Epic: Willow
1) For each medication listed below, match it to the most appropriate OCC record.
OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS(a unit dose compound) -
ANS-RX SIMPLE MED
For each medication listed below, match it to the most appropriate OCC record.
AMLODIPINE-HYDROCHLOROTHIAZIDE (MODURETIC 5/50) COMBO TABS (a solid
form mixture) - ANS-RX BULK PRODUCT NO DOSE REQUIRED
The solid form mixture points to this one.
For each medication listed below, match it to the most appropriate OCC record.
HYDROCHLOROTHIAZIDE 12.5 MG CAPS(an IMS solid) - ANS-RX SIMPLE MED
For each medication listed below, match it to the most appropriate OCC record.
HYDROCHLOROTHIAZIDE 6.25 MG SPLIT TABLETS(a custom ERX for split tablets) -
ANS-RX SIMPLE MED
You've been asked to configure the ERX records for phantasidose (Trainex) tablets.
This new knowledge-enhancing medication is available in three commercial strengths:
50 mg, 100 mg, and 200 mg tablets. Your P&T committee approved the medication, and
your buyer has purchased all three strengths.
When you configure these three ERX records, which of the following fields should have
the SAME values in ALL THREE records?
a. Order Display Name
b. Medication Short Name
c. Medication Brand Name
d. Inpatient Order Name Suffix
e. Default charge method
f. Default Frequency
g. Suggested Doses (dose buttons)
h. Medication Unit
i. Administration Unit
j. Dispense Unit
k. Equiv Qty and Unit[JPS1]
l. Allowed Order Units
m. Allowed (& Default) Routes
n. Frequency Buttons
, o. Route Buttons - ANS-Equiv Qty and Unit
This should be different, reflecting the strength of each pill.
Which of the three phantasidose (Trainex) tablet ERX records should be on your central
pharmacy's medication list? What about on your formulary medication list? - ANS-All
three should be on both
1) On each of the lists in question 3, which ERX records should have a green dot next
to them? Why? - ANS-Only the 50 mg tab should have a dot. It's an IMS drug (multiple
strengths of the same drug + form), so you only want/need one of them on the linked
preference lists.
1) After you set the records up, a technician approaches you with this first dose label for
3 first doses:
He points out the dispense amount. "1.5 tablets? But we don't dispense partial tablets
unless they've been split and repackaged in bulk." He's right, you don't. Which of the
following do you need to do to fix this? Choose ONE answer only.
a) Change the Allowed Order Units in the ERX record to only include "tablet"
b) Change the Default Dispense Code to "Solid Form Mixture" in the ERX record
c) Change the Dispense Rnd Factor to "1" in the ERX record[JPS1]
d) On the Label Routing table for your pharmacy, change the Group? column for this
dispense code - ANS-This is the problem. Each dose is 0.5 tablets, but in this scenario,
you should be dispensing 3 separate tablets. The Rnd Factor is set to 0.5 (or blank).
And yes, it should be 3 tablets being dispensed. There are 3 first doses. Each one
should have a dispense amount of 1 tablet. This label is grouped, so it should be 3
tablets for 3 doses.
1) Trainex has been so popular that there's now a shortage on 50 mg tablets. You run
out! The 100 mg are still available, so you start splitting them in bulk and repackaging
them as 50 mg "split tablets."
You configure your custom ERX for phantasidose (Trainex) 50 mg split tablets, add it to
your central med list, and select it in the Orders activity. But when you change the dose
from 50 mg to 100 mg, it doesn't change to the 100 mg tablets; it's dispensing 2 x 50 mg
split tablets from Central Pharmacy. Name two settings that could be preventing IMS
from working correctly.[JPS1]
[JPS1]See chapter 3
In the ERX, possible culprits are:
· Use IMS when this is ordered? (should be Yes)
1) For each medication listed below, match it to the most appropriate OCC record.
OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS(a unit dose compound) -
ANS-RX SIMPLE MED
For each medication listed below, match it to the most appropriate OCC record.
AMLODIPINE-HYDROCHLOROTHIAZIDE (MODURETIC 5/50) COMBO TABS (a solid
form mixture) - ANS-RX BULK PRODUCT NO DOSE REQUIRED
The solid form mixture points to this one.
For each medication listed below, match it to the most appropriate OCC record.
HYDROCHLOROTHIAZIDE 12.5 MG CAPS(an IMS solid) - ANS-RX SIMPLE MED
For each medication listed below, match it to the most appropriate OCC record.
HYDROCHLOROTHIAZIDE 6.25 MG SPLIT TABLETS(a custom ERX for split tablets) -
ANS-RX SIMPLE MED
You've been asked to configure the ERX records for phantasidose (Trainex) tablets.
This new knowledge-enhancing medication is available in three commercial strengths:
50 mg, 100 mg, and 200 mg tablets. Your P&T committee approved the medication, and
your buyer has purchased all three strengths.
When you configure these three ERX records, which of the following fields should have
the SAME values in ALL THREE records?
a. Order Display Name
b. Medication Short Name
c. Medication Brand Name
d. Inpatient Order Name Suffix
e. Default charge method
f. Default Frequency
g. Suggested Doses (dose buttons)
h. Medication Unit
i. Administration Unit
j. Dispense Unit
k. Equiv Qty and Unit[JPS1]
l. Allowed Order Units
m. Allowed (& Default) Routes
n. Frequency Buttons
, o. Route Buttons - ANS-Equiv Qty and Unit
This should be different, reflecting the strength of each pill.
Which of the three phantasidose (Trainex) tablet ERX records should be on your central
pharmacy's medication list? What about on your formulary medication list? - ANS-All
three should be on both
1) On each of the lists in question 3, which ERX records should have a green dot next
to them? Why? - ANS-Only the 50 mg tab should have a dot. It's an IMS drug (multiple
strengths of the same drug + form), so you only want/need one of them on the linked
preference lists.
1) After you set the records up, a technician approaches you with this first dose label for
3 first doses:
He points out the dispense amount. "1.5 tablets? But we don't dispense partial tablets
unless they've been split and repackaged in bulk." He's right, you don't. Which of the
following do you need to do to fix this? Choose ONE answer only.
a) Change the Allowed Order Units in the ERX record to only include "tablet"
b) Change the Default Dispense Code to "Solid Form Mixture" in the ERX record
c) Change the Dispense Rnd Factor to "1" in the ERX record[JPS1]
d) On the Label Routing table for your pharmacy, change the Group? column for this
dispense code - ANS-This is the problem. Each dose is 0.5 tablets, but in this scenario,
you should be dispensing 3 separate tablets. The Rnd Factor is set to 0.5 (or blank).
And yes, it should be 3 tablets being dispensed. There are 3 first doses. Each one
should have a dispense amount of 1 tablet. This label is grouped, so it should be 3
tablets for 3 doses.
1) Trainex has been so popular that there's now a shortage on 50 mg tablets. You run
out! The 100 mg are still available, so you start splitting them in bulk and repackaging
them as 50 mg "split tablets."
You configure your custom ERX for phantasidose (Trainex) 50 mg split tablets, add it to
your central med list, and select it in the Orders activity. But when you change the dose
from 50 mg to 100 mg, it doesn't change to the 100 mg tablets; it's dispensing 2 x 50 mg
split tablets from Central Pharmacy. Name two settings that could be preventing IMS
from working correctly.[JPS1]
[JPS1]See chapter 3
In the ERX, possible culprits are:
· Use IMS when this is ordered? (should be Yes)
