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Work > Epic > Flashcards

Epic Flashcards

1
Q

Age neonate

A

<4 wk

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2
Q

Infant

A

> 4wk-<1 yr

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3
Q

Pedi

A

1-14 yr

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4
Q

Never auto verify

A

Tpn
<19 yr old
Treatment plan orders
ED meds I.e Versed

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5
Q

Orderables

A

Hold multiple Rx

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6
Q

Invents can nurse see

A

No

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7
Q

CCE

A

Less 54” use actual wt

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8
Q

CCE >120 IBW

A

Uses adjusted body wt

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9
Q

Oderable what list are they on?

A

Needs to be on EFY=med list.

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10
Q

Wrapper
What list?
What dot?

A

Should be on EFY NOT green dot. Covered by orderable

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11
Q

Nonmed

A

Must override not in EPIC

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12
Q

RBL EPIC use

A

testing

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13
Q

Med List check mark

A

Means you carry

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14
Q

Med list red dot

A

Default NDC for billing

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15
Q

Med List Yellow dot

A

Whole pack leaves Rx

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16
Q

Bulks dot color

A

Always yellow dot

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17
Q

Oderables are they green dotted

A

Yes

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18
Q

Do you green dot Dispensable?

A

No

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19
Q

Wrapper on med list

A

Wrapper items do not need green dot.

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20
Q

Central med list

A

= pharm pref list

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21
Q

Formulary med list

A

=providers pref list

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22
Q

Green dot

A

shows on pref list

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23
Q

Database

A

All meds only Rx sees

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24
Q

Med list edits must do

A

Click on READ when done or others can’t get in.

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25
Q

Green dot what strength?

A

Usually lowest strength you have

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26
Q

Pref list

A

Site specific

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27
Q

Iv solutions. Do you green dot?

A

Don’t green dot for ones we use in pharmacy

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28
Q

Wrappers color

A

Show as red

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29
Q

Careful orderable mapping records

A

Don’t edit unless sure

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30
Q

Vasoactive drips

A

Be careful editing

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31
Q

Caps tabs :
dot and check mark

A

OK to edit

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32
Q

CNR

A

Can be used to create simple meds for Pyxis load

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33
Q

Med list admin

A

Under RX admin or pharmacy

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34
Q

Find medid

A

Search for medication list, admin

35
Q

Med list admin click on ADS tab

A

This is where the med ID is

36
Q

Dashboards

A

Highly customizable you can schedule Reports

37
Q

ADS load dispense logic

A

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

38
Q

Two most important list for EPIC and Pyxis

A

Med list
Dispense list Nate Sesin

39
Q

Admin instructions

A

Shows on the MAR for nurse

40
Q

Admin instructions provider

A

Provider can update admin instructions

41
Q

Product specific admin instructions

A

Specific to a product cannot be edited by provider

42
Q

Order instructions

A

Instructions to a provider regarding how to order the medication i.e. length of antibiotic treatment

43
Q

Label comments

A

Pharmacist can edit

44
Q

Preparation instructions

A

For items that will be prepared and dispense prep displays to tech

45
Q

Notes to Pharmacy

A

Rarely defaulted. Used by doctor to communicate with pharmacist.

46
Q

Care area

A

You can use Care areas to assign rooms to a Pyxis

47
Q

Med ordering four things pharmacist will see

A

Discontinued orders
Admin instruction changes
End day change
Rate change

48
Q

Investigational med

A

Marked investigational on the ER X level

49
Q

New drug request

A

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.

50
Q

BPA

A

Best practice advisory

Alerted appear to the doctor that serves as a reminder or to the nurse

51
Q

BPA enoxaparin

A

Notify the pharmacist of WT change by 10% also tells doctors

52
Q

BPA other meds

A

Maybe set up for fluMazenil
Glucagon
Naloxone
Vitamin K
Serum glucose less than 50 mg per DL
INR greater than six

53
Q

Overfill IVs

A

There will be overfill for oncology and ambulatory IVs. It will display on the label.

54
Q

Pharmacy to dose

A

Set up consult orders in EPIC. Comes to Rx as an in-basket message.

55
Q

Pharmacy to dose issue

A

Once the consult in basket message is done there is nothing in the patient chart to indicate the patient is being managed by pharmacy

56
Q

Pharmacist dosing work around

A

Create orders like a vancomycin protocol that would notify staff Pharmacy is dosing

57
Q

EFY

A

Is medication list

58
Q

EFY

A

Is medication list.

59
Q

ERX

A

ERX is a medication record and NDC in a package

60
Q

Yellow dot on med list

A

Does not change the dose amount only changes the dispense amount

61
Q

Yellow dot on med list

A

Does not change the dose amount only changes the dispense amount

62
Q

Continuous infusion yellow dot

A

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.

63
Q

Patient’s own meds, EPIC

A

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.

64
Q

Cogito

A

Is for Reports. Managers will have access to a Pharmacy operation dashboard like over rides unreconciled expenses, advanced prep, Pharmacy revenue, etc..

65
Q

Renewals

A

Toradol five days
TPN 24 hours
PCA 24 or 48 hours
CII SEVEN DAYS
ALVIMOPAN 15 doses

66
Q

RBL updates

A

Once a week 4 AM Saturday

67
Q

RBL updates

A

Once a week 4 AM Saturday

68
Q

RBL updates

A

4 AM Saturday

69
Q

RBL updates

A

4 AM Saturday

70
Q

Playground

A

Updates daily

71
Q

REL

A

Used for EPIC cut over

72
Q

Verification pharmacist

A

Can change anything

73
Q

What should be changed during verification

A

Details that do not change the intent of the order.

74
Q

Verification what should not be changed

A

Clinical intent
Dispense location

75
Q

RBL

A

You can see our formulary in RBL

76
Q

Order set

A

Can be seen in RBL

77
Q

RBL + CNR

A

Use RBL to test CNR records

78
Q

Dispense Que

A

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

79
Q

Pyxis cut over

A

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

80
Q

ED override

A

Orders need to be linked

81
Q

EAR Don’t change Rx

A

Edits to these don’t create new order.

End time
Admin instructions
Rate

82
Q

Wrapper do you green dot

A

Never

83
Q

Wrapper do you green dot

A

Never

84
Q

What two items are not green dotted?

A

1 - wrapper
2 - dispensable

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