ANSWERS GRADED A+
✔✔What does an "!!" icon next to a medication on the MAR mean? How is the
administration workflow different for that medication? - ✔✔The medication requires dual
sign-off. Another nurse will need to review and verify the administration and enter his
user ID & password when documenting the administration.
✔✔You're about to give a pain medication to a patient. You know the patient hasn't
received any doses of this medication, but you'd like to see the last time he received
any pain medications over the last 24 hours. How can you do that without having to
scroll through multiple shifts of the MAR? - ✔✔Use the MAR Report in the MAR activity.
✔✔How do medications that are discontinued appear on the MAR? - ✔✔The
medication row appears with all the cells highlighted in yellow.
✔✔What is the main difference between documenting a PRN medication compared to a
scheduled medication? - ✔✔PRN medications do not have scheduled times that appear
on the MAR. To document giving the medication, the nurse clicks anywhere in the cell
and documents administering the medication.
Scheduled medications appear with a due time in the cell at the time the medication is
scheduled to be given. To document administering the medication, click the due time on
the MAR.
✔✔Can a nurse document giving a medication that has NOT been verified by
pharmacy? - ✔✔Yes. He sees warnings that the medication has not been verified but
can continue with the administration.
✔✔What are two reasons why a nurse might need to pull a medication from an ADS
cabinet on override? - ✔✔-No one has entered an order for the medication into Epic
-An order has been entered in Epic, but pharmacy hasn't verified ti yet, so it does not
appear on the patient's ADS profile.
✔✔List at least three pieces of information that can be found in the Details report within
the Flowsheets. - ✔✔The value, comments, time taken, time recorded, user taken, user
recorded, show audit.
✔✔How do values appear prior to filing them to a patient's chart? How doe they appear
after they are filed? - ✔✔Values have a grayed edge in their cell prior to being filed.
Values do not have this icon after filing.
✔✔True or False? If a clinician closes a patient's chart without clicking File in the
Flowsheets activity, any unfiled data in the flowsheet is lost. - ✔✔False. The system
, automatically files any pending data when the end user changes flowsheet templates,
leaves the Flowsheets activity, closes the patient's chart, or logs out.
✔✔If a clinician enters WDL in the "Within Defined Limits" row for a system, what does
this mean? - ✔✔"WDL" means that all values taken within that system fall within the
defined range. No other data needs to be entered.
✔✔True or False? Epic does not have an audit trail for values in Flowsheets that have
been edited or deleted. - ✔✔False. Epic does have an audit trail for edited or deleted
data, and any values that have been edited or deleted are flagged.
✔✔How does a nurse document that all values are normal except for a few? - ✔✔Enter
an "X" in the WDL row. (This documents that all values are within defined limits,
except...) Then enter the abnormal information in the appropriate rows.
✔✔Where can a nurse look to find information on the "defined" values for a given row? -
✔✔A nurse can view the Row Information in the Details report on the right side of the
screen. This gives him information about normal values, possible choices, and the last
filed data. If the Details report is hidden, click the left facing arrow in the middle or the
right side of the screen to expand the report.
✔✔When a nurse does into a flowsheet and wants to enter new values, what should be
done before documenting any information to ensure the data is entered under the
correct date and time? - ✔✔The nurse should click the Add COl button or the ow
hyperlink. This drops a new column with the current date and time. If charging values
taken in the past, the Insert Col button should be used.
✔✔In the Problem List section of the navigator, how can you indicate what the patient's
principal problem is? What must this problem be marked as first? - ✔✔You select the
check box in the Principal column after indicating that the problem is a hospital problem.
✔✔What is a SmartText and how can it be pulled in to a note? - ✔✔A SmartText is a
template for writing a note. It can be pulled in from the Insert SmartText field.
✔✔Embedded within a SmartText are SmartLists. How can you start filling out a
SmartList? Make a selection? Accept your selection? - ✔✔To start filling out a SmartList
using the mouse, use the Next Field option (under the All Other Tools menu). To make
a selection, left-click, and to accept your selection, right-click.
✔✔True or False? a note can be signed even if all of the SmartLists have not been
completed. - ✔✔False. All SmartLists and wildcards must be completed before the note
can be signed.