Epic Flashcards
1
Q
Age neonate
A
<4 wk
2
Q
Infant
A
> 4wk-<1 yr
3
Q
Pedi
A
1-14 yr
4
Q
Never auto verify
A
Tpn
<19 yr old
Treatment plan orders
ED meds I.e Versed
5
Q
Orderables
A
Hold multiple Rx
6
Q
Invents can nurse see
A
No
7
Q
CCE
A
Less 54” use actual wt
8
Q
CCE >120 IBW
A
Uses adjusted body wt
9
Q
Oderable what list are they on?
A
Needs to be on EFY=med list.
10
Q
Wrapper
What list?
What dot?
A
Should be on EFY NOT green dot. Covered by orderable
11
Q
Nonmed
A
Must override not in EPIC
12
Q
RBL EPIC use
A
testing
13
Q
Med List check mark
A
Means you carry
14
Q
Med list red dot
A
Default NDC for billing
15
Q
Med List Yellow dot
A
Whole pack leaves Rx
16
Q
Bulks dot color
A
Always yellow dot
17
Q
Oderables are they green dotted
A
Yes
18
Q
Do you green dot Dispensable?
A
No
19
Q
Wrapper on med list
A
Wrapper items do not need green dot.
20
Q
Central med list
A
= pharm pref list
21
Q
Formulary med list
A
=providers pref list
22
Q
Green dot
A
shows on pref list
23
Q
Database
A
All meds only Rx sees
24
Q
Med list edits must do
A
Click on READ when done or others can’t get in.
25
Green dot what strength?
Usually lowest strength you have
26
Pref list
Site specific
27
Iv solutions. Do you green dot?
Don’t green dot for ones we use in pharmacy
28
Wrappers color
Show as red
29
Careful orderable mapping records
Don’t edit unless sure
30
Vasoactive drips
Be careful editing
31
Caps tabs :
dot and check mark
OK to edit
32
CNR
Can be used to create simple meds for Pyxis load
33
Med list admin
Under RX admin or pharmacy
34
Find medid
Search for medication list, admin
35
Med list admin click on ADS tab
This is where the med ID is
36
Dashboards
Highly customizable you can schedule Reports
37
ADS load dispense logic
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
Two most important list for EPIC and Pyxis
Med list
Dispense list Nate Sesin
39
Admin instructions
Shows on the MAR for nurse
40
Admin instructions provider
Provider can update admin instructions
41
Product specific admin instructions
Specific to a product cannot be edited by provider
42
Order instructions
Instructions to a provider regarding how to order the medication i.e. length of antibiotic treatment
43
Label comments
Pharmacist can edit
44
Preparation instructions
For items that will be prepared and dispense prep displays to tech
45
Notes to Pharmacy
Rarely defaulted. Used by doctor to communicate with pharmacist.
46
Care area
You can use Care areas to assign rooms to a Pyxis
47
Med ordering four things pharmacist will see
Discontinued orders
Admin instruction changes
End day change
Rate change
48
Investigational med
Marked investigational on the ER X level
49
New drug request
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
BPA
Best practice advisory
Alerted appear to the doctor that serves as a reminder or to the nurse
51
BPA enoxaparin
Notify the pharmacist of WT change by 10% also tells doctors
52
BPA other meds
Maybe set up for fluMazenil
Glucagon
Naloxone
Vitamin K
Serum glucose less than 50 mg per DL
INR greater than six
53
Overfill IVs
There will be overfill for oncology and ambulatory IVs. It will display on the label.
54
Pharmacy to dose
Set up consult orders in EPIC. Comes to Rx as an in-basket message.
55
Pharmacy to dose issue
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
Pharmacist dosing work around
Create orders like a vancomycin protocol that would notify staff Pharmacy is dosing
57
EFY
Is medication list
58
EFY
Is medication list.
59
ERX
ERX is a medication record and NDC in a package
60
Yellow dot on med list
Does not change the dose amount only changes the dispense amount
61
Yellow dot on med list
Does not change the dose amount only changes the dispense amount
62
Continuous infusion yellow dot
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
Patient’s own meds, EPIC
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
Cogito
Is for Reports. Managers will have access to a Pharmacy operation dashboard like over rides unreconciled expenses, advanced prep, Pharmacy revenue, etc..
65
Renewals
Toradol five days
TPN 24 hours
PCA 24 or 48 hours
CII SEVEN DAYS
ALVIMOPAN 15 doses
66
RBL updates
Once a week 4 AM Saturday
67
RBL updates
Once a week 4 AM Saturday
68
RBL updates
4 AM Saturday
69
RBL updates
4 AM Saturday
70
Playground
Updates daily
71
REL
Used for EPIC cut over
72
Verification pharmacist
Can change anything
73
What should be changed during verification
Details that do not change the intent of the order.
74
Verification what should not be changed
Clinical intent
Dispense location
75
RBL
You can see our formulary in RBL
76
Order set
Can be seen in RBL
77
RBL + CNR
Use RBL to test CNR records
78
Dispense Que
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
Pyxis cut over
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
ED override
Orders need to be linked
81
EAR Don’t change Rx
Edits to these don’t create new order.
End time
Admin instructions
Rate
82
Wrapper do you green dot
Never
83
Wrapper do you green dot
Never
84
What two items are not green dotted?
1 - wrapper
2 - dispensable
