Beacon Exam Flashcards
What is Beacon?
Beacon is Epic’s medical oncology application.
Where is Beacon used?
Beacon is used in hematology, BMT, radiation oncology, and gynecological oncology.
What does an organization gain by using Beacon?
- Increased patient safety with integration
- A single electronic medical record
- Standardized treatment and patient care
- Automated AJCC Cancer Staging
- CPOE for chemotherapy and oncology orders
- Ability to meet the documentation requirements of certifying organizations, such as AJCC
What is oncology?
Oncology is the area of medicine that deals with the diagnosis and treatment of cancer.
What are the phases in a cancer treatment timeline?
- Consult and diagnosis
- Staging
- Treatment
- Maintenance and Long-term care
Describe the consult and diagnosis phase of the cancer treatment timeline?
This is where the oncologists determine what kind of cancer a patient has, their prognosis and treatment options.
Define prognosis.
The likely outcome or course of a disease; the chance of recovery or recurrence.
Describe the staging phase of the cancer treatment timeline?
oncologists and pathologists document how advanced a patient’s cancer is, report tumor information to registries, and recommend treatment options.
Describe the surgical treatment phase of the cancer treatment timeline?
Cancer surgery attempts to completely remove localized tumors or reduce the size of large tumors so that follow-up treatment by radiation or chemotherapy will be more effective. Can also be done as a diagnostic procedure.
Describe the radiation therapy phase of the cancer treatment timeline?
Radiation therapy uses x-rays, gamma rays, and other sources of radiation to destroy cancer cells. The goal of radiation therapy can be curative or palliative, and it is often used in conjunction with other treatments, most often surgery and chemotherapy.
Describe the chemotherapy phase of the cancer treatment timeline?
Chemotherapy treatment uses chemical agents to interact with cancer cells to eradicate or control the growth of cancer.
Describe the Blood and Marrow Transplant phase of the cancer treatment timeline?
This is a therapy that replaces diseased bone marrow with highly specialized stem cells that develop into healthy bone marrow. This treatment is only used for certain types of cancer.
Describe the maintenance and survivorship phase of the cancer treatment timeline?
Survivorship is designed to ensure the continued medical observation to monitor the health status of the patient, detect any recurrence of cancer early and provide ongoing therapy.
What is an oncologist?
A physician that specializes in the treatment of cancer.
What is an oncology fellow?
A fellowship is the period of medical training that a physician can undertake after completing a specialty training program.
What are NP/PA’s allowed to do for oncology treatments?
- Be part of the care team
- Assist with new patients/consults
- Order routine chemotherapy
- Perform invasive procedures
What does an infusion nurse specialize in?
They specialize in care of patients receiving IV infusions, chemotherapy infusions, IV hydration, and blood products.
What is an OCN?
A nurse with an additional certification in the proper administration and handling of chemotherapy.
What does an oncology pharmacist do?
Oncology pharmacy specialists recommend, design, implement, monitor, and modify pharmacotherapeutic plans to improve outcomes in patients with malignant disease.
What does a patient navigator do?
Patient navigator’s help guide the patient through their plan of care and typically work with the entire treatment team including physicians, nurses, social workers, dietitians, chaplains, cancer researchers, librarians, psychologists, complementary-medicine providers, etc.
What are the integrated workflows that Beacon shares with other apps?
- Rooming
- allergies
- home medications
- history - Charting
- Notes
- Problem list (diagnosis)
- Dual mode order entry - Discharge
- After Visit Summary (AVS)
- Patient Instructions
- Level of Service - Inpatient MAR
- Barcode medication administration
- Flowsheet documentation
- Blood administration
What functionality does Beacon typical own?
- Treatment Plans/Protocols
- Chemotherapy ordering
- Protocol (PRL) Best Practices Build
- Outpatient & inpatient infusion workflows - Oncology-related Therapy Plans
- Therapy Plan scheduling - Cancer staging
- Oncology history
- Radiation Oncology
- blood and Marrow Transplant
- Multidisciplinary Tumor Board
- Tumor Genomics
- Advanced Preparation
What are Protocols?
Protocols are tools that contain recurring medication, procedure and related orders, organized into a day and cycle structure, which spans the entirety of the oncology treatment/
What are Treatment Plans?
A treatment plan is a system generated, patient level tool that can be customized to fit the patients needs.
What’s an encounter?
Any contact that the patient has with your organization.
What’s an episode care?
An episode is a series of related encounters grouped together in order to consolidate and centralize documentation related to an ongoing condition. Automatically created when a new treatment plan is created.
What is a group of related encounters called?
An episode
What are the differences between a Protocol and a Treatment Plan?
A Protocol is a standard regimen intended to treat a specific kind of cancer. A Treatment Plan is a customized, patient-specific version of the regimen.
What are the two options that appears for staging information?
- Enter staging information
2. Mark as Not Needed
Describe the Oncology History Section.
The oNcology History activity gives clinicians a central place in the patient’s chart to document information about the patient’s oncology care, such as diagnoses, treatments like chemotherapy and surgery, and outcomes.
What type of cancer staging references does Beacon support?
- American Joint Committee on Cancer (AJCC)
- FIGO staging
- Free text staging
What does the provider need to do in order to access the Staging Activity?
Enter a cancer diagnosis on the problem list and click Enter Staging Information
Why is it important to add the cancer diagnosis to a patient’s Problem List within Epic?
This is the only way to access the staging information, and there are many other parts of a patient’s cancer treatment that rely on having the diagnosis on the problem list.
What are the two types of staging?
Clinical and pathologic staging.
Describe a protocol.
A standard regimen that becomes a treatment plan when it applied to a specific patient.
What activities are included in Treatment activity?
- Treatment Plan
- Consent Forms
- Supportive Care Plans
- Therapy Plans
- BMT Treatment
Does a treatment plan weight have to be entered for a nurse to release the orders?
Yes
What system level defaults can a provider override?
- Specify the weight and BSA to use for medication dosing
- Specify the correction factor used when calculating adjusted weight
- Specify the warning threshold for differences between the weight or BSA used to calculate doses in the treatment plan
What is the prescription cycle also known as?
Bonus cycle or Cycle 0
What are therapy plans used for?
Therapy plans are used for standing orders that occur repeatedly, over time and that need to cross encounters.
Can a patient have more than one active therapy plan?
No
What is the master file for treatment plan?
TPL