ID

16001

Beskrivning

AAFP: Childhood Bacterial Meningitis 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 seventh section ("Childhood Bacterial Meningitis 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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Creative Commons BY-NC 3.0
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AAFP: Childhood Bacterial Meningitis Admission Order

Engelsk

AAFP: Childhood Bacterial Meningitis 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

Status
Beskrivning

Status

Datatyp

text

Attending
Beskrivning

Attending

Name of attending physician
Beskrivning

Name

Datatyp

text

Phone number of attending physician
Beskrivning

Phone

Datatyp

integer

Admitting Diagnosis
Beskrivning

Admitting Diagnosis

Childhood Bacterial Meningitis Associated Diagnoses
Beskrivning

Admitting Diagnosis

Datatyp

text

Condition
Beskrivning

Condition

Condition
Beskrivning

Condition

Datatyp

text

Allergies
Beskrivning

Allergies

Allergies
Beskrivning

Allergies

Datatyp

text

Diet
Beskrivning

Diet

Diet
Beskrivning

Diet

Datatyp

text

Activity
Beskrivning

Activity

Routine for age
Beskrivning

Activity

Datatyp

boolean

Crib
Beskrivning

Activity

Datatyp

boolean

Bassinet
Beskrivning

Acitivity

Datatyp

boolean

Bed rest
Beskrivning

Activity

Datatyp

boolean

Nursing
Beskrivning

Nursing

Vital signs with BP: every __ hrs
Beskrivning

Nursing

Datatyp

boolean

Neuro vitals: every __ hrs
Beskrivning

Nursing

Datatyp

boolean

If Vital signs with BP, please specify frequency
Beskrivning

Specification of Vital signs with BP

Datatyp

float

Måttenheter
  • hrs
hrs
If Neuro vitals, please specify frequency
Beskrivning

Specification of Neuro vitals

Datatyp

float

Måttenheter
  • hrs
hrs
Medications
Beskrivning

Medications

< 1 month of age: ampicillin 50 mg/kg/dose IVPB every 8 hrs; gentamicin 2.5 mg/kg/dose IVPB every 12 hrs
Beskrivning

Medications

Datatyp

boolean

Age 1-3 month: ampicillin (50mg/kg)__ mg IVPB every 8 hrs; cefotaxime (50mg/kg)__ mg IVPB every 6 hrs
Beskrivning

Medications

Datatyp

boolean

> 3 months: cefotaxime (50mg/kg)__ mg IVPB every 6 hrs
Beskrivning

Medications

Datatyp

boolean

Other
Beskrivning

Medications

Datatyp

boolean

If ampicillin at the age of 1-3 month, please specify amount
Beskrivning

Age 1-3 month, specification of ampicillin

Datatyp

float

If cefotaxime at the age of 1-3 month please specify amount
Beskrivning

Age 1-3 month, specification of cefotaxime

Datatyp

float

If cefotaxime at the age of > 3 month, please specify amount
Beskrivning

Age > 3 month, specification of cefotaxime

Datatyp

float

If cefotaxime at the age of > 3 month, please specify amount
Beskrivning

Age > 3 month, specification of cefotaxime

Datatyp

float

If Other, please specify
Beskrivning

Specification of Other

Datatyp

text

IV
Beskrivning

IV

Normal saline @__mL/hrs with 5 mEq KCI/250mL should be 2/3 maintenance
Beskrivning

IV

Datatyp

boolean

Maintenance: 100 mL/kg/day up to 10 kg plus 50 mL/kg/day for each kg between 10-20 plus 20 mL/kg/day for each kg > 20 kg
Beskrivning

IV

Datatyp

boolean

If Saline, please specify amount
Beskrivning

Specification of Saline

Datatyp

integer

Måttenheter
  • mL/hrs
mL/hrs
Lab
Beskrivning

Lab

Send CSF for: tube 1: C&S, gram stain on centrifuge spun specimen; tube 2: glucose, protein; tube 3: cell count and diff; tube 4: hold
Beskrivning

Lab

Datatyp

boolean

Blood cultures X2, CBC, basal metabolic profile
Beskrivning

Lab

Datatyp

boolean

UA, Urine C&S
Beskrivning

Lab

Datatyp

boolean

If concerned about SIADH: serum Lytes every 8 hrs, urine Lytes with Osm every day, urine SG every shift
Beskrivning

Lab

Datatyp

boolean

Consult
Beskrivning

Consult

Consult
Beskrivning

Consult

Datatyp

text

Signature
Beskrivning

Signature

Datatyp

text

Name
Beskrivning

Name

Datatyp

text

Date and Time
Beskrivning

Date and Time

Datatyp

datetime

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Similar models

AAFP: Childhood Bacterial Meningitis 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
Status
text
Status
Code List
Status
CL Item
ICU (1)
CL Item
Pediatrics (2)
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
Childhood Bacterial Meningitis 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
Diet
Item
Diet
text
Diet
Code List
Diet
CL Item
NPO (1)
CL Item
Age appropriate diet (2)
Item Group
Activity
Activity
Item
Routine for age
boolean
Activity
Item
Crib
boolean
Acitivity
Item
Bassinet
boolean
Activity
Item
Bed rest
boolean
Item Group
Nursing
Nursing
Item
Vital signs with BP: every __ hrs
boolean
Nursing
Item
Neuro vitals: every __ hrs
boolean
Specification of Vital signs with BP
Item
If Vital signs with BP, please specify frequency
float
Specification of Neuro vitals
Item
If Neuro vitals, please specify frequency
float
Item Group
Medications
Medications
Item
< 1 month of age: ampicillin 50 mg/kg/dose IVPB every 8 hrs; gentamicin 2.5 mg/kg/dose IVPB every 12 hrs
boolean
Medications
Item
Age 1-3 month: ampicillin (50mg/kg)__ mg IVPB every 8 hrs; cefotaxime (50mg/kg)__ mg IVPB every 6 hrs
boolean
Medications
Item
> 3 months: cefotaxime (50mg/kg)__ mg IVPB every 6 hrs
boolean
Medications
Item
Other
boolean
Age 1-3 month, specification of ampicillin
Item
If ampicillin at the age of 1-3 month, please specify amount
float
Age 1-3 month, specification of cefotaxime
Item
If cefotaxime at the age of 1-3 month please specify amount
float
Age > 3 month, specification of cefotaxime
Item
If cefotaxime at the age of > 3 month, please specify amount
float
Age > 3 month, specification of cefotaxime
Item
If cefotaxime at the age of > 3 month, please specify amount
float
Specification of Other
Item
If Other, please specify
text
Item Group
IV
IV
Item
Normal saline @__mL/hrs with 5 mEq KCI/250mL should be 2/3 maintenance
boolean
IV
Item
Maintenance: 100 mL/kg/day up to 10 kg plus 50 mL/kg/day for each kg between 10-20 plus 20 mL/kg/day for each kg > 20 kg
boolean
Specification of Saline
Item
If Saline, please specify amount
integer
Item Group
Lab
Lab
Item
Send CSF for: tube 1: C&S, gram stain on centrifuge spun specimen; tube 2: glucose, protein; tube 3: cell count and diff; tube 4: hold
boolean
Lab
Item
Blood cultures X2, CBC, basal metabolic profile
boolean
Lab
Item
UA, Urine C&S
boolean
Lab
Item
If concerned about SIADH: serum Lytes every 8 hrs, urine Lytes with Osm every day, urine SG every shift
boolean
Item Group
Consult
Consult
Item
Consult
text
Signature
Item
Signature
text
Name
Item
Name
text
Date and Time
Item
Date and Time
datetime
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