I have some dumb questions:ġ) In Cerner, it's easy to see all the pt's that have been dispositioned over the last 12 hours in the checkout tab. I'm soon to be switching from Cerner to Epic with my new job and am trying to acclimate myself again. Ok, it's been several years since I used EPIC, like 7 or 8. I can do a chart in under 2 minutes usually. I can dictate into Dragon while applying ROS, phys exam templates, changing what is needed in those templates, document EKG, then MDM, and final disposition. that automatically checks a bunch of stuff. Have a default chest pain, asthma-mild, asthma-distress, CHF-mild, CHF-distress, trauma-negative, trauma-neck pain, trauma-head injury, etc. You hit the template name, it applies everything, then you just modify what is different (or uncheck what you didn't ask). I have ROS templates for chest pain, chest pain travel, chest pain leg swelling/pain, migraine, influenza, etc. Keep in mind you can also create physical exam and review of system templates. I spent probably 40 hours developing all of these and they have saved immeasurable hours while in the ED. Need Colace to the right ear? Have a preference list entry for that. Tons of medications in the preference list as well. I also have all my favorite labs, x-rays, CT's, splints, etc. Seriously, it's one click and you're done (unless they have an allergy to something or you want to modify, but 90% are done with one click and then sign the orders). that automatically order PRN zofran, pain medications, CT's with symptoms already listed, fluids, labs, UA, etc. Abd pain for appy, left flank pain, right flank pain, diverticulitis, etc. Have sepsis with cath UA, sepsis with regular UA all have 30/kg bolus and necessary labs/cultures/lactate. The chest pain ones all order EKG, trop, cxr, etc. I have many order sets (60+) for high risk PE (automatically orders CT), low risk PE (orders D-dimer), etc. I forgot how it's worded - user order sets maybe?Īgain, would be better to show you with images, but Epic doesn't allow that. You can go to a preference list composer to edit. If you click it and open an order set, you will see a drop down menu that allows you to create a new set, edit existing, switch to a different one, etc. When you enter the order screen, our system has an "order sets" tab. I may can show you online via GoToMeeting if you are interested.ġ. Unfortunately, this is best described with the use of photos, but Epic's copyright prevents me from posting them. Under the header for HPI, I have (chief complaint) and our system's customized HPI template (you can find your system's default history template by right clicking the area where text is populated and noting the name of the template if you put that name in between 2 it will bring up the template). I have several history/physical templates based on STEMI, trauma activation, stroke, default, etc.Įach one brings up various things.
You can create custom templates that bring this all up and put it in the ED note writer section. bmie (displays height/weight, BMI, etc.) vsranges (displays range of vital signs during the visit) vitalsmultiple (displays last 3 vital signs, but includes weight and height)
vitalsigns (displays last 3 vital signs) edtriagevitals (for triage vitals, displayed in table format) If you are inserting into a customized smartphrase (your own smart phrase), then everything would be between signs (like ). If you want to type them in your note, then type "." followed by the name. Keep in mind that each system may have their own unique smart phrases.
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