Epic trainer Evelyn Chen keeps her instructions simple when she teaches new employees how to navigate the electronic medical record system that spans Johns Hopkins Medicine. There will be plenty of time later for users to tailor the system to their departments and roles.
“The users are already overwhelmed with the amount of features to learn,” says Chen, who was a “super user” nurse at Howard County General Hospital when it adopted Epic in 2013. She is now a principal trainer for ASAP, the Epic module for managing emergency room visits. She’s also leading efforts to update the resources that are available, rolling out new tip sheets to help make time in front of a computer more logical and efficient.
Some of the new information will help users prepare for a September upgrade, which will add features and change the look of the templates in Epic. Weekly bulletins about the upgrade will begin July 1 and continue through this fall.
Where to Find Resources:
- Epic Tips and Tricks link can be found by clicking the Epic button on the top left after logging in, and then going to the Help section.
- Quick Start Guides (QSGs), which provide overviews of Epic use by role (for example: ambulatory surgeon or Emergency Department nurse) are being updated. They can be found under the application within the Classroom Training Materials section in the Training Portal. QSGs with the blue JHM logo have been updated with information about Epic 2017.
- News about current Epic features coming to production are posted in Epic News. To receive relevant information by email when it becomes available fill out the form that can be reached by clicking “page” on the top left of the screen, then the “alert me” button.
- Find resources and reports on the Epic toolbar by going to the My Dashboards workspace and selecting the template specific to your role and entity, then linking to resources or running reports.
Tips for Personalizing Epic:
- Use Epic SmartTools to automate your documentation. SmartLinks pull information from the patient record into the documentation; SmartTexts auto-populate a larger block of text after a few characters are typed. Add the SmartTexts you use most often as favorites.
- SmartPhrases are similar to SmartTexts, but can be personalized. A new Personalize button on the Epic toolbar helps tailor SmartPhrases, order sets and preference lists.
- Refer to this checklist to find a list of tip sheets for personalizing what you use frequently. Then find the relevant tip sheets on the Tips and Tricks page.
- Make sure to log in to the correct department, because the system’s navigators are designed for the workflow in each specific area. If you log into the wrong department – for example emergency medicine instead of hospitalist -- use the Epic button and then click Change Context to quickly log into another department without logging out of Epic.
- Document in real time, or as close to it as possible. Real-time documentation is particularly important for clinicians who use flow sheets to record numbers-based data, such as weight or blood pressure, because it ensures that the information is available to the patient’s care team.
- Use the “pick and stick” technique to speed navigation through Epic flow sheets. Click on the “Doc Detail Report” link on the right side of the flow sheet screen. Then left-click to pick the option, and right-click to make it stick. This will automatically advance the cursor to the next flow sheet row, eliminating the need to scroll up and down. This trick is a particular time-saver for nurses, respiratory therapists and others who document frequently in flow sheets.
- Use filters to find information quickly. For example, a clinician can filter the encounters or notes in Chart Review to narrow down the search.
- Use the Chart Search (within a chart, press the control key and spacebar) to quickly search for something in the patient’s chart. To search for an activity or function, type a few letters of the name of the activity but don’t press “enter.” After a moment, a list of matching Epic activities will pop up to the left of the “Search the Chart” list.
- Look before clicking to make sure that the correct patient is being documented and that accurate information has been added to the record.
- In orders or medication-related documentation, do not use abbreviations that are prohibited; they are easy to misread. For example, IU, for international unit, could be confused with IV. Use of other abbreviations is strongly discouraged.