Epic Flashcards
Age neonate
<4 wk
Infant
> 4wk-<1 yr
Pedi
1-14 yr
Never auto verify
Tpn
<19 yr old
Treatment plan orders
ED meds I.e Versed
Orderables
Hold multiple Rx
Invents can nurse see
No
CCE
Less 54” use actual wt
CCE >120 IBW
Uses adjusted body wt
Oderable what list are they on?
Needs to be on EFY=med list.
Wrapper
What list?
What dot?
Should be on EFY NOT green dot. Covered by orderable
Nonmed
Must override not in EPIC
RBL EPIC use
testing
Med List check mark
Means you carry
Med list red dot
Default NDC for billing
Med List Yellow dot
Whole pack leaves Rx
Bulks dot color
Always yellow dot
Oderables are they green dotted
Yes
Do you green dot Dispensable?
No
Wrapper on med list
Wrapper items do not need green dot.
Central med list
= pharm pref list
Formulary med list
=providers pref list
Green dot
shows on pref list
Database
All meds only Rx sees
Med list edits must do
Click on READ when done or others can’t get in.
Green dot what strength?
Usually lowest strength you have
Pref list
Site specific
Iv solutions. Do you green dot?
Don’t green dot for ones we use in pharmacy
Wrappers color
Show as red
Careful orderable mapping records
Don’t edit unless sure
Vasoactive drips
Be careful editing
Caps tabs :
dot and check mark
OK to edit
CNR
Can be used to create simple meds for Pyxis load
Med list admin
Under RX admin or pharmacy
Find medid
Search for medication list, admin
Med list admin click on ADS tab
This is where the med ID is
Dashboards
Highly customizable you can schedule Reports
ADS load dispense logic
Can print a label to load to Pyxis.
Can send in interim doses
MAR shows nurse where to find med
Load label only shows the floor not the cabinet
Two most important list for EPIC and Pyxis
Med list
Dispense list Nate Sesin
Admin instructions
Shows on the MAR for nurse
Admin instructions provider
Provider can update admin instructions
Product specific admin instructions
Specific to a product cannot be edited by provider
Order instructions
Instructions to a provider regarding how to order the medication i.e. length of antibiotic treatment
Label comments
Pharmacist can edit
Preparation instructions
For items that will be prepared and dispense prep displays to tech
Notes to Pharmacy
Rarely defaulted. Used by doctor to communicate with pharmacist.
Care area
You can use Care areas to assign rooms to a Pyxis
Med ordering four things pharmacist will see
Discontinued orders
Admin instruction changes
End day change
Rate change
Investigational med
Marked investigational on the ER X level
New drug request
When you scan in the information, you have to answer a series of prompts if it’s a brand new med this information be sent to the IT team who will create the ERX and add to the formulary list. Only specific individuals have the ability to add or DC on the formulary. Only the IT department can add the ERX.
BPA
Best practice advisory
Alerted appear to the doctor that serves as a reminder or to the nurse
BPA enoxaparin
Notify the pharmacist of WT change by 10% also tells doctors
BPA other meds
Maybe set up for fluMazenil
Glucagon
Naloxone
Vitamin K
Serum glucose less than 50 mg per DL
INR greater than six
Overfill IVs
There will be overfill for oncology and ambulatory IVs. It will display on the label.
Pharmacy to dose
Set up consult orders in EPIC. Comes to Rx as an in-basket message.
Pharmacy to dose issue
Once the consult in basket message is done there is nothing in the patient chart to indicate the patient is being managed by pharmacy
Pharmacist dosing work around
Create orders like a vancomycin protocol that would notify staff Pharmacy is dosing
EFY
Is medication list
EFY
Is medication list.
ERX
ERX is a medication record and NDC in a package
Yellow dot on med list
Does not change the dose amount only changes the dispense amount
Yellow dot on med list
Does not change the dose amount only changes the dispense amount
Continuous infusion yellow dot
For EPIC to know the amount to dispense for administration you need to yellow dot NDC so the logic reads regardless of dose. This is the amount we are dispensing. This is what a yellow dart really means. The reason we do this is continuous infusions. There’s not a total amount to administer.
Patient’s own meds, EPIC
They show like other meds and have an FSV ID they will fire allergy and drug interaction warnings. No change in the way they’re handled and Pyxis.
Cogito
Is for Reports. Managers will have access to a Pharmacy operation dashboard like over rides unreconciled expenses, advanced prep, Pharmacy revenue, etc..
Renewals
Toradol five days
TPN 24 hours
PCA 24 or 48 hours
CII SEVEN DAYS
ALVIMOPAN 15 doses
RBL updates
Once a week 4 AM Saturday
RBL updates
Once a week 4 AM Saturday
RBL updates
4 AM Saturday
RBL updates
4 AM Saturday
Playground
Updates daily
REL
Used for EPIC cut over
Verification pharmacist
Can change anything
What should be changed during verification
Details that do not change the intent of the order.
Verification what should not be changed
Clinical intent
Dispense location
RBL
You can see our formulary in RBL
Order set
Can be seen in RBL
RBL + CNR
Use RBL to test CNR records
Dispense Que
This is a whole place for your labels
Cart run
Manual debits
Scan the label to take you into dispense activity
Pharmacist logs in to ready for review to do the checking
Pyxis cut over
Empty return bins
No failed drawers
No discrepancies
Place cabinets on override
Logout of logistics
Log out of Pyxis
Validate patients on server
Check med ID in server and C2Safe
Validate that orders crossing
Check med ID has updated in logistics
ED override
Orders need to be linked
EAR Don’t change Rx
Edits to these don’t create new order.
End time
Admin instructions
Rate
Wrapper do you green dot
Never
Wrapper do you green dot
Never
What two items are not green dotted?
1 - wrapper
2 - dispensable
