ID

15998

Description

AAFP: Asthma 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 fourth section ("Asthma Admission Order").

Link

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

Keywords

Versions (1)
  1. 6/26/16 6/26/16 -
Uploaded on

June 26, 2016

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License

Creative Commons BY-NC 3.0
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AAFP: Asthma Admission Order

German ( localization.languageCode.DE ) English

AAFP: Asthma Admission Order

1 forms  
Default Itemgroup
Description

Default Itemgroup

Name
Description

Name

Data type

text

Age
Description

Age

Data type

integer

Date of birth
Description

Date of birth

Data type

date

Medical record
Description

Medical record

Data type

integer

Status
Description

Status

Admission Status
Description

Status

Data type

text

Attending
Description

Attending

Name of attending
Description

Name

Data type

text

Phone number of attending
Description

Phone number

Data type

integer

Admitting Diagnosis
Description

Admitting Diagnosis

Asthma Exacerbation Associated Diagnoses
Description

Admitting Diagnosis

Data type

text

Condition
Description

Condition

Condition
Description

Condition

Data type

text

Code Status
Description

Code Status

Data type

text

Allergies
Description

Allergies

Allergies
Description

Allergies

Data type

text

Diet
Description

Diet

Diet
Description

Diet

Data type

text

If diet according to ADA, please specify amount of calories
Description

Specification of calories

Data type

integer

If other, please specify
Description

Specification of other

Data type

text

Activity
Description

Activity

Bed rest with bedside commode
Description

Activity

Data type

boolean

Bathroom privileges
Description

Activity

Data type

boolean

Up ad lib
Description

Activity

Data type

boolean

Nursing
Description

Nursing

Vital signs every 4 hrs then every shift
Description

Nursing

Data type

boolean

Notify MD for: T> 101.5, HR > 120, BP < 90/60 or > 180/110, Pulse ox < 90%, decrease level of consciousness or respiratory distress
Description

Nursing

Data type

boolean

I&O
Description

Nursing

Data type

boolean

Medications
Description

Medications

Albuterol nebulizer every__hrs and prn
Description

Medications

Data type

boolean

Methylprednisone 125 mg IV bolus now, then 80 mg IVP every 8 hrs
Description

Medications

Data type

boolean

Tylenol 500 mg 2 tabs PO every 4 hrs prn temp > 101 or pain
Description

Medications

Data type

boolean

Ambien 10 mg PO at bedtime prn insomnia
Description

Medications

Data type

boolean

If Albuterol, please specify frequency
Description

Albuterol specification

Data type

integer

IV
Description

IV

IV lock; flush per routine
Description

IV

Data type

boolean

IV__@ mL/hr
Description

IV

Data type

boolean

If IV @mL/hr, please specify @mL/hr
Description

IV specification

Data type

integer

Lab
Description

Lab

Admission: hemogram, basal metabolic profile
Description

Lab

Data type

boolean

ABG if pulse ox < 90% or if severe respiratory distress or decreased LOC develops
Description

Lab

Data type

boolean

Diagnostic Studies
Description

Diagnostic Studies

CXR on admission
Description

Diagnostic Studies

Data type

boolean

Pulse ox upon arrival to floor and with neb treatments
Description

Diagnostic Studies

Data type

boolean

Peak flow measurement pre and post neb treatments
Description

Diagnostic Studies

Data type

boolean

Consult
Description

Consult

Consult
Description

Consult

Data type

text

Signature
Description

Signature

Data type

text

Print Name
Description

Print Name

Data type

text

Date and Time
Description

Date and Time

Data type

datetime

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Similar models

AAFP: Asthma Admission Order

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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
Admission Status
text
Status
Code List
Admission Status
CL Item
Observation (1)
CL Item
Admission (2)
CL Item
Medical Floor (3)
CL Item
Monitored Bed (4)
CL Item
Other (5)
Item Group
Attending
Name
Item
Name of attending
text
Phone number
Item
Phone number of attending
integer
Item Group
Admitting Diagnosis
Admitting Diagnosis
Item
Asthma Exacerbation 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
Code Status
text
Condition
Code List
Code Status
CL Item
Full Code (1)
CL Item
DNR (2)
Item Group
Allergies
Allergies
Item
Allergies
text
Item Group
Diet
Item
Diet
text
Diet
Code List
Diet
CL Item
NPO (1)
CL Item
Clear liquid (2)
CL Item
AHA step 2 (3)
CL Item
ADA___calories (4)
CL Item
Other (5)
Specification of calories
Item
If diet according to ADA, please specify amount of calories
integer
Specification of other
Item
If other, please specify
text
Item Group
Activity
Activity
Item
Bed rest with bedside commode
boolean
Activity
Item
Bathroom privileges
boolean
Activity
Item
Up ad lib
boolean
Item Group
Nursing
Nursing
Item
Vital signs every 4 hrs then every shift
boolean
Nursing
Item
Notify MD for: T> 101.5, HR > 120, BP < 90/60 or > 180/110, Pulse ox < 90%, decrease level of consciousness or respiratory distress
boolean
Nursing
Item
I&O
boolean
Item Group
Medications
Medications
Item
Albuterol nebulizer every__hrs and prn
boolean
Medications
Item
Methylprednisone 125 mg IV bolus now, then 80 mg IVP every 8 hrs
boolean
Medications
Item
Tylenol 500 mg 2 tabs PO every 4 hrs prn temp > 101 or pain
boolean
Medications
Item
Ambien 10 mg PO at bedtime prn insomnia
boolean
Albuterol specification
Item
If Albuterol, please specify frequency
integer
Item Group
IV
IV
Item
IV lock; flush per routine
boolean
IV
Item
IV__@ mL/hr
boolean
IV specification
Item
If IV @mL/hr, please specify @mL/hr
integer
Item Group
Lab
Lab
Item
Admission: hemogram, basal metabolic profile
boolean
Lab
Item
ABG if pulse ox < 90% or if severe respiratory distress or decreased LOC develops
boolean
Item Group
Diagnostic Studies
Diagnostic Studies
Item
CXR on admission
boolean
Diagnostic Studies
Item
Pulse ox upon arrival to floor and with neb treatments
boolean
Diagnostic Studies
Item
Peak flow measurement pre and post neb treatments
boolean
Item Group
Consult
Consult
Item
Consult
text
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime
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