Epic Inpatient Clinical Systems- Fundamentals

Epic Inpatient Clinical Systems- Fundamentals Name of first screen that user sees when they log in - Answer Startup activity List of patients that I am following - Answer My List A list of patients that is automatically updated by the system - Answer System List Tabs along the left of the screen in a patient's chart - Answer Activities How can you tell there is an abnormal value? - Answer appears in red Schedule - Answer list of scheduled surgical cases as well as outpatient appts- 1st startup activity that surgeons see Patient List - Answer all admitted patients you are assigned to Patient header - Answer bar across the top of the patient workspace- key pieces of info are here (mrn, allergies, etc.) System list shortcut - Answer Accordion Report - Answer allow you to drill down and trend patient info- only info from the current admission, useful for patients in the ICU or PACU, customizable Intake/Output activity - Answer view-only activity used to review a patient's daily intake and out put in table or graph format Time Mark - Answer indicate that they've already seen the notes documented up to this point File Time - Answer time the user clicked Sign and saved the note to the patient's chart Note Time - Answer time note was composed modify an order - Answer actually means the original order is canceled or discontinued and a new order is placed discontinue an order - Answer orders that are no longer needed or are being replaced pended order - Answer saved order that has not been signed preference list - Answer most commonly placed orders for a given unit or specialty synonym - Answer different name for same order- use things like brand names, mnemonics EnRol - Answer Enhanced Record Lookup- search against the first few letters Order requiring cosign - Answer orders that the physician has to review and give a final stamp of approval. principal problem - Answer main reason for the patient's admisssion chronic problem - Answer ongoing problems that will not be resolved before discharge NoteWriter - Answer document patient's progess & current condition using point and click functionality Macro - Answer predefined set of values that can be pulled into a note with a click of a button Why is it important to update the Problem List? - Answer current hospitalization, multi-disciplinary care, future care, decision support, billing, notes, my chart, meaningful use Incomplete vs Signed - Answer How can physicians ensure they're accurately billing the patient? - Answer -sign notes, be sure correct problem is identified, review charges acknowledge orders - Answer you have seen the order work list view and filter - Answer tool to help nurses view and prioritize the task they need to complete during their shift How does adding yourself to the treatment team help maintain the system list? - Answer When should a clinician remove themselves from the patient treatment team? - Answer when no longer assigned, transfers to new unit, assignment made in error What's the purpose of sticky note communication? - Answer communicate info that shouldn't become a permanent part of the patient's medical record multi vs single patient work list - Answer Multi patient is accessed through Patient Lists Single patient is accessed through the Patient's chart applying a filter vs changing the view - Answer MAR - Answer not a review tool, intended for documentation PRN medication - Answer given as needed, must include a reason for when the med should be administered dual sign off - Answer a second nurse must verify the rights , !! on MAR overdue dose - Answer not given within an hour of due time, not automatically marked as not given Willow Inpatient Pharmacy - Answer Epic's Pharmacy portion Automated Dispensing System (ADS) - Answer like a computerized vending machine for medications Override pull - Answer used when a medication is not on the patient's profile, order not entered or verified May do during emergency How are the medications sorted on the MAR? - Answer based on their status and sorts them alphabetically within those groups How does an order appear on the MAR when its dose, route or frequency has been modified? - Answer The original orders drops to the bottom and the new order appears towards the top as an active or future medication. There is no link between the two How does the MAR and the Willow Inpatient Pharmacy interact? - Answer pharmacy is responsible for verifying the order When will a medication appear on a patient's ADS profile? - Answer when it has been verified