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What are the 8 components of a Nurse/MA's Office Visit Workflow?
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What are the 10 components of a Physician/NP/PA's Office Visit Workflow?
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What are the 8 components of a Nurse/MA's Office Visit Workflow? Room Patient, Vitals, Chief Complaint/Reason for Visit, History, Medications, Allergies, POC Testing, Immunizations/Injections ;Workflow Basics
What are the 10 components of a Physician/NP/PA's Office Visit Workflow? ;Review of Systems(ROS), Physical Exam, History of Present Illness (HPI), Place Orders, Referrals, Diagnosis, Problem List, Level of Service(LOS) Code, Review Nurse's Info, Progress/SOAP Note ;Workflow Basics
What is a workflow? ;A process description of how tasks are done, by whom, in what order, and how quickly. ;Workflow Basics
Nurse or Provider: Take and document vitals (weight, blood pressure, etc.) ;Nurse ;Workflow Basics
Nurse or Provider: Examine the patient ;Provider ;Workflow Basics
Nurse or Provider: Write prescriptions ;Provider ;Workflow Basics
Nurse or Provider: Update patient’s medical history ;Nurse, Provider ;Workflow Basics
Nurse or Provider: Place orders (labs, referrals, etc.) ;Nurse, Provider ;Workflow Basics
Nurse or Provider: Decide on follow-up (prn, etc.) ;Provider ;Workflow Basics
Nurse or Provider: Review and update patient’s current medications ;Nurse, Provider ;Workflow Basics
Nurse or Provider: Write notes ;Nurse, Provider ;Workflow Basics
Nurse or Provider: Select a billing code ;Provider ;Workflow Basics
Nurse or Provider: Document chief complaint (reason for visit) ;Nurse ;Workflow Basics
Nurse or Provider: Review and update allergies ;Nurse ;Workflow Basics
Nurse or Provider: Finalize the charting ;Provider ;Workflow Basics
Nurse or Provider: Diagnose the patient ;Provider ;Workflow Basics
Each Startup Activity occupies a WHAT? ;Workspace ;Workflow Basics
A Workspace can be recognized by the presence of a WHAT? ;Tab ;Workflow Basics
Can a user exit the Startup Activity? ;No ;Workflow Basics
How do you toggle between tabs/startup activities? ;CTRL-ALT-1 and CTRL-ALT-2 ;Workflow Basics
Epic's maximum number of workspaces any user can have open? ;5 ;Workflow Basics
What is the keyboard shortcut to get to Order Entry? ;CTRL-O ;Workflow Basics
What is the keyboard shortcut to get to the Visit Navigator? ;CTRL-N ;Workflow Basics
What is special about the Visit Navigator? ;It is a multi-purpose activity, composed of various sections. ;Workflow Basics
What is Completion Matching? ;It is an Epic term that means entering a few letters of the name of your desired item and then pressing ENTER or TAB to look for matches. ;Workflow Basics
How do you quickly navigate through the Visit Navigator? ;F8 ;Workflow Basics
Only click a Selection Button when you want to? ;See the entire list. ;Workflow Basics
Under "Review and Update Medications" in the Visit Navigator, When documenting patient-reported medications (in the Medications section), leave what field empty? ;Provider ;Workflow Basics
When documenting patient-reported medications, what will be entered in the Provider field automatically? ;Historical Provider ;Workflow Basics
On the Visit Navigator, does the Medications section show all medications? ;No (current only) ;Workflow Basics
Name the two places to find information about expired medications: ;The navigator's "Medications & Orders" section and in the Medications activity. ;Workflow Basics
What happens to the patient's workspace when a user Secures the application? ;The patient's workspace is bookmarked. ;Workflow Basics
What happens to the patient's workspace when a user logs out of the application? ;The patient's workspace is closed. ;Workflow Basics
What is a SmartSet? ;A template for an entire visit. ;Workflow Basics
A SmartSet is used to document what type of visit? ;routine/focused office visits ;Workflow Basics
To open a SmartList, press WHAT? ;F2 ;Workflow Basics
When looking at the options in a SmartList, how do you make one or more selection/s and close out the list? ;Left-Click to Pick, Right-Click to Stick ;Workflow Basics
Where should you right-click to move on from a SmartList? ;Anywhere iin the SmartList's box. ;Workflow Basics
What is a Summary Sentence? ;A phrase/sentence within an order that includes details of the order. ;Workflow Basics
What happens if you click on a Summary Sentence? ;The Order Composer opens. ;Workflow Basics
How do you close the Order Composer? ;Right-Click ;Workflow Basics
Billing takes place after WHAT is closed? ;Encounter ;Workflow Basics
After you have closed an encounter, can you open the original visit again? ;No ;Workflow Basics
After you have exited a workspace, can you open the original visit again? ;Yes ;Workflow Basics
Where can you document the Taking Status of medications? ;The Medications Section of the Visit Navigator or the Medications & Orders section (Choose Columns Toggle button - new to 2010) ;Nurse Workflows
Where can you place orders? ;The Medications & Orders section in the navigator OR the Order Entry activity. ;Nurse Workflows
Where do you document results for Point of Care tests? ;The Enter/Edit Results activity ;Nurse Workflows
What is a fast way to open the details form in Enter/Edit Results? ;Double-Click ;Nurse Workflows
In order to have a Result Message sent, what must the result status be? ;"Final Result" ;Nurse Workflows
To go to the read-only view of Progress Notes, what should you click in the table of contents? ;The arrow to the right of "Progress Notes". ;Nurse Workflows
What does ROS stand for? ;Review of Systems ;Nurse Workflows
List the four parts of NoteWriter in which an end user can document: ;Note, ROS, HPI, Physical Exam ;Nurse Workflows
What is the purpose of the Note tab in NoteWriter? ;It is a SmartText template that shows with the generated text. ;Nurse Workflows
What is the purpose of the ROS tab in NoteWriter? ;It populates the Subjective part of the SOAP note. ;Nurse Workflows
What is the purpose of the HPI tab in NoteWriter? ;It populates the Subjective part of the SOAP note. ;Nurse Workflows
What is the purpose of the Physical Exam tab in NoteWriter? ;It populates the Objective part of the SOAP note. ;Nurse Workflows
What does HPI stand for? ;History of Present Illness ;Nurse Workflows
In the HPI tab/section of NoteWriter, True or False: Every complaint has a corresponding SmartForm. ;False ;Nurse Workflow
Another name for the "Current Medications" tab on the Medications activity: ;"As of Now" tab ;Reviewing and Basic Charting
What kind of medication remains on the As of Now tab of the Medications activity even after it's end date passes? ;Long-term medications (Even after a long-term medication expires, interaction checking continues to look at it when other orders are placed. ;Reviewing and Basic Charting
When can you mark a medication as long-term? ;When placing orders and when reviewing medications. ;Reviewing and Basic Charting
What symbol designates a medication as long-term? ;A red push pin ;Reviewing and Basic Charting
How will expired medications appear in Prescription History? ;Strikethrough ;Reviewing and Basic Charting
When a user reorders a medication, the original prescription's details (including diagnosis associations) are copied into what? ;Order Entry ;Reviewing and Basic Charting
What does EnRoL mean? ;Enhanced Record Lookup. "Fancy Completion Matching". ;Reviewing and Basic Charting
What symbol designates a diagnosis as Primary? ;A blue diamond ;Reviewing and Basic Charting
How does a user designate a diagnosis as primary? ;Click once in the "P" column in the left Diagnosis-related pane in Order Entry. ;Reviewing and Basic Charting
If you do not want to use NoteWriter but would rather just free-text, what would you click? ;The blue arrow next to the Progress Notes section. ;Reviewing and Basic Charting
What is another name for a billing code (in the charting world - needed to close an encounter) ;Level of Service (LOS) Code ;Reviewing and Basic Charting
Best Practice Advisories (BPAs) provide guidance and, if orders are recommended, WHAT makes ordering easy? ;SmartSet ;Reviewing and Basic Charting
In the navigator's table of contents, how do you know if there is a BPA? ;Yellow Background ;Reviewing and Basic Charting
What two types of things are SmartSets good for? ;Routine visits and order-only activities ;Reviewing and Basic Charting
If you want to review many previous results over a time period, where would you go in the patient's chart? ;Lab Flowsheet on the Labs tab in Chart Review (you can apply filters) ;Reviewing and Basic Charting
What can you add to a patient's Problem List to assist with tracking over time? ;A long-term patient health Goal. ;Reviewing and Basic Charting
Some goals are automatically tracked by the system; others require WHAT? ;Human intervention ;Reviewing and Basic Charting
Can you have a goal without an associated problem? ;Yes ;Reviewing and Basic Charting
What are the two ways to enter an encounter diagnosis? ;1) Use the navigator's Visit Diagnoses section. 2) If you are working in the Problem List, with one click (paper icon w arrow) you can copy a problem diagnosis as an encounter diagnosis. ;Reviewing and Basic Charting
How does a user take ownership of a progress note that was started by someone else? ;1)Open the NoteWriter progress note that was started earlier. 2) On the Note tab, click on the "Make Me An Author" button on the top right. ;Reviewing and Basic Charting
To access a progress note that has already been started for an encounter, what do you click? ;Click on the ARROW to the right of "Progress Notes" on the navigator (Clicking on "Progress Notes" will result in the start of an additional note for that encounter). ;Reviewing and Basic Charting
Closing an encounter begins in the Visit Navigator by doing what? ;Clicking "Close Encounter" ;Reviewing and Basic Charting
What do you need to do in the note if a diagnosis was added AFTER the note was started? ;Click "refresh" to update the links. ;Reviewing and Basic Charting
If you see text within a progress note in bold, what does it mean? ;This text was entered as "free text". ;Reviewing and Basic Charting
What is the difference between Medical History and Surgical History? ;Medical History includes significant DIAGNOSES from the patient's past. Surgical History includes significant PROCEDURES from the patient's past. (Does not have to be an actual surgery). ;Reviewing and Basic Charting
What does "Family Member Status" mean? ;Alive or Deceased ;Reviewing and Basic Charting
What is the benefit of having a "Mark as Reviewed" button on each subsection when documenting patient history? ;Allows clinicians to complete smaller sections at a time. ;Reviewing and Basic Charting
What is a SmartBlock macro? ;A NoteWriter template that contains pre-selected values for Physical Exam or ROS(Review of Systems). ;Reviewing and Basic Charting
NoteWriter Macros can be based on what two factors? ;Age and Sex ;Reviewing and Basic Charting
How do you apply a macro to a progress note? ;In NoteWriter, click the arrow next to the "Load Macro" button and then select the appropriate macro. ;Reviewing and Basic Charting
Will adding a NoteWriter Macro overwrite what you've already documented? ;No ;Reviewing and Basic Charting
What is a good approach when using a NoteWriter Macro? ;Document the exceptions and then apply the macro. ;Reviewing and Basic Charting
How does a user create a NoteWriter Macro? ;Access the Macro Editor by clicking on: Epic Button ;Reviewing and Basic Charting
When creating a NoteWriter Macro, what do you need to do before clicking "Accept", that will make the macro available to be applied in the NoteWriter? ;Select the "Active" checkbox. ;Reviewing and Basic Charting
Created by: marywithani
 

 



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