img 100 Radiant 2014 Flashcards

1
Q

What is an environment?

A

a self contained sysem containing all the patients, users, and config you will use

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2
Q

What is Hyperspace?

A

The GUI for EPIC software. Hyperspace host Epic’s intergrate site of products.

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3
Q

What is ths foundation system?

A

The pre-built content

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4
Q

What is a navigator?

A

A tool the organizes documentation and review tasks according to a particular workflow.

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5
Q

How many favorite activities can you store?

A

25

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6
Q

How many recent will display?

A

5

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7
Q

What is completion matching?

A

type a few charcters to search by and click enter or tab

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8
Q

The front desk home space is made up of 2 reports. What are they?

A

orders report, on top

appointment report, on bottom

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9
Q

When a scheduler logs into Hyperspace, she see the front desk. When a technologist logs in, he sees the technologist work list. These are their what?

A

home workspaces

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10
Q

What is the difference between securing the screen and logging out?

A

Secureing holds the work as you left it. Loogging out brings the next user who logs in to their home workspace instead of the same workspace the prior user was viewing.

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11
Q

Hyperspace online help?

A

F1

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12
Q

Instead of using the mouse to click accept, how can I accept on the keyboard?

A

Alta and “a”

*note if a letter is underlined you can use alta and that letter to select

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13
Q
Describe
today
three months from now
months end
one week from now
next year
A
t=today
3 months from now=m+3
months end=me
one week from now= w+1
next year=y+1
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14
Q

What is the difference in public and private report?

A

Public report can be viewed by all users (that have security to use the report)
Private reports are only seen by the individual user that created the report

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15
Q

Name 3 items to filter the front office report

A

order type, department, study status, modality, date range, time range

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16
Q

What is an activity?

A

workspace section devoted to a particular task, such as placing orders, documenting a patient assessment, recording allergies, and compliling basic patient information

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17
Q

What is a hyperlink?

A

Clickable text. when you click it somehting happens

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18
Q

What is a tooltip?

A

a brief explanation of an icon or button’s purpose.

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19
Q

What is a quick way to look for a patinet in Epic?

A

completion matching, DOB, MRN

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20
Q

When an ancillary order is closed, where should this order appear?

A

Orders report on the front desk activity

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21
Q

What activity allows you to transcripe orders into EPIC?

A

ancillary orders

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22
Q

What 2 fields appear when changing an order?

A

Change reason and change comments

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23
Q

To enter order information, what button must you click?

A

new order

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24
Q

When changing an order what fields are already filled in?

A

provider and department

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25
What does the Ancillary orders allow?
You can manually enter an order that had been faxed, phoned, or paper brought in into Epic
26
Define Centers
A geographical grouping of places of service for scheduling purposes
27
What does the walk in tool do?
combines scheduling and check in into one activity
28
What is a navigator?
A documentaion tool that consists of a series of sections meant to follow a particular workflow.
29
to go to the next section of the navigator, what do you press
F8
30
true or false- Orders can check for patient allergen interactions?
true
31
What is a preference list?
A list of commonly ordered procedures for a facility, speciality, or department.
32
Worklist style reports are called ______?
panes **there are 2 panes on the front desk activity**
33
Exams that require multiple appointments are scheduled using a ____
Panel
34
front desk tool bar shows dept appts, what will display once you make selections
scheduling reports
35
What happens to orders on the Front Desk Orders Report once they are scheduled?
They drop off that report and display on the Appointments Report
36
A user places an order in the system for a patient. In the patient's Appointment Desk you can see the procedure on the Orders tab. You select the order, then click on the Make Appointment button in the upper activity toolbar of the Appointment Desk, and complete the scheduling of te appointment. When you look at the expanded information for the appointment you notice that the order is not attached. Why is that?
Because you click on the Make Appointment on the upper toolbar of the Appointment Desk, Epic created an appointment that was not linked to the procedure. To create an appointment that is linked to the procedure, click Make Appointment on the Appointment Desk's lower toolbar.
37
What effect does checking in a patient have on appointment and study status?
changes the study status to arrived
38
The appointment status represents.....
the journey of the patient
39
The study status represents....
the journey of the image
40
The study history report is....
patient-specific
41
The recent history report is ....
user-specific
42
What SmartTools often contains SmartList and/or SmartLinks
Text, Phrase, List
43
What SmartTool are summoned with a dot (period)
Phrase, Link
44
Search for these SmartTools by clicking the icons with a .? or a man and a .?
Phrase, Link
45
What SmartTool can be used as the text for an imaging study result note?
Text, Phrase
46
What can be used as the place holder for free text in SmartTools?
*** (wildcard)
47
What SmartTool can be built by end users for personal use?
Phrase
48
What SmartTool can you open by pressing F2?
List, Wildcard
49
What SmartTools can you look up in a field on the SmartTool enabled toolbar?
Text
50
If refreshable, what SmartTool can you Right-click and reselect the choices?
List, Link
51
Protocol Worklist is made up of how many panels and what are they?
3 panels-on top a report of patients and orders lower left a report showing protocol details lower right the protocol activity
52
What is prior protocols?
It is new to 2014. It shows the patient's prior protocols.
53
What does repeat prior do?
It will pull forward past protcol documentation with one click. Can pull over prior contrast used on prior CTs
54
What are SmartForms?
a button that allows users to complete point and click documentation to quickly get instructions or information into the system for example type and amount of contrast
55
How do studies arrive on the protocol work list?
Studies will appear automatically based on whether an order has bee placed or an appointment has been scheduled for a procedure that has protocols associated with it
56
How can the Radiologist complete a protocol?
The user first selects the patient's procedure, and then selects the protocol options using the SmartForms. Then, the user clicks Finalize.
57
How can a procedure be removed from the Protocol Work List if it does not require a protocol?
Select the procedure and click No Protocol
58
How do you find information on a patient's prior protocols?
Select the Prior Protocols report from the lower left panel
59
If you selected a contrast order from the bottom of the protocol activity, when is the order placed?
When yoou finalize the protocol
60
F7 in the navigator
moves to the previous section in the navigator
61
F8 in the navigator
moves to the next section in the navigator
62
What are the statuses of appointment statuses?
scheduled, arrived, completed
63
What are the statues of the study study statuses?
scheduled, arrived, exam began, exam ended, final, in transcription
64
What is DICOM?
Digital Imaging and Communications in Medicine It is the communication standard in the imagaing department. It allows the RIS to talk to the modalites, or RIS to PACS, and ect.
65
What is verify orders?
the tool that allows a technologist to update an order based on the actual procedure that was performed
66
MRI screening form...tell me more
new to 2014, designed to replace the paper screening forms commonly used in MRI departments.
67
In the IR department what is the Technologist's home work space?
Status Board
68
What is the Status Board?
It is the IR technologist home workspace. It gives the technologist a high level overview of what's happening in the department as well as access to the tools he or she needs for patient care.
69
What are order sets?
pre-configured groups of orders that can be search for or automatically suggested based on a particular procedure or diagnosis.
70
True or False: You have to click Accept on the Event Log?
False- the event will automatically accept when you document the next event
71
What does the cancel/ undo button do?
opens a Prior status window (you can prior status exam ended, exam begun, arrived, or scheduled)
72
What security point do you need to cancel orders?
40 or higher
73
What does the combine check box do?
It combines all the schedules of the scheduled modalities into one display. If the box is cleared, the user will switch between modalities on the worklist using the modality drop-down menu **mostly likely you would only want to see your modality and have it selected and combine unchecked*
74
How would a technologist send a study to a particular reading physician or group of reading physicians to be read?
chose assign from the technologist worklist and add the radiologist or reading pool
75
At what point in the technologist workflow do technical charges automatically drop?
The FoundationsSystem is configured for technical charges to automatically drop when a technologist clicks "Mark as Ended" from the End exam navigator
75
How could the technologist make a notation regarding a particular study?
With the appropriate study highlighted, click study notes, and add a new note. From within a begin or end exam navigator, create a study note from within the notes section.
76
Which home workspace do IR nurses and technologists use to complete exams and use the Documentation Log?
Nurses and technologists use the Status Board to begin/ end exams, access nursing navigators and use the Documentation Log.
76
Studies that appear on the reading worklist include___________,____________,__________.
manually assigned to the physician, assigned to a reading pool the physician is part of, or save by the reading physician
77
True or False: Studies assigned to the physician's pool that have been opened and/or saved by another reading physician do not appear on the reading worklist?
True
77
True or false | The Imaging Dashboard is meant to replace work list?
False. It is meant to complement work list not replace them.
78
What does revise mean?
Return a study to a resident for revision
79
What are the options for a Radiologist to open studies to read?
Single select (manually select the study to open), Worklist (one right after the other open automatically), Priority (highest priority opens first)
80
What does it mean if the Group orders is selected on the report setting of the reading pallette?
All the orders included in the study will appear in the same row on the work list.
81
What is the Reading Palette?
A study specific activity where a reading physician reads the images and records a narrative and impression for the study.
82
What is Chart Search?
It is new for 2014. It is a tool that allows clinicians to easily and efficiently search a patient's chart for problems, notes, medications, labs, procedures, imaging results,and ect.
83
If you do not see Chart Search, what can you do?
click Resize (top right)
84
Where do you document Critical Results?
Under the follow up tab (new for 2014)
85
What happens when the physician signs a study?
Results are sent out to clinicians, reseults post to the chart, professional fees are added to the patient's chart
86
What SmartTools are indicated by blue highlighting?
SmartLinks
87
Studt History report is .....
Patient specific
88
Recent Studies is ....
User specific
89
How do studies arrive on the Reading Work List?
After a technologist completes an exam, the studies are either automatically or manually assigned to a reading physician or pool of physicians.
90
How can a user mark a study as interesting?
Click interesting and enter a reason
91
Which selction of the Reading Palette allows a physician to link orders so that the changes they made to one order apply to other orders for the patient?
Study orders
92
Where would a physician quickly see a patient's imaging study history?
The study history report
93
What 2 activities exist for clinicians to view imaging and other patient reports? What is the difference?
Results Review and Chart Review. Results review allows you a specify a date range and allows quick review of results by showing them in a table form with icons to highlight abnormal and other types of results. Chart Review offers complete access to a patient's chart with tabs for different types of information, as you'd see in a paper chart.
94
3 ways Reporting Workbench reports are different from Crystal
Report Workbech are run on demand by end users or admin, for small time ranges, and used for operational
95
Managable section on the manager's dashboard are called ___?
components
96
Application report ecamples are
front desk orders report, front desk appointment reports, technologist work list, reading work list
97
What do you do in the Summary Tab for report settings?
create graphs and tables
98
What kind of graphs can you create in the reporting workbench?
grouped summary,bar graph, line graph, area graph, step graph, pie chart, summary table
99
Can a manager create private Reporting Workbench reports?
Yes
100
True or False- A user can have her own list of "favorite" Reporting Workbench reports
True
101
What report would a manager use to see how long an imaging study has been waiting for a physician's signature?
The Unsigned Studies report
102
Give 3 examples of creteria you can base searches on in Reporting Workbench?
Search date, Abnormal status, appointment department, Appointment location, Assigned physician, Impression text, Interesting study reason, study status, technologist, transcriptionist
103
Will changes made to a SmartPhase update past documentation?
No It will only be updated for new documentation
104
Can a user create a SmartPhase of their own and name it the same as a system SmartPhase?
Yes their personal one will override the system SmartPhase
105
Can create a SmartPhrase with the same name as a system SmartLink?
No for examle they can not make one called .name for their name since the system already has a SmartLink named .name
106
What Functional Type must be included if a SmartText is created for a narrative or impression for a Radiologist?
RIS Radiologist Narrative [1000]
107
In Smart_____, ____ to pick, ____to stick
In SmartText, left click to pick, right click to stick
108
Can you embed SmartList in SmartPhases? How about SmartLists in other SmartLists?
Yes and Yes
109
How can SmartTexts be restricted? Name at least three ways?
By Functional Type, Specialty, User, Patient Sex, or Age
110
How do you make a default selection in a SmartList?
Put a checkmark in the first column
111
What is the easiest way to delete a SmartPhrase?
From the SmartPhrase editor. Click Epic-Tools- SmartTools Editor- SmartPhase Manager. Select the SmartPhrase list in which the Phrase is located, highlight the Phase, and click Remove-Delete
112
Can all users build and release SmartTexts?
no
113
I would like to create a SmartPhrase that pulls in the phase: "Patient is recommended for the following treatments due to the risks associated with old age." I would like to call this phrase upp when I type in ".age". What will happen when I attempt to create this phrase?
Epic will not let you create it since it is a SmartLink set by the System
114
When I go to the Study Note activity, I don't see the SmartText that I created. Give one possible reason for this.
You forgot to release it or You have given it a wrong functional type
115
To create a reading macro, what record (which contains the standard narrative and impression) needs to be created first?
Before creating the macro you must first create a SmartText that contains the standard narrative and impression
116
What users can see and use reading macros?
Radiologist and Cardiologist and transcriptionist
117
What is the difference between a reading macro's name and display name?
The reading macro's "name" is simply the name of that record. THe "display name" is the text that will appear on the button on the Reading/Transcription Palette activity toolbar
118
True or False: When I list 4 procedures under System Wide Settings, and then 1 procedure under a User Override, that user can access the reading Macro from all 5 procedures.
False | That 1 procedure under "User Overrides" overrides all 4 procedures listed under "System Wide Settings" for that user
119
Securing Hyperspace does what?
holds your place and keeps your data safe
120
True or false- Ancillary orders preform background checks for duplicate procedures and allergen interaction?
True
121
What is the snapboard?
a tool that can be used by schedulers, technologist, or nurses to manage a schedule or assign resources.
122
Where do you assign a resource?
The snapboard
123
Workspaces package information in 3 ways what are they?
activities, forms, navigators
124
What setting tab do you specifiy private or public?
the general tab
125
Chart review and result review are ______?
activities
126
Why does the selection button not always look the same?
Because it depends on the information neeeded. | could be a magnifying glass, calendar, clock, or calculator
127
What information is available on the bottom half of the activity screen for the appointment desk? What is on the top half of the appointment desk?
bottom half- future appointments, past appointments, orders top half- information of file for the patient
128
In the navigator, what closes the currently open section?
F9
129
Where is contrast material located?
Meds Admin in the end exam navigator
130
Can you edit or delete a study note?
yes
131
When are technical fees and supplies dropped?
at exam ended
132
ER orders display where....
the schedule orders report on the top right side of the tech worklist