clinical
intent (e.g- therapeutic interchange or fixing incorrect orders)
✔✔When is it ok to change an order in verify orders ? - ✔✔-Dispensing changes (for
example:
product, package, dispense code)
,-Approving non‐formulary requests
✔✔A physician needs assistance withan order as he is unable to see the drug he wants
on his preference list or facility list, though you are able to see the drug. where are you
seeing this drug? - ✔✔On your preference list, as it shows you all drugs that are in
stock, whether they be formulary or not, while the physician would only be able to see
what is on their pref list (specific to speciality), or what is in formulary.
✔✔A physician has requested a medication for which their is a preferred alternative
which they did not acknowledge. If there is a documented understanding that the
pharmacist has the ability to make a change to the order so that the alternative is
selected and the clinical intent is not affected, what is this called? - ✔✔per protocol drug
changes or therapeutic interchange
✔✔Does the Verify Orders activity refresh on its own? - ✔✔No! This can lead to
confusion. if you go to Orders and discontinue an order, it's in the Verify Orders activity
as a new order to eb verified. It won;t disappear until you close the patient's chart, or
click the x at the top of the Verify Orders activity to close it
✔✔Who can see i-vents? - ✔✔Only other pharmacy staff members
✔✔Are i-vents part of the medical record? - ✔✔no, they are not considered part of the
legal medical record, but they will be in the database forever
✔✔What parts of the i-vent are reportable? - ✔✔general information and associated
users section are reportable
✔✔Do pharmacists need to notify a doctor about a therapeutic interchange of one drug
to another equivalent drug? - ✔✔No. When a pharmacist does a therapeutic
interchange (TI), they are typically not required to notify the ordering provider. The
pharmacist will need to discontinue the order and enter a new one. The ordering mode
will be 'Per protocol: no cosign required'
✔✔What color is the i-vent icon with a status of "closed"? - ✔✔Blue
✔✔Where do you modify orders? - ✔✔In the Orders Activity
✔✔What elements of an order cannot be changed by "Modifying" and order? - ✔✔route,
does, frequency
✔✔Can you change the stregth or form of a drug by modifying the order? - ✔✔No.
Either of these cahnges would result in a new ERX record being selected, therefore a
new order would have to be placed.
, ✔✔In which section of the medication order do you adjust the schedule? - ✔✔Edit
Clinical and Dispensing Information
✔✔How do you change dispense information on a medication which has already been
verified (example - selecting a different package for future dispense) - ✔✔Medications
activity > Order Hx > Reverify
✔✔If you are attemting to reverify an order and find that it is read-only, why would this
be? - ✔✔You have not closed the chart after initially verifying. Do so, and you will be
able to reverify.
✔✔When you re-verify an order can you adjust clinical information? - ✔✔No. the clinical
information is read‐only. You can only change how the order is
being dispensed (for example, start dispensing a med that was patient‐supplied, or
change
the dispense location).
✔✔A nurse sends a message to Pharmacy from the MAR indicating the patient's home
supply of a medication has run out. The pharmacist decides to start dispensing this
order. What steps should they take? - ✔✔Select Medications > Select Drug > Edit
Dispense Information > Remove the Patient Supplied Tick Box and Remaining Dose
✔✔How can nurses send messages to pharmacy about an order - ✔✔MAR > Rx
messages icon
✔✔Where do messages sent from the MAR appear for pharmacists and technicians? -
✔✔in the In Basket activity, under the
Medication Messages folder
✔✔True or False: The only way to adjust the ongoing schedule for an order is to
discontinue it and
enter a new order. - ✔✔False. A pharmacist can reschedule an active order from the
Medications activity or from a
medication message in the In Basket, using the Adjust Times button
✔✔What would you ahve to do to change an order from IV to PO? - ✔✔Discontinue and
place a new order
✔✔What three things does EPic consider when choosing a dispense location for a
drug? - ✔✔1. Patient Location (Unit, sometimes room depending on how many ADS
cabinets are assigned)
2. What pharmacies serve that location (PHR)
3. What is available at each of the pharmacies? A med list (EFY) contains a list of meds
(ERX) and packages (NDC)
SOLUTIONS RATED A+
✔✔True or false: A pharmacist can make changes and approve an order for a non-
formulary request in verify orders - ✔✔True. The pharmacist does not need to notify
anyone as the intent of the order is not changing. Within verify order, they can select the
product (ERX) and package (NDC). The physician does not cosign the order, the nurse
does not acknowledge it, and the MAR is changed.
✔✔What does the binoculars icon mean on verify queue? - ✔✔Someone else opened
the Verify Orders activity for this patient, but it's not open now. The order still needs to
be verified.
✔✔What doesthe icon with the person and binoculars stand for? - ✔✔You were the last
person to open the Verify Orders activity for this patient, but you don't have it open now.
✔✔What does the the pencil icon mean in the verify queue? - ✔✔Someone else
currently has the Verify Orders activity open for this patient.
✔✔What does the pencil and person icon mean? - ✔✔You have the Verify Orders
activity open for this patient.
✔✔What does the star icon in verify queue stand for? - ✔✔The patient's orders were
previously seen but not verified. Now, there are new or modified orders for the patient.
✔✔How do you obtain a list of orders needing to be prepped for surgeries the following
day? - ✔✔Advanced Prep Report
✔✔What happens when a pharmacist changed an existing order in verify orders?
(modify) - ✔✔- No notification of the change is sent to anyone.
- The MAR displays only the changed order
- There is no obvious indication of what the order originally looked like on the MAR
✔✔What happens when you discontinue an order and reorder ? - ✔✔- The nurse
received a notification of the change
- MAR shows both old and new order
- The physician might need to cosign the order
✔✔When should you discontinue the order? - ✔✔When there is a change in clinical
intent (e.g- therapeutic interchange or fixing incorrect orders)
✔✔When is it ok to change an order in verify orders ? - ✔✔-Dispensing changes (for
example:
product, package, dispense code)
,-Approving non‐formulary requests
✔✔A physician needs assistance withan order as he is unable to see the drug he wants
on his preference list or facility list, though you are able to see the drug. where are you
seeing this drug? - ✔✔On your preference list, as it shows you all drugs that are in
stock, whether they be formulary or not, while the physician would only be able to see
what is on their pref list (specific to speciality), or what is in formulary.
✔✔A physician has requested a medication for which their is a preferred alternative
which they did not acknowledge. If there is a documented understanding that the
pharmacist has the ability to make a change to the order so that the alternative is
selected and the clinical intent is not affected, what is this called? - ✔✔per protocol drug
changes or therapeutic interchange
✔✔Does the Verify Orders activity refresh on its own? - ✔✔No! This can lead to
confusion. if you go to Orders and discontinue an order, it's in the Verify Orders activity
as a new order to eb verified. It won;t disappear until you close the patient's chart, or
click the x at the top of the Verify Orders activity to close it
✔✔Who can see i-vents? - ✔✔Only other pharmacy staff members
✔✔Are i-vents part of the medical record? - ✔✔no, they are not considered part of the
legal medical record, but they will be in the database forever
✔✔What parts of the i-vent are reportable? - ✔✔general information and associated
users section are reportable
✔✔Do pharmacists need to notify a doctor about a therapeutic interchange of one drug
to another equivalent drug? - ✔✔No. When a pharmacist does a therapeutic
interchange (TI), they are typically not required to notify the ordering provider. The
pharmacist will need to discontinue the order and enter a new one. The ordering mode
will be 'Per protocol: no cosign required'
✔✔What color is the i-vent icon with a status of "closed"? - ✔✔Blue
✔✔Where do you modify orders? - ✔✔In the Orders Activity
✔✔What elements of an order cannot be changed by "Modifying" and order? - ✔✔route,
does, frequency
✔✔Can you change the stregth or form of a drug by modifying the order? - ✔✔No.
Either of these cahnges would result in a new ERX record being selected, therefore a
new order would have to be placed.
, ✔✔In which section of the medication order do you adjust the schedule? - ✔✔Edit
Clinical and Dispensing Information
✔✔How do you change dispense information on a medication which has already been
verified (example - selecting a different package for future dispense) - ✔✔Medications
activity > Order Hx > Reverify
✔✔If you are attemting to reverify an order and find that it is read-only, why would this
be? - ✔✔You have not closed the chart after initially verifying. Do so, and you will be
able to reverify.
✔✔When you re-verify an order can you adjust clinical information? - ✔✔No. the clinical
information is read‐only. You can only change how the order is
being dispensed (for example, start dispensing a med that was patient‐supplied, or
change
the dispense location).
✔✔A nurse sends a message to Pharmacy from the MAR indicating the patient's home
supply of a medication has run out. The pharmacist decides to start dispensing this
order. What steps should they take? - ✔✔Select Medications > Select Drug > Edit
Dispense Information > Remove the Patient Supplied Tick Box and Remaining Dose
✔✔How can nurses send messages to pharmacy about an order - ✔✔MAR > Rx
messages icon
✔✔Where do messages sent from the MAR appear for pharmacists and technicians? -
✔✔in the In Basket activity, under the
Medication Messages folder
✔✔True or False: The only way to adjust the ongoing schedule for an order is to
discontinue it and
enter a new order. - ✔✔False. A pharmacist can reschedule an active order from the
Medications activity or from a
medication message in the In Basket, using the Adjust Times button
✔✔What would you ahve to do to change an order from IV to PO? - ✔✔Discontinue and
place a new order
✔✔What three things does EPic consider when choosing a dispense location for a
drug? - ✔✔1. Patient Location (Unit, sometimes room depending on how many ADS
cabinets are assigned)
2. What pharmacies serve that location (PHR)
3. What is available at each of the pharmacies? A med list (EFY) contains a list of meds
(ERX) and packages (NDC)
