Epic Skills Assessment Role-Based Scenario Problems 5

Question 1

A respiratory therapist documents a ventilator setting change in Epic but the physician's order does not yet reflect the new parameters. What is the therapist's obligation?

Accepted Answer

Obtain a verbal or written order from the physician and ensure the order is updated in Epic to match the settings

Answer

Any change to ventilator settings must be supported by a corresponding physician order; the RT must obtain and document that order before or immediately after implementing changes.

Question 2

A patient calls the clinic and tells the nurse that they received test results in MyChart that they do not understand, and they are anxious. What is the nurse's best first action in Epic?

Accepted Answer

Pull up the result in Epic, review it in context, then call the patient back with a clear explanation or escalate to the physician if clinically significant

Answer

The nurse should review the result in context before responding to the patient, providing appropriate explanation or escalating to the physician based on clinical significance.

Question 3

An Epic super-user is training new registration staff and one trainee asks why they must verify the patient's identity using two identifiers before accessing any chart. What is the best explanation?

Accepted Answer

Two-identifier verification is a patient safety requirement under Joint Commission standards to prevent wrong-patient errors

Answer

The Joint Commission mandates at least two patient identifiers before accessing or initiating any care, which applies equally to EHR access and clinical procedures.

Question 4

A behavioral health counselor documents a session note in Epic and must ensure it is protected under 42 CFR Part 2 (substance use disorder confidentiality). What must the counselor confirm?

Accepted Answer

That the note is restricted using Epic's behavioral health/sensitive note confidentiality settings

Answer

Notes containing 42 CFR Part 2 protected information must be flagged with appropriate confidentiality restrictions in Epic to limit access to authorized personnel only.

Question 5

A hospital administrator reviews Epic's reporting workbench and finds that the door-to-balloon time for STEMI patients is consistently above the 90-minute benchmark. Which role is primarily responsible for investigating the Epic workflow contributing to this delay?

Accepted Answer

The Epic analyst or clinical informaticist working with the cardiology and ED teams

Answer

Door-to-balloon time optimization requires an Epic analyst and clinical informaticist to review the ED and cath lab workflows, order sets, and alert configurations.

Epic Skills Assessment Practice Test

Epic Skills Assessment Practice Test

Epic Skills Assessment Role-Based Scenario Problems 5