INP 100 MIDTERM EXAMS QUESTIONS AND
ANSWERS SURE A+
✔✔How do you get dual sign-off on a medication? - ✔✔Document giving the
administration as normal and click Accept (before actually giving the medication) to see
the Dual Signoff Summary window. From the Dual Signoff Summary window, the
second nurse reviews the administration details and confirms you have the right patient,
medication, dose, route, and time. The second nurse clicks Sign Off. The second nurse
enters her user ID and password.
✔✔How do you document multiple scheduled administrations at once? - ✔✔In the MAR
click the top of the time column which opens the administration window, showing all the
medications that are due within that hour. Now the nurse only has to enter the MAR
Action, the date and time of the administration, and the comments once in the fields at
the top of the screen. All that information then automatically fills in the appropriate fields
for each medication. After confirming the "rights" for each medication, the nurse
administers the medications.
✔✔How do you document an administration that occurred in the past? - ✔✔In the MAR
click in the appropriate cell for the hour in which you actually gave the medication.
Change the Time field to reflect when you actually gave the medication. Confirm that
the Action and Dose are accurate.
✔✔How do you identify any overdue medication doses for a patient? - ✔✔A column on
the nurse's My List shows an icon for patients with overdue meds, and the Due Meds
report, available from Patient Lists, displays overdue doses in red and bold. The Work
List also shows overdue medications (along with other overdue tasks). They appear in
yellow. An Overdue button appears at the top of the Work List if any of the patients on
the Work List have overdue tasks. A red "Overdue" button appears on the MAR if any
doses are overdue for the current patient. Clicking the button opens a report with all
overdue doses (and the nurse can click each overdue time to act on it). Also, the
Due/Overdue Meds tab includes any medications with overdue doses.
, ✔✔How do you document not giving a medication? - ✔✔In the MAR click on the
medication bubble you want to document on. Mark the dose as "Not Given" and state
the reason then add comments if needed. This can also can be access through the
"Doc" button on the Work List task.
✔✔How do you document giving a makeup dose of a medication? - ✔✔If a medication
is given more than 60 minutes late, policy requires you to document the due time as
"not given." You should document a makeup dose—if any—as an unscheduled
administration.
✔✔How do you reschedule a single medication due time? - ✔✔In the MAR click on the
medication bubble you want to document on. Change the action to "Due" and update
the time. Note, however, that the subsequent doses are still scheduled. You adjusted
the next scheduled dose, but that did not impact any subsequent scheduled times.
You'll need to ask pharmacy to reschedule the medication if you want all the future due
times to change.
✔✔How do you send a message to pharmacy? - ✔✔On the MAR click the "RX" On the
right side of the line of the medication you wish to contact the pharmacy. The Send
Message to Pharmacy window opens. Note that it already includes the patient's name
and the relevant medication.
✔✔How do you view pharmacy's response to a messages? - ✔✔Messages written by
someone in pharmacy are visible to the nurses in the MAR. When nurses have unread
messages from the pharmacy, a yellow message bubble appears in place of the Rx
Messages button.
✔✔How do you hold a dose of a medication? - ✔✔On the MAR, find the future dose you
wish to hold. Click the due time you wish to hold. Select an appropriate Reason. If
necessary, enter any additional rationale in the Comments field.
✔✔How do you document giving medication doses from the Work List? - ✔✔To
document a dose of a medication from the Work List, simply click the "Doc" button. A
floating administration window appears, much like the one that appears in the MAR.
From here, the nurse can document giving, not giving, or rescheduling a dose just like
she could from the MAR.
✔✔How do you document giving a medication pulled on override from an ADS cabinet?
- ✔✔Log in to the ADS cabinet, call up the patient's profile, and pull the medication on
override. This triggers an interface message to Epic that creates the override pull as a
"dummy order" in Epic. Log in to Epic and go to the patient's MAR. The override pull
appears on the MAR with a magenta background. Find the override pull and click its
scheduled due time. The Dose and Route fields are blank by default. Confirm that you
have the right patient and medication in hand. Manually enter the Route and Dose you
are about to administer.
ANSWERS SURE A+
✔✔How do you get dual sign-off on a medication? - ✔✔Document giving the
administration as normal and click Accept (before actually giving the medication) to see
the Dual Signoff Summary window. From the Dual Signoff Summary window, the
second nurse reviews the administration details and confirms you have the right patient,
medication, dose, route, and time. The second nurse clicks Sign Off. The second nurse
enters her user ID and password.
✔✔How do you document multiple scheduled administrations at once? - ✔✔In the MAR
click the top of the time column which opens the administration window, showing all the
medications that are due within that hour. Now the nurse only has to enter the MAR
Action, the date and time of the administration, and the comments once in the fields at
the top of the screen. All that information then automatically fills in the appropriate fields
for each medication. After confirming the "rights" for each medication, the nurse
administers the medications.
✔✔How do you document an administration that occurred in the past? - ✔✔In the MAR
click in the appropriate cell for the hour in which you actually gave the medication.
Change the Time field to reflect when you actually gave the medication. Confirm that
the Action and Dose are accurate.
✔✔How do you identify any overdue medication doses for a patient? - ✔✔A column on
the nurse's My List shows an icon for patients with overdue meds, and the Due Meds
report, available from Patient Lists, displays overdue doses in red and bold. The Work
List also shows overdue medications (along with other overdue tasks). They appear in
yellow. An Overdue button appears at the top of the Work List if any of the patients on
the Work List have overdue tasks. A red "Overdue" button appears on the MAR if any
doses are overdue for the current patient. Clicking the button opens a report with all
overdue doses (and the nurse can click each overdue time to act on it). Also, the
Due/Overdue Meds tab includes any medications with overdue doses.
, ✔✔How do you document not giving a medication? - ✔✔In the MAR click on the
medication bubble you want to document on. Mark the dose as "Not Given" and state
the reason then add comments if needed. This can also can be access through the
"Doc" button on the Work List task.
✔✔How do you document giving a makeup dose of a medication? - ✔✔If a medication
is given more than 60 minutes late, policy requires you to document the due time as
"not given." You should document a makeup dose—if any—as an unscheduled
administration.
✔✔How do you reschedule a single medication due time? - ✔✔In the MAR click on the
medication bubble you want to document on. Change the action to "Due" and update
the time. Note, however, that the subsequent doses are still scheduled. You adjusted
the next scheduled dose, but that did not impact any subsequent scheduled times.
You'll need to ask pharmacy to reschedule the medication if you want all the future due
times to change.
✔✔How do you send a message to pharmacy? - ✔✔On the MAR click the "RX" On the
right side of the line of the medication you wish to contact the pharmacy. The Send
Message to Pharmacy window opens. Note that it already includes the patient's name
and the relevant medication.
✔✔How do you view pharmacy's response to a messages? - ✔✔Messages written by
someone in pharmacy are visible to the nurses in the MAR. When nurses have unread
messages from the pharmacy, a yellow message bubble appears in place of the Rx
Messages button.
✔✔How do you hold a dose of a medication? - ✔✔On the MAR, find the future dose you
wish to hold. Click the due time you wish to hold. Select an appropriate Reason. If
necessary, enter any additional rationale in the Comments field.
✔✔How do you document giving medication doses from the Work List? - ✔✔To
document a dose of a medication from the Work List, simply click the "Doc" button. A
floating administration window appears, much like the one that appears in the MAR.
From here, the nurse can document giving, not giving, or rescheduling a dose just like
she could from the MAR.
✔✔How do you document giving a medication pulled on override from an ADS cabinet?
- ✔✔Log in to the ADS cabinet, call up the patient's profile, and pull the medication on
override. This triggers an interface message to Epic that creates the override pull as a
"dummy order" in Epic. Log in to Epic and go to the patient's MAR. The override pull
appears on the MAR with a magenta background. Find the override pull and click its
scheduled due time. The Dose and Route fields are blank by default. Confirm that you
have the right patient and medication in hand. Manually enter the Route and Dose you
are about to administer.
