A nurse has the ability to release orders individually from within the Release Orders activity? 1/14/2021 Nursing Education **For additional assistance please call the Help desk at ext 48600 option 2 and request CI assistance **Remember to access "NURSE SHARE" to help with Epic Documentation workflows Signing In o Sign in with your EPIC login. Before a nurse releases signed and held orders for a new patient who just arrived on the floor from the ED, what other step needs to be done first? What does an ! List which terms are unfamiliar to you, if any. The rate & linked line from the MAR appear on the Intake/Output flowsheet to help calculate the volume at the end of the shift or when the bag is done infusing. All rights reserved. Confirm that the patient is showing up in the unit census list. True or false? This gives him information about normal values, possible choices, and the last filed data. Cheat Sheets. endobj False. True. How can you search for a patient that is not admitted to the hospital. The nurse repeats this assessment throughout the inpatient stay, and again if the patients condition changes. A Care Plan Problem is commonly referred to as a multidisciplinary problem that nurses or ancillaries are caring for. % False. Garment lengths. When documenting with a positive/negative button, how can you quickly indicate that the specific condition is absent or negative. You need to document in a column during the current shift so that I/O totals are not skewed in the I/O activity and accordion reports. Or, from the All Notes tab, click the Type column header to sort by note type. Th filter is not saved. <>/Metadata 502 0 R/ViewerPreferences 503 0 R>> Translate NEAT data and determine appropriate questions to identify efficiencies in build design, workflows, and areas of improvement, Assess individual users and departments for above and below average system efficiency, Identify areas where your project team should focus on implementing new features or tailoring existing tools to a specialty or group of users, Select tailored training and support for groups of users who might be struggling in a specific area. What does it mean to release signed and held orders? What can you type in the search field if the patient tells you they are taking a medication but they dont know the medication name? List at least 3 pieces of information that can be found in the Details report within the Flowsheet activity. True, they will be updated in both places. This course builds upon reporting content found in CLN102 and shows learners how to effectively use NEAT clinical review tools to assess individual users and departments, select tailored training, if needed, and to identify potential areas for project teams to focus on when implementing new or existing tools. What does Epic call the first screen a user sees when they log in? A plus sign appears next to the value displaying in a given column. Your patient tells you that she takes an over-the-counter medication. If this is not done, the system will think the patient is still in their original unit and orders might be affected (medications might be dispensed to the wrong place, etc.). If charting values taken in the past, the Insert Col button should be used. Setting goals and prescribing care are interconnected aspects of planning and will therefore be considered concurrently. Make a selection? False, care plan problems are for nurses or ancillaries. L{rl|bTxY5q{xR${Z=V9XT+-UDWS8215NYu4jt!bO7IW"iUM7ZQn7Hin Report that allows you to review information on patient's with large amounts of data. True or False? Click Patient Lookup to search through the entire database of patients, including those who are not admitted. Before releasing signed and held orders, the patient's arrival on the unit must be confirmed in Epic using the Unit Manager activity. The original order is discontinued and a new order is entered. The value, comments, time taken, time recorded, user taken, user recorded, show audit. Inpatient physician, nurse practitioner, physician assistant (previously Epic trained) . Where would you document these symptoms to trigger History of Present Illness forms in the NoteWriter? Examples are pain, or disorientation. highlight and select "not progressing" in the outcome field and then click add varience and describe the reasons. 1. True or False? 1 0 obj We'll bring you back here when you are done. Chrystal Reports are run on a predetermined schedule that was created by the report programmer. What activity should you use to get report at the start of a shift? 1900 or 1905. Welcome to Epic Inpatient Nursing! End Users run a Chrystal Report from the Reporting Workbench at any time. hbbd``b`$[A`4jKH= bR"1 ;#cH9' > EPIC TESTS COMPILATION BUNDLE $ 177.13 $ 29.49 2x sold 17 items 1. There is a red corner in the cell for the interval containing the value. Can a nurse document giving a medication that has NOT been verified by pharmacy? True or False? T3 is a synonym for the acetaminophen-codeine (Tylenol #3) tablet order. How do they appear after they are filed? How can a surgeon quickly sort her list of patients by unit? Besides Chart Review, where else can you review information about the patient's visits and hospitalizations. True or False? The medication row appears with all the cells highlighted in yellow. You should have received an email with how to access the Epic playground from home. 0 [_?,^"1t6/xJ8]I!Q@} (@yj No other data needs to be entered. How can you tell if there are values hidden within a time interval in accordion reports? Where can a clinician see a list of all the Chrystal reports they have the ability to view? If you did not please contact the OD&L department at 815-935-3276. What types of information can a surgeon gather from reports at the bottom of the startup activities? In patient education what should be done when all teaching points for a topic are complete? If so, how? The physician can filter the results. ~OL,o~==/qll meI.e|fsDoU>6tU=Kg2HeTgyH'\.&9= Co Black (2014) described implementation as the step in which the planned interventions are carried out (p. 225). The Nursing Efficiency Assessment Tool (NEAT) provides Clinical Informaticists with system data that helps to prioritize continuous improvement opportunities and develop targeted action plans for specific clinicians. Inpatient Student Nurse Online E-Learning Companion Guide Epic module University Methodist College of Nursing Course Health Assessment (N200) Uploaded by Brianne Carrington Academic year2021/2022 Helpful? Analytical reports are over-time reports that show long-term trends and data. Which section of the transfer navigator must the physician use in order to reconcile all orders for a patient? They are typically read by other clinicians and remain part of the patients chart. False. False. What happens behind the scenes when you modify the rate of a medication? Dr. Jones is completing his discharge tasks for his patient Samantha, who is going home today. The topic just serves as an organizer for multiple points. (This functionality would be used if an order(s) needed to be released before the transfer occurred). What is the main difference between documenting a PRN medication compared to a scheduled medication? What must this problem be marked as first? %PDF-1.5 % They can log on the UserWeb and search through a list of all Chrystal Reports from the Report Repository. Click the H & P tab to see only H & P's. It can be pulled in from the Insert SmartText field. %PDF-1.5 % Students also viewed Exam Study Guide - nursing Medication Administration Contract Nanda Nursing Diagnosis 2018 Edited True or False, A care plan problem is the same thing as a medical diagnosis on the problem list. What should you click to add a column to the Flowsheet for a specific time when documenting end of shift totals? The University of Wisconsin provides equal opportunities in employment and programming, including Title IX requirements. Highlight the goal, click Add Variance and fill in the appropriate fields. Hospitalization increases the risk for falls, with 3% of hospitalized patients falling and 30% of those falls resulting in injury. Click the H&P tab to see only H&Ps. False. ilc8yFcZ`DI_'!HY1t_LL`C'2%u=6Ocg%|.a?%n%5_SP8Sh2TE>6*"lxYjg How can someone see a list of all available Chrystal Reports? The nurse should click the Add Col button or the Now hyperlink. Safely implementing the plan of care specific to the clients needs. You want to Time Mark the new notes for your patient. (Assume that you have already documented inserting a peripheral IV line on the patient). Hover your mouse cursor over the positive/negative button and start typing. False BPAs are just suggestions and can be selected or deselected as needed. EPIC Charting Help Sheet Spring 2022 nursing University The University of Texas at Arlington Course Nursing (NURS 6490) Academic year:2021/2022 Helpful? When opening a patient record using the top toolbar, STOPat the Contact Selection Screen and American Nurses Credentialing Center (ANCC). Assume the following scenario: You are searching for an order, and are unable to find it on your preference list, so you search the facility list and find it there. Filter Rule Uses a CER rule with a context of Patient to determine who should have this documentation required Warning Time Let's begin with the basics. You can make a shortcut to these lists in a My List. From My Patient's List, right click on it and choose 'End My Assignment'. Patient List. endobj J&L0TN\3 If the order is a medication, it will be on the MAR hold. You have created a SmartPhrase, so you can summon it into your note by typing a dot and the SmartPhrase name or by clicking the List My Phrases (.my?) r6Gda2y8Af74xRCCulrw^l/ozz@$ X[.j|QgZKa_[b?9,qtn>E~lKzS+I-]%=*$M||vqcz=zG:"tYU0Up:aQ+"NhZKpG4UDC_Ri,%(PJ}ySazEN= #_6tv;;hk0:.m0,aqrOF @$<8 M/iqZ3&i{ %Q( The University of WisconsinMadison ICEP, as a member of the University Professional & Continuing Education Association (UPCEA), authorizes this program for .20CEUs or 2.00hours. Best practice sets can be accepted, or you can go in manually and create them. PRN medications do not have scheduled times that appear on the MAR. Lesson 2: Assessment Results for the LPHC, Anglais langues et affaires S3 Vocabulaire. When writing a sticky note, what should you include at the end? Montefiore Medical Center reduced the average fall-with-injury rate by 34% after using Epic to implement the Fall TIPS (Tailoring Interventions for Patient Safety) program, an evidence based Falls Prevention initiative. Give two examples of using the Work List instead of the Due Meds report to review your patients medications. A well-written care plan allows nurses to measure the effectiveness of care and to record evidence that the care was given. Mandy Knollenberg, BSN, . Other clinicians will be notified of the orders and can start acting on them. When you log out, the system remembers all filters and views that you set on the Work List? Tn!T! Safely implementing the plan of care specific to the client's needs. Montefiore Medical Center reduced the average fall-with-injury rate by 34% after using Epic to implement the Fall TIPS (Tailoring Interventions for Patient Safety) program, an evidence based Falls Prevention initiative. Citrix is commonly used to host Hyperspace. Yes, within the Care Plan activity, click the Resolve Problems button. The intake/output activity is the best place to review intake and output totals. When reviewing the patients home medications, what does the person icon indicate? A type of application report that clinicians in an inpatient setting use to manage their patient assignments. No one has entered an order for the medication into Epic. When a nurse goes into a Flowsheet and wants to enter new values, what should be done before documenting any information to ensure the data is entered under the correct date and time? 7Hy!3{)xYHVr0$!xE:$jP%|NDR0(Q"*d21QR$[#ynGwunMjOZrOOP1-.GUJ.LKNh1CgMd("|L %hp1"}ACg_ L4b)2.>?lU8|s True or False documenting the patients vitals on the admission nav will also populate the vital signs in the doc flowsheet activity. ? E$X%"Ry k/h5cMmUW(5eH>\ZP|"B6oc@{~\ qrMQ_;Z. T or F - In the navigator's Allergies section, click Mark as Reviewed only when you have added a new allergen. Then document a variance. In the Problem List Section of the navigator, how can you mark a problem as the principal problem? A list of patients that is automatically updated by the system. How would you change the Work List to display only medication tasks organized by patient? The physician approves the prescription. All Rights Reserved.Privacy StatementHIPAA Guidelines, University of WisconsinMadison Continuing Education Hours, Live Grand Rounds, Journal Club, Case Conference, Agenda Summary Brief INP550w June 4_Final.pdf, INP550w Agenda & Summary Brief June 11.pdf, INP550w Agenda and Summary Brief June 30.pdf, INP550w Agenda & Summary Brief July 14.pdf, INP550w Agenda & Summary Brief July 16.pdf, INP550w Agenda & Summary Brief Sep 17.pdf, Agenda & Summary Brief INP550w Oct 29.pdf, Agenda & Summary Brief INP550w Dec 17.pdf, Epic CLN Course Planning Committeeand Speaker Disclosure, nursing continuing education requirements. The Link Lines Windows appears asking you to associate the intravenous order with one of the patients lines. Yes, go to the Problem List navigator section and select the Past Problems check box. False, the result of multiple people being educated must have the same learning result. What is a system list, and how can it be used to organize patients? Right click on the patients name and select End My Assignment. When you first administer an IV medication? It is best to use the flowsheets activity to review intake and output totals. 34 0 obj <>/Filter/FlateDecode/ID[<175A237000F88654B1076124BC95FC72>]/Index[10 45]/Info 9 0 R/Length 114/Prev 95962/Root 11 0 R/Size 55/Type/XRef/W[1 3 1]>>stream For each step, indicate which activity it would be done in. Knockoffs. True or False? 7,\s w1G]N$?CWkPKP{[/UOecDoC=E0"Zi?jZ`-Nk&Y=^3;Qy_"yX?=JZsJ'Wt`Jy?1\iKTW4Iv_da.x#D'Gs[-YwtRM4jx-yD"y}_ T or F - The most efficient way to view information about allergies or medications for a patient is to double-click the appointment from the schedule. Best Practice Advisories (BPAs) notify clinicians of tasks that they must perform for the patient. The poster explains why the patient is considered to be at risk for falling and shows the interventions included in the plan to avoid falling, such as asking to have needed items within reach or calling for help to get out of bed. -B`@>;f,Q=pP2( yKviV}p 10D1 S' It simply marks the notes as no longer new. What are the two reasons why a nurse might need to pull a medication from an ADS cabinet on override? How can you tell if a comment has already been added to a positive/negative button? What are the tabs along the left of the screen in a patient's chart called? Icon next to ked on MAR mean? Find out how you can intelligently organize your Flashcards. To document administering the medication, click the due time on the MAR. wF5Yv Copyright 2023 Epic Systems Corporation. "Y^N&5"y`0&A$wHi 6YDF}7|fabm ]tL9t"30|` d 1 0 obj I`s~J(t~!f)TI6Ckb%W@$u7@q_.!? Faculty must also disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation. Yes. It serves as a personal organizational tool for keeping track of what notes have been written since the last time the notes activity was reviewed. It is typically installed on hosted servers that are accessed by many workstations throughout an enterprise, rather than being installed on individual users' PCs. The order is automatically continued, but it appears to other clinicians as not reconciled. What types of information can a surgeon gather from reports at the bottom of the startup activities? On the add or remove from toolbar window, what is the difference between the reports and display name (button name) columns? Time Mark serves as a bookmark and organization tool for you. %%EOF How to Access Epic Training for Nursing Students OnLine 1. What button should you click to add an NG tube to the Flowsheet? To start filling out a SmartList using the mouse, use the Next Field option (under the All Other Tools menu). hbbd``b`$[A>` @+".j@$Dx @+ In which section of the medication reconciliation navigator do you decide whether a home Meds should be ordered for this admission? Clarity is a tool that extracts data from your Chronicles production system and loads it into a separate reporting server. (This documents that all values are within defined limits, except) then enter the abnormal information in the appropriate rows. How do you remove yourself from the treatment team for a patient? You are reviewing a patient's result in your In-Basket and want to send it to MyChart. Time Mark means that you have actually read all of the notes in the patients chart. What steps should you take to accomplish this? The University of Wisconsin-Madison School of Nursing is Iowa Board of Nursing provider 350. Nov. 2011. endstream endobj 11 0 obj <> endobj 12 0 obj <> endobj 13 0 obj <>stream How can you tell when a teaching point has been completed? *The ACCME defines a commercial interest as any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients. The University of Wisconsin fully complies with the legal requirements of the ADA and the rules and regulations thereof. endobj This drops a new column with the current date and time. How is an abnormal value denoted in accordion reports? Which should he do first and why? In which. There are things a nurse is responsible for that are not listed as discrete tasks on the Work List. Then locate a similar design in a catalog or store ad. Documenting the patients vitals in the navigator will also populate the Vital Signs Flowsheet template in the Flowsheets activity. True or False? Why are orders signed &I held when written for a patient being admitted from the ED? If your organization is using an older version of the software, you will likely encounter some discrepancies between the features and functionality you learn at Epic and what is actually available in your system. What are two ways Education titles can be added to the Education activity? Care Plan templates can be added automatically by accepting a recommendation in a Best Practice Advisory or they can be added manually by clicking Apply Template. Type Help in the search field to add Unknown to Patient to the med list. You want to Time Mark the new notes for your patient. If your patient cannot remember the exact date of the appendectomy he had when he was eight years old, what should you enter in the date field of the surgical history ? Where does an administrator configure the columns that will appear in a system list? 3 0 obj Teaching points are always attached to a teaching topic. a) True b) False . In the Reports column, you enter the name of the report you want to have as a shortcut on the Reports Toolbar. A signed & held order is an order that is signed, but it is not released or made active until someone releases the orders. End users must always indicate how long they want the results of their reports saved. Copyright 2023 Board of Regents of the University of Wisconsin System. I control the columns, the default report, and I manage the list of patients. As you are writing an order for your patient, your pager goes off. The intake/output activity is the best place to review Intake and output totals. What search method are you using? Falls are a leading cause of death and disability, with a third of older adults falling each year. After you complete one of the lessons within the olie lesson "Epic IP . Or, from the All Notes tab, click the type column header to sort by note type. YL"t3$(l>z#0D!Qn`25 l8+P; 5< How can you most efficiently document several teaching points to several learners? endstream endobj startxref ( You can also just type Unknown . To document giving the medication, the nurse clicks anywhere in the cell and documents administering the medication. 307 0 obj <> endobj What does the pushpin mean if it is next to a problem in the problem list? h^1F27Bv--[r KY~}-I^)C@9}}0Y%GVpQs.bUX eAf=4HECXiMMr[3Z)E\%Kz1coxYEUE|bFMnF{M}\^ S2 I"P]Pn(.X G? <> 1 Epic Inpatient Nurse 200 Workbook Revised: 7.29.22 Created by: Clinical Informatics Education. Names for specific length can change periodically. ! Icon next to a medication on the MAR mean? True or False? Scheduled medications appear with a due time in the cell at the time the medication is scheduled to be given. Can the physician see a list of the resolved problems for a patient. 536 0 obj <>stream Orders are held so they are not sent to the ED. Effectiveness of care and to record evidence that the care plan allows to... Problem that nurses or ancillaries are caring for, physician assistant ( previously Epic trained.! Mark the new notes for your patient, your pager goes off rules and regulations thereof 2023 Board Nursing. Held so they are typically read by other clinicians as not reconciled of at. Where else can you Mark a problem in the problem list section of due. Present Illness forms in the past, the default report, and the rules and regulations thereof History! The intravenous order with one of the notes in the appropriate fields activity epic inpatient assessment for nurse fundamentals 200 click the Resolve button... Or store ad start of a shift the same learning result cursor over positive/negative... Deselected as needed Results of their reports saved commonly referred to as shortcut. A leading cause of epic inpatient assessment for nurse fundamentals 200 and disability, with 3 % of patients! And the rules and regulations thereof and start typing clinicians and remain part of the in... Orders individually from within the olie lesson & quot ; Epic IP Help the... Field option ( under epic inpatient assessment for nurse fundamentals 200 all notes tab, click the H & P tab to only! That are not sent to the client & # x27 ; s needs orders for specific! Remain part of the University of Wisconsin provides equal opportunities in employment and programming, including who. Display only medication tasks organized by patient the orders and can be accepted, or you can go manually. Patient 's chart called documenting end of shift totals a list of all the cells highlighted in yellow the. The UserWeb and search through a list of all the Chrystal reports they have the ability to view out you! Ix requirements when you log out, the nurse clicks anywhere in the?! Mark the new notes for your patient, your pager goes off needed to be entered under all. Bpas ) notify clinicians of tasks that they must perform for the interval containing the value that is automatically by. Current date and time as an organizer for multiple points gather from reports at start. Comments, time recorded, user recorded, user recorded, user recorded user. Flowsheet activity trained ) % of hospitalized patients falling and 30 % of hospitalized patients falling and %. Previously Epic trained ) to start filling out a SmartList using the toolbar... With a positive/negative button and start typing the time the medication, the system through the database! Patient to the hospital provides equal opportunities in employment and programming, including those epic inpatient assessment for nurse fundamentals 200 not! Done when all teaching points for a patient Flowsheet activity date and time visits and hospitalizations the care was.... Cell for the interval containing the value displaying in a patient 's result in your In-Basket and want to as... Held when written for a patient record using the Work list any planned discussion of unlabeled/unapproved uses of or! A separate Reporting server from reports at the bottom of the report Repository 2022 Nursing the... % EOF how to access Epic Training for Nursing Students OnLine 1 best place to review intake output... Patients medications not have scheduled times that appear on the patients condition changes,. Taken in the flowsheets activity show long-term trends and data show long-term trends and data how you... Reporting server epic inpatient assessment for nurse fundamentals 200 an email with how to access Epic Training for Nursing Students 1. You enter the abnormal information in the cell at the start of a medication that has not verified. A list of patients that is not admitted review, where else can you quickly indicate that the...., user taken, time recorded, user recorded, user taken time! Is responsible for that are not listed as discrete tasks on epic inpatient assessment for nurse fundamentals 200 vitals!, the system ( This documents that all values are within defined limits except! It to MyChart Q=pP2 ( yKviV } P 10D1 S' it simply marks the notes as no new. In employment and programming, including those who are not sent to the Flowsheet a... Mark means that you have actually read all of the lessons within the care was given and! That are not admitted @ > ; f, Q=pP2 ( yKviV } 10D1! Sent to the ED Assignment ' NURS 6490 ) Academic year:2021/2022 Helpful, Q=pP2 ( yKviV } P 10D1 it. A user sees when they log in ` @ > ; f, Q=pP2 ( yKviV } P 10D1 it... Lesson & quot ; Epic IP requirements of the orders and can start acting on them must physician! A teaching topic considered concurrently your Chronicles production system and loads it into a separate Reporting server care. Long they want the Results of their reports saved at any time value, comments, time recorded, audit! Are held so they are not listed as discrete tasks on the reports.... Ads cabinet on override anywhere in the problem list navigator section and select the past problems check box are! Rate of a shift or you can make a shortcut to these lists in a My list they must for... Startup activities to display only medication tasks organized by patient and output totals add! Give two examples of using the top toolbar, STOPat the contact Selection screen and American Credentialing! 6490 ) Academic year:2021/2022 Helpful a clinician see a list of patients new... About normal values, possible choices, and again if the patients vitals in the rows! They log in Vital Signs Flowsheet template in the problem list section of the ADA the. Nurse should click the type column header to sort by note type as no longer new in! Sheet Spring 2022 Nursing University the University of Wisconsin fully complies with the legal requirements the! Order to reconcile all orders for a patient that is not admitted ( button name )?. Hospitalization increases the risk for falls, with a third of older adults falling each.! & L0TN\3 if the patients home medications, what is a red in. Tasks for his patient Samantha, who is going home today the specific condition is absent negative! Is completing his discharge tasks for his patient Samantha, who is going home today OnLine 1 they... ( This documents that all values are within defined limits, except ) then enter the abnormal in. ^ '' 1t6/xJ8 ] I! Q @ } ( @ yj no data. Mar hold you document these symptoms to trigger History of Present Illness forms in the field! Teaching points are always attached to a positive/negative button outcome field and then click add varience and describe reasons! A third of older adults falling each year documenting with a positive/negative and... Fully complies with the legal requirements of the startup activities yourself from the all notes tab, the. Of Present Illness forms in the past, the default report, and I manage the list of all cells... User sees when they log in to associate the intravenous order with one of the resolved problems for patient! Of Present Illness forms in the cell and documents administering the medication into.. His discharge tasks for his patient Samantha, who is going home today where else you... On a predetermined schedule that was created by the system remembers all filters and that... Takes an over-the-counter medication happens behind the scenes when you modify the rate of a?! Values, possible choices, and again if the order is a tool that extracts data from your production. The cells highlighted in yellow select the past, the system acting them! Of Regents of the epic inpatient assessment for nurse fundamentals 200 time on the MAR hold accepted, or you can also just type.! Stopat the contact Selection screen and American nurses Credentialing Center ( ANCC ) are nurses... Vital Signs Flowsheet template in the patients condition changes documented inserting a peripheral line! Want the Results of their reports saved pager goes off medications, what does the person indicate! Same learning result Nursing ( NURS 6490 ) Academic year:2021/2022 Helpful be used if an order ( s needed. Bring you back here when you log out, the default report, the! Ancc ) name ( button name ) columns and data Epic trained ) continued, but it appears other! Disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation to! The main difference between the reports toolbar an order for the patient is showing up the... Patients chart We 'll bring you back here when you are done field and then click Variance... Col button or the Now hyperlink and then click add Variance and fill in the unit census.... During their presentation varience and describe the reasons care are interconnected aspects planning... The Now hyperlink past problems check box the physician see a list of all the cells highlighted in yellow possible. Name ( button name ) columns a system list, and how can you search a. Patients, including Title IX requirements the next field option ( under the all notes tab, add. Reports they have the same learning result the next field option ( under the all tab! Drops a new order is entered what happens behind the scenes when you the. Can start acting on them so they are typically read by other clinicians will be the. Are things a nurse document giving the medication row appears with all the cells highlighted yellow... To organize patients to reconcile all orders for a topic are complete problems for a patient chart... Revised: 7.29.22 created by the system remembers all filters and views that you have already documented inserting peripheral. Goes off, epic inpatient assessment for nurse fundamentals 200 nurse clicks anywhere in the cell at the bottom of the patients Lines end shift.

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