Rx 100 - Epic Willow Inpatient
Fundamentals
Database tab for Pharmacists vs Physicians - ANS-Pharmacists have access to
Database tab at all times. It contains all items that have been imported from the FDB,
including unapproved and third party medications. Includes items that are not
configured.
Physicians only have access to this tab when reconciling home meds
Preference List vs Facility list - ANS-Preference list - A shorter list that contains
common medication and non-medication orders. All of these should be configured.
Facility List - Larger search that contains all medication and non-medication orders that
are formulary or non-formulary that are in stock. All of these should be configured.
Where do physicians typically leave notes like "okay to use pts own", or "actually
looking for drug x" - ANS-Notes to pharmacy
When reviewing a patient chart, how can you see if they have ever had a stroke? -
ANS-Chart Search
If you add a patient to "My List" will they drop off when they are discharged - ANS-No.
They would drop off of a system list, but not My List.
How do you add a patient to your "My list"? - ANS-Patient lists activity > available lists >
find the desired list > right click system list and choose sent to My list.
When should you mark a patient as reviewed on the Clinical Overview list? What does
marking a patient as reviewed do? - ANS-when you have completed all actions you will
be at that time. This restarts the clock.
Who should use the Antimicrobial Monitoring List? - ANS-An infections disease
pharmacist covering a large population.
Who should use the Clinical Overview list? - ANS-A pharmacist covering a smaller
population
,Do Orders entered by a Pharmacist require verification? - ANS-Depends on how the
order is signed. No - if no cosign is required and the pharmacist selects "sign", then the
order will be verified. Yes - if a cosign is required, the order will appear in the verify
queue when signed, or if the pharmacist selects sign and verify, the order will be placed
in queue.
Who will be viewable to the pharmacist if they select "Orders" from the main toolbar? -
ANS-Any patient in Epic, not necessarily admitted.
Good way to enter order for guaifenesin-codeine liquid, 10ml PO, q4h PRN - ANS-gua
cod liq
what is a simple ERX record? - ANS-A record for a drug which includes:
drug + form + strength.
If two drugs have the different strengths, will they have the same ERX - ANS-No - a
different strength would mean a different ERX
Where do ERX records come from? - ANS-They are generally part of an upload, like
FDB, but are built by analysts as necessary (mixtures etc)
Facility List for Pharmacists vs Physicians - ANS-Exact same for both - All approved
drugs and procedures which are in stock
When a physician wishes to order a medication that is not viewable from their
preference or facility tab, what should they do? - ANS-Enter an order of "help" which will
make a non-formulary order appear. They physician should then continue to populate
the order with the details.
How will a non-formulary medication appear in the verify queue? - ANS-"Non-formulary"
will be the drug name
True or false: A pharmacist can make changes and approve an order for a
non-formulary request in verify orders - ANS-True. The pharmacist does not need to
notify anyone as the intent of the order is not changing. Within verify order, they can
select the product (ERX) and package (NDC). The physician does not cosign the order,
the nurse does not acknowledge it, and the MAR is changed.
, What does the binoculars icon mean on verify queue? - ANS-Someone else opened the
Verify Orders activity for this patient, but it's not open now. The order still needs to be
verified.
What doesthe icon with the person and binoculars stand for? - ANS-You were the last
person to open the Verify Orders activity for this patient, but you don't have it open now.
What does the the pencil icon mean in the verify queue? - ANS-Someone else currently
has the Verify Orders activity open for this patient.
What does the pencil and person icon mean? - ANS-You have the Verify Orders activity
open for this patient.
What does the star icon in verify queue stand for? - ANS-The patient's orders were
previously seen but not verified. Now, there are new or modified orders for the patient.
How do you obtain a list of orders needing to be prepped for surgeries the following
day? - ANS-Advanced Prep Report
What happens when a pharmacist changed an existing order in verify orders? (modify) -
ANS-- No notification of the change is sent to anyone.
- The MAR displays only the changed order
- There is no obvious indication of what the order originally looked like on the MAR
What happens when you discontinue an order and reorder ? - ANS-- The nurse
received a notification of the change
- MAR shows both old and new order
- The physician might need to cosign the order
When should you discontinue the order? - ANS-When there is a change in clinical intent
(e.g- therapeutic interchange or fixing incorrect orders)
When is it ok to change an order in verify orders ? - ANS--Dispensing changes (for
example:
product, package, dispense code)
-Approving non‐formulary requests
A physician needs assistance withan order as he is unable to see the drug he wants on
his preference list or facility list, though you are able to see the drug. where are you
seeing this drug? - ANS-On your preference list, as it shows you all drugs that are in
Fundamentals
Database tab for Pharmacists vs Physicians - ANS-Pharmacists have access to
Database tab at all times. It contains all items that have been imported from the FDB,
including unapproved and third party medications. Includes items that are not
configured.
Physicians only have access to this tab when reconciling home meds
Preference List vs Facility list - ANS-Preference list - A shorter list that contains
common medication and non-medication orders. All of these should be configured.
Facility List - Larger search that contains all medication and non-medication orders that
are formulary or non-formulary that are in stock. All of these should be configured.
Where do physicians typically leave notes like "okay to use pts own", or "actually
looking for drug x" - ANS-Notes to pharmacy
When reviewing a patient chart, how can you see if they have ever had a stroke? -
ANS-Chart Search
If you add a patient to "My List" will they drop off when they are discharged - ANS-No.
They would drop off of a system list, but not My List.
How do you add a patient to your "My list"? - ANS-Patient lists activity > available lists >
find the desired list > right click system list and choose sent to My list.
When should you mark a patient as reviewed on the Clinical Overview list? What does
marking a patient as reviewed do? - ANS-when you have completed all actions you will
be at that time. This restarts the clock.
Who should use the Antimicrobial Monitoring List? - ANS-An infections disease
pharmacist covering a large population.
Who should use the Clinical Overview list? - ANS-A pharmacist covering a smaller
population
,Do Orders entered by a Pharmacist require verification? - ANS-Depends on how the
order is signed. No - if no cosign is required and the pharmacist selects "sign", then the
order will be verified. Yes - if a cosign is required, the order will appear in the verify
queue when signed, or if the pharmacist selects sign and verify, the order will be placed
in queue.
Who will be viewable to the pharmacist if they select "Orders" from the main toolbar? -
ANS-Any patient in Epic, not necessarily admitted.
Good way to enter order for guaifenesin-codeine liquid, 10ml PO, q4h PRN - ANS-gua
cod liq
what is a simple ERX record? - ANS-A record for a drug which includes:
drug + form + strength.
If two drugs have the different strengths, will they have the same ERX - ANS-No - a
different strength would mean a different ERX
Where do ERX records come from? - ANS-They are generally part of an upload, like
FDB, but are built by analysts as necessary (mixtures etc)
Facility List for Pharmacists vs Physicians - ANS-Exact same for both - All approved
drugs and procedures which are in stock
When a physician wishes to order a medication that is not viewable from their
preference or facility tab, what should they do? - ANS-Enter an order of "help" which will
make a non-formulary order appear. They physician should then continue to populate
the order with the details.
How will a non-formulary medication appear in the verify queue? - ANS-"Non-formulary"
will be the drug name
True or false: A pharmacist can make changes and approve an order for a
non-formulary request in verify orders - ANS-True. The pharmacist does not need to
notify anyone as the intent of the order is not changing. Within verify order, they can
select the product (ERX) and package (NDC). The physician does not cosign the order,
the nurse does not acknowledge it, and the MAR is changed.
, What does the binoculars icon mean on verify queue? - ANS-Someone else opened the
Verify Orders activity for this patient, but it's not open now. The order still needs to be
verified.
What doesthe icon with the person and binoculars stand for? - ANS-You were the last
person to open the Verify Orders activity for this patient, but you don't have it open now.
What does the the pencil icon mean in the verify queue? - ANS-Someone else currently
has the Verify Orders activity open for this patient.
What does the pencil and person icon mean? - ANS-You have the Verify Orders activity
open for this patient.
What does the star icon in verify queue stand for? - ANS-The patient's orders were
previously seen but not verified. Now, there are new or modified orders for the patient.
How do you obtain a list of orders needing to be prepped for surgeries the following
day? - ANS-Advanced Prep Report
What happens when a pharmacist changed an existing order in verify orders? (modify) -
ANS-- No notification of the change is sent to anyone.
- The MAR displays only the changed order
- There is no obvious indication of what the order originally looked like on the MAR
What happens when you discontinue an order and reorder ? - ANS-- The nurse
received a notification of the change
- MAR shows both old and new order
- The physician might need to cosign the order
When should you discontinue the order? - ANS-When there is a change in clinical intent
(e.g- therapeutic interchange or fixing incorrect orders)
When is it ok to change an order in verify orders ? - ANS--Dispensing changes (for
example:
product, package, dispense code)
-Approving non‐formulary requests
A physician needs assistance withan order as he is unable to see the drug he wants on
his preference list or facility list, though you are able to see the drug. where are you
seeing this drug? - ANS-On your preference list, as it shows you all drugs that are in
