When working in the Physician Operative Notes section you will see a new segment in the window to the right titled "Physician Orders." It lists all the notes the RN specified as Physician Orders. You may select all of them, or just the ones you agree with. When you save your notes, the check boxes save. When you sign your note, you are also signing your physician orders. (See the screen shot below.)
Please note that when your operative note is filed in EPIC it will look the SAME as it always has. The physician orders will be their own separate report, filed under the patient in EPIC.