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Exam (elaborations)

ient Clinical Systems- Fundamentals Questions & answers

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ient Clinical Systems- Fundamentals

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  • July 4, 2024
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  • 2023/2024
  • Exam (elaborations)
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ient Clinical Systems- Fundamentals

Name of first screen that user sees when they log in - ANS-Startup activity

List of patients that I am following - ANS-My List

A list of patients that is automatically updated by the system - ANS-System List

Tabs along the left of the screen in a patient's chart - ANS-Activities

How can you tell there is an abnormal value? - ANS-appears in red

Schedule - ANS-list of scheduled surgical cases as well as outpatient appts- 1st startup
activity that surgeons see

Patient List - ANS-all admitted patients you are assigned to

Patient header - ANS-bar across the top of the patient workspace- key pieces of info are
here (mrn, allergies, etc.)

System list shortcut - ANS-

Accordion Report - ANS-allow you to drill down and trend patient info- only info from the
current admission, useful for patients in the ICU or PACU, customizable

Intake/Output activity - ANS-view-only activity used to review a patient's daily intake and
out put in table or graph format

Time Mark - ANS-indicate that they've already seen the notes documented up to this
point

File Time - ANS-time the user clicked Sign and saved the note to the patient's chart

Note Time - ANS-time note was composed

modify an order - ANS-actually means the original order is canceled or discontinued and
a new order is placed

, discontinue an order - ANS-orders that are no longer needed or are being replaced

pended order - ANS-saved order that has not been signed

preference list - ANS-most commonly placed orders for a given unit or specialty

synonym - ANS-different name for same order- use things like brand names,
mnemonics

EnRol - ANS-Enhanced Record Lookup- search against the first few letters

Order requiring cosign - ANS-orders that the physician has to review and give a final
stamp of approval.

principal problem - ANS-main reason for the patient's admisssion

chronic problem - ANS-ongoing problems that will not be resolved before discharge

NoteWriter - ANS-document patient's progess & current condition using point and click
functionality

Macro - ANS-predefined set of values that can be pulled into a note with a click of a
button

Why is it important to update the Problem List? - ANS-current hospitalization,
multi-disciplinary care, future care, decision support, billing, notes, my chart, meaningful
use

Incomplete vs Signed - ANS-

How can physicians ensure they're accurately billing the patient? - ANS--sign notes, be
sure correct problem is identified, review charges

acknowledge orders - ANS-you have seen the order

work list view and filter - ANS-tool to help nurses view and prioritize the task they need
to complete during their shift

How does adding yourself to the treatment team help maintain the system list? - ANS-

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