ID

16045

Beskrivning

AAFP: Endometritis 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 fourteenth section ("Endometritis Admission Order").

Länk

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

Nyckelord

Versioner (1)
  1. 2016-06-27 2016-06-27 -
Uppladdad den

27 juni 2016

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Creative Commons BY-NC 3.0
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AAFP: Endometritis Admission Order

Engelsk

AAFP: Endometritis 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

If Other, please specify
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

Post-Partum Endometritis Associated Diagnoses
Beskrivning

Admitting Diagnosis

Datatyp

text

Condition
Beskrivning

Condition

Condition
Beskrivning

Condition

Datatyp

text

Code Status
Beskrivning

Condition

Datatyp

text

Allergies
Beskrivning

Allergies

Allergies
Beskrivning

Allergies

Datatyp

text

Diet
Beskrivning

Diet

NPO
Beskrivning

Diet

Datatyp

boolean

Clear liquid
Beskrivning

Diet

Datatyp

boolean

AHA step 2
Beskrivning

Diet

Datatyp

boolean

ADA__calories
Beskrivning

Diet

Datatyp

boolean

If Diet according to ADA, please specify amount of calories
Beskrivning

Diet

Datatyp

integer

Other
Beskrivning

Diet

Datatyp

boolean

If Other, please specify
Beskrivning

Diet

Datatyp

text

Activity
Beskrivning

Activity

Bed rest with bedside commode
Beskrivning

Activity

Datatyp

boolean

Bathroom privileges
Beskrivning

Activity

Datatyp

boolean

Up ad lib
Beskrivning

Activity

Datatyp

boolean

Nursing
Beskrivning

Nursing

Vital signs ever 4 hrs for 24 hrs then every shift
Beskrivning

Nursing

Datatyp

boolean

Notify MD for: T > 101.5, P > 120, BP < 90/60 or > 180/110
Beskrivning

Nursing

Datatyp

boolean

Daily weight
Beskrivning

Nursing

Datatyp

boolean

I&O
Beskrivning

Nursing

Datatyp

boolean

Medications
Beskrivning

Medications

Unasyn 3 mg IVPB every 6 hrs
Beskrivning

Medications

Datatyp

boolean

Clindamycin 900mg IVPB every 8 hrs (if patient PCN sensitive)
Beskrivning

Medications

Datatyp

boolean

If patient is toxic add to the above:
Beskrivning

Medications

Datatyp

text

If Metronidazole please specify 15 mg/kg load =___mg
Beskrivning

Medications

Datatyp

integer

If Metronidazole, please specify 7.5 mg/kg(up to 500 mg)=____mg
Beskrivning

Medications

Datatyp

integer

Tylenol 500 mg 2 tabs PO every 4 hrs prn fever/pain
Beskrivning

Medications

Datatyp

boolean

Prenatal vitamin 1 PO daily if breast-feeding
Beskrivning

Medications

Datatyp

boolean

IV
Beskrivning

IV

IV lock; flush per routine
Beskrivning

IV

Datatyp

boolean

IV___at mL/hr
Beskrivning

IV

Datatyp

boolean

If IV____at mL/hr, please specify amount
Beskrivning

IV

Datatyp

integer

Lab
Beskrivning

Lab

Admission: CBC, basal metabolic profile
Beskrivning

Lab

Datatyp

boolean

Culture
Beskrivning

Lab

Datatyp

boolean

If culture: lochia
Beskrivning

Lab

Datatyp

boolean

If culture: blood x2
Beskrivning

Lab

Datatyp

boolean

If culture: urine
Beskrivning

Lab

Datatyp

boolean

If culture: abdominal incision
Beskrivning

Lab

Datatyp

boolean

Daily CBC
Beskrivning

Lab

Datatyp

boolean

Other
Beskrivning

Other

Signature
Beskrivning

Signature

Datatyp

text

Print Name
Beskrivning

Print Name

Datatyp

text

Date and Time
Beskrivning

Date and Time

Datatyp

datetime

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Similar models

AAFP: Endometritis 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
Observation (1)
CL Item
Admission (2)
CL Item
Medical floor (3)
CL Item
Monitored Bed (4)
CL Item
Other (5)
Status
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
Admitting Diagnosis
Item
Post-Partum Endometritis 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
Condition
Code List
Code Status
CL Item
Full Code (1)
CL Item
DNR (2)
Item Group
Allergies
Allergies
Item
Allergies
text
Item Group
Diet
Diet
Item
NPO
boolean
Diet
Item
Clear liquid
boolean
Diet
Item
AHA step 2
boolean
Diet
Item
ADA__calories
boolean
Diet
Item
If Diet according to ADA, please specify amount of calories
integer
Diet
Item
Other
boolean
Diet
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 ever 4 hrs for 24 hrs then every shift
boolean
Nursing
Item
Notify MD for: T > 101.5, P > 120, BP < 90/60 or > 180/110
boolean
Nursing
Item
Daily weight
boolean
Nursing
Item
I&O
boolean
Item Group
Medications
Medications
Item
Unasyn 3 mg IVPB every 6 hrs
boolean
Medications
Item
Clindamycin 900mg IVPB every 8 hrs (if patient PCN sensitive)
boolean
Item
If patient is toxic add to the above:
text
Medications
Code List
If patient is toxic add to the above:
CL Item
Gentamycin 80 mg IVPB every 8 hrs obtain trough before 4th dose OR (1)
CL Item
Metronidazole 15 mg/kg load = ____mg x1 dose and Metroidazole 7.5 mg/kg (up to 500mg)=___mg IVPB every 8 hrs (2)
Medications
Item
If Metronidazole please specify 15 mg/kg load =___mg
integer
Medications
Item
If Metronidazole, please specify 7.5 mg/kg(up to 500 mg)=____mg
integer
Medications
Item
Tylenol 500 mg 2 tabs PO every 4 hrs prn fever/pain
boolean
Medications
Item
Prenatal vitamin 1 PO daily if breast-feeding
boolean
Item Group
IV
IV
Item
IV lock; flush per routine
boolean
IV
Item
IV___at mL/hr
boolean
IV
Item
If IV____at mL/hr, please specify amount
integer
Item Group
Lab
Lab
Item
Admission: CBC, basal metabolic profile
boolean
Lab
Item
Culture
boolean
Lab
Item
If culture: lochia
boolean
Lab
Item
If culture: blood x2
boolean
Lab
Item
If culture: urine
boolean
Lab
Item
If culture: abdominal incision
boolean
Lab
Item
Daily CBC
boolean
Item Group
Other
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime
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