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Expanse Physician module > Physician Expanse > Flashcards

Physician Expanse Flashcards

1
Q

How do you order blood at CVHp

A

Use the Blood Transfusion order -

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2
Q

What does the shade icon do

A

Expands details of order and displays the additional information required.

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3
Q

Where does Type & Screen get ordered

A

Ordered in the background - the order for type and screen is only used not for a blood product.

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4
Q

Where do you find messages/tasks

A

Workload

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5
Q

where do you find discharge plan

A

Navigation bar - black bar

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6
Q

Where do you click to document the discharge summary

A

Document - Navigation bar (should be saved to the physician’s document

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7
Q

How to log out -

A

Click on gear at top, then click options in VMWare - then log out

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8
Q

Where do you find failed RX transmission notices

A

under Workload Messages and tasks

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9
Q

Where do you find consults

A

Workload Messages

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10
Q

How do you open a chart

A

Click on name in status board or highlight name and click on chart button on navigation tab

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11
Q

Where do you find Pt registration status

A

Status board first column

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12
Q

Where do you find LOS

A

Status board 2nd column

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13
Q

Where do you find Consult order flag if you are consulted for the patient

A

Status board 2nd column

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14
Q

Where do you find alerts (sepsis fall risk)

A

Status board 2nd column

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15
Q

Where do you find that a patient has been at QVHP within 30 days

A

Status board 4th column

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16
Q

Where do you find the admitting provider or attending provider

A

Status board 3rd column

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17
Q

Where do you find code status

A

Status board 5th column

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18
Q

Where do you find the active problems

A

Status board or on the problems in reference tab.

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19
Q

What is the yellow sticky

A

Write a note to yourself - only the provider that writes it can see it.

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20
Q

How do you know if there is new information on the status board since you looked at it last.

A

Lab, imaging results and notes will be in bold (black) Lab results that is critical or abnormal is in red.

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21
Q

How do you open new results on the status board

A

Click on the name (lab, IMO)

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22
Q

What does Img or lab grayed out

A

Results you have already looked at - can still click not the results.

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23
Q

How do you add a widget

A

Summary tab - click on gear top right - then reference tab - choose widget and save

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24
Q

How do you rearrange a widget

A

Go to summary tab (in chart) click on gear then click on the widget and then the up arrow.

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25
Q

What does it mean when widget headers are underlined?

A

They are interactive to access full data. Like vital signs.. -able to view via flow sheet, detailed info or graph

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26
Q

Where do you find the historical link

A

Reference region - right side of chart.

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27
Q

What is the search chart for

A

Quick search for specific lab, imaging or document.

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28
Q

What are the icons on the reference section

A

View saved multi graph, view saved data for this patient

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29
Q

Where do you see allergies

A

At the top of the reference region

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30
Q

Where do you see current problems

A

Top of reference region

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31
Q

What does the historical link do

A

Takes you to the old data in magic

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32
Q

What does the activity tab contain

A

All visits for the patients all activity for current and past visits

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33
Q

How do you edit your activity view

A

By using visits and filter button

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34
Q

What is the flow sheet tab

A

The old clinical panels

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35
Q

How do you customize my flow sheet

A

Gear allows you to edit your flow sheet , save current version, restore system

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36
Q

How do you change Diagnostics to change it to a view that works for you

A

Use subcategory view

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37
Q

What does filter view do in diagnostics

A

Changes time frame of data being presented

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38
Q

What notes are in Provider notes

A

ED H&P, progress note, consult note, OP/Procedure note/Radiology notes

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39
Q

Where do you find Radiology reports

A

In Provider notes

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40
Q

How do you view films from Radiololgy

A

click on Provider notes, and then the camera

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41
Q

Where would you find Resp, PT or OT notes

A

Nurse/Allied health tab in chart

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42
Q

Where would you find dietitian notes

A

Nurse/Allied health tab in chart

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43
Q

Where would you find Speech notes

A

Nurse/Allied health tab in chart

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44
Q

Where would you find infusion/titration flow sheet

A

Medication tab in chart

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45
Q

Where would you find MAR

A

Medication tab in chart

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46
Q

Where would you find medication history

A

Medication tab in chart

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47
Q

Where would you find History and problems

A

History and problems in chart

48
Q

Where do you find the Insurance

A

Administrative tab in chart

49
Q

How does the provider sign orders that were entered by dictation

A

They have to go to the sign queue

50
Q

How do you enter DME oxygen at Citrus Valley

A

Order Consult to Care coordination

51
Q

What is under the History and Problems in the chart

A

PMFSH and Problems that have been documented

52
Q

Where would you find other surgeries

A

Other Clinical tab in the chart

53
Q

Where would you find Implantable surgical devices

A

Chart - Other Clinical tabl

54
Q

Where would you find the list of the care team for the patient

A

Chart - Other Clinical tab

55
Q

Where would you find providers personal notes.

A

Chart - Other Clinical tab

56
Q

Do providers personal notes DC after the visit

A

Yes, but they are discoverable

57
Q

Where would you find special indicators

A

Chart - Other Clinical tab

58
Q

How do you access the Hold queue

A

Orders - Current order

59
Q

How do you get to Hospital Course in the Discharge Summary?

A

Go to “Summary of Care” Section and click on title (to expand it)

60
Q

How do you get to Hospital Course in the Discharge Summary?

A

Go to “Summary of Care” Section and click on title (to expand it)

61
Q

What is the communication order from MD to Nursing

A

Other nursing order

62
Q

Printing a prescription

A

On discharge plan click on Printer Icon then click on Transmit and print.

63
Q

What do you click on Orders to enter orders

A

Enter

64
Q

Where do you find reconcile

A

On orders , reconcile

65
Q

Where do you find the transfer button

A

On orders, transfer

66
Q

What does orders default to

A

Favorite orders/sets

67
Q

On an order how do you know that a field is required

A

It will be red

68
Q

What is the fastest way to find a med/order to order

A

Type in the search box for all orders/sets

69
Q

How do you save orders/sets

A

Click in the ;yellow star

70
Q

How do you get a 2nd chart showing on the computer

A

Open the chart > minimize it > drag it to the right > go to the menu and click on it > click on chart viewer > when the user is on the chart viewer it says “Chart viewer”

71
Q

How do you close the chart viewer?

A

Click on the X on the internet explorer button. A pop up screen will prompt you to stay or leave choose “Leave” to go back to the patients chart.

72
Q

How do you delete a note

A

Open the chart > open the note >click on gear> Select cancel or discharge - notes that have been saved have to cancelled rather than deleted.

73
Q

How do you use formatted data

A

Go into a field in your document where you are typing and click on the A - Pick formatted data. When you add it you can choose exams from last 24 hours or from the whole visit. Used in impressions

74
Q

If there isn’t the title of an impression that you want how do you add it

A

Type in the empty box the name of the impression that you want and then you can add the formatted data.

75
Q

How do you create quick text

A

click on Quick text >edit > >New trigger -MUST START WITH A PERIOD AND USE LOWER CASE > click text in box (open and close brackets can be used for variable text) > enter description name > Click Save

76
Q

How do you insert text in your document after creating it

A

Click INSERT tab

77
Q

One option for executing quick text.

A

One option for executing quick text - type trigger name >press space bar to insert text this appears with the brackets. Click on the arrow on the top to move through each bracket

78
Q

What is the option for creating quick text using the A

A

Click on A > select Quick text > choose the text you are looking for >click on insert (the upward arrow)

79
Q

How do you do quick discharge just to release the patient

A

Use the discharge plan. Click on discharge > Complete all required sections > all the info in this will flow to the discharge summary which the physician can complete when he has time.

80
Q

When is the Discharge Transfer used

A

Used when the patient is being transferred to another area that needs a new account number. Inpatient > Rehab, Psych or TCU or other facilities

81
Q

How do you do a Discharge Transfer

A

1- Click on Discharge on Navigation pane >
2 -Click on Patient disposition and select location pt being transferred to
3 - Scroll down to discharge transfer
4 - Overlay of Discharge transfer locations - select the appropriate one
5 - you are now in the Discharge transfer orders routine (similar to the Manage transfer
6 - Review all orders -“suggest” Coninue or Omit - enter any new “suggested orders”
7. Provider submits and signs order
8 - Transfer destination will now show on the

82
Q

How do you verify that a medication was received by pharmacy

A 
1- Open chart
2 - click on Medication tab
3. - click on box next to current visit
4 - select home medications
5 - Click the drug 
6 - click on Audit trail
7 - Pharmacy and phone number will appear
83
Q

How do you add your problems in your plan

A

If the problems are added
1- click on problems
2 - choose the paper icon on the right for each problem that you want to add
3 - Click Save
4 - takes you back to the document - click on Plan and the problems will insert

84
Q

how do you edit medications

A

Highlight patient > click on orders > click on medication > change the field that needs editing (dose, route, frequency, date time) >submit order and add pin.

85
Q

How do you edit medications that have fields that are not visible?

A

click on the shade icon (expand icon) that is at the bottom of the order on the left side.

86
Q

How would you undo an edited order

A

Click on the status of edited and a menu drops down. Then choose undo

87
Q

When you edit an order what status is given the old order

A

Stop reg

88
Q

How do you dc a medication order

A

Click on the status and choose stop

89
Q

What are Typicals

A

Normals with the ability to have numerous Typicals based based on Patient problem or complaint.

90
Q

Where does a provider save a typical

A

Directly from active documentation

91
Q

How do you create a typical

A

1 Select gear from upper right corner
2 Choose Create New typical
3. Give your typical a descriptive name

92
Q

How do you update a document with your Typicals

A

Select blue T for full document

Select white T for a documentation section.

93
Q

How do you review and edit your typical

A

By unchecking a system or clicking on a single item to not import information into a document

94
Q

If the Typical Info is already in the document how do you remove it

A

By clicking on an item to change it from Positive to negative.

95
Q

Does PMFSH follow a patient from visit to visit

A

Yes, it is now at the medical records level

96
Q

How do you access the PMFSH

A

Based on items on problem list. Click on icons with an arrow to open the problem overlay. Can also add items on problem list

97
Q

Where does the PMFSH pull in from

A

The Nursing documentation

98
Q

Is the PMFSH shared

A

Yes, all Expanse platforms. Acute, ED and ambulatory

99
Q

When should problems be updated

A

At admission and updated at discharge

100
Q

Where is the best place to access the problems

A

From the documentation of the A/P

101
Q

In the A/P documentation how do you access or update the problem list

A

Click on the + next to problems

102
Q

When entering medications what indicates that a dose calculation can be done

A

There is dose calculation icon in the med

103
Q

How do you add tests to save data

A

Click on test (lab exam) > menu comes up >choose ADD SAVED DATA

104
Q

How do you know that data has been saved

A

It has a black triangle next to the test

105
Q

How do you add saved data into your documentation

A

Click on the A and choose SAVED DATA, then select any of the saved data that you want to add

106
Q

What is the graph choice under saved data used for?

A

Graph data gives you the option to graph the item during a certain Time frame. You can also save it as a favorite by clicking the star.

107
Q

How are print preferences set

A

Status board > click on menu - make sure that the > Print destination screen is checked.

108
Q

How do you know that transfer orders have been entered on a patient

A

Under the transfer header there is a yellow flag.

109
Q

How do you enter orders to the hold queue

A

Click on add new and then type in the orders box just like with regular orders.

110
Q

How do you preview what orders will go in the hold queue

A

Click on the event name

111
Q

What happens when any provider clicks into the orders tab for a patient that has hold orders

A

He will get a flag - box asking whether he wants to activated the hold orders

112
Q

Can the hold queue be set to activate automatically on a future date

A

Yes click on the activate future date and fill in the date and time.

113
Q

When does the non-formulary medication appear when ordering meds?

A

When you click in the search box and no strings appear then the non formulary box shows up.

114
Q

In a document how do you get the narratives box to show

A

Click on the blue hyperlink (the heading name of the section

115
Q

How do you delete a problem off the charts

A 
Go to Document > 
Pull up any document >
click on A/P > 
choose the problem to delete - click on icon > Click on More (r side) > 
click on status >
change to delete

Expanse Physician module (1 decks)

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