Fundamentals

You want to Time Mark the new progress notes for your patient,
but not the new initial assessment
or consult notes. Can you do that?

Which type of orders don’t get released?

True or False?
Time Mark means that you have actually read all of the notes in the patient’s chart.

What should you click to authorize but not release orders?

Time Mark

File Time

When the surgeon logs in, what is the first Startup Activity?

Note Time

Filtering vs. sorting in NOTES

Does a surgeon have to open a patient’s chart to review information?

File Time vs. Note Time

How do you open a patient’s chart?

In which activity can you view accordion reports?

How can you tell that there is an abnormal value within a specified time interval in accordion reports?

How is an abnormal value denoted in accordion reports?

How can you tell if there are values hidden within a time interval in accordion reports?

After opening the patient’s chart,another tab
appears at the top of the screen.

What do we call each of those tabs?

On the Add or Remove Buttons from Toolbar window, what is the difference between the Reports and Display Name columns?

Accordion report

Intake/Output activity

True or False?
A physician can see all notes from multiple encounters in the Notes activity.

Synopsis

How do I get rid of the New Notes icon?

What can you do with this unfinished order?

What must you do before that unfinished order can be acted upon?

EnRol stands for...

What’s the definition of Time Mark?

What happens behind the scenes when you modify the frequency of a medication order?

What happens behind the scenes when you modify the rate of a medication?

Does it say that I’ve read them all?

3 ways for MD to locate orders quickly

Where should you look for
past lab results on a patient
who has just been admitted?

What does the pushpin mean if it is next to a problem in the problem list?

Where do I look for vitals and lab results for a patient who has been hospitalized for a while?

What is the Principal problem?

What is an accordion report used for?

When documenting with a positive/negative button in the NoteWriter, how can you quickly indicate that the specific condition is present or positive?

When reviewing information in an accordion,
what do the columns represent?

When documenting with a positive/negative button, how can you quickly indicate that the specific condition is absent or negative?

What does a plus sign
mean when it appears
next to a value in an accordion report?

When documenting with a positive/negative button, how can you quickly add a comment?

What does an exclamation point mean when it appears next to a value in an accordion report?

How can you tell if a comment has already been added to a positive/negative button?

What point and click tool makes writing a progress notes easier?

True or False? You can add free text to a note in the Note form.

True or False? You can add free text to a note in the Note form.

How do I indicate a pertinent positive or present condition?

Macro

How do I indicate a negative
or absent condition?

What is a My List?

What is a system list, and how can it be used to organize patients?

How do I include a comment on the positive/negative button?

How do you add yourself to the treatment team for a patient?

You need to save a draft of the note before signing it.

What should you do?

How do you remove yourself from the treatment team for a patient?

How can you search for a patient that is not admitted to the hospital?

How can pended notes be finished?

What activity should you use to get report at start of shift?

Where is the most efficient place for a physician to see
a list of all active orders for a patient?

When writing a sticky note, what should you include at the end?

How do I change the
frequency of a medication?

Patient Summary report is

Acknowledge orders means...

What does modifying the frequency actually do to the original order?

Do both the discontinued and new order then show up on the MAR?

The purpose of the sticky note communication

How do I change the
End Time of a medication?

True or False? When you log out, the system remembers all filters and views that you set on the Work List

What does changing the End Time of an order do to the original order?

How would you change the Work List to display only medication tasks organized by patient?

what two other changes to orders can you make without the system discontinuing the original order and placing a brand new order?

True or False? The Work List only allows a nurse to view tasks for one patient at a time.

A physician is searching for an order and cannot find it. She knows she typed the order correctly and has been able to find the order in the past. What might the physician need to do to find the order?

For what time frame does the Work List display tasks when first opened?

True or False? The Work List includes all tasks that a nurse might have to complete throughout a shift.

A physician types “walk” in the search field and an order for Ambulate Patient appears. Why?

True or False? When you log out, the system remembers all filters and views that you set on the Work List.

When searching for new orders, the clinician only types the first few letters and presses ENTER.
This is called searching using

How would you change the Work List to display only medication tasks organized by patient?

True or False? The Work List only allows a nurse to view tasks for one patient at a time.

true or false
If an attending physician Time Marks the notes for a patient, the notes are marked as no longer new for all the clinicians on the patient’s treatment team.

For what time frame does the Work List display tasks when first opened?

True or False? When the rate of a medication order is modified, the system just changes the original order.

True or False? The Work List includes all tasks that a nurse might have to complete throughout a shift.

What are three search tools physicians can use to help them find new orders in the Orders activity?

True or False?
An order that needs a cosignature is not active and cannot be acted upon until the order is cosigned.

List at least three pieces of information that can be found in the Details report within the Doc Flowsheets activity.

True or False?
The system automatically saves the filter that is currently applied when you exit the Work List.

What color are the values prior to filing them to a patient’s chart? What color are the values after they are filed?

True or False?
If a nurse hasn’t documented a scheduled med as given within one hour, the due time automatically gets marked as Not Given

True or False? If a clinician closes a patient’s chart without clicking File in the Doc Flowsheets activity, any unfiled data in the flowsheet is lost.

True or False?
Documenting a patient’s vital signs in the Admission Navigator also updates the Doc Flowsheets activity in Hyperspace.

While reconciling prior-to-admission medications, the physician notices the shopping cart has a red header. What does the physician need to do to get the shopping cart header to be green?

If a clinician enters WDL in the “Within Defined Limits” row for a system, what does this mean?

True or False? Epic does not have an audit trail for values in Doc Flowsheets that have been edited or deleted.

What are two ways that templates can be added to the Care Plan?

How does a nurse document that all
values are normal except for a few?

What are two ways the Patient Education record can be started?

Where can a nurse look to find information on the “defined” values for a given row?

When a nurse goes into a flowsheet and wants to enter new values, what should be done before documenting any information to ensure the data is entered under the correct date and time?The nurse should click the Add Col button or the New hyperlink. This drops a new column with the current date and time. If charting values taken in the past, the Insert Col button should be used.

True or False? A nurse should always write down where she left off in her flowsheet documentation when she goes to another activity, closes the patient’s chart, or logs out and she would like to resume documenting where she left off.

In the Problem List section of the navigator, how can you mark a problem as the principal problem?

What is a SmartText and how can it be pulled in to a note?

Embedded within a SmartText are SmartLists. How can you start filling out a SmartList? Make a selection? Accept your selection?

To start filling out a SmartList using the mouse...

True or False? A note can be signed even if all of the SmartLists have not been completed.

What the purpose of a wildcard?

True or False? When creating a User SmartPhrase that includes a SmartText, a physician should insert the SmartText into the note before clicking the green plus sign.

After creating a User SmartPhrase that includes a SmartText using the green plus sign, how can you pull the new text into a note to use it for patient documentation?

After filing a note to the patient’s chart, where in Hyperspace can that note be read?

How do you add yourself to a patient’s treatment team?

A patient is being transferred to a new unit and you are no longer going to be caring for that patient.
What should you do?

How can you remove yourself from the treatment team?

If a patient who appears in a unit system list shortcut embedded in a My List is discharged, is he gone from the My List?

How can you finish documentation on a patient who has been discharged.

After updating your patient assignments, which activity should you use when getting report?

While reviewing reports in Patient Summary, you find a report that you really like but it’s not on your report toolbar. What can you do?

How do you add new report buttons to the toolbar?

During your review, you also see orders that need to be acknowledged. What does it mean to acknowledge an order?

After getting report and acknowledging new orders, you want to begin prioritizing tasks. Which activity can you use to help you with this?

Upon opening the Work list from Patient Lists, you want to see a list of all tasks for all the patients you’ve been assigned, and you want these tasks to appear in chronological order. What should you do?

Now that the tasks are listed chronologically, you want to only see tasks related to medications. How can you do that?

After changing the view and applying the filter, you close the Work List. The next time you open the Work List, what will be saved?

How can you document giving a scheduled medication?

When giving a PRN medication,
where can you see the
last administration time for this medication?

How do you document giving a PRN medication?

If you give a medication over an hour after its original due time, how should you document this?

If a medication is given late and subsequent doses
should be rescheduled,
what should the nurse do?

Where do nurses go in Epic to document vitals and assessments?

Inside of a flowsheet template,
there are:

Groups contain:

What tool should you use to see the possible choices
for each row and document?

How can you quickly document in a multi-select row within
the Details report?

What does Charting
to a Definition mean?

Is Charting to a Definition something Epic created?

Do you need to document in
every single row
that is in the flowsheet template?

When documenting in Doc Flowsheets, you need a column for the current time. How can you quickly add it?

What if you are back documenting? Then what should you click to get a column for the time the assessment was actually performed?

While doing your documentation,
you accidentally enter the wrong value in a row.
How can you fix it?

Is there an audit trail for data edited prior to filing?

Where do I go to review a patient’s prior encounters?

While completing admission documentation, you confirm with the patient that his allergies and history are up to date. What should you do before moving on to indicate you spoke to the patient and the information is accurate?

What does Mark as Reviewed mean?

On the patient’s Problem List, what do you call the main reason for the admission?

What do you call other problems that might affect care during this admission?

What status/field allows you to indicate that the patient presented to the hospital with that problem?

SmartText is...

What does a SmartLink do?

A SmartPhrase is ..

Wildcard: *** =

What is the first step in completing Admission Med Rec when admitting a patient from the ED?

While reviewing the list of current orders, how can the physician tell if he has reviewed all the orders?

What’s the difference between clicking Don’t Order and Discontinue for a Home medication?

What’s the difference between clicking Don’t Order and Discontinue for a Home medication?

What is one reason an Order Set might appear as a suggestion for the physician?

What do I click to change
the details of the order?

After queuing up all the orders needed for an admission from the ED,
what do you need to do?

Click Sign & Hold -Are those orders active immediately?

How do a patient’s Care Plan and Patient Education record get started?

When documenting that you taught the patient a number of teaching points at the same time, what can you click to document most efficiently?

What does a green check mean in
Patient Education?

In the Care Plan activity,
how can you document the problem is no longer an issue?

Who is the authorizing provider?

Who is the ordering provider?

Is it possible that the ordering provider isn’t the attending provider?

What does Epic call the first screen a user sees when they log in?

Whose name appears
in the Entered by field?

How can a surgeon quickly sort their list of patients by unit?

What type of information can a surgeon gather from reports at the bottom of the startup activities?

What types of orders require a cosign?

How can a clinician open a patient’s chart also called patient workspace?

Who will cosign the order?

What are the tabs along the left of the screen in a patient’s chart called?

How do you know
which notes are new?

How can you quickly find a patient’s H&P within the Notes activity?

Where can the ordering provider cosign orders?