RX305 (Lesson 6): CONFIGURING DISPENSE LOGIC Exam

EPIC automatically determines a dispense location for an order based on: - Answer- The patient's unit The dispense locations (pharmacy records) that dispense to that unit, in order of preference What medications are available in each dispense location, as defined by the medication list record attached to each one Package (NDC) - Answer- A pharmacy's medication list tell the system the medication and specific _______________ that can be dispensed from there. TRUE - Answer- TRUE/FALSE: If a medication is not on your central pharmacy's medication list, the system could still choose central pharmacy as the dispense location. The Package (NDC) - Answer- An order comes through for a medication that is not on the central pharmacy med list. What field is missing? AND logic - Answer- If you fill in two fields in the same row, the system uses what logic? OR logic - Answer- By listing a pharmacy multiple times, the system uses this logic. Each row has one column filled in. The lines must be adjacent. Highest DEA code - Answer- This field is a way to tell the system how to dispense controlled medications. Think of it as the "Least restrictive DEA code." The DEA code you enter and any codes that are more restrictive will dispense from this location. TRUE - Answer- TRUE/FALSE: If no NDC is selected at the main pharmacy, pharmacists must select one manually during verification. TRUE - Answer- TRUE/FALSE: Dispense logic is set up at the Unit level. Epic evaluates pharmacies in the order that they are listed. TRUE - Answer- TRUE/FALSE: EPIC selects a pharmacy as a dispense location if: The medication is stocked at the pharmacy (on the med list) & there are no restrictions preventing it. TRUE - Answer- TRUE/FALSE: If EPIC cannot find the medication at any listed pharmacy, the main pharmacy (in your Hospital record) is selected. How does EPIC pick a dispense location? - Answer- 1. The system considers the pharmacies you listed, in the order listed, as dispense locations for any order placed for a patient in your Unit. 2. The system only dispenses from a pharmacy that has the medication on the medication list (EFY) record attached to the pharmacy (PHR) record. The NDCs on the list determine which package dispenses. 3. If none of the listed pharmacies have the medication, the system selects your hospital's main pharmacy, typically Central Pharmacy, but there will be no package selected. A Pharmacist must manually select a package (NDC) before the order can be verified. What does the "Limit to Medication List" field do? - Answer- Epic will dispense medications from the associated pharmacy if the meds are: On both the Limit to...list & the pharmacy's med list. What can I use to quickly find information about why a medication is dispensing incorrectly? - Answer- From the Order HX, I can click Troubleshooting Dispense trace, & read the report