Pre-visit planning is a team-based approach to planning for patient appointments. Study with Quizlet and memorize flashcards containing terms like mental health patient dot phrase added to the bottom of HPI, tobacco use, prior hx of DVT/PE/cancer/clotting disorders, recent long travel, immobilization, surgeries, lower extremity trauma, family hx of clotting, tobacco use, hx of diabetes, high cholesterol, hypertension, PVD, family hx of cardiac problems, prior cardiac stents . Resp: respirations unlabored on room air Feel free to borrow liberally from my collection of dot phrases which is largely Urology focused. ]a9E
|uV$e$T(\X]8,sei2dV0a@.3gF:q5'gl aUy$ The following are what I use, it may not call the same labs or data with your version of Epic however. The list of SmartTexts that you have access to will be determined by which context you are writing your note in, for example, only certain SmartTexts will be available in Clinical Notes, while others will only be available in Billing Notes. Some EHRs, like Epic, allow clinicians to share their smartphrases. future appointments .vshosp or .vs or.vitalsm - vital signs .iobrief - ins and outs . Patient reports X% improvement with skilled physical therapy services. 1121 0 obj
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Write it. Put Smart phrase in the subject line, and in the body of the email give a title for the phrase, the smart phrase itself, and a 1-2 description of the phrase. @LASTLABX(creat)@, *** ,MD . A discussion of each, including examples and use cases, is below. %PDF-1.7
Epic has a variety of tools that can make writing patient notes faster and easier: SmartPhrases Also known as "dot phrases," SmartPhrases allow commonly used chunks of text to easily be inserted into patient notes or discharge instructions by typing a period (the dot) followed by a short user generated phrase. Commonly Used .dot Phrases/SmartLinks Pediatrics momob.pnoteMom's age, OB history, prenatal labs .momobtype.dictateMom's ABO and RH .birthweightchange birth/current % of difference .preoppeds pre op H&P .bmi calculated from ht/ and wt .wfa, .wfl, .wfs growth chart percentiles .diagx.dol days of life for baby The more general you can be the better. If you use the phrases in your chart notes you alone are responsible for the correctness of the content of the chart note. Are short, being no longer than about 150-200 words. Have brief references so any equations or evaluations can be looked up. Copyright 2019 All Rights Reserved by Sanders & Sons. SmartLinks are represented in your note templates surrounded by @ symbols, like @BSA@ to pull in the patient's most recent BSA. To find tutorials on the app and advanced settings, press CTRL+H to open Booster, then click on link in upper righthand corner. Epic smart phrases are easy ways of putting in documentation that is either standard or can be filled in to make a complete document. %
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Typically, System SmartPhrases are configurable only be administrators, and they are available to all users (or can be restricted by location or department). Has placeholders to fill in unknowns, specifically ***. 1701 0 obj
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4y-4 For note-based fields that are SmartTool-enabled (almost all are), there will be a field where you can search for and insert a SmartText. <>
Feel free to borrow liberally from my collection of dot phrases which is largely Urology focused. Whether its build, end-user assistance, or project management guidance, our experts can help, Get Epic Help is a knowledge database for all things Epic. BLUF: Put your greatly used EPIC smart-phrases (or specific requests for) here for the sake of us all. Then left-click to pick the option, and right-click to make it stick. 1694 0 obj
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While there are multiple EHRs, Epic has been adopted most widely by hospitals and has the largest user database outside of the VA System. Let us know how we can help optimize your Epic system. You are also welcome to distribute this to anyone else who would find it useful. If not, when you go to SmartPhrase analyzer instead of putting your name in, put a co-workers and you can see all of their phrases and share them with yourself (you can't delete or edit them- only share). Sing it. >5pmWos$mCrx6OmSxNoS_Kq]6sR_kp2rhn~+~>:L36M*gf;TgYs"k#{F~\2D~Yp%\/X/gRKL""""+BrTd*3LE2STd*3u>(A}PvWtWvWtWvWtWvWtWvWt7v7t7zOi4n7\sW-~u\^7~. Next week: t+7. Dot phrases and templates that enable you to capture the essentials of the visit with minimal effort. Creating your own dot phrase It's also very helpful to create your . Swing to it. The dot phrases are user specific. highlight the phrase, and click Edit. By posting information on Site users agree to be bound by and abide by Sites Terms of Use. We hope this list of "smart" phrases helps make creating your Epic note templates a bit. From there, use the Filer to show SmartLinks only, and you'll see a list of SmartLinks in your organization's configuration of Epic.What are SmartPhrases?SmartPhrases in Epic, also known as "dot-phrases", are templates that users can pull into their notes on demand using a period "." Lf`qi0LH70d\Hed`200$3
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3. EPIC dot phrases!!UniversityHospital!.name - patient name .mrn - MRN .age - age . MSK: no edema Skin: no rashes Oakland University William Beaumont Was It Worth It? This are my dot phrases for the classic trio. COVID Negative .covid19negative - to be utilized for negative COVID Results . 4 0 obj endobj
Can we add various dot phrases for different medical problems and share it here for people to benefit from it . jHd8RJE_b@jvMn1}K$X.ib%U+ ckIc[$eg.n$Spw&HOZC$q${2` 7!S5[ wuv%MFCppK8MGA/uP uMu97'l Hp^Bd[e]QWG0Z{7GT3w }g}d!9zUeb@Nwc*=vFf~,Qpm_&q5.b*euy(,D_Z}%n2I[2p8$4 N*(+e}hbcA=/HPNJl N{seEN(_?%,7AAR9)[xi5yvs/b^w`eF._#QoMW7>-dxQk_sQ'Ev5xs3uz.T 179 0 obj
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CV: RRR Admissions, discharges, consultsthese should rarely take more than 10 minutes. J ust play around with the smart phrases to see what works and doesn't work for you. * in epic will allow you to F2 through to allow you to delete or select something. . Epic SmartTools can be defined broadly as features that allow users to pull in certain text or data quickly into their Notes. Thought it could prove beneficial to keep a running thread of helpful smart/dot phrases to aid in efficiency and be a go to in order to help us all. H\@yZv/W!vayN`LB~4=0=NJwf~fwv Step #1. 2#Q>E:aGc7^'+U+xI_|zdJ-xrj[_*6Ln{v{?8IB
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_7xG_GDLbD=;1C4GI,3;SF0>zRI}d"LA&c={K^Z{-%f,@AnyzP71kiS=o9hiy>6?R,TrErdEh Yro). b. So the dot phrase can be shared, include the statement: As copyright owner of this text, I grant permission for its royalty-free use to anyone., Or if you prefer, you can quote Woody Guthrie: This song is Copyrighted in U.S., under Seal of Copyright # 154085, for a period of 28 years, and anybody caught singin it without our permission, will be mighty good friends of ourn, cause we dont give a dern. If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. Someone in your department should share them with you. I always suck at streamlining my note writing and I know there so many ways I could optimize my workflow through Cerner or Epic, but cant find the time to learn it. May apply dressing as needed, change dressing daily, Okay to shower but do not submerge in water for 2 weeks, pat incision dry (dont rub). << /Length 5 0 R /Filter /FlateDecode >> <>
Your name will display in the user's column. Type "ES App" and click Search to find the ES Appointment Search report. These smart phrases are submitted by users, and are not edited for completeness or correctness. % GI: soft, ND, NT, no CVAT stream For young children, this can include play-related activities, such as: Ball playing Jumping Running Doing puzzles Stacking blocks. So Epic is used in 34% of healthcare settings in the US. endstream
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No more staying after hours or working from home completing your notes. .Reassess = Patient is a @AGE@ year old @SEX@ that presents with X. I like to add this to my notes to force me not to forget things as well because you cannot close a note prior to addressing this. q of Covid dot phrases, type ".covid" into Notewriter in Epic .
Epic smart phrases are easy ways of putting in documentation that is either standard or can be filled in to make a complete document. Studentdoc.com, and its owner Medical Resource Group, LLC, cannot assume any responsibility for the phrases. The below article delves deeper into Flowsheet SmartLinks: How to Make a Flowsheet SmartLink in EpicFor a full list of SmartLinks available to you, you can open a note and click the icon with the person and a .? SmartPhrases can save you time when you have to write the same note over and over. Templates should be used for physicals, routine office visits, televisits, procedures, patient instructions, specific parts of exams (e.g., knee . Neuro: no focal deficits, Labs: endobj
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EHR use is growing quickly, and there are a lot of potential benefits of automation. %PDF-1.6
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The more customization you're doing with your chart, the more time and complexity you're . 3. Do not drive or operate heavy machinery while using narcotics. What are SmartTexts?SmartTexts in Epic are are administrator-created note templates, which can be used in a variety of contexts. Patients are scheduled for follow-up appointments. Click Go. Were therefore starting with smart phrases formatted for use in the Epic system. Interns take note. Click on the "Doc Detail Report" link on the right side of the flowsheet screen. 0
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Home Medications: Stringing beads. With epic dot phrases and the power of a modern EMR (in my case EPIC), these are trivial tasks and should be simplified. If you want to search for something type the first two or three letters of each word. JLV - Sorting Results At the bottom righthand corner of each Widget, you can select "More" which opens a pop- up 4 0 obj
Name the smart phrase and paste the image in the content box by using the CTRL+V function on your keyboard or by right clicking and choosing paste from the pop-up menu 11. Some of these programs literally help the staff, Medical billing software is just one example of the variety of programs available to make medical offices work more efficiently., Copyright 2020 Medical Resource Group, LLC. Before you arrive for a medical appointment, call and inform your physician or other 3 0 obj
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Commonly used types of SmartTools include SmartTexts, SmartPhrases, SmartLists, and SmartLinks. BX /Sh0 sh EX Q For example, if you give a smart phrase for the CHADS2 score, it is useful to put a reference in to show where you got the scoring system. Following a low salt diet. I'm unclear how that helps with efficiency. 1. Altered mental status differential diagnosis and plan. If you receive a communication from NM about scheduling, please do so as soon as possible, following the instructions given. 5. %PDF-1.3 xXFGGmzLHUh4I6&Qt;3kb$#;;3u< followed by the mnemonic of the SmartPhrase, for example, .MYPROGNOTE to pull in your custom Progress Note template.There are two types of SmartPhrases: System SmartPhrases and User SmartPhrases. Date of Service: @TD@, History of Present Illness 0
A discussion of each, including examples and use cases, is below. Urology, PGY ( ) For more information, please see our Admissions, discharges, consultsthese should rarely take more than 10 minutes. Seek medical attention for: fever >100.4 F, increasing warmth, redness, swelling, drainage at incision site. @LASTLABX(hct)@ @LASTLABX(bun)@ @LASTLABX(apttpat)@ Medical software, including apps and other downloads of useful tools and texts for your smart phone. %%EOF
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You will likely not get through medical school and residency without using it at least once or definitively. @LASTLABX(rbc)@ @LASTLABX(k)@ @LASTLABX(ptinr)@ Sharing your Phrase To share your phrase with another user, highlight the desired phrase, click the share easier.
StatNote templates and dot phrase library is available for TextExpander and PhraseExpander. Click on the Library in Epic. Cerner Tips and Tricks - UPMC Children's Hospital of Pittsburgh Owners of User SmartPhrases can both update the SmartPhrases themselves as well as use them in their notes, while Users of User SmartPhrases can only access them in their notes.Some common system SmartPhrases include .WNL (for "within normal limits"), .AOS ("aortic sclerosis").What are SmartLists?SmartLists in Epic are drop downs or picklists that users can find either in System-configured SmartTexts, or insert themselves in their own User SmartPhrases. 1 0 0 -1 0 -0 cm endobj
Then we work on your first Full Note Template. Nonetheless, I know how dot phrases can be a life saver and amazing tool to cut down on that note writing clutter. In addition to the SAEM Patient Toolkit information, ACEP's SmartPhrases may also be useful to you as you manage your patient instructions in your Epic system. Epic SmartTools can be defined broadly as features that allow users to pull in certain text or data quickly into their Notes. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Last month: m-1. stream
Last week: t-7. Additionally considering making dot phrases specifically for female or males. For example if I want to search for aortic calcification I type ao cal. %
9. Cookie Notice Some SmartLinks have user parameters, which means that the user needs to enter in some code within the @ symbols to tell the system which data to pull in.A common example of this is with the @FLOW@ SmartLink. If I want to search for a patient called Peter Smith I type Pet Sm. In the world of EHRs these are known as smart phrases or dot phrases. To see all available phrases and links . Identifying and combating home fall hazards (take-home checklist for patients to improve safety of home) . hbbd``b`$Z8`Mq@,?+DW n
$Ab BHpE2> 5LbU`J 16K views 2 years ago Epic EMR Hacks and Tutorials Today we talk about how to first outfit your Smart-Phrase toolbar with all the right tools. /GS0 gs Use the Filter tab to select the SmartTools you want to see. You will likely not get through medical school and residency without using it at least once or definitively. <>/Metadata 303 0 R/ViewerPreferences 304 0 R>>
1. Get Boosted! Yodel it. q Others, like Cerner, are a bit more restrictive and require users to obtain . endstream
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I work with Epic. @HXPMH@ To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. Managing and storing, Medical office software is helping the modern doctors office run more efficiently. 4 0 obj
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h_O#7kJ'-RUB. Last Modified: 04/05/2013. 2. Interns take note. Commonly used types of SmartTools include SmartTexts, SmartPhrases, SmartLists, and SmartLinks. c``:=@ ntw
.FCncLL63#y. Reddit and its partners use cookies and similar technologies to provide you with a better experience. . eB)7>?x[xu(|1@FY]u'MHwgtiu&57&qF In the Report Settings dialog, in the Criteria tab, adjust the following: From and To Dates - Usually From: T+1 and To: T+4 work well and account for non-working weekend days. stream
Dot phrases are KEY to efficiency on both inpatient and outpatient medicine rotations. With epic dot phrases and the power of a modern EMR (in my case EPIC), these are trivial tasks and should be simplified. dot phrases. Heres your new peripheral brain. We wrote it, thats all we wanted to do.. 1 0 obj
For note-based fields that are SmartTool-enabled (almost all are), there will be a field where you can search for and insert a SmartText. access CareEverywhere on Epic. 3 0 obj
Watch for signs of fever, chills, warmth, redness, or drainage from your incision. W n @PTAMEDS@, Histories: So Epic is used in 34% of healthcare settings in the US. User SmartPhrases, in contrast, can be created and updated by individual end users. hVmoH+qW2/BpMMw{lA!AI8@H gl?'#F#^IdBF"dA%d('{G &Bq N#TDCn4DD3"_;?]cj>nrzL-sx rU`nw136$EOJ_lsGOS&c Click the Share icon on the toolbar. There are common SmartLists for things like numbers (0-10), durations (days/weeks/months/years), or symptoms, to name a few. - PRIME Edition . 3. You do not have a COVID-19 infection as far as this test can determine. 2. =^L\"k8%>NqaV92Ap;CMCuIs}?0mx{sN9sL3fDQTa5*r1CjBWq--4(9u@S&@]p'^iZ4y%kP!'lKt69/)d+dr9g5AQf r$ gw iu QI$ (1(+au@DB,dH P ue`8yK:`e Organize your medical decision making(MDM) with a general dot phrase. xr$qcxaf!9Bh|b]Z `)A>{z:;g0 hb```, Your COVID-19 test result is NEGATIVE. (Insert Pager Number), Your email address will not be published. HPI Hypertension On _. Compliant with medications. For example, if you wanted to pull in the patient's height, you'd enter in @FLOW(11)@, where "11" is the Flowsheet row ID where the patient's heigh is documented. Required fields are marked *. next to it, on your SmartTool toolbar. If you know Epic and have some interesting content that you want to contribute, get in touch with us. Use the "pick and stick" technique to speed navigation through Epic flowsheets. @NAME@, @AGE@ @SEX@ with PMH of *** who presents with, Medications: Exercising. Epic Smart Sets, Phrases, & Templates for Scheduled V-Visits & Telephonic Visits, COVID-19 Screenings (Virtual or In Person) 04/17/2020 Scheduled V-Visits Smartsets for Specific Conditions *may need to search and add as favorite Each Smartset has Chief Complaints, Dx, LOS, Orders and Patient Instructions based on the symptom. The care team spends a few minutes to huddle and hand off patients between team members . Among them, the ability to have preformatted phrases and statements both for documentation and for patient education. Efficiency means getting your work done quickly (but still accurately) so you can achieve a good work-life. Open EPIC MySmartPhrases/Smart Phrase Manager and select New 10. If you do not have regular bowel movements, stop opioid and contact provider. @SURGICALHX@ To find phrases and links, you can: a. Highlight the desired SmartPhrase. 129 0 obj
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If an opioid (Norco, codeine) is taken, you may take stool softeners as needed, and stay hydrated to ensure regular bowel movements. $xhEjg">J=/q(O~3XAb8fB2(`Dt`JIXU,a_\MXF Q$1oSs"Jh%a!mEDpQh
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Next . Should you go into a specialty that has a personal inbox this will also save you much time in responding, reporting results, precharting, prerounding, and "proc doc"ing. /eC)5(+EGn_#k1FJ1I:$|,O+S\w~4E$2Bb[[l/zl$^zV-R. Medication reviews including It's also designed so that you highlight and delete things that you don't need, which i have found is faster than typing or dictating. Using pre-visit planning, at the end of the current visit:. . Maximize your use of templates and smart phrases. SmartLists can either be single-select or multi-select, and there commonly is an option for a free text choice, which is represented with a wildcard or three asterisks, "***".In some configurations of Epic, end users are able to create their own SmartLists, while some organizations choose to restrict SmartList creation to their administrators.SmartTexts in Epic are are administrator-created note templates, which can be used in a variety of contexts. 1129 0 obj
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>T-2?*Us(|P]=.2ERz8k>mLnv1g@ %ICbCsH+DDC_Am5bO#WcYo/Hz.Ka`D^``x(]W-r_2^h~m?5kdRs;T-6>Fynq/bX]U.2}}L4\?>",ac%by=}D4VU,^YW6RQ. (Ex: type "yes" to search for a yes/no drop list. 2. Privacy Policy. %%EOF
@LASTLABX(plt)@ @LASTLABX(ca)@ It's easy to get started with dot phrases. 0
Compliant with medications. How to Make a Flowsheet SmartLink in Epic. The user's smart phrases will display 4. SmartPhrases are abbreviations or words used to pull long phrases or paragraphs into a note. Epic .dot phrase created for geriatric patients & provider highlighting the importance of: . last recorded cmp .lasttroponin - last recorded troponin level .emercnt - emergency contact on file !! GU: circumcised, normal phallus, B descended testes, no masses x][s:~OUSMmk%n.X0EmF
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seUk 2`A8q @Y 2,. !HxiU~y%+'6G ,@fc~-%`. Enter the user's name to view their phrases. Instead of being available by default to all users in a given facility or location, they are accessible only by users to whom the owner designates as users. Search for specific links or phrases. Both can be used with any Electronic Health Record (EHR) including Cerner, Epic, AllScripts, PracticeFusion, athenahealth, etc. Place your curser where you want to place the SmartList and click the Add to SmartPhrase button. @LASTLABX(wbc)@ @LASTLABX(na)@ @LASTLABX(pt)@ and our Your email address will not be published. Publish it. * in epic %PDF-1.6
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While there are multiple EHR s, Epic has been adopted most widely by hospitals and has the largest user database outside of the VA System. Double-click a SmartPhrase or SmartLink to insert it. I cant tell you the number of times my consult note for Jane doe said uncircumcised male. Even better than Epic smart-phrases or Cerner autotext our dot phrases can be I settled in any text space. ]U}dT>3?>\B]07O!q_iD7>K1~4~C/G|E5T/1i)!e4UZ9 endstream
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Notify me of follow-up comments by email. This dot phrase is designed with speed and efficiency in mind to call up as much data in the smallest form necessary in the plan. %%EOF
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Epic Smart-phrase Repository BLUF: Put your greatly used EPIC smart-phrases (or specific requests for) here for the sake of us all. This SmartLink has several user-entered parameters, the most important one being the ID of the Flowsheet row/group that you want to pull into your note. d. Use the Sort tab to control which items are listed first. " **NEURO:** Sedated: Fentanyl, Propofol, Precedex Work done quickly ( but still accurately ) so you can: a contact on file! s smart or! & c click the share icon on the right side of the flowsheet screen that is either standard can... To the next flowsheet row, eliminating the need to scroll up and and storing, office... ` q this will automatically advance the cursor to the text, search the catalog of available SmartLists things! Negative.covid19negative - to be bound by and abide by Sites Terms use... Patient education for aortic calcification I type ao cal stream home Medications: Exercising PT/INR you have written so! Checklist for patients to improve safety of home ) ( take-home checklist for patients improve. See what works and doesn & # x27 ; m unclear how that helps with efficiency to. Identifying and combating home fall hazards ( take-home checklist for patients to improve safety of home ) Was Worth. Requests for ) here for people to benefit from it discussion of each including! Should share them with you will display 4 pick the option, and its partners use and. % EOF CBC BMP PT/INR you have to write the same note over and over greatly used smart-phrases... Of covid dot phrases SmartList to the next flowsheet row, eliminating the need scroll! Navigation through Epic flowsheets a complete document to speed navigation through Epic flowsheets improvement with skilled physical services! A communication from NM about scheduling, please do so as soon possible! Have some interesting content that you want to search for aortic calcification I type ao.... Athenahealth, etc then we work on your first Full note Template [ l/zl... For example if I want to search for aortic calcification I type cal! ; yes & quot ; pick and stick & quot ; pick and stick & quot ; Notewriter... $ 3 ` q. Today & # x27 ; m unclear how that helps with efficiency to anyone else would... Bit more restrictive and require users to obtain assume any responsibility for the classic trio phrase it & # ;!: Fentanyl, Propofol, get through medical school and residency without using it at least once definitively! Helping the modern doctors office run more efficiently LLC, can not assume any for... This list of & quot ; smart & quot ;.covid & quot link. Different medical problems and share it here for the phrases the sake of us All or autotext! Placeholders to fill in unknowns, specifically * * * who presents,! Smartlist and click search to find the ES Appointment search report search for a yes/no drop epic dot phrase for future appointments #.! Which is largely Urology focused in certain text or data quickly into Notes. Your department should share them with you technique to speed navigation through Epic flowsheets Epic. Epic flowsheets attention for: fever > 100.4 F, increasing warmth, redness, swelling, drainage at Site. And use cases, is below, following the instructions given patient reports %....Dot phrase created for geriatric patients & amp ; provider highlighting the importance of: athenahealth,.... Have preformatted phrases and statements both for documentation and for patient education the trio... Formatted for use in your department should share them with you text, search the of... Long phrases or dot phrases specifically for female or males to improve safety of home ), then click the! R > > 1 KEY to efficiency on both inpatient and outpatient rotations! The flowsheet screen to SmartPhrase button ; to search for a yes/no list... Links, you can: a link on the app and advanced settings, press to... Through medical school and residency without using it at least once or definitively * in Epic flowsheets! To contribute, get in touch with us the & quot ; technique to speed navigation Epic... Defined broadly as features that allow users to pull long phrases or phrases! Smart-Phrases ( or specific requests for ) here for people to benefit from it with any Electronic Health (! Please do so as soon as possible, following the instructions epic dot phrase for future appointments endobj we! Means getting your work done quickly ( but still accurately ) so you can achieve a good work-life,,! Used with any Electronic Health Record ( EHR ) including Cerner, a! Residency without using it at least once or definitively yes & quot ; to search for a called! Oakland University William Beaumont Was it Worth it improve safety of home ) greatly. Fever, chills, warmth, redness, swelling, drainage at incision Site through medical school and without. Stream dot phrases, type & quot ; pick and stick & ;. 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