ID

16040

Description

AAFP:DVT (Lovenox Therapy) Admission Order, Standardizes Admission Orders, Author: Robert M. Wiprud, MD The primary purpose of these Ordersets is to decrease unnecessary variability and to improve quality through standardized Admission Orders. Developed by the Scott & White Clinic at College Station, Texas. Copyright © 2006 American Academy of Family Physicians. Physicians may photocopy or adapt for use in their own practices; all other rights reserved. Wiprud RM. Providing consistent care with standardized admission orders. Fam Pract Manag. September 2006: 49-52 See http://www.aafp.org/fpm/2006/0900/p49.html This ODM Form includes the ninth section ("DVT (Lovenox Therapy) Admission Order").

Lien

http://www.aafp.org/fpm/2006/0900/p49.html

Mots-clés

Versions (1)
  1. 27/06/2016 27/06/2016 -
Téléchargé le

27 juin 2016

DOI

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Licence

Creative Commons BY-NC 3.0
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AAFP: DVT (Lovenox Therapy) Admission Order

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AAFP: DVT (Lovenox Therapy) Admission Order

1 Formulaires  
Default Itemgroup
Description

Default Itemgroup

Name
Description

Name

Type de données

text

Age
Description

Age

Type de données

integer

Date of Birth
Description

Date of Birth

Type de données

date

Medical record
Description

Medical record

Type de données

integer

Status
Description

Status

Status
Description

Status

Type de données

text

If Other, please specify
Description

Status

Type de données

text

Attending
Description

Attending

Name of attending physician
Description

Name

Type de données

text

Phone number of attending physician
Description

Phone

Type de données

integer

Admitting Diagnosis
Description

Admitting Diagnosis

Please specify Deep Vein Thrombosis___lower extremity
Description

Admitting Diagnosis

Type de données

text

Deep Vein Thrombosis ___lower extremity Associated Diagnoses
Description

Admitting Diagnosis

Type de données

text

Condition
Description

Condition

Condition
Description

Condition

Type de données

text

Allergies
Description

Allergies

Allergies
Description

Allergies

Type de données

text

Activity
Description

Activity

Bed rest with bathroom privileges; elevate affected leg while in bed
Description

Activity

Type de données

boolean

Diet
Description

Diet

Regular
Description

Diet

Type de données

boolean

Other
Description

Diet

Type de données

boolean

If Other, please specify
Description

Diet

Type de données

text

Nursing
Description

Nursing

Vital signs: every 4 hrs X2, then every shift
Description

Nursing

Type de données

boolean

Notify MD for: T > 101 PO; P < 55 or > 120 bpm; systolic BP < 90 or > 180; diastolic BP > 120
Description

Nursing

Type de données

boolean

Admission weight
Description

Nursing

Type de données

boolean

Assess size, color, temp and pulses of lower extremities each shift
Description

Nursing

Type de données

boolean

Notify MD of changes from baseline
Description

Nursing

Type de données

boolean

Medications
Description

Medications

Enoxaparin (Levonox) 1 mg/kg body weight subcutaneously now and BID
Description

Medications

Type de données

boolean

Coumadin 5 mg PO now and then daily
Description

Medications

Type de données

boolean

Tylenol 325 mg 1-2 PO every 4-6 hrs prn pain or fever
Description

Medications

Type de données

boolean

MOM 15-30 mL every 12 hrs prn constipation
Description

Medications

Type de données

boolean

No NSAIDS, ASA or IM injunctions
Description

Medications

Type de données

boolean

Other Medications
Description

Medications

Type de données

boolean

If Other, please specify
Description

Medications

Type de données

text

IV
Description

IV

IV lock; flush per routine
Description

IV

Type de données

boolean

Other
Description

IV

Type de données

boolean

If Other, please specify
Description

IV

Type de données

text

Lab
Description

Lab

PT/INR, PTT, CBC, basal metabolic profile on admission if not already done
Description

Lab

Type de données

boolean

PT/INR every morning
Description

Lab

Type de données

boolean

Other Orders
Description

Other Orders

Other Orders
Description

Other Orders

Type de données

text

Other Orders
Description

Other Orders

Type de données

text

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Similar models

AAFP: DVT (Lovenox Therapy) Admission Order

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Name
Item
Name
text
Age
Item
Age
integer
Date of Birth
Item
Date of Birth
date
Medical record
Item
Medical record
integer
Item Group
Status
Item
Status
text
Status
Code List
Status
CL Item
Observation (1)
CL Item
Admission (2)
CL Item
Medical floor (3)
CL Item
Monitored bed (4)
CL Item
Other (5)
Status
Item
If Other, please specify
text
Item Group
Attending
Name
Item
Name of attending physician
text
Phone
Item
Phone number of attending physician
integer
Item Group
Admitting Diagnosis
Admitting Diagnosis
Item
Please specify Deep Vein Thrombosis___lower extremity
text
Admitting Diagnosis
Item
Deep Vein Thrombosis ___lower extremity Associated Diagnoses
text
Item Group
Condition
Item
Condition
text
Condition
Code List
Condition
CL Item
Stable (1)
CL Item
Fair (2)
CL Item
Serious (3)
CL Item
Critical (4)
Item Group
Allergies
Allergies
Item
Allergies
text
Item Group
Activity
Activity
Item
Bed rest with bathroom privileges; elevate affected leg while in bed
boolean
Item Group
Diet
Diet
Item
Regular
boolean
Diet
Item
Other
boolean
Diet
Item
If Other, please specify
text
Item Group
Nursing
Nursing
Item
Vital signs: every 4 hrs X2, then every shift
boolean
Nursing
Item
Notify MD for: T > 101 PO; P < 55 or > 120 bpm; systolic BP < 90 or > 180; diastolic BP > 120
boolean
Nursing
Item
Admission weight
boolean
Nursing
Item
Assess size, color, temp and pulses of lower extremities each shift
boolean
Nursing
Item
Notify MD of changes from baseline
boolean
Item Group
Medications
Medications
Item
Enoxaparin (Levonox) 1 mg/kg body weight subcutaneously now and BID
boolean
Medications
Item
Coumadin 5 mg PO now and then daily
boolean
Medications
Item
Tylenol 325 mg 1-2 PO every 4-6 hrs prn pain or fever
boolean
Medications
Item
MOM 15-30 mL every 12 hrs prn constipation
boolean
Medications
Item
No NSAIDS, ASA or IM injunctions
boolean
Medications
Item
Other Medications
boolean
Medications
Item
If Other, please specify
text
Item Group
IV
IV
Item
IV lock; flush per routine
boolean
IV
Item
Other
boolean
IV
Item
If Other, please specify
text
Item Group
Lab
Lab
Item
PT/INR, PTT, CBC, basal metabolic profile on admission if not already done
boolean
Lab
Item
PT/INR every morning
boolean
Item Group
Other Orders
Other Orders
Item
Other Orders
text
Other Orders
Item
Other Orders
text
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