ID

15999

Beschreibung

AAFP: Chest Pain 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 fifth section ("Chest Pain Admission Order).

Link

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

Stichworte

  1. 26.06.16 26.06.16 -
Hochgeladen am

26. Juni 2016

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0

Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

AAFP: Chest Pain Admission Order

AAFP: Chest Pain Admission Order

Default Itemgroup
Beschreibung

Default Itemgroup

Name
Beschreibung

Name

Datentyp

text

Age
Beschreibung

Age

Datentyp

integer

Date of birth
Beschreibung

Date of birth

Datentyp

date

Medical record
Beschreibung

Medical record

Datentyp

integer

Status
Beschreibung

Status

Status
Beschreibung

Status

Datentyp

text

If Other, please specify
Beschreibung

Other

Datentyp

text

Attending
Beschreibung

Attending

Name of attending physician
Beschreibung

Name

Datentyp

text

Phone number of attending physician
Beschreibung

Phone

Datentyp

integer

Admitting Diagnosis
Beschreibung

Admitting Diagnosis

Chest pain; R/O acute coronary syndrome Associated Diagnoses
Beschreibung

Diagnosis

Datentyp

text

Condition
Beschreibung

Condition

Condition
Beschreibung

Condition

Datentyp

text

Code Status
Beschreibung

Code Status

Datentyp

text

Allergies
Beschreibung

Allergies

Allergies
Beschreibung

Allergies

Datentyp

text

Diet
Beschreibung

Diet

Diet
Beschreibung

Diet

Datentyp

text

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

Specification of calories

Datentyp

integer

If Other, please specify
Beschreibung

Other

Datentyp

text

Activity
Beschreibung

Activity

Bed rest with bedside commode
Beschreibung

Activity

Datentyp

boolean

Bathroom privileges
Beschreibung

Activity

Datentyp

boolean

Up ad lib
Beschreibung

Activity

Datentyp

boolean

Nursing
Beschreibung

Nursing

Vital signs every 1 hr for 4 hrs then every 4 hrs
Beschreibung

Nursing

Datentyp

boolean

Notify MD for: T > 101.5, P > 120, BP < 90/60 or > 180/110, abnormal lab results
Beschreibung

Nursing

Datentyp

boolean

Weight on arrival
Beschreibung

Nursing

Datentyp

boolean

Continous cardiac monitoring; arrythmia orders
Beschreibung

Nursing

Datentyp

boolean

Stat ECG for significant chest pain
Beschreibung

Nursing

Datentyp

boolean

O2 at 2 L nasal cannula, notify MD if Pulse ox < 93%
Beschreibung

Nursing

Datentyp

boolean

Medications
Beschreibung

Medications

Nitropaste 0.5 inch topically every 8 hrs
Beschreibung

Medications

Datentyp

boolean

Enteric coated aspirin 325 mg PO now and every morning
Beschreibung

Medications

Datentyp

boolean

NTG 1/150 SL prn CP, may repeat 15 min until pain free or max three tabs per episode
Beschreibung

Medications

Datentyp

boolean

Morphine sulfate 5 mg slow IVP every 30 min prn severe chest pain
Beschreibung

Medications

Datentyp

boolean

Tylenol 500mg 2 PO every 4 hrs prn headache/fever/pain
Beschreibung

Medications

Datentyp

boolean

Ambien 10 mg PO at bedtime prn for insomnia
Beschreibung

Medications

Datentyp

boolean

MOM 30 mL PO BID prn for constipation
Beschreibung

Medications

Datentyp

boolean

Maalox 30 mL PO every 4 hrs prn for indigestion
Beschreibung

Medications

Datentyp

boolean

IV
Beschreibung

IV

IV lock; flush per routine
Beschreibung

IV

Datentyp

boolean

IV__@mL/hr
Beschreibung

IV

Datentyp

boolean

If IV__@mL/hr, please specify amount of mL/hr
Beschreibung

Specification of mL/hr

Datentyp

integer

Lab
Beschreibung

Lab

Admission: CBC, basal metabolic profile, TSH, Troponin I every 8 hrs x2
Beschreibung

Lab

Datentyp

boolean

Lipid profile in a.m.
Beschreibung

Lab

Datentyp

boolean

Diagnostic Studies
Beschreibung

Diagnostic Studies

CXR if not done
Beschreibung

Diagnostic Studies

Datentyp

boolean

ECG every morning
Beschreibung

Diagnostic Studies

Datentyp

boolean

Cardiolite stress test
Beschreibung

Diagnostic Studies

Datentyp

boolean

Adenosine cardiolite stress test
Beschreibung

Diagnostic Studies

Datentyp

boolean

Echocardiogramm - to be read by __
Beschreibung

Diagnostic Studies

Datentyp

boolean

Echocardiogram-to be read by___?
Beschreibung

Echocardiogram

Datentyp

text

Consult
Beschreibung

Consult

Consult
Beschreibung

Consult

Datentyp

text

Signature
Beschreibung

Signature

Datentyp

text

Print Name
Beschreibung

Name

Datentyp

text

Date and Time
Beschreibung

Date and Time

Datentyp

datetime

Ähnliche Modelle

AAFP: Chest Pain Admission Order

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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
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)
Other
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
Diagnosis
Item
Chest pain; R/O acute coronary syndrome Associated Diagnoses
text
Item Group
Condition
Item
Condition
text
Code List
Condition
CL Item
Stable (1)
CL Item
Fair (2)
CL Item
Serious (3)
CL Item
Critical (4)
Item
Code Status
text
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
Code List
Diet
CL Item
NPO (1)
CL Item
Clear liquid (2)
CL Item
AHA step 2 (3)
CL Item
ADA__calories (3)
CL Item
Other (4)
Specification of calories
Item
If diet according to ADA, please specify amount of calories
integer
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 1 hr for 4 hrs then every 4 hrs
boolean
Nursing
Item
Notify MD for: T > 101.5, P > 120, BP < 90/60 or > 180/110, abnormal lab results
boolean
Nursing
Item
Weight on arrival
boolean
Nursing
Item
Continous cardiac monitoring; arrythmia orders
boolean
Nursing
Item
Stat ECG for significant chest pain
boolean
Nursing
Item
O2 at 2 L nasal cannula, notify MD if Pulse ox < 93%
boolean
Item Group
Medications
Medications
Item
Nitropaste 0.5 inch topically every 8 hrs
boolean
Medications
Item
Enteric coated aspirin 325 mg PO now and every morning
boolean
Medications
Item
NTG 1/150 SL prn CP, may repeat 15 min until pain free or max three tabs per episode
boolean
Medications
Item
Morphine sulfate 5 mg slow IVP every 30 min prn severe chest pain
boolean
Medications
Item
Tylenol 500mg 2 PO every 4 hrs prn headache/fever/pain
boolean
Medications
Item
Ambien 10 mg PO at bedtime prn for insomnia
boolean
Medications
Item
MOM 30 mL PO BID prn for constipation
boolean
Medications
Item
Maalox 30 mL PO every 4 hrs prn for indigestion
boolean
Item Group
IV
IV
Item
IV lock; flush per routine
boolean
IV
Item
IV__@mL/hr
boolean
Specification of mL/hr
Item
If IV__@mL/hr, please specify amount of mL/hr
integer
Item Group
Lab
Lab
Item
Admission: CBC, basal metabolic profile, TSH, Troponin I every 8 hrs x2
boolean
Lab
Item
Lipid profile in a.m.
boolean
Item Group
Diagnostic Studies
Diagnostic Studies
Item
CXR if not done
boolean
Diagnostic Studies
Item
ECG every morning
boolean
Diagnostic Studies
Item
Cardiolite stress test
boolean
Diagnostic Studies
Item
Adenosine cardiolite stress test
boolean
Diagnostic Studies
Item
Echocardiogramm - to be read by __
boolean
Echocardiogram
Item
Echocardiogram-to be read by___?
text
Item Group
Consult
Consult
Item
Consult
text
Signature
Item
Signature
text
Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video