EpicCare Inpatient Fundamentals
Terms in this set (78)
What does Epic cal the first screen a user sees when they log in?
A list of patients that I am following during my shift.
A list of patients that is automatically updated by the system. You can make shortcut to these lists.
Click unit column
How can a physician quickly sort her list of patients by unit?
What are the tabs along the left of the screen in a patient's chart called?
APSO: Assessment/Plan, Subjective, Objective
Most notes are written in this template.
The time the user clicked Sign and saved the note to the patient's chart.
The time the note was started or the time that was entered in the note's Time field when documenting the note.
A way to indicate that the documentation was reviewed, discussed with staff, and is approved by another clinician.
True/False: attesting a note creates a second note behind the scenes leaving the original note and author unchanged.
a clock icon
What indicates a new note?
In which activity can you view accordion reports?
red exclamamtion point next to the value
What indicates an abnormal value within a specified time interval in accordion reports?
value is in red
How is and abnormal value denoted in accordion reports?
a + sign appears next to the value
How can you tell if there are values hidden within a time interval in accordion reports?
True/False: report toolbar is not customizeable.
Rate of Medication
The system only modifies the original order and there is only 1 line on the MAR.
original order is d/c'd and new order is entered. 2 lines on MAR.
What happens behind the scenes when you modify the frequency of a medication order?
original order is modified. 1 line on MAR
What happens behind the scenes when you modify the rate of a medication?
When searching for a dietary consult order, you enter "con die" in the search field. What search method are you using?
activies, home meds, reorder home meds
How can a physicain easily reorder a home medication?
True/False: orders needing a cosigner are held until cosigned.
click the star to the right of the order
What can a physican do if he has to search the facility list for an order and wants it on his preference list?
main reason for admission. only one for each patient for each admission.
Ongoing problems that will not be resolved before discharge.
how chronic problems are indicated in patient records.
Click "resolve" next to the problem
How to indicate a problem is not longer active, so it doesn't appear in future encounters.
click (+) sign or left click the mouse
How do I indicate a positive or present condition in NoteWriter?
click (-) sign or right click the mouse
How do I indicate a negative our absent condition in NoteWriter?
hover and start typing or double click on +/- button
How do I add a comment to a positive/negative button?
it will be underlined
How can I tell if a comment is added to a value in NoteWriter at a glance?
Tools that pull information directly from the patient's chart into NoteWriter.
highlighted in blue
How can you tell if an item is a SmartLink and shouldn't be edited?
Is the text that appears in salmon color editable in NoteWriter?
A predefined set of values that can bed pulled into a note with a click of a button.
When you are fininshed with a note, what do you click to save it and make it viewable by other clinicians?
select the note and click addendum
How can you edit a note after it has been signed?
a red stop sign in Prof Charges column in patient list
What indicates no professional charges have been filed for a patient for that day?
Charge Review Report
What report shows physicians both recent charges and notes for a patient, allowing the physician to easily see if any charges are missing?
click Pend and finish the note later
You are in NoteWriter and have to stop in the middle of writting a note. What do you do?
True/False: A nurse who is already signed in can be preassigned to patients.
right click the patient's name and select "End My Assignments"
How does a nurse indicate she is no longer assigned to a patient?
click Sign Out
What should the nurse do at the end of the shift so they are no longer a part of the patients' treatment team?
click Sign In
What should the nurs do at the beginning of the shift to get their patient assignment?
How can you access a patient's chart before the patient is physically at the hosptial or after a patient has been discharged?
True/False: Patient Lookup opens a view only version of the chart.
What report opens by default in Summary Activity?
This report is the recommended report for getting report at the beginning of a shift. Provides an overview of current status, diagnoses, active lines, and treatment team members.
Use these buttons to open a different report in Summary.
The report you are viewing appears here. You can also search for additional reports here.
Orders to be Acknowledged
Orders that you need to sign-off on appear here.
Use this section within the report to write messages to other clinicians that are not part of the patient's permanent medical record.
I have seen this order
What does acknowledging an order mean?
Words or blocks of text that can be brought into a note by typing a "." followed by the name. ie: .me inserts my name.
How to delet a sticky note
Under Sticky Notes, click comment. Select the entire message by highlighting it and press delete. Click accept to close the comment window.
A tool designed to help nurses view and prioritize the tasks they need to complete throughout their shift.
To see items in Work List that are more than 1 hour past due, click this button.
Can nurses document tasks directly from the Work List?
name and date
When writing a sticky note, what should you include at then end?
True/False: When you log out, the system remembers the last view that you set on the Work List?
True/False: When you log out, the system remembers all filters you set on the Work List?
When first opened, for what time frame does the Work List display tasks?
Due Meds report
Shows all scheduled med doses due this shift and any overdue doses from the last shift.
Work List and Due Meds report
What two main tools in Epic help the nurse manage and review a patient's medications?
1) Highlight a patient and click MAR
2) Double click the Med Overdue icon on Patient List column
What are the two ways to go directly to the MAR activiey from Patient List?
What color indicates a medication has been completed on the MAR?
highlighted in yellow
What color on the MAR indicates a medication has been discontinued?
What tool should the nurse use in MAR if she wants to see the "big picture" or review information?
What must you make sure you checkbox to make a change to a time a medication was given?
What icon appear to let you know the medication requires a dual signoff?
click the time hyperlink athe the top of the column
How do you document multiple medications due at the same time?
False, system flags the med as overdue and the nurse must reconcile the documentation
True/False: If the med is not given within the 60 min. time frame, Epic automatically marks the med as "not given".
creates a line for that med
What does an override pull do on the MAR?
Standard templates designed to help write a note.
Predefined lists of choices that help physicians further customize their documentation.
A SmartTool that pulls information from the chart into the note.
SmartPhrases, also called a "dot phrase"
Pulls a word, phrase, sentence, or group of sentences into a note.
*** gives a physician the ability to enter free text embedded in a SmartList.