ID

15999

Beschrijving

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

Trefwoorden

Versies (1)
  1. 26-06-16 26-06-16 -
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26 juni 2016

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AAFP: Chest Pain Admission Order

Duits ( localization.languageCode.DE ) Engels

AAFP: Chest Pain Admission Order

1 Formulieren  
Default Itemgroup
Beschrijving

Default Itemgroup

Name
Beschrijving

Name

Datatype

text

Age
Beschrijving

Age

Datatype

integer

Date of birth
Beschrijving

Date of birth

Datatype

date

Medical record
Beschrijving

Medical record

Datatype

integer

Status
Beschrijving

Status

Status
Beschrijving

Status

Datatype

text

If Other, please specify
Beschrijving

Other

Datatype

text

Attending
Beschrijving

Attending

Name of attending physician
Beschrijving

Name

Datatype

text

Phone number of attending physician
Beschrijving

Phone

Datatype

integer

Admitting Diagnosis
Beschrijving

Admitting Diagnosis

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

Diagnosis

Datatype

text

Condition
Beschrijving

Condition

Condition
Beschrijving

Condition

Datatype

text

Code Status
Beschrijving

Code Status

Datatype

text

Allergies
Beschrijving

Allergies

Allergies
Beschrijving

Allergies

Datatype

text

Diet
Beschrijving

Diet

Diet
Beschrijving

Diet

Datatype

text

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

Specification of calories

Datatype

integer

If Other, please specify
Beschrijving

Other

Datatype

text

Activity
Beschrijving

Activity

Bed rest with bedside commode
Beschrijving

Activity

Datatype

boolean

Bathroom privileges
Beschrijving

Activity

Datatype

boolean

Up ad lib
Beschrijving

Activity

Datatype

boolean

Nursing
Beschrijving

Nursing

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

Nursing

Datatype

boolean

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

Nursing

Datatype

boolean

Weight on arrival
Beschrijving

Nursing

Datatype

boolean

Continous cardiac monitoring; arrythmia orders
Beschrijving

Nursing

Datatype

boolean

Stat ECG for significant chest pain
Beschrijving

Nursing

Datatype

boolean

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

Nursing

Datatype

boolean

Medications
Beschrijving

Medications

Nitropaste 0.5 inch topically every 8 hrs
Beschrijving

Medications

Datatype

boolean

Enteric coated aspirin 325 mg PO now and every morning
Beschrijving

Medications

Datatype

boolean

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

Medications

Datatype

boolean

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

Medications

Datatype

boolean

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

Medications

Datatype

boolean

Ambien 10 mg PO at bedtime prn for insomnia
Beschrijving

Medications

Datatype

boolean

MOM 30 mL PO BID prn for constipation
Beschrijving

Medications

Datatype

boolean

Maalox 30 mL PO every 4 hrs prn for indigestion
Beschrijving

Medications

Datatype

boolean

IV
Beschrijving

IV

IV lock; flush per routine
Beschrijving

IV

Datatype

boolean

IV__@mL/hr
Beschrijving

IV

Datatype

boolean

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

Specification of mL/hr

Datatype

integer

Lab
Beschrijving

Lab

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

Lab

Datatype

boolean

Lipid profile in a.m.
Beschrijving

Lab

Datatype

boolean

Diagnostic Studies
Beschrijving

Diagnostic Studies

CXR if not done
Beschrijving

Diagnostic Studies

Datatype

boolean

ECG every morning
Beschrijving

Diagnostic Studies

Datatype

boolean

Cardiolite stress test
Beschrijving

Diagnostic Studies

Datatype

boolean

Adenosine cardiolite stress test
Beschrijving

Diagnostic Studies

Datatype

boolean

Echocardiogramm - to be read by __
Beschrijving

Diagnostic Studies

Datatype

boolean

Echocardiogram-to be read by___?
Beschrijving

Echocardiogram

Datatype

text

Consult
Beschrijving

Consult

Consult
Beschrijving

Consult

Datatype

text

Signature
Beschrijving

Signature

Datatype

text

Print Name
Beschrijving

Name

Datatype

text

Date and Time
Beschrijving

Date and Time

Datatype

datetime

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Similar models

AAFP: Chest Pain Admission Order

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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)
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
Condition
Code List
Condition
CL Item
Stable (1)
CL Item
Fair (2)
CL Item
Serious (3)
CL Item
Critical (4)
Item
Code Status
text
Code Status
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 (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
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