Physician Expanse Flashcards
How do you order blood at CVHp
Use the Blood Transfusion order -
What does the shade icon do
Expands details of order and displays the additional information required.
Where does Type & Screen get ordered
Ordered in the background - the order for type and screen is only used not for a blood product.
Where do you find messages/tasks
Workload
where do you find discharge plan
Navigation bar - black bar
Where do you click to document the discharge summary
Document - Navigation bar (should be saved to the physician’s document
How to log out -
Click on gear at top, then click options in VMWare - then log out
Where do you find failed RX transmission notices
under Workload Messages and tasks
Where do you find consults
Workload Messages
How do you open a chart
Click on name in status board or highlight name and click on chart button on navigation tab
Where do you find Pt registration status
Status board first column
Where do you find LOS
Status board 2nd column
Where do you find Consult order flag if you are consulted for the patient
Status board 2nd column
Where do you find alerts (sepsis fall risk)
Status board 2nd column
Where do you find that a patient has been at QVHP within 30 days
Status board 4th column
Where do you find the admitting provider or attending provider
Status board 3rd column
Where do you find code status
Status board 5th column
Where do you find the active problems
Status board or on the problems in reference tab.
What is the yellow sticky
Write a note to yourself - only the provider that writes it can see it.
How do you know if there is new information on the status board since you looked at it last.
Lab, imaging results and notes will be in bold (black) Lab results that is critical or abnormal is in red.
How do you open new results on the status board
Click on the name (lab, IMO)
What does Img or lab grayed out
Results you have already looked at - can still click not the results.
How do you add a widget
Summary tab - click on gear top right - then reference tab - choose widget and save
How do you rearrange a widget
Go to summary tab (in chart) click on gear then click on the widget and then the up arrow.
What does it mean when widget headers are underlined?
They are interactive to access full data. Like vital signs.. -able to view via flow sheet, detailed info or graph
Where do you find the historical link
Reference region - right side of chart.
What is the search chart for
Quick search for specific lab, imaging or document.
What are the icons on the reference section
View saved multi graph, view saved data for this patient
Where do you see allergies
At the top of the reference region
Where do you see current problems
Top of reference region
What does the historical link do
Takes you to the old data in magic
What does the activity tab contain
All visits for the patients all activity for current and past visits
How do you edit your activity view
By using visits and filter button
What is the flow sheet tab
The old clinical panels
How do you customize my flow sheet
Gear allows you to edit your flow sheet , save current version, restore system
How do you change Diagnostics to change it to a view that works for you
Use subcategory view
What does filter view do in diagnostics
Changes time frame of data being presented
What notes are in Provider notes
ED H&P, progress note, consult note, OP/Procedure note/Radiology notes
Where do you find Radiology reports
In Provider notes
How do you view films from Radiololgy
click on Provider notes, and then the camera
Where would you find Resp, PT or OT notes
Nurse/Allied health tab in chart
Where would you find dietitian notes
Nurse/Allied health tab in chart
Where would you find Speech notes
Nurse/Allied health tab in chart
Where would you find infusion/titration flow sheet
Medication tab in chart
Where would you find MAR
Medication tab in chart
Where would you find medication history
Medication tab in chart
Where would you find History and problems
History and problems in chart
Where do you find the Insurance
Administrative tab in chart
How does the provider sign orders that were entered by dictation
They have to go to the sign queue
How do you enter DME oxygen at Citrus Valley
Order Consult to Care coordination
What is under the History and Problems in the chart
PMFSH and Problems that have been documented
Where would you find other surgeries
Other Clinical tab in the chart
Where would you find Implantable surgical devices
Chart - Other Clinical tabl
Where would you find the list of the care team for the patient
Chart - Other Clinical tab
Where would you find providers personal notes.
Chart - Other Clinical tab
Do providers personal notes DC after the visit
Yes, but they are discoverable
Where would you find special indicators
Chart - Other Clinical tab
How do you access the Hold queue
Orders - Current order
How do you get to Hospital Course in the Discharge Summary?
Go to “Summary of Care” Section and click on title (to expand it)
How do you get to Hospital Course in the Discharge Summary?
Go to “Summary of Care” Section and click on title (to expand it)
What is the communication order from MD to Nursing
Other nursing order
Printing a prescription
On discharge plan click on Printer Icon then click on Transmit and print.
What do you click on Orders to enter orders
Enter
Where do you find reconcile
On orders , reconcile
Where do you find the transfer button
On orders, transfer
What does orders default to
Favorite orders/sets
On an order how do you know that a field is required
It will be red
What is the fastest way to find a med/order to order
Type in the search box for all orders/sets
How do you save orders/sets
Click in the ;yellow star
How do you get a 2nd chart showing on the computer
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”
How do you close the chart viewer?
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.
How do you delete a note
Open the chart > open the note >click on gear> Select cancel or discharge - notes that have been saved have to cancelled rather than deleted.
How do you use formatted data
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
If there isn’t the title of an impression that you want how do you add it
Type in the empty box the name of the impression that you want and then you can add the formatted data.
How do you create quick text
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
How do you insert text in your document after creating it
Click INSERT tab
One option for executing quick text.
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
What is the option for creating quick text using the A
Click on A > select Quick text > choose the text you are looking for >click on insert (the upward arrow)
How do you do quick discharge just to release the patient
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.
When is the Discharge Transfer used
Used when the patient is being transferred to another area that needs a new account number. Inpatient > Rehab, Psych or TCU or other facilities
How do you do a Discharge Transfer
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
How do you verify that a medication was received by pharmacy
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
How do you add your problems in your plan
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
how do you edit medications
Highlight patient > click on orders > click on medication > change the field that needs editing (dose, route, frequency, date time) >submit order and add pin.
How do you edit medications that have fields that are not visible?
click on the shade icon (expand icon) that is at the bottom of the order on the left side.
How would you undo an edited order
Click on the status of edited and a menu drops down. Then choose undo
When you edit an order what status is given the old order
Stop reg
How do you dc a medication order
Click on the status and choose stop
What are Typicals
Normals with the ability to have numerous Typicals based based on Patient problem or complaint.
Where does a provider save a typical
Directly from active documentation
How do you create a typical
1 Select gear from upper right corner
2 Choose Create New typical
3. Give your typical a descriptive name
How do you update a document with your Typicals
Select blue T for full document
Select white T for a documentation section.
How do you review and edit your typical
By unchecking a system or clicking on a single item to not import information into a document
If the Typical Info is already in the document how do you remove it
By clicking on an item to change it from Positive to negative.
Does PMFSH follow a patient from visit to visit
Yes, it is now at the medical records level
How do you access the PMFSH
Based on items on problem list. Click on icons with an arrow to open the problem overlay. Can also add items on problem list
Where does the PMFSH pull in from
The Nursing documentation
Is the PMFSH shared
Yes, all Expanse platforms. Acute, ED and ambulatory
When should problems be updated
At admission and updated at discharge
Where is the best place to access the problems
From the documentation of the A/P
In the A/P documentation how do you access or update the problem list
Click on the + next to problems
When entering medications what indicates that a dose calculation can be done
There is dose calculation icon in the med
How do you add tests to save data
Click on test (lab exam) > menu comes up >choose ADD SAVED DATA
How do you know that data has been saved
It has a black triangle next to the test
How do you add saved data into your documentation
Click on the A and choose SAVED DATA, then select any of the saved data that you want to add
What is the graph choice under saved data used for?
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.
How are print preferences set
Status board > click on menu - make sure that the > Print destination screen is checked.
How do you know that transfer orders have been entered on a patient
Under the transfer header there is a yellow flag.
How do you enter orders to the hold queue
Click on add new and then type in the orders box just like with regular orders.
How do you preview what orders will go in the hold queue
Click on the event name
What happens when any provider clicks into the orders tab for a patient that has hold orders
He will get a flag - box asking whether he wants to activated the hold orders
Can the hold queue be set to activate automatically on a future date
Yes click on the activate future date and fill in the date and time.
When does the non-formulary medication appear when ordering meds?
When you click in the search box and no strings appear then the non formulary box shows up.
In a document how do you get the narratives box to show
Click on the blue hyperlink (the heading name of the section
How do you delete a problem off the charts
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
