ID

16171

Beschreibung

AAFP: Neutropenic Fever 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 twenty-second section ("AAFP: Neutropenic Fever Admission Order")

Link

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

Stichworte

Versionen (2)
  1. 04.07.16 04.07.16 -
  2. 25.07.16 25.07.16 -
Hochgeladen am

4. Juli 2016

DOI

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Creative Commons BY-NC 3.0
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AAFP: Neutropenic Fever Admission Order

Englisch

AAFP: Neutropenic Fever Admission Order

1 Formulare  
Default Itemgroup
Beschreibung

Default Itemgroup

Name
Beschreibung

Name

Datentyp

text

Age
Beschreibung

Age

Datentyp

integer

Date of Birth
Beschreibung

Date of Birth

Datentyp

date

Medical record number
Beschreibung

Medical record number

Datentyp

integer

The Neutropenic fever patient is defined as a single oral temperature of > 38.3 C (101 F) x1 in the absence of an obvious environmental source or a temperature of > 38.0 C (100.4 F) for > 1 hr in a patient whose Absolut Neutrophil Count (ANC= (% polys + % bands) x WBC) is equal to or less than 100 mm^3. The patient should be considered in an emergency state.
Beschreibung

The Neutropenic fever patient is defined as a single oral temperature of > 38.3 C (101 F) x1 in the absence of an obvious environmental source or a temperature of > 38.0 C (100.4 F) for > 1 hr in a patient whose Absolut Neutrophil Count (ANC= (% polys + % bands) x WBC) is equal to or less than 100 mm^3. The patient should be considered in an emergency state.

Status
Beschreibung

Status

Oncology ward
Beschreibung

Status

Datentyp

boolean

Attending
Beschreibung

Attending

Name of attending physician
Beschreibung

Name

Datentyp

text

Phone number of attending physician
Beschreibung

Phone

Datentyp

integer

Admitting Diagnosis
Beschreibung

Admitting Diagnosis

Neutropenic Fever Contributing Diagnoses
Beschreibung

Admitting Diagnosis

Datentyp

text

Condition
Beschreibung

Condition

Condition
Beschreibung

Condition

Datentyp

text

Allergies
Beschreibung

Allergies

Allergies
Beschreibung

Allergies

Datentyp

text

Diet
Beschreibung

Diet

Regular diet with no fresh fruits or vegetables
Beschreibung

Diet

Datentyp

boolean

Activity
Beschreibung

Activity

Bed rest with bathroom privileges with assistance
Beschreibung

Activity

Datentyp

boolean

Nursing
Beschreibung

Nursing

Vital signs: every 2 hrs X4 then every 4 hrs X 24 hrs then every shift if stable
Beschreibung

Nursing

Datentyp

boolean

No plants in the room
Beschreibung

Nursing

Datentyp

boolean

Strict I&O
Beschreibung

Nursing

Datentyp

boolean

Medications
Beschreibung

Medications

Start cefepime 2 mg IV every 8 hrs
Beschreibung

Medications: Option 1

Datentyp

boolean

Patient with renal insufficiency
Beschreibung

Medications: Option 1

Datentyp

boolean

If Patient with renal insufficiency
Beschreibung

DO NOT GIVE to patients with a history of anaphylaxis to penicillin. If patient has a non-life threatening allergic reaction to penicillin (pruritus, rash, etc.), cefepime may be given.

Datentyp

text

If patient had anaphylaxis to a penicillin or cephalosporin: start aztreonam 2 gm IV 18h and clindamycin 900 mg IV every 8 hrs
Beschreibung

Medications: Option 2

Datentyp

boolean

Patient with renal insufficiency
Beschreibung

Medications: Option 2

Datentyp

boolean

If patient with renal insufficiency
Beschreibung

Medications: Option 2

Datentyp

text

If patient has any of the following: severe mucositis, obvious catheter related-infection, consider starting vancomycin
Beschreibung

Medications: Option 2

Datentyp

boolean

Lab
Beschreibung

Lab

Blood culture X 2 from different peripheral sites
Beschreibung

Lab

Datentyp

boolean

CCMS UA and urine culture and sensitivity
Beschreibung

Lab

Datentyp

boolean

Gram stain and culture any suspicious area plus sputum if producing
Beschreibung

Lab

Datentyp

boolean

Daily CBC´s
Beschreibung

Lab

Datentyp

boolean

Signature
Beschreibung

Signature

Datentyp

text

Print Name
Beschreibung

Print Name

Datentyp

text

Date and Time
Beschreibung

Date and Time

Datentyp

datetime

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Ähnliche Modelle

AAFP: Neutropenic Fever Admission Order

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Name
Item
Name
text
Age
Item
Age
integer
Date of Birth
Item
Date of Birth
date
Medical record number
Item
Medical record number
integer
Item Group
The Neutropenic fever patient is defined as a single oral temperature of > 38.3 C (101 F) x1 in the absence of an obvious environmental source or a temperature of > 38.0 C (100.4 F) for > 1 hr in a patient whose Absolut Neutrophil Count (ANC= (% polys + % bands) x WBC) is equal to or less than 100 mm^3. The patient should be considered in an emergency state.
Item Group
Status
Status
Item
Oncology ward
boolean
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
Neutropenic Fever Contributing 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
Diet
Item
Regular diet with no fresh fruits or vegetables
boolean
Item Group
Activity
Activity
Item
Bed rest with bathroom privileges with assistance
boolean
Item Group
Nursing
Nursing
Item
Vital signs: every 2 hrs X4 then every 4 hrs X 24 hrs then every shift if stable
boolean
Nursing
Item
No plants in the room
boolean
Nursing
Item
Strict I&O
boolean
Item Group
Medications
Medications: Option 1
Item
Start cefepime 2 mg IV every 8 hrs
boolean
Medications: Option 1
Item
Patient with renal insufficiency
boolean
Item
If Patient with renal insufficiency
text
Medications: Option 1
Code List
If Patient with renal insufficiency
CL Item
CrCl 30-60 mo/min: 2 gm IV every 12 hrs (1)
CL Item
CrCl 11-29 mL/min: 2 gm IV every 24 hrs (2)
CL Item
CrCl < 10 mL/min: 1 gm IV every 24 hrs (3)
Medications: Option 2
Item
If patient had anaphylaxis to a penicillin or cephalosporin: start aztreonam 2 gm IV 18h and clindamycin 900 mg IV every 8 hrs
boolean
Medications: Option 2
Item
Patient with renal insufficiency
boolean
Item
If patient with renal insufficiency
text
Medications: Option 2
Code List
If patient with renal insufficiency
CL Item
CrCl 10-30 mL/min:aztreonam 2 gm x 1, then 1 gm IV every 8 hrs (1)
CL Item
CrCl < 10 mL/min: aztreonam 2 gm x 1 , then 1 gm IV every 12 hrs (2)
Medications: Option 2
Item
If patient has any of the following: severe mucositis, obvious catheter related-infection, consider starting vancomycin
boolean
Item Group
Lab
Lab
Item
Blood culture X 2 from different peripheral sites
boolean
Lab
Item
CCMS UA and urine culture and sensitivity
boolean
Lab
Item
Gram stain and culture any suspicious area plus sputum if producing
boolean
Lab
Item
Daily CBC´s
boolean
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime
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