Anticoag

Question 1

True or False A Service to Anticoag Clinic order is required when referring a patient to an Anticoagulation Monitoring Clinic.

Answer 1

True

Question 2

True or false if the patient’s anticoagulation therapy will be managed by the PCP, a Service To order is not necessary.

Answer 2

True

Question 3

In the service to orders, what does it mean by Send INR Reminders to

Answer 3

the pool identified here will receive an In Basket message in their INR Enrollment folder alerting them that the patient needs to have INRs performed.

Question 4

What 3 associated diagnosis is needed of anticoag?

Answer 4

Atrial fibrillation, unspecified type (CMS/HCC)
Long term (current) use of anticoagulants
Encounter for therapeutic drug monitoring

Question 5

Who should be signing anticoag orders?

Answer 5

provider

Question 6

Where can you go in the inbasket in the anticoag enrollment folder to see information entered in the service to anticoag clinic order

Answer 6

Edit Anticoagulation Info button in the message toolbar

Question 7

How do you document in-clinic anticoag therapy?

Answer 7

CC: Anticoag
More: Anticoag

Question 8

What is an Episode?

Answer 8

An episode is required to document anticoagulation encounters.

Question 9

What will the episode of care hyperlink open?

Answer 9

open the Episodes of Care activity. This allows us to see all linked visits and associated problems specific to Sally’s anticoagulation episode.

Question 10

Why is it important to ensure that all linked problems are relevant to anticoagulation monitoring?

Answer 10

For billing purposes. Once selected, the indications will remain until they are manually removed, so you will not need to add them for each visit. Indications that are linked to the episode will become visit diagnoses for any linked visits.

Question 11

Where else can you find info about anticoag therapy?

Answer 11

Storyboard

Question 12

What will you find in the patients finding tab under the anticoag activity?

Answer 12

screening tool that we can use to document our patient findings. Nursing assessments can also be documented in this section.

Question 13

In the patient finding tab, what is a quick way to mark findings negative?

Answer 13

Otherwise Negative speed button

Question 14

How do you comment on an assessment finding in the patient finding tab?

Answer 14

Double click to open comment section

Question 15

What is the Anticoag Trend Flowsheet?

Answer 15

track a patient’s anticoag trends over time

Question 16

What is the Anticoag track tool?

Answer 16

you with a single location to document anticoagulation therapy. You can enterand reviewINR results, track current dosing, and update future dosing recommendations within this section.

Question 17

What happens if you enter a POCT INR in Anticoag track?

Answer 17

The system created an INR POCT order, entered a result, and charged for the test.

Question 18

How many INR Results will display in the anticoag track tool for dosing?

Answer 18

3

Question 19

Where are 3 places that you would find the INR result?

Answer 19

Anticoag Trend Flowsheet. lab result elsewhere in the patient’s chart, patient’s dosing calendar below.

Question 20

What do you do if you receive paperwork for an INR result drawn outside of aah or you get a fax?

Answer 20

actual lab result should be sent for scanning. On the fax coversheet you will mark this as STAT. The anti-coag scanning fax number can be obtained from your clinical site. Within an hour, the labwill be scanned into Epic and you will see the result in the Anticoagulation Tracking. At AAH we do not manually enter external INR results, except home finger stick testing.

Question 21

Can you manually enter a Paper INR result?

Answer 21

At AAH we do not manually enter external INR results, except home finger stick testing.

Question 22

How do you customize a dosing plan?

Answer 22

On the anticoag track board go to maintenance plan and click edit plan hyperlink

Question 23

Where can you decrease a dose or mark a dose as missed?

Answer 23

on the calendar by clicking into the date

Question 24

Where can you put in followup appt for patient?

Answer 24

anticoag tracking

Question 25

What do you need to know about the inbasket INR Reminder message?

Answer 25

There is no done button option. This message will be removed from your InBasket automatically after the date of the patient’s next INR check has been entered into the Anticoagulation Tracking section.

Question 26

Will providers that manage patients INR get an inbasket message with INR results?

Answer 26

Yes. They may send the nurse a result note InBasket message with instructions for dosing and repeat INR.

Question 27

Where do you go to review past INR data?

Answer 27

Click the more dropdown and select Review Flowsheets. In the search field type“ AMB ANT” and hit enter. This opens the Anticoagulation Trend flowsheet and allows us to see historical INR data

Question 28

What smartset should you search for to document patient interaction.

Answer 28

AHC Anticoagulation Monitoring SmartSet

Question 29

What do you click for documenting a note in that smartphrase

Answer 29

Usual care documentation ma/lpn. create note.

Question 30

Where would you go in the in-basket to jump to the review flowsheet tool?

Answer 30

Click the ellipsis

Question 31

How can you activate the Anticoagulation Tracking Tools within an encounter?

Answer 31

Anticoagulation tools areonly available within encounters that are linked to an anticoagulation episode.