ID

16003

Beskrivning

AAFP: Croup 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 ninth section ("Croup Admission Order").

Länk

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

Nyckelord

  1. 2016-06-26 2016-06-26 -
Uppladdad den

26 juni 2016

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :


Inga kommentarer

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

AAFP: Croup Admission Order

AAFP: Croup Admission Order

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
Beskrivning

Status

Datatyp

boolean

Observation in pediatric unit
Beskrivning

Status

Datatyp

boolean

Attending
Beskrivning

Attending

Name of attending physician
Beskrivning

Attending

Datatyp

text

Phone number of attending physician
Beskrivning

Attending

Datatyp

integer

Admitting Diagnosis
Beskrivning

Admitting Diagnosis

Croup 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

Clear liquids
Beskrivning

Diet

Datatyp

boolean

Diet for age
Beskrivning

Diet

Datatyp

boolean

Activity
Beskrivning

Activity

Bed rest
Beskrivning

Activity

Datatyp

boolean

Up ad lib
Beskrivning

Activity

Datatyp

boolean

Nursing
Beskrivning

Nursing

Vital signs per unit routine
Beskrivning

Nursing

Datatyp

boolean

Vital signs every 4 hrs if on oxygen therapy
Beskrivning

Nursing

Datatyp

boolean

I&O every shift
Beskrivning

Nursing

Datatyp

boolean

Lab
Beskrivning

Lab

CBC
Beskrivning

Lab

Datatyp

boolean

Lytes
Beskrivning

undefined item

Datatyp

boolean

AP/Lateral Neck X-ray
Beskrivning

AP/Lateral Neck X-ray

AP/Lateral Neck X-ray
Beskrivning

Indicated in atypical cases such as child > age 6, suspected foreign body or unresponsive to therapy

Datatyp

text

Respiratory
Beskrivning

Respiratory

If croup score > 5, notify MD
Beskrivning

Respiratory

Datatyp

boolean

If score 2 or greater: continue oximetry; racemic epinephrine (2.25%) nebulizer
Beskrivning

Respiratory

Datatyp

boolean

0.25 mL in 3 mL normal saline if < 1 year old or less than 20 kg
Beskrivning

Respiratory

Datatyp

boolean

0.50 mL in 3 mL normal saline if > 1 year old
Beskrivning

Respiratory

Datatyp

boolean

May repeat dose every 4 hrs; notify MD if child need more frequent doses
Beskrivning

Respiratory

Datatyp

boolean

O2 @ 2-4 L/min via nasal cannula or face mask to keep O2 sat > 95%
Beskrivning

Respiratory

Datatyp

boolean

Medications
Beskrivning

Medications

Medications
Beskrivning

Medications

Datatyp

text

Please specify amount of the chosen medication
Beskrivning

Specification amount of medication

Datatyp

integer

If Prelone elixir, please specify duration in days
Beskrivning

Specification duration of Prelone

Datatyp

integer

Medications
Beskrivning

Medications

Datatyp

text

If Tylenol, please specify amount
Beskrivning

Specification of Tylenol

Datatyp

integer

If Motrin, please specify amount
Beskrivning

Specification of Motrin

Datatyp

integer

IV
Beskrivning

IV

No IV required
Beskrivning

IV

Datatyp

boolean

Bolus with__mL normal saline over 1-2 hrs (10-20 mL/kg bolus)
Beskrivning

IV

Datatyp

boolean

If Bolus with normal saline, please specify amount
Beskrivning

Specification of saline

Datatyp

float

Maintenance IV with Dextrose 5% in 1/4 normal saline @___mL/hr; add 20 mEq KCL after first void
Beskrivning

IV

Datatyp

boolean

If Dextrose, please specify amount mL/hr
Beskrivning

Specification of Dextrose

Datatyp

integer

Other Orders
Beskrivning

Other Orders

Other Orders
Beskrivning

Other Orders

Datatyp

text

Signature
Beskrivning

Signature

Datatyp

text

Print Name
Beskrivning

Print Name

Datatyp

text

Date and Time
Beskrivning

Date and Time

Datatyp

datetime

Similar models

AAFP: Croup Admission Order

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
Status
Item
Admission
boolean
Status
Item
Observation in pediatric unit
boolean
Item Group
Attending
Attending
Item
Name of attending physician
text
Attending
Item
Phone number of attending physician
integer
Item Group
Admitting Diagnosis
Admitting Diagnosis
Item
Croup 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 Group
Allergies
Allergies
Item
Allergies
text
Item Group
Diet
Diet
Item
Clear liquids
boolean
Diet
Item
Diet for age
boolean
Item Group
Activity
Activity
Item
Bed rest
boolean
Activity
Item
Up ad lib
boolean
Item Group
Nursing
Nursing
Item
Vital signs per unit routine
boolean
Nursing
Item
Vital signs every 4 hrs if on oxygen therapy
boolean
Nursing
Item
I&O every shift
boolean
Item Group
Lab
Lab
Item
CBC
boolean
undefined item
Item
Lytes
boolean
Item Group
AP/Lateral Neck X-ray
AP/Lateral Neck X-ray
Item
text
Item Group
Respiratory
Respiratory
Item
If croup score > 5, notify MD
boolean
Respiratory
Item
If score 2 or greater: continue oximetry; racemic epinephrine (2.25%) nebulizer
boolean
Respiratory
Item
0.25 mL in 3 mL normal saline if < 1 year old or less than 20 kg
boolean
Respiratory
Item
0.50 mL in 3 mL normal saline if > 1 year old
boolean
Respiratory
Item
May repeat dose every 4 hrs; notify MD if child need more frequent doses
boolean
Respiratory
Item
O2 @ 2-4 L/min via nasal cannula or face mask to keep O2 sat > 95%
boolean
Item Group
Medications
Item
Medications
text
Code List
Medications
CL Item
Decadron __mg IM now (0.6mg/kg body weight) OR (1)
CL Item
Decadron elixir 0.5 mg/5mL___mg PO now (0.6 mg/kg body weight) OR (2)
CL Item
Prelone elixir 12mg/mL__mg PO BID for __ days (1mg/kg/dose) (3)
Specification amount of medication
Item
Please specify amount of the chosen medication
integer
Specification duration of Prelone
Item
If Prelone elixir, please specify duration in days
integer
Item
text
Code List
Medications
CL Item
Tylenol ___mg PO or PR every 4 hrs prn; temp > 100.4 (10-15 mg/kg/dose) OR (1)
CL Item
Motrin__ mg PO every 6 hrs prn; temp > 100.4 (10 mg/kg/dose) (2)
Specification of Tylenol
Item
If Tylenol, please specify amount
integer
Specification of Motrin
Item
If Motrin, please specify amount
integer
Item Group
IV
IV
Item
No IV required
boolean
IV
Item
Bolus with__mL normal saline over 1-2 hrs (10-20 mL/kg bolus)
boolean
Specification of saline
Item
If Bolus with normal saline, please specify amount
float
IV
Item
Maintenance IV with Dextrose 5% in 1/4 normal saline @___mL/hr; add 20 mEq KCL after first void
boolean
Specification of Dextrose
Item
If Dextrose, please specify amount mL/hr
integer
Item Group
Other Orders
Other Orders
Item
Other Orders
text
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial