Flowsheets
More Flowsheets
& More Flowsheets
MAR & Education
Care Plans
100
While designing the clinical documentation system in your hospital, a colleague pulls up the flowsheet template you just created in the test environment. She clicks Add Rows and selects the coma scale group. The group appears in the middle of the flowsheet template. “Wow,” says your coworker. “How did you get that to happen?”
Explain to your colleague: “I attached the coma scale group to the flowsheet template, between the Vital Signs and Oxygen Therapy groups. Then I selected the Start Removed box so the coma scale group would not initially appear on the flowsheet, but only when you added it by hand.
100
To create a custom formula row, the administrator needs to tell the system which rows to calculate. The correct format for the formula is: a) {1091}+{1094}+{1096} b) {eyes}+{verbal}+{motor} c) (1090)+(1094)+1096)
Answer: a) {1091} + {1094} + {1096} Record IDs in a custom formula are denoted by squiggle brackets.
100
True or False? A default flowsheet set in a profile record can never be overridden.
False. Users can create their own flowsheet template tabs by clicking the wrench. The first tab is the default for that user.
100
Because the doses need to be so precise, anyone working with a patient in the neonatal ICU should get another nurse to double-check and sign off on all medication administrations. Where should you set the requirement for dual signoff?
Configure the dual signoff requirement in the neonatal ICU department record
100
Where and how would you build a care plan variance?
Variances are built on the administrative side of EpicCare Inpatient. The path is: Care Plans, Patient Education > Variances (IVT). There, you give the variance a name, synonym(s), category, and attach a SmartText.
200
What does the Restrict Rows check box in the Flowsheet Template record control? Why is this useful?
Selecting the Restrict Rows box locks down the flowsheet template so that you may only add groups specified in the template record. This prevents end users from documenting unintended information on the flowsheet.
200
How do you associate a numerical value with the choices in a custom list row?
Enter a number as the Abbreviation for the custom list value.
200
You can set flowsheet template tabs in: a) Department records b) Profile records c) Preference lists d) All of the above e) None of the above
B – Only Profile records contain the “Template Order” of tabs.
200
Which of the following records is the only place where administrators can require users to give a reason for not using a barcode scanner when administering medications? a) Profile b) Role c) Security class d) System Definitions
A) Profile
200
How many SmartTexts can you attach to a basic Goal record?
You can attach only one SmartText to a Goal record.
300
Why should you use the value type of “Patient Weight” instead of “Weight?”
“Patient Weight” allows for age-based min/max values and units. “Weight” requires you to pick one configuration for all patients, regardless of age. The “Weight” value type is older functionality only used for historical customers with previously released weight rows.
300
When building a cascading flowsheet trigger row, what difference does it make to enter “Prompt users” versus “Add without prompting users” in the Method field?
“Prompt users” causes the Cascading groups/rows window to appear, where users can pick which rows and groups they would like to add to the flowsheet. “Add without prompting users” triggers an automatic cascade that does not give users a choice of what to add.
300
True or False? A preference list must be marked as released in order for an end user to see it.
False. A preference list does not need to be released; it needs to be linked to either a profile or to a location, service area or facility record in order for an end user to see it.
300
True or False? When building teaching titles in the Patient Education Editor, you must include teaching topics.
False
300
What setting in which master file controls who can document in the Care Plan activity?
The Discipline set in the Provider master file controls what goals a clinician can document on in the Care Plan activity.
400
True or False? Cascading rows always appear in the order they are attached to the flowsheet template record, regardless of how the end user cascades them on to the flowsheet.
True. Both automatic cascades and the Cascading groups/rows window respect the order of records attached to the flowsheet template, even if they start removed.
400
Bonus: True or False? If you do not select the Show abbreviation check box in a flowsheet row record, the list buttons in a flowsheet navigator section do not display the abbreviations.
False. Abbreviations ALWAYS appear in the custom list buttons of flowsheet navigator sections. Selecting the Show abbreviation check box causes ONLY the abbreviations to appear.
400
Nurse Jackson clicks on the selection button in the Doc Flowsheets activity and sees two tabs: “Preference List” and “Facility Pref List.” Why does he see two different preference lists? Bonus: Why doesn’t he see a “Database List” tab?
Nurse Jackson sees two tabs because two preference lists have been set up for him. The “Preference List” tab reflects the preference list attached to his profile. The “Facility Pref List” tab is a preference list that is attached to a location, service area, or facility record related to where he is logged in. Bonus: He does not see a “Database List” tab because the restriction was set in his profile: “Restrict users from pref lists: Database only.”
400
True or False? Patient education topics can be attached to multiple teaching titles.
True
400
True or False? Flowsheet rows are attached to intervention templates and goal templates.
False. Flowsheet row records are attached to basic intervention or goal records in Clinical Administration.
500
Planning ahead is an important part of building assessment flowsheets. Name two pieces of information you must capture when planning or diagramming an assessment flowsheet with cascading rows and groups.
Answers include: which rows and groups appear on the flowsheet initially, which rows trigger a cascade, which rows and groups are part of a nested cascade, the display names of all the records, and the order of the rows and groups on the flowsheet template.
500
Why would you want to limit the flowsheets a clinician can access?
Facilities often create hundreds of flowsheets, some which are specific to certain disciplines and departments. Limiting the flowsheets a clinician can access is beneficial, as they can be directed to the tools they need and not have to spend time searching for the right flowsheet. It can also prevent mistakes in charting if a clinician uses a flowsheet not intended for their purposes.
500
Name and describe the three main parts of a flowsheet.
Rows are the smallest pieces of the flowsheet. They document a single line of discrete data over time. Groups are collections of rows, used to organize information and create efficient administrative build. The Flowsheet template is the record of the flowsheet itself. It contains the groups and controls how the entire flowsheet “behaves,” including which groups can be added to it, which groups may be removed, and the name of the flowsheet button in the Doc Flowsheets activity.
500
Name two outcomes that a task template can cause.
Task templates can populate titles, topics, and points on to the Patient Education record. They can also cause new rows and groups to appear on flowsheet templates, or new tasks to appear on the Work List.
500
Suppose you want to build a care plan template. Which should you build first: the interventions in Clinical Administration, or the intervention templates in Hyperspace?
You must build the basic Intervention records in Clinical Administration first, because they must be attached to the Intervention Template records.
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