ID

16042

Beschrijving

AAFP: CVT Outpatient Screening Criteria , 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 thirteenth section ("AAFP: CVT Outpatient Screening Criteria").

Link

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

Trefwoorden

Versies (1)
  1. 27-06-16 27-06-16 -
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27 juni 2016

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Licentie

Creative Commons BY-NC 3.0
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AAFP: CVT Outpatient Screening Criteria

Engels

AAFP: CVT Outpatient Screening Criteria

1 Formulieren  
Inclusion Criteria
Beschrijving

Inclusion Criteria

Acute, symptomatic, proximal or distal DVT documented by venogram/Doppler U/S
Beschrijving

Inclusion Criteria

Datatype

boolean

Patient agrees to outpatient therapy
Beschrijving

Inclusion Criteria

Datatype

boolean

Exclusion Criteria
Beschrijving

Exclusion Criteria

Current, active bleeding, active peptic or ulcer disease, congenital or acquired bleeding disorder or disease process in which, in the judgement of the physician, there may be an increased risk of bleeding (e.g. hepatic or renal insufficiency, recent surgery or stroke)
Beschrijving

Exclusion Criteria

Datatype

boolean

Concurrent symptomatic pulmonary emboli
Beschrijving

Exclusion Criteria

Datatype

boolean

Expected hospitalization greater than five days due to co-existing conditions
Beschrijving

Exclusion Criteria

Datatype

boolean

Known hypercoagulability: familiar or acquired
Beschrijving

Exclusion Criteria

Datatype

boolean

Pregnant or breast-feeding
Beschrijving

Exclusion Criteria

Datatype

boolean

Uncontrolled hypertension
Beschrijving

Exclusion Criteria

Datatype

boolean

Extensive iliofemoral DVT
Beschrijving

Exclusion Criteria

Datatype

boolean

Likelihood of non-compliance due to cognitive limitations, alcohol/drug abuse, dementia, psychiatric disorders, etc.
Beschrijving

Exclusion Criteria

Datatype

boolean

if yes, please describe
Beschrijving

Exclusion Criteria - Likelihoof of non-compliance

Datatype

text

Decision
Beschrijving

Decision

Patient meets criteria for outpatient Lovenox therapy. Begin patient education.
Beschrijving

Decision

Datatype

boolean

Lovenox self-administration and anticoagulation precautions.
Beschrijving

Decision

Datatype

boolean

Patient does not qualify for outpatient Lovenox therapy.
Beschrijving

Decision

Datatype

boolean

Signature
Beschrijving

Signature

Datatype

text

Print Name
Beschrijving

Print Name

Datatype

text

Date and Time
Beschrijving

Date and Time

Datatype

datetime

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Similar models

AAFP: CVT Outpatient Screening Criteria

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Inclusion Criteria
Inclusion Criteria
Item
Acute, symptomatic, proximal or distal DVT documented by venogram/Doppler U/S
boolean
Inclusion Criteria
Item
Patient agrees to outpatient therapy
boolean
Item Group
Exclusion Criteria
Exclusion Criteria
Item
Current, active bleeding, active peptic or ulcer disease, congenital or acquired bleeding disorder or disease process in which, in the judgement of the physician, there may be an increased risk of bleeding (e.g. hepatic or renal insufficiency, recent surgery or stroke)
boolean
Exclusion Criteria
Item
Concurrent symptomatic pulmonary emboli
boolean
Exclusion Criteria
Item
Expected hospitalization greater than five days due to co-existing conditions
boolean
Exclusion Criteria
Item
Known hypercoagulability: familiar or acquired
boolean
Exclusion Criteria
Item
Pregnant or breast-feeding
boolean
Exclusion Criteria
Item
Uncontrolled hypertension
boolean
Exclusion Criteria
Item
Extensive iliofemoral DVT
boolean
Exclusion Criteria
Item
Likelihood of non-compliance due to cognitive limitations, alcohol/drug abuse, dementia, psychiatric disorders, etc.
boolean
Exclusion Criteria - Likelihoof of non-compliance
Item
if yes, please describe
text
Item Group
Decision
Decision
Item
Patient meets criteria for outpatient Lovenox therapy. Begin patient education.
boolean
Decision
Item
Lovenox self-administration and anticoagulation precautions.
boolean
Decision
Item
Patient does not qualify for outpatient Lovenox therapy.
boolean
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime
Terug naar het begin van de pagina 

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