ID

15998

Beskrivning

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").

Länk

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

Nyckelord

Versioner (1)
  1. 2016-06-26 2016-06-26 -
Uppladdad den

26 juni 2016

DOI

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Licens

Creative Commons BY-NC 3.0
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AAFP: Asthma Admission Order

Tysk ( localization.languageCode.DE ) Engelsk

AAFP: Asthma Admission Order

1 Formulär  
Default Itemgroup
Beskrivning

Default Itemgroup

Name
Beskrivning

Name

Datatyp

text

Age
Beskrivning

Age

Datatyp

integer

Date of birth
Beskrivning

Date of birth

Datatyp

date

Medical record
Beskrivning

Medical record

Datatyp

integer

Status
Beskrivning

Status

Admission Status
Beskrivning

Status

Datatyp

text

Attending
Beskrivning

Attending

Name of attending
Beskrivning

Name

Datatyp

text

Phone number of attending
Beskrivning

Phone number

Datatyp

integer

Admitting Diagnosis
Beskrivning

Admitting Diagnosis

Asthma Exacerbation Associated Diagnoses
Beskrivning

Admitting Diagnosis

Datatyp

text

Condition
Beskrivning

Condition

Condition
Beskrivning

Condition

Datatyp

text

Code Status
Beskrivning

Code Status

Datatyp

text

Allergies
Beskrivning

Allergies

Allergies
Beskrivning

Allergies

Datatyp

text

Diet
Beskrivning

Diet

Diet
Beskrivning

Diet

Datatyp

text

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

Specification of calories

Datatyp

integer

If other, please specify
Beskrivning

Specification of other

Datatyp

text

Activity
Beskrivning

Activity

Bed rest with bedside commode
Beskrivning

Activity

Datatyp

boolean

Bathroom privileges
Beskrivning

Activity

Datatyp

boolean

Up ad lib
Beskrivning

Activity

Datatyp

boolean

Nursing
Beskrivning

Nursing

Vital signs every 4 hrs then every shift
Beskrivning

Nursing

Datatyp

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
Beskrivning

Nursing

Datatyp

boolean

I&O
Beskrivning

Nursing

Datatyp

boolean

Medications
Beskrivning

Medications

Albuterol nebulizer every__hrs and prn
Beskrivning

Medications

Datatyp

boolean

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

Medications

Datatyp

boolean

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

Medications

Datatyp

boolean

Ambien 10 mg PO at bedtime prn insomnia
Beskrivning

Medications

Datatyp

boolean

If Albuterol, please specify frequency
Beskrivning

Albuterol specification

Datatyp

integer

IV
Beskrivning

IV

IV lock; flush per routine
Beskrivning

IV

Datatyp

boolean

IV__@ mL/hr
Beskrivning

IV

Datatyp

boolean

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

IV specification

Datatyp

integer

Lab
Beskrivning

Lab

Admission: hemogram, basal metabolic profile
Beskrivning

Lab

Datatyp

boolean

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

Lab

Datatyp

boolean

Diagnostic Studies
Beskrivning

Diagnostic Studies

CXR on admission
Beskrivning

Diagnostic Studies

Datatyp

boolean

Pulse ox upon arrival to floor and with neb treatments
Beskrivning

Diagnostic Studies

Datatyp

boolean

Peak flow measurement pre and post neb treatments
Beskrivning

Diagnostic Studies

Datatyp

boolean

Consult
Beskrivning

Consult

Consult
Beskrivning

Consult

Datatyp

text

Signature
Beskrivning

Signature

Datatyp

text

Print Name
Beskrivning

Print Name

Datatyp

text

Date and Time
Beskrivning

Date and Time

Datatyp

datetime

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Similar models

AAFP: Asthma Admission Order

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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