Lessons 1 & 2

Question 1

What are date shortcuts for 2 days ago and 1 week from now? (Select one.)
A) d-2, w-1
B) d-2, w+1
C) t-2, w-1
D) t-2, w+1

Answer 1

D) t-2, w+1

Question 2

True or False: To most efficiently completion match, enter the first few letters of the word you want to look up and then click the magnifying glass.

Answer 2

False (press Enter)

Question 3

In the exam room, the nurse opens Lisa’s encounter. When she is done, Dr. Smith will use this room for her visit with Lisa. Therefore, when done rooming, the nurse should: (Select one.)
A) Exit Lisa’s workspace and secure the workstation.
B) Keep Lisa’s workspace open and secure the workstation.
C) Keep Lisa’s workspace open and log out.
D) None of the above

Answer 3

B) Keep Lisa’s workspace open and secure the workstation.

Question 4

True or False: You are limited to choosing one reason for visit per encounter.

Answer 4

False

Question 5

A nurse looks up a reason for visit by typing “Twisted ankle.” She selects it and “Ankle sprain” populates the field. This is because: (Select one.)
A) “Twisted ankle” is a synonym for “Ankle sprain.”
B) “Ankle sprain” is a synonym for “Twisted ankle.”
C) Neither one is a synonym.
D) Both are synonyms.

Answer 5

A) “Twisted ankle” is a synonym for “Ankle sprain.”

Question 6

True or False: You should mark a medication as Not Taking if the patient is allergic to it.

Answer 6

False

Question 7

In a patient header, which of the following means that allergy-related documentation exists in the patient’s chart? (Choose all that apply.)
A) Sulfa drugs…
B) Unknown
C) No known allergies
D) None of the above

Answer 7

A) Sulfa drugs…

C) No known allergies

Question 8

True or False: To move from field to field in the Vital Signs section, press Tab.

Answer 8

True

Question 9

True or False: When documenting a patient-reported medication, a provider name is not required.

Answer 9

True

Question 10

For a result message to be sent, what status must you select for a result in the Enter/Edit Results activity? (Select one.)
A) Abnormal
B) Normal
C) In Process
D) Final

Answer 10

D) Final

Question 11

Where should you document how the patient can take care of herself such that the information appears on the AVS? (Select one.)
A) Preview AVS
B) Follow-Up
C) Patient Instructions
D) Sign Visit

Answer 11

C) Patient Instructions

Question 12

True or False: To enter an LOS code for the visit, you must use an LOS button.

Answer 12

False

Question 13

What detail about a medication does Epic use to decide if the medication is a current medication? (Select one.)
A) Its ending date.
B) It is marked as Taking.
C) It is patient-reported.
D) It has a “talking person” icon.

Answer 13

A) Its ending date.

Question 14

True or False: If an order has a recommended “caution sign” field, the user cannot sign the order.

Answer 14

False

Question 15

True or False: An expired medication will continue to show in the Medication Review section if it is marked Long-term.

Answer 15

True

Question 16

True or False: In the Visit Diagnoses section, you can associate orders with diagnoses.

Answer 16

False

Question 17

True or False: To close an encounter, click the X on the patient’s workspace tab.

Answer 17

False

Question 18

Dr. Mica saw a scheduled patient yesterday. Today, he wants to finish his documentation, but does not see the patient on his schedule. What are possible reasons? (Choose all that apply.)
A) He is looking at a personalized schedule view that does not include his patients.
B) He is looking at today’s schedule.
C) He selected the wrong report in the schedule report pane.
D) He did event tracking on the wrong patient’s appointment.

Answer 18

A) He is looking at a personalized schedule view that does not include his patients.
B) He is looking at today’s schedule.

Question 19

True or False: Schedule folders under My Schedule are created by users.

Answer 19

True

Question 20

Hyperspace definition of startup activity

Answer 20

A startup activity is an activity that opens as soon as you log in and that occupies its own workspace. They appear as small tabs in the upper left corner and cannot be closed.

Question 21

Hyperspace definition of workspace

Answer 21

There are various types of workspaces - pateint, account, and/or administrative - that depend on user setup and the applications your organization has. You can have up to four other work spaces open. Only one workspace can be active at a time. Close a workspace tab by clicking X.

Question 22

Hyperspace definition of activity

Answer 22

An activity is a module within a workspace where certain tasks are completed.

Question 23

Hyperspace definition of Widescreen View

Answer 23

A configurable screen that groups related tasks into primary activities.

Question 24

Hyperspace definition of Navigator

Answer 24

A configurable template that contains a series of sections meant to follow a particular workflow. Allows a clinician to complete a particular task.

Question 25

Hyperspace term of table of contents

Answer 25

Located at the top of navigator-based activities such as Rooming. In dual-pane navigators, each pane has its own TOC.

Question 26

Hyperspace definition of toolbar/sidebar

Answer 26

Toolbar - specially designed for performing actions in activities. Sidebar - Houses activities that are frequently used during the visit.

Question 27

Hyperspace definition of synonym

Answer 27

Additional name for looking up a choice on a list. Ex: "cxr" is a synonym for chest x-ray

Question 28

Hyperspace definition of completion matching

Answer 28

Entering partial words. Ex: "poc str rap" or "strep poc" match on "POCT Strep throat, rapid".

Question 29

What are some common navigator-based activities used for outpatient

Answer 29

Rooming: Used by nurses to room a patient Plan: Dual-pane navigator with sections related to placing orders and documenting diagnoses. Used most often by providers Wrap-Up: Navigator used for finalizing visit charting. Used most often by providers

Question 30

Encounter

Answer 30

The most common types in EpicCare Ambulatory are Office Visit, Telephone, Letter (Out), abstract, and Orders Only

Question 31

Medications - Patient-reported

Answer 31

Medications that the patient has reported taking

Question 32

Medications - Discountinue

Answer 32

Patient no longer needs medication or its not working for him/her. Medication was cancelled and a discontinuationdate entered

Question 33

Medications - Current

Answer 33

Current medications that the patient is taking. End date is in the future or there is no end date.

Question 34

Medications - Expired

Answer 34

End date is in the past

Question 35

Medications - Taking

Answer 35

Depending on the organization, this can mean “Did you take it today?” or “Are you taking this as recommended?” Medication interaction checking looks to all current medications, regardless of whether they are marked Taking.

Question 36

Medications - Sig

Answer 36

Patient instructions for a perscription

Question 37

Medications - Discrete dispense

Answer 37

In which the dispense amount and refills are calculated based on the duration of the prescription. Discrete dispense does not work if the frequency is “prn,” meaning as needed (ex: Daily PRN).

Question 38

Medications - Long-term

Answer 38

A long-term medication is considered current after its end date passes, so medication interaction checking continues even after the end date. Also, all the patient’s medications that share the same simple generic medication name are also marked long-term (ex: multiple albuterol asthma medications).

Question 39

Medications - Discrete Sig

Answer 39

Dose: How much, and what unit? Ex: 500 mg For weight-based doses (ex: 90 mg/kg/day), the prescribed dose and amount are calculated. Route: How does the patient intake it? Ex: Oral Frequency: How often does the patient take it? Ex: 2 times daily

Question 40

Orders - Summary Sentence

Answer 40

Blue link that shows key details.

Question 41

Orders - Order Composer

Answer 41

Box of details for a pended order. Used to edit order details. To open, click the order's name or its Summary Sentence.

Question 42

Orders - Pended order

Answer 42

Order that is pended and waiting for provider to sign.

Question 43

Secure and log out

Answer 43

Secure: - When you are done using this workstation and somebody else will work with this patient’s chart on this workstation. - The open patient workspace remains open on that workstation. - Patient privacy. Beneficial for nurses to do when done rooming a patient so the provider can quickly access the patient’s encounter. Log Out: - When you are done using this workstation and nobody will continue with the patient in this room. - All open workspaces close on that workstation. - Patient privacy

Question 44

Pre-charting

Answer 44

Clinicians can use a pre-charting workspace to queue up orders, enter visit diagnoses, and begin notes in an upcoming appointment prior to the patient being marked as Arrived (checked in). All of this is done without converting the appointment to an office visit. If an appointment is canceled or the patient never shows up, the system can automatically delete the data.

Question 45

Addendum

Answer 45

Allows an audit trail of changes made after the encounter is closed.

Question 46

Schedule: Personalized view

Answer 46

Located under My Schedule folder, able to create and personalize your schedule view under the general and configuration tab. Able to look up a provider and have it look to all the departments in which that provider is scheduled,

Question 47

Schedule: Event tracking

Answer 47

Used to indicate that a patient is ready or waiting. Colored flags are used to communicate between users to know the status of a patient.

Question 48

Schedule: Report toolbar

Answer 48

Toolbar that is setup to be able to access different preferred reports.

Question 49

Pre-charting versus charting on an arrived patient

Answer 49

Pre-charting: - Promotes clinicians reviewing important information prior to the visit - Encourages communication between providers and support staff based on the information reviewed prior to the visit - Gives clinicians a way to remind themselves and others about specific information they want to discuss with the patient during the visit - Helps clinicians spend more face time with patients and less time documenting during the visit - You can control which users can pre-chart and what they can do without converting the appointment - If an appointment is canceled or the patient never shows up, the system eventually deletes notes and other data that clinicians pre-chart in appointments that never occur Charting: - Takes place during and after visit

Question 50

The relationship among workspace, sidebar, and activities

Answer 50

Workspaces have activity tabs on the left side and at the top of the sidebar on the right side. Sidebars have information regarding the visit, notes and checklists

Question 51

When to use the magnifying glass in a field

Answer 51

You must use a magnifying glass button to choose an option from the drop down list

Question 52

When you would mark a medication as long-term and the effects

Answer 52

A long-term medication is considered current after its end date passes, so medication interaction checking continues even after the end date. Also, all the patient’s medications that share the same simple generic medication name are also marked long-term (ex: multiple albuterol asthma medications).

Question 53

Distinguish between the purpose of, and who uses, the Medication Review section versus the Medications & Orders section

Answer 53

Medication Review: Nurses use this to document the patient's preferred pharmacy for this visit, review the medication list, and document patient-reported medication such as over-the counter medications. Medications & Orders: Providers use this section to place new orders, reorder or discontinue prescriptions, cancel orders placed in this encounter.

Question 54

When to secure versus log out

Answer 54

Secure: - When you are done using this workstation and somebody else will work with this patient’s chart on this workstation. - The open patient workspace remains open on that workstation. - Patient privacy. Beneficial for nurses to do when done rooming a patient so the provider can quickly access the patient’s encounter. Log Out: - When you are done using this workstation and nobody will continue with the patient in this room. - All open workspaces close on that workstation. - Patient privacy

Question 55

When you would exit the patient’s workspace versus close the encounter (sign the visit)

Answer 55

- Exiting the patient's workspace means that the user can be done with what he/she needed to complete - Closing the encounter (sign the visit) means that the encounter has been completed, including orders, diagnosis, LOS, etc. - Usually the provider will be the person to close the encounter by signing the visit

Question 56

``` Date Conventions: Today = Week = Month = Year = +(plus) means -(minus) meas ```

Answer 56

``` T W M Y Future Minus ```

Question 57

If I will finish my charting later for this office visit, I should…

Answer 57

Exit the workspace

Question 58

If charting is finished and I want billing to take place, I should…

Answer 58

Close the encounter