Notes that Counts
True or False: You should always promise a turnaround time to a patient for when their telephone message encounter will be addressed?
False-you never promised a turn around time. Providing a turn around time gives false hopes to patient. You may advise patient to call back if they do not hear from the office to follow up.
What 3 information needs to be entered in the appointment visit notes?
Patient's chief complaint or reason for appt
Patient's refusal 911 or ED.
Patient's PCP
Starting Oct 1st, PACT nurses will need to page the surgeon if sending patient to ED. What is the time frame of the surgical procedure that requires a page?
Any surgical patients that within 6 weeks of their procedure.
What form should be submitted to report Epic On Call concerns, such as an incorrect provider assignment, unclear instructions, or paging-related issues?
Epic On Call Errors and Opportunities Form
If your patient reports right leg pain after traveling 6 hours on a plane and you reach a disposition of ED/ICC/UCC, where should you send the patient?
Under your triage template note, what should you include in the smartphrase "Pain"
You scheduled a patient and came across a warning 'Held by Provider" how should you proceed?
Do not schedule patient-this appointment is off limits unless you receive verbal confirmation from the office. Confirmation note must also be documented in the triage note.
If you recieve a critical INR and the patient is being managed by Anticoagulation Clinic. Who should you call the abnormal INR level to?
A. PCP who orders the Warfarin
B. Anticoagulation clinic
C. Report them all to Dave Banta
B. Hand off the results to the AC Clinic staff for follow up and management.
How many Monday and Friday shifts must a nurse select when completing self-scheduling?
At minimum, 3 Monday and 3 Fridays.
When entering an origami, what is the primary department and what is secondary department?
Primary department is the department that needs the improvement. Secondary department is the department who is reporting the event/issue.
When documenting a difficult caller, what should you do to your note prior to closing?
Block the patient from seeing the note by unchecking the "Share w/Patient" and provide reason for blocking the note.
You triage a patient and recommend patient to be seen in 24 hours. You see that the patient has not met his provider and has an upcoming establishing care appointment next month. What appointment type must you make?
PC New Acute. In the decision tree, you would select "New patient"
For Clinic Consultation, during office hours, if the RN needs to downgrade a disposition, orders, or general guidance. What are the three steps to OH paging?
1. Call CDL
2. Page if unable to contact provider after attempting CDL.
3. Clinic Direct Line Escalation Pathway.
When entering PTO, what must be included in your request?
Include your shift, first and last name, job title and if you are PEDS or Adults
Together as One
False smartphrase should not be deleted or left blank. If the field was not assessed, write "not assessed".
Use Office Visit/Follow up for any dispositions greater than 3 days.
Why would you avoid opening the Anticoagulation Flowsheet?
Opening the flowsheet locks the encounter and can delay care. Instead use the red "W" in the storyboard to access anticoagulation details.
If you are being Low Census, what must you do your timecard to make your supervisor happy?
Please clock out in Symplr using LC (unpaid) or LCP (PTO use). In the prompt hours field, enter the total number of hours you were scheduled to work that day.
What is a passing score for an audit?
88%
When a patient contacts the triage line regarding a specialty provider, such as a cardiologist, what must be completed before ending the encounter?
You must update the encounter provider to the specialist. Once you close the encounter, this information cannot be edit.
What should you do if you need to scheduling sibling appointments?
Transfer caller to the rep to schedule sibling appointments.
If the patient reports more than one symptom and your first protocol leads you to an appointment within 24 hours, what must you do?
Always review a secondary protocol when applicable to confirm it does not lead to a higher disposition, such as ED or 911
What must you do to your timecard prior to end of pay period?
When should meal breaks not be taken?
7:30-10a and 5p-6:30p. Should not be taken within first hour or last 1.5 hours of a team member's shift.