ID

16171

Beskrivning

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")

Länk

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

Nyckelord

Versioner (2)
  1. 2016-07-04 2016-07-04 -
  2. 2016-07-25 2016-07-25 -
Uppladdad den

4 juli 2016

DOI

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Licens

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

Engelsk

AAFP: Neutropenic Fever 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 number
Beskrivning

Medical record number

Datatyp

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.
Beskrivning

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
Beskrivning

Status

Oncology ward
Beskrivning

Status

Datatyp

boolean

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

Neutropenic Fever Contributing 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

Regular diet with no fresh fruits or vegetables
Beskrivning

Diet

Datatyp

boolean

Activity
Beskrivning

Activity

Bed rest with bathroom privileges with assistance
Beskrivning

Activity

Datatyp

boolean

Nursing
Beskrivning

Nursing

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

Nursing

Datatyp

boolean

No plants in the room
Beskrivning

Nursing

Datatyp

boolean

Strict I&O
Beskrivning

Nursing

Datatyp

boolean

Medications
Beskrivning

Medications

Start cefepime 2 mg IV every 8 hrs
Beskrivning

Medications: Option 1

Datatyp

boolean

Patient with renal insufficiency
Beskrivning

Medications: Option 1

Datatyp

boolean

If Patient with renal insufficiency
Beskrivning

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.

Datatyp

text

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

Medications: Option 2

Datatyp

boolean

Patient with renal insufficiency
Beskrivning

Medications: Option 2

Datatyp

boolean

If patient with renal insufficiency
Beskrivning

Medications: Option 2

Datatyp

text

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

Medications: Option 2

Datatyp

boolean

Lab
Beskrivning

Lab

Blood culture X 2 from different peripheral sites
Beskrivning

Lab

Datatyp

boolean

CCMS UA and urine culture and sensitivity
Beskrivning

Lab

Datatyp

boolean

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

Lab

Datatyp

boolean

Daily CBC´s
Beskrivning

Lab

Datatyp

boolean

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: Neutropenic Fever 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 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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