Willow Inpatient RX100 Exam with Verified Solutions
Adult or Pediatric - ✔✔Which patients appear in the Verify Queue? How do filters affect that?
Answers A (binoculars) and D (open i-Vent). A snowflake appears if new orders have been
placed since
the last time a pharmacist looked at them (B) and a pencil appears if someone else has the
orders locked
(C). - ✔✔You see an order in the Verify Queue, with a binoculars icon and a yellow yield sign.
What does
that mean? ﴾Choose ALL that apply﴿.
A. Someone has viewed the orders but not verified them, and closed the chart
B. There have been changes to the patient's orders since a pharmacist's last review
C. One of your colleagues is currently looking at the patient's orders
D. There is an open i-Vent for the order
There is a "Reordered from" link to the home medication. - ✔✔How can you identify a
reordered home
medication when verifying orders?
False! No one is notified of these changes. This way of making a change should be limited to
changes
,that do not alter the intent of the order. - ✔✔True or False: When a pharmacist makes
changes in Verify
Orders, the ordering provider is notified of the change.
If there is a modification to make which changes the intent of the order or that other
clinicians should
be aware of. - ✔✔When should you use the Orders activity to modify or discontinue/replace
an order?
If the issue is unresolved, the open i-Vent will cause an icon to appear on the Pharmacist
Verify Queue
(and in the patient's Storyboard and Medications activity) as a reminder. - ✔✔What is the
advantage of
leaving an i-Vent open?
To change the intent of the order - ✔✔Use the Orders activity to modify it, or to discontinue it
and replace it with a new order. It is up to the pharmacist to make the right choice.
Method: Change in Verify Orders - ✔✔Effect: No provider notification; No obvious indication
of old
order details on MAR
Examples: Cleaning up start details (start times, typos in admin
,instructions, etc.); Dispensing changes(for example: product, package, dispense code);
Approving
nonformulary requests
Method: Modify or discontinue/replace the order in Orders - ✔✔Effect: Pharmacist must
provide order
mode/provider;
Nurses must acknowledge. Providers might need to cosign
(depending on order mode); Original order might be discontinued, will appear as separate
line on MAR
Examples: Therapeutic interchange; Fixing incorrect orders
per protocol or after consulting with provider
You must discontinue the order for the IV form and enter a new order for the PO form.
Because form
and strength are a part of the product (ERX) ordered, you have to order a different product,
not just
modify, to change form or strength. You should also check the previous order's last
administration
and end date/time and adjust the new order accordingly. - ✔✔What do you have to do to
change an
, order from IV to PO?
The pharmacist should reverify this order. In the patient chart, go to Medications and select
the order,
then click Order Hx. Once they have the order back in Verify Orders, they change how the
order is being
dispensed by clicking Dispense Details and clearing the Patient supplied for __ check
box. Then click click Verify. - ✔✔A nurse sends a message to Pharmacy from the MAR,
indicating that
the patient's home supply of a medication has run out. The pharmacist decides to start
dispensing this
order. What steps should they take?
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. This just edits the existing order; it
doesn't
create a new order. - ✔✔True or False: The only way to adjust the ongoing schedule for an
order is to
discontinue it and enter a new order.
Adult or Pediatric - ✔✔Which patients appear in the Verify Queue? How do filters affect that?
Answers A (binoculars) and D (open i-Vent). A snowflake appears if new orders have been
placed since
the last time a pharmacist looked at them (B) and a pencil appears if someone else has the
orders locked
(C). - ✔✔You see an order in the Verify Queue, with a binoculars icon and a yellow yield sign.
What does
that mean? ﴾Choose ALL that apply﴿.
A. Someone has viewed the orders but not verified them, and closed the chart
B. There have been changes to the patient's orders since a pharmacist's last review
C. One of your colleagues is currently looking at the patient's orders
D. There is an open i-Vent for the order
There is a "Reordered from" link to the home medication. - ✔✔How can you identify a
reordered home
medication when verifying orders?
False! No one is notified of these changes. This way of making a change should be limited to
changes
,that do not alter the intent of the order. - ✔✔True or False: When a pharmacist makes
changes in Verify
Orders, the ordering provider is notified of the change.
If there is a modification to make which changes the intent of the order or that other
clinicians should
be aware of. - ✔✔When should you use the Orders activity to modify or discontinue/replace
an order?
If the issue is unresolved, the open i-Vent will cause an icon to appear on the Pharmacist
Verify Queue
(and in the patient's Storyboard and Medications activity) as a reminder. - ✔✔What is the
advantage of
leaving an i-Vent open?
To change the intent of the order - ✔✔Use the Orders activity to modify it, or to discontinue it
and replace it with a new order. It is up to the pharmacist to make the right choice.
Method: Change in Verify Orders - ✔✔Effect: No provider notification; No obvious indication
of old
order details on MAR
Examples: Cleaning up start details (start times, typos in admin
,instructions, etc.); Dispensing changes(for example: product, package, dispense code);
Approving
nonformulary requests
Method: Modify or discontinue/replace the order in Orders - ✔✔Effect: Pharmacist must
provide order
mode/provider;
Nurses must acknowledge. Providers might need to cosign
(depending on order mode); Original order might be discontinued, will appear as separate
line on MAR
Examples: Therapeutic interchange; Fixing incorrect orders
per protocol or after consulting with provider
You must discontinue the order for the IV form and enter a new order for the PO form.
Because form
and strength are a part of the product (ERX) ordered, you have to order a different product,
not just
modify, to change form or strength. You should also check the previous order's last
administration
and end date/time and adjust the new order accordingly. - ✔✔What do you have to do to
change an
, order from IV to PO?
The pharmacist should reverify this order. In the patient chart, go to Medications and select
the order,
then click Order Hx. Once they have the order back in Verify Orders, they change how the
order is being
dispensed by clicking Dispense Details and clearing the Patient supplied for __ check
box. Then click click Verify. - ✔✔A nurse sends a message to Pharmacy from the MAR,
indicating that
the patient's home supply of a medication has run out. The pharmacist decides to start
dispensing this
order. What steps should they take?
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. This just edits the existing order; it
doesn't
create a new order. - ✔✔True or False: The only way to adjust the ongoing schedule for an
order is to
discontinue it and enter a new order.
