SingHealth NGEMR · Epic training

Gastro
101

Your pocket guide to Epic for Gastroenterologists and APNs, from clinic to ward to scope room.

Tap with
your finger!

This eBook covers

🏥 Outpatient clinic visit
🔬 Listing for OGD & colonoscopy
📥 In Basket & results
🛏️ Admission, rounds, transfer, discharge
📸 Endoscopy order, images & report
🏆 Final quiz to test yourself

Before we start

Tap, flip, learn

This eBook reacts to your finger. Look out for these.

🔴

Red buttons

Tap to reveal the answer or hidden tip.

Nice! That's how every red button works.
🃏

Flip cards

Tap a card to turn it over and see what's behind.

❓

Quick quiz

Pick an answer. Green is right, red means try again.

👣

Step by step

Press Next step to walk through a workflow one click at a time.

📍

Hotspots

Tap the numbered dots on a screen to learn what each field does.

➡️

Turn the page

Use the bar at the bottom, swipe left or right, or press the arrow keys. Tap the page number for contents.

💡 Stuck in the real system?

Press F1 anywhere in Epic to open your Learning Home with tip sheets and quick start guides.

Gastro 101

What's inside

Tap any part to jump straight there.

Our cases

Meet your patients

Tap each card to see why they're here. You'll meet them again later.

Part 1 · Outpatient

Log in & your schedule

Where your clinic day begins.

🔑 Two kinds of login department

Virtual

What physicians log into, so you get the right clinical tools. You rarely change it unless you change specialty.

Physical

Real places: the clinic where PSA books the visit, or the ward the patient is admitted to. Used for things like Orders-Only encounters.

📅 Reading the Schedule

  • Arrows or the calendar icon change the date.
  • Status column shows if the patient is checked in or having vitals taken.
  • Visit Type: FV = First Visit, RV = Repeat Visit.
  • Single-click an appointment for a quick summary report. Double-click to open the chart.
You see "RV" in the Visit Type column. What does it mean?
RV = Repeat Visit. FV = First Visit.

Part 1 · Outpatient

Get up to speed fast

K

Clinic-Kailin is waiting. Before calling her in, let's review her chart.

💡 Converted at go-live

Active allergies and immunisations file straight to the chart. The problem list arrives in Reconcile Outside Information, where you reconcile it yourself.

Part 1 · Outpatient

Note & problem list

✍️ Write the clinic note

  1. Click Open Sidebar on the right to open Notes.
  2. In Insert SmartText, search SH ALL AMB Clinic Note.
  3. Go to Assessment & Plan and click the Diagnoses button.
  4. Add Change in bowel habit from the problem list with the + button.
  5. Type your A&P in the blue border beside the problem.
  6. Sign, or Pend if you'll come back to it.

🧩 Problem list etiquette

  • Evolved? Click the change (triangle) icon. Your A&P history is kept.
  • Better? Resolve it. Tick Past Problems to see it later.
  • Wrong? Only delete problems entered in error.
  • Green + adds a problem as a visit diagnosis. A green tick confirms it.
Kailin's "change in bowel habit" turns out to be colonic ulcers. What do you do?
Change it, don't delete. That keeps your documentation and history on one problem.

Part 1 · Outpatient

Pick the right icon

The icon tells Epic where and when the order happens. Tap to flip.

⚠️ Review allergies first

  • You must click Mark as Reviewed this encounter, or Epic warns you before you can sign new medication orders.
  • Epic talks to CMIS. Coded drug allergies go both ways.
  • Non-drug allergies (e.g. shellfish) and the "No Known Allergies" flag are not sent to CMIS.
  • Can't find the drug? Use the CMIS icon to free-text it.

🛒 Where do I order?

New order any time: Add Order on the visit taskbar, or Ctrl + O.

Reorder or edit an existing med: This Visit tab › Medications Management.

Orders wait in the shopping cart (bottom right) until you sign.

Part 1 · Outpatient

Prescribe smarter

K

Kailin needs her lactulose reordered and a new simethicone capsule.

🔁 Refill means something new

Legacy

12 weeks
+ repeat ×1

= 24 weeks

vs
Epic

24 weeks
+ refill ×1

= 24 weeks

In Epic you enter the full duration. Tick Mark long-term if needed.

⌨️ Try the date shortcuts

Type in any date field instead of picking from a calendar. Try it:

t = today (days) · w = weeks · m = months · y = years · + future · − past

💡 Reorder many

Right-click a med › Multiple Select › tick › Reorder.

💡 Edit many

Edit Multiple in the cart applies the same values to all selected orders.

💡 Tapering?

One order covers it. Choose Taper/Ramp, Combination Dosage or Free Text.

Not on formulary? Add Order › search Not In Institution FORMULARY. Right-click anywhere in the order composer to save and close.

Part 1 · Outpatient

Labs the easy way

Kailin needs FBC one week before her next visit.

Patient will do bloods at the lab after clinic today. Which status?
Future: anything after the clinic visit, even the same day.

⭐ Preference list

Click the list icon on the visit taskbar. Star = your personal favourites. Order something 10 times and it becomes a frequent order that pops up as you type. Build yours in the Personalisation Lab.

📦 Order panels

Meds, labs, procedures and appointments bundled together. Search "panel", preview with the icon, remove what you don't need (you'll give a reason), then sign.

Part 1 · Outpatient

Follow-up & paperwork

📅 TCU order: who will she see?

Place it in This Visit › Follow Up. State the reason and any pre-visit labs.

OptionMeans
Encounter ProviderSame doctor
Encounter Provider or Their TeamAnyone in the team
Specific ProviderA named doctor
SubspecialtyThe subspecialty team

Open date? Still place a TCU and pick Open Date.

🚦 Signing the visit checks for

At least one disposition order:

  • Admission
  • Outpatient Referral (SHPs only)
  • Outpatient TCU
  • Case Request

None? A warning appears in the sidebar. A PSA in the room doesn't replace the order.

✉️ Memo for work

This Visit › Communications › New Communication › Print for Patient › template AMB GENERAL MEMO › Print Now. Tick Route draft to staff if someone else will finish it. Find it later in Chart Review › Letters.

🧾 Medical Certificate

Add Order › "MC" › Outpatient Sick Leave, 3 days. Light duty goes in the same order. It goes to the patient's MyChart automatically; Print if they want paper.

Addend the original encounter and place a new MC order. Don't cancel the earlier MC. To edit a signed MC the same day: clipboard icon › pencil.

Part 1 · Outpatient

List for scopes

K

Kailin agrees to OGD and colonoscopy. List her at the Endoscopy Centre and take consent before she leaves.

🔬 Place the procedure orders

  1. Open the Prep for Procedure navigator › Orders. (Also in ED and wards.)
  2. Open the order set Endoscopy Pre-Procedure Orders. Partial typing works fine.
  3. Tick OGD and Colonoscopy. Different TOSP codes = two orders.
  4. Location Endoscopy centre, Elective, Sedation, Dx: change in bowel habit, Consultant In Charge.
  5. Flag anti-platelet, anti-coagulant or anti-diabetic meds so the scheduler can advise her.
  6. Add bowel prep if it's in your build, then Sign. They go as 🏠 OP Future Orders to the schedulers.

🖊️ Take e-consent

  1. Procedures activity › E-Consent with e-pad.
  2. Choose Generic Consent Form. Patient and procedure details auto-fill.
  3. Click Sign Here, sign on the e-pad, blue arrow to the next field.
  4. Accept. Or Accept & Print for paper, then follow your scanning workflow.
  5. Preview under Attached Documents. Signed consents can't be deleted; use the cancellation workflow.

Part 1 · Outpatient

Close the loop

An open encounter means charges don't reach NBS.

💰 Charge Capture

  • Consult charges are generated automatically at check-in.
  • Waive a fee: search "waiver" and pick the reason. NBS gets a $0 charge.
  • Bill is closed when Charge Capture disappears from This Visit.

✅ Sign Visit

Last clinician documenting? Click Sign Visit so charges release.

Not the last? Just close the patient tab with the X.

Warning shown? Click it to jump to what's missing.

Common questions

Can I pend notes and still sign the visit?

No. Pended notes or orders keep the visit open, so charges are not released to NBS.

Need to change something tomorrow?

Reopen the encounter from your Schedule or Chart Review and create an addendum.

Forgot to finish charting?

You get My Incomplete Notes in In Basket, and after 48 hours a My Open Charts reminder.

Want to come back later?

Sign or pend notes and orders first. Epic won't let you leave with unactioned notes and planned orders.

Part 1 · Outpatient

Imaging orders

R

Clinic-Ravi lost 10 kg. He needs an early CT thorax, abdomen and pelvis with bloods first.

SCM

Seven priorities:
P1 Stat / OP same day … P7 OP on arrival next visit

→
Epic

Routine · STAT · Early

Just three.

📝 Ravi's CT order

OrderCT Thorax, Abdomen and Pelvis (with contrast)
StatusFuture (default)
Expected datew+1
PriorityEarly

Include a Renal panel before contrast CT, with the expected date before the scan.

💡 Where to find it later

  • Orders and reports: Chart Review › Imaging
  • Images: More Activities › External Links › SingHealth CPACS
  • Same-day CXR during an outpatient visit: Status Normal, Priority STAT.

Part 1 · Outpatient

Refer, biopsy, admit

M

Clinic-Mei: liver biopsy via Interventional Radiology.

  • Add Order › REF IR. Read the Process Instructions first so it isn't rejected.
  • Reason: image-guided percutaneous liver biopsy. Dx: abnormal LFTs. Priority: Routine.
  • Add the Liver Biopsy order as Future (e.g. w+2), flag anticoagulants, plus pre-biopsy FBC and PT/INR.
  • Reprint a referral: Chart Review › Referral tab › Reprint External Referral.
A

Clinic-Ahmad: likely obstruction, needs admission.

  • Abdominal X-ray today: Status Normal, Priority STAT.
  • Inpatient orders go in the Orders for Admission navigator. Search ADM › Admit to Inpatient.
  • Queue FBC, renal panel, NBM, IV fluids there.
  • They stay on hold until the inpatient team releases them.
Where do you place IV fluids for a clinic patient who is being admitted?
Orders for Admission. They're held until the inpatient team releases them.

Part 1 · Outpatient

In Basket & results

Your to-do list and secure mailbox inside Epic.

🚨 Critical lab result

Pop-up to ordering provider
➜
Also an In Basket Results message
➜
Not acknowledged in 10 min?
➜
Lab phones you, then escalates

Acknowledging the pop-up does not clear the In Basket message. Normal results don't send messages.

Three moments to acknowledge a result

💡 Save time

Typing the same result note often? Save it as a SmartPhrase or a Quick Action.

📞 Patient calls & referrals

Open the telephone encounter, write a note, route with Add Sender, then Done. Referrals not triaged are auto-accepted after 5 calendar days. Rejected referrals come back to you to cancel and re-place.

Part 2 · Inpatient

Own your shift

Your Patient List is home base. Tip: star it as your default activity.

📂 Two kinds of list

My Lists: My Patients (everyone whose treatment team you're on) plus your favourites.

Available Lists: hospital, unit and specialty lists. Favourite SH Division of Medicine › Gastroenterology › Gastroenterology Patients with the star.

🟢 Sign-in

Mostly automatic from roster uploads to the On-Call Finder. Sign in manually only for last-minute changes (e.g. MC cover, split wards).

Set shift times and Epic removes you from the treatment team 2 hours after shift end if you forget to sign out.

⚠️ Finding a patient who isn't on your list

Do

Use the search box at the top right of Patient Lists.

✋
Don't

Use Patient Lookup (top left). It opens a read-only chart.

💡 Pre-round in seconds

Click a patient and use the arrow keys to move down the list. The report pane below updates without opening each chart. Check the Physician Handoff report from the last shift.

Part 2 · Inpatient

Know your tabs

W

Ward-Kailin, 52 F, community ambulant. Admitted for ERCP for CBD stones.

❤️ Code status on the Storyboard

Assume FullNever addressed anywhere. Default for Kailin.
PriorShows status from a previous encounter.
FullNeeds a Full Code order.
PartialSpecific instructions on sidebar.
Comfort CareSymptom relief. If prior admission was Comfort Care, you must review it.

📜 Inpatient results policy

  • No result-level acknowledgement needed. Reviewed as part of routine care.
  • Critical lab: in-system alert first (10 min), then a phone call.
  • Critical radiology: Secure Chat first (10 min), then a phone call.
  • Results up to 24 h before discharge are auto-acknowledged.

Part 2 · Inpatient

Admit Ward-Kailin

The Admission tab is your one-stop shop.

⏱️ Within 24 hours

  • Admission Note: Create Note, pick Specialty. Use NoteWriter for the exam and F2 to jump between blanks.
  • Add Choledocholithiasis as principal problem, present on admission.
  • Admission medication reconciliation (MOH requirement).

⚠️ NEHR is not inside Epic

Context-switch to NEHR to check historical meds. Pharmacists may pre-enter home meds; add any you find.

Med rec buttons: tap to learn

🏠 Home Medications

Then Mark as Reviewed. Not ordering a home med does not stop the outpatient prescription.

🛏️ Hospital Orders

Decide on every order. No green tick = med rec not done. Skipped orders continue, but nurses see them as unreviewed.

Part 2 · Inpatient

Manage orders

New orders from the taskbar. Existing ones in the Orders activity.

Kailin's IV normal saline needs a faster rate. What do you click?
Modify. A new order adds new I/O rows on the nurse's flowsheet and makes charting messy.
Kailin is ready to eat. How do you move her off NBM?
New diet order. This is the exception to "use Modify". NBM auto-discontinues when you sign the new diet. Now order any meds that need food.
Switching a drug from IV to oral?
Changing form or route needs a new order. When you modify doses, check the next scheduled dose.

⏳ Expiring orders

ButtonDoes
RenewExtends the order (no pharmacy re-verification).
ReorderExtends a continuous medication.
Let ExpireTells others you don't plan to renew. Stamps your name and time.

Expired or completed orders stay on the Active tab for 24 hours for easy Reorder. After that, go to Order History.

Remember: nothing is active until you click Sign.

Part 2 · Inpatient

Every kilogram matters

Weight-based (mg/kg) and BSA-based doses show three weight buttons.

💡 See the maths

Hover the i icon to see how Epic calculated the dose.

💡 Schedule grid

Shows planned admin times so you can decide if you need an Include Now dose.

💡 Labs in the composer

Ordering potassium? Related results show right inside the order.

💊 Non-formulary

Search "non form" › NOT IN INSTITUTION FORMULARY › fill drug name, form, length of therapy and reason.

Part 2 · Inpatient

Ward round notes

📝 Write a Wardround note

  1. Notes activity › New Note › type Wardround.
  2. Pick Specialty. Tick Co-Sign Required if needed.
  3. Use SmartTools, or Physical Exam to launch NoteWriter. Click the Abdomen tab and tick findings.
  4. Copy text from an earlier note or add an image via the icons.
  5. Sign, or Pend to finish later.

⚠️ Pended notes

  • Find them in the Incomplete tab or In Basket › My Incomplete Notes.
  • Others should not act on pended notes. They may be wrong or incomplete.
  • They're purged 30 days after discharge.

How cosign works

👩‍🎓 Trainee signs with "Requires Cosign"
➜
Picks supervising physician
➜
📥 Goes to physician's In Basket
➜
✅ Reviewed and cosigned

💡 Hospital Course: write once, reuse

Update the Hospital Course as the stay goes on (type .td for today's date). It's pulled into the discharge summary automatically and isn't purged after discharge.

Part 2 · Inpatient

Blood transfusion

W

Ward-Kailin's Hb is 6.7 g/dL. She needs 2 units of red cells.

🩸 Step by step

  1. Check consent. If none: Consents › Blood Transfusion Consent › e-sign.
  2. No T&S in the last 72 h? An advisory prompts you. Order Type & Screen.
  3. Add Order › "blood" › order set NGEMR BTS BLOOD ADMINISTRATION.
  4. Pick Red Blood Cell. Fill both the Prepare order (to blood bank) and the Transfuse order (for the nurse).
  5. Sign. The nurse releases it from the Blood Admin flowsheet when ready.

⚠️ Changes from SCM

  • GXM is gone. T&S covers screening and crossmatch.
  • Blood is ordered via the order set, not standalone orders.
  • Standby for surgery: use Sign and Held.
  • Paediatric: order in mL, not units.

🏷️ T&S specimen

Brain tab › Print Labels › confirm 2 identifiers at bedside › label immediately › Collect Specimen › send to lab.

🚩 FYI flag

Anyone can flag key info (e.g. blood product refusal). It appears beside the name on the Storyboard.

Part 2 · Inpatient

Which referral?

In Epic, referrals are orders, not notes.

Ward-Kailin needs the pain team to review her today. Which order?
Blue Letter (to Acute Pain Services). If urgent, also phone them. That's SingHealth policy.

📤 Sending

Type "Blue Let" › fill specialty and reason (F2 and SmartPhrases work) › Sign. Track accepted or rejected in Orders › Order History.

Keeps unsigned orders for you for 36 hours (72 h for medical students, whose saved work waits for a supervisor to sign).

📥 Answering one

System Lists › SGH Blue Letter › Gastroenterology. Open the referral link. Write a Consultation note and link the consult order; signing completes it. Juniors enter the consultant as billing provider.

Part 2 · Inpatient

Leave & home leave

🚶 Leave of Absence (LOA) order

CategoryReason
Basic LeaveHome Leave · TCU at another hospital
Dual Admission LeaveSent to a procedural area
MiscOthers

Once the nurse starts the leave: meds go to MAR Hold and procedures, imaging and labs are suspended. On return everything resumes automatically, no med rec needed.

🏡 Home Leave

  1. Open the Home Leave navigator (More menu).
  2. Go to Medication Reconciliation for meds to take home.
  3. The LOA order is added automatically. Fill leave and return date/time.
  4. Click Sign & Hold – Will be Released by Nurse. Med duration is calculated from the LOA dates.
  5. Nurse releases so Pharmacy can dispense. Review the patient on return.

Part 2 · Inpatient

Moving the patient

H

HD-Klara had an upper GI bleed treated at OGD. She's stable to step down to the General Ward.

↘️ HD to General Ward

  • Use the Transfer navigator (for any move in the hospital, including to MIC@Home).
  • Order/Med Reconciliation: a Transfer order is auto-created. Fill it in, review orders, sign.
  • Med rec isn't required, but review the med list.
Orders for Transfer: start in the receiving unit.
Order for Now: active before transfer. Transfer med review locks until you sign or discard them.

↗️ Up to ICU / HD

  • Unplanned: call or Secure Chat the ICU team first.
  • Planned (e.g. post-procedure): ICU/HD Bed Request order. Once accepted, place a Transfer Order.

💬 Secure Chat

Speech bubble (top right) › attach the patient › send to a team name. It reaches whoever is signed in on call, so no hunting for names. Bubble turns purple when you have a message.

Part 2 · Inpatient

Discharge Kailin

Pick the right navigator tab first.

🏠

Home / External Facility

Home or nursing home.

🔁

Discharge and Readmit

RH to Community Hospital and back, both on Epic.

🕊️

Discharge as Deceased

Cause of death here, plus eCCOD in NEHR.

🏠 Home Medication buttons

➡️ ContinueResume. No new prescription.
✏️ PrescribeResume with changes. New Rx, old one cancelled.
⊗ DiscontinueStop and cancel the old prescription.

🛏️ Hospital Order buttons

➕ PrescribeNew prescription for discharge.
✏️ PrescribeUse the inpatient order details for the Rx.
🚫 DiscontinueStop at discharge.

⚠️ Easy to miss

  • All inpatient orders are deleted at discharge. Re-order anything outstanding as a Discharge Order.
  • Signing new inpatient orders after med rec makes it incomplete again.
  • Don't discontinue a home med outside your specialty if the patient still needs future dispenses.
  • Prescriptions are e-prescribed by default. Change the Class to print.

Part 2 · Inpatient

Can the nurse print the AVS?

Tick what you've done. The After Visit Summary is blocked until all are complete.

🔒 AVS blocked: 5 items left

💡 Check before you go

Sidebar Summary › Discharge Checklist lists anything outstanding. Preview to Print shows exactly what the patient will see.

🌙 End of shift handover

Patient Lists › Write Handover. Add tasks with +, write a summary, Close. Use Previous/Next arrows to move patient to patient. View it in the Physician Handover Report.

Part 3 · Endoscopy

Order the scope

N

Ges-Nora, 41 F with Crohn's, admitted from ED. Find her on the Gastroenterology list, add yourself as her provider, then order a colonoscopy.

Order composer · Colonoscopy
ClassHospital Performed
Dx AssocCrohn's disease
TOSPColonoscopy
Consultant In ChargeDr ___
Procedure locationEndoscopy centre
Emergency or electiveElective
AnaesthesiaSedation
Planned intervention · Additional Qs · Equipmentoptional

📍 Tap a red dot

Each dot explains one field of the procedure order. Try all 8.

Path: Prep for Procedure navigator › Orders › order set Endoscopy Pre-Procedure Orders › Colonoscopy.

Part 3 · Endoscopy

House or bed?

The order mode depends on who the patient is and when it happens.

Ward patient (inpatient) for colonoscopy at the Endoscopy Centre this admission.
🛏️ IP Order, because it's during the admission.
Clinic patient listed for scopes at the Endoscopy Centre next month.
🏠 OP Future Order, routed to the schedulers.
Inpatient who will have the scope after discharge.
🏠 OP Future Order.
Fluoroscopy for ERCP, to be released when the patient arrives.
🛏️ IP Order, Signed and Held. If the fluoroscopy is scheduled in advance with the ERCP, use 🏠 OP Future Order instead.

💡 Scope in clinic, right now?

Still an OP Future Order. It silently schedules and auto-advances, so it behaves like a normal order.

Part 3 · Endoscopy

Timing is everything

🕐 Phase of Care

Tells Epic when an order should happen, and whether it's signed or signed and held.

Example: a Fleet enema not in the order set. Add it from the search at the end of the set. On signing, choose Preprocedure and link it to the procedure.

The nurse releases held orders when the patient reaches preprocedure. See them in Orders › Signed & Held.

🔀 Review context box

Pops up only when it's unclear which procedure an order belongs to, e.g. the patient has both IR and endoscopy booked.

Before the scope, complete

🖊️ Consent

All endoscopies need consent. Emergency procedures use presumed consent.

😴 Pre-sedation checklist

Needed when you chose Sedation and no anaesthetist is involved. Open Pre-sedation Checklist in NoteWriter, complete, sign.

Part 3 · Endoscopy

Capture images

G

Ges-Gloria is in the scope room for colonoscopy.

📸 ImageSys, one step at a time

  1. From the Schedule, pick the procedural visit row (she appears twice, check Visit Type). Click the ImageSys button.
  2. Or: chart › More Activities › External Links › ImageSys.
  3. Choose the right procedure if there's more than one, then click Examine.
  4. Capture or add the scope images.
  5. Click Finalise to send them to Epic. Watch for the success message.
  6. Status becomes Signed. No more images can be added. For a second procedure, double-click its order and repeat.

🧭 Schedule or Patient Lists?

Schedule: clinic visits and procedural patients.

Patient Lists: inpatients and Blue Letter consults.

⚠️ Upload images first

Always finalise scope images before you open the Add Details tab of the report.

Part 3 · Endoscopy

After the scope

G

Gloria is in recovery. Multiple small ulcers in the transverse and descending colon.

🧾 Postprocedure navigator

  1. Open the chart from the Schedule. Pick the tab: Discharge (going home) or Ward (going to a ward).
  2. Problem List: triangle icon › change "change in bowel habit" to Colonic ulcers.
  3. Cosign Orders placed by support staff during the scope › Sign All › Continue Cosigning.
  4. Diagnosis: enter the coded Post-op Diagnosis. It flows into the report.
  5. Special Billing for extra professional charges, and check Implants (these show on the Storyboard).
  6. Did an extra OGD? Verify Procedure › Ancillary Orders › New Order. Close Ancillary Orders when done; it locks the procedure orders.

💡 Change or cancel a procedure

Post-proc Documentation › Imaging/Procs › arrow next to Enter Result › Change Order or Cancel Order.

Part 3 · Endoscopy

Write the report

Imaging/Procs › Enter Result. Tap each tab.

  • Click Normal (a macro) to chart standard details quickly. You can still edit.
  • Set procedure difficulty, e.g. moderately difficult.
  • Unplanned Sedation Intervention: for sedation reversal due to over-sedation or an adverse event.

Where does each heading come from?

Report headingComes from
Indication👨‍⚕️ Ordering doctor: pre-procedure Dx in the order
Procedure performed👨‍⚕️ TOSP in the order, or changed in Ancillary Orders
Post-procedure diagnosis👨‍⚕️ Resulting doctor: Postprocedure navigator
Details · Findings👨‍⚕️ Resulting doctor: Get Started · Add Details
Staff · Medications · Events · Specimens👩‍⚕️ Nurse: intraprocedure narrator

Part 3 · Endoscopy

Tidy up

➕ Forgot something after signing?

Enter Result again. It's read-only. Click Addendum, edit, Refresh, sign.

Click Prelim to mark the report as preliminary instead of final.

👁️ Viewing the report

Chart Review › Procedures tab. "Open External Result Report" shows it with images. The "ImageSys" link opens high-res images.

⚠️ Not done or unsuccessful

  • Cancelled before the day: PSA or nurse reschedules; doctor cancels unscheduled orders.
  • Cancelled in preprocedure: Verify Procedure › Procedure Not Performed.
  • Unsuccessful: mark Unsuccessful Attempt, result as usual, add .unsuccessful for the red banner. Still charged as TOSP.

🛏️ Back to the ward

  • Postprocedure navigator › Ward tab › Order Reconciliation.
  • Preprocedure-phase orders are auto-discontinued. Continue NBM if needed, or start clear feeds.
  • Order set Gastroenterology Postprocedure (e.g. repeat FBC; TPN via order set) › Sign & Hold.

Finish line

Final quiz

12 questions. First tap counts.

0 / 12

Answer all 12 to see your result.

You made it

Where to get help

Nobody expects you to be an Epic expert yet.

🆘

Press F1

Opens your Learning Home from anywhere, with tip sheets and step-by-step guides. Or click the ? at the top right. Check What's New after go-live.

🎮

Practise

Rewatch the e-Learning videos and practise in the Playground.

⭐

Personalise

At User Settings Lab, build your preference list, order panels, note templates and SmartPhrases.

🧑‍🏫

Ask people

Your super users and area managers can help after class.

✅

Pass the assessment

You need to pass it after class to get system access at go-live.

📌

Remember

Training covers the tools. Apply them to your department's own workflows and policies.