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Exam (elaborations)

Epic Terminology Questions & Answers

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  • IV PIGGYBACKS
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  • IV PIGGYBACKS

Account Maintenance - ANSWERSA module that allows billers to see financial activity for a guarantor account (Professional Billing) or hospital account (Hospital Billing, Home Health Billing, Coding and Abstracting). ADT (aka Grand Central) - ANSWERS"Improves bed utilization and gives users the t...

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  • October 11, 2024
  • 2
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • IV PIGGYBACKS
  • IV PIGGYBACKS
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IV PIGGYBACKS (Lesson 9) RX 405
(CONFIGURING PREMIX IVPBs)
Questions & Answers
TRUE - ANSWERSTRUE/FALSE: The way you dispense an IV piggyback is based on
the patient, the dose, & what's available. End users shouldn't have to make that
decision, so we use IMS for mixtures to streamline the process.

TRUE - ANSWERSTRUE/FALSE: Without IMS, clinicians select a dispensable.

TRUE - ANSWERSTRUE/FALSE: With IMS, clinicians select an orderable & EPIC
decides what to dispense.

When Configuring IMS for Mixtures: - ANSWERS1. Create & configure all simple &
mixture ERX records for an IVPB - These are your "dispensable" records; Add them to
the appropriate medication lists (Central Pharmacy) to indicate that they are available &
on Formulary list; Do not include dispensables or ingredients on preference lists (no
green dots), unless they are ingredients of a mixture that might be ordered on their own.
2. Create an orderable ERX record - This is the record your clinicians interact with;
Assign the appropriate OCC, default values & buttons, standardized dosing, &
contextual overrides.
3. Map the orderable ERX record to your "dispensable" records - List the dispensables
in the order of preference, from top to bottom; For each dispensable, indicate when it
can be used, based on patient age, patient weight, and/or the ordered dose; Choose
one dispensable to be the failsafe (in case IMS fails)
4. Add the orderable record to - The central pharmacy medication list & the formulary
(include the green dot, so appears on the pharmacy pref list & facility list); Profile
preference lists for physicians, nurses, etc.; Order Sets, panels, etc.

TRUE - ANSWERSTRUE/FALSE: For each dispensable, EPIC checks: Is it on the
central pharmacy's medication list & does it match the criteria (such as patient age
and/or dose)? If the answer to either question is no, IMS won't consider that
dispensable. It's effectively removed from the process.

TRUE - ANSWERSTRUE/FALSE: In the Order Display Name, indicate the IVPB is a
premix. The Order Display Name appears in Verify Orders, allowing the Pharmacist to
tell which dispensable was selected.

TRUE - ANSWERSTRUE/FALSE: When configuring the Order Composer for Premixes
make sure of the following: The only possible dose should be the exact dose of the
premix; There should be a default "Administer Over" & appropriate buttons; The system
should automatically calculate the rate based on the "Administer Over" & the total

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