Willow Fundamentals Questions & Answers

You could type "vanco iv" to efficiently find this order. - ANSWERSYou need to place an order for a dose of vancomycin, to be given intravenously. What could you type in the Place new order field? Intelligent Medication Selection for IVs causes only one choice to be found on the Preference List. Since there is only one choice on the Preference List, Epic will select it for you (pulling it in to the sidebar) and choose the correct product(s) to dispense based on the dose and what is available in the dispensing pharmacy. - ANSWERSWhen you enter the order for the vancomycin, it is pulled right in to the Orders sidebar, even though it can be dispensed in many different ways. What is causing this to happen? The pharmacists' Preference List tab contains everything that is available, or in stock, in their pharmacy. The Database tab contains every single record from the third party data, including medication and non-medication records - ANSWERSWhen a pharmacist places orders, what appears on the Preference List tab? On the Database tab? True. Medication orders that are signed appear on the MAR; they will have a red stop sign icon and no dispense location until they are verified. - ANSWERSTrue/False: If a medication is signed, but not yet verified, it will appear on the MAR. On the MAR, look at the dispense location listed in the row for that medication. - ANSWERSYou are supposed to hang an IVPB for your patient; it's verified but it hasn't arrived on the floor yet. How do you know if it's coming from the Central Pharmacy or the Satellite Pharmacy? She should search for "custom" and use the custom IV infusion builder order. There is a pre-built order for potassium phosphate in dextrose 5%; if the nurse found this order, she could include a Note to Pharmacy requesting that the base be changed from dextrose 5% to D5NS. - ANSWERSThe nurse next to you is frustrated. The doctor asked her to order some D5NS with potassium phosphate for a patient, and she can't find an order for that. What should she do? In the Reconcile Home Medications section, you determine whether the medication should be Ordered, Not Ordered, Replaced, or Removed. - ANSWERSIn which section of the medication reconciliation navigator do you decide whether a home med should be ordered for this admission? The house icon indicates that the medication was entered in Epic as an outpatient prescription. - ANSWERSWhen reviewing the patient's home medications, what does the house icon indicate? The person icon indicates that the patient reported taking that medication. - ANSWERSWhen reviewing the patient's home medications, what does the person icon indicate? The preference list for physicians is smaller and specific to their specialty; it also includes non-medication orders. - ANSWERSWhat is the difference between pharmacist and physician Preference Lists? There is no difference. - ANSWERSWhat is the difference between pharmacist and physician Facility Lists? It means that the order has been authorized, but it is not released or active until the patient arrives to another location or stage of care. - ANSWERSWhat does it mean to Sign & Hold an order? Any patients with orders needing verification in units your filters allow you to see. - ANSWERSWhich patients appear in the Verify Queue? After you select a filter, it will continue to apply to you and only you no matter which computer you log in to. - ANSWERSAfter selecting a filter, do you have to select it again if you log in to a different computer? There is a "Reordered from" link to the home medication. - ANSWERSHow can you identify a reordered home medication when verifying orders? Orders for surgery are Signed and Held and appear in the Verification Queue after they are released. Since they are not released until the patient arrives, run a report to find these orders ahead of time. - ANSWERSYou want to prepare some surgical orders for tomorrow morning. Why do you need to use a Reporting Workbench report? A warning about the edit appears at the top of the screen and the edit is highlighted in blue. - ANSWERSIn the Verification Queue, how can you identify that an order was edited and what was edited? There is a discontinue icon and reason at the top of the screen. - ANSWERSHow can you distinguish between a new and a discontinued order? Nope! 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. - ANSWERSIf you make changes in Verification, does anyone get notified of the change? If there is an error you can correct without changing the intent of the order. - ANSWERSWhen should you change an order in Verify Orders? If there is a modification to make which changes the intent of the order or that other clinicians should be aware of. - ANSWERSWhen should you discontinue an order and place a new order? Order mode - ANSWERSWhat field allows you to control whether a physician receives a cosign message? Create a new i-Vent. - ANSWERSHow can you document time spent intervening on an order? If the issue is unresolved, the open i-Vent will cause an icon to appear on the Verify Queue as a reminder. - ANSWERSWhat is the advantage of leaving an i-Vent open? Only Pharmacy users can see i-Vents. They are not part of the Legal Medical Record, and do not appear to nurses or physicians. - ANSWERSWho can see i-Vents? Any order with multiple products (ERX) uses a Solid Form Mixture label. This label prints one copy for each dose and clearly lists the multiple products. - ANSWERSFor what type of orders will a Solid form mixture label print? What is different about this label? You have to check the Patient Supplied box. This stops dispensing from occurring. - ANSWERSIf you get an order with a comment of "use patient's own supply," what do you have to do with that order? How does this affect dispensing? The MAR is updated with the changes as soon as you click Verify. The nurse does not receive any notification and the MAR does not show what the order used to look like. - ANSWERSWhat happens on the MAR when you change an order in verification? When does this happen on the MAR? What notification does the nurse receive? Only make changes in the Verify Orders activity which do not change the intent of the order and do not require any provider notification. - ANSWERSWhat is a good rule of thumb for the types of changes that can be made in the Verify Orders activity? How long each dose of an IVPB will take to be infused. - ANSWERSWhat does the Administer over field represent for an order? 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. - ANSWERSWhat do you have to do to change an order from IV to PO?