ID

16174

Description

AAFP: Acute Pancreatitis 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-third section ("AAFP: Acute Pancreatitis Admission Order ")

Link

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

Keywords

Versions (2)
  1. 7/4/16 7/4/16 -
  2. 7/25/16 7/25/16 -
Uploaded on

July 4, 2016

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License

Creative Commons BY-NC 3.0
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AAFP: Acute Pancreatitis Admission Order

English

AAFP: Acute Pancreatitis Admission Order

1 forms  
Default Itemgroup
Description

Default Itemgroup

Name
Description

Name

Data type

text

Age
Description

Age

Data type

integer

Date of Birth
Description

Date of Birth

Data type

date

Medical record number
Description

Medical record number

Data type

integer

Status
Description

Status

Status
Description

Status

Data type

text

Attending
Description

Attending

Name of attending physician
Description

Name

Data type

text

Phone number of attending physician
Description

Phone

Data type

integer

Admitting Diagnosis
Description

Admitting Diagnosis

Acute Pancreatitis Associated Diagnoses
Description

Admitting Diagnosis

Data type

text

Condition
Description

Condition

Condition
Description

Condition

Data type

text

Allergies
Description

Allergies

Allergies
Description

Allergies

Data type

text

Diet
Description

Diet

NPO
Description

Diet

Data type

boolean

NG tube to low suction; irrigate prn
Description

Diet

Data type

boolean

Activity
Description

Activity

Bed rest
Description

Activity

Data type

boolean

Bed rest with bathroom privileges with assistance
Description

Activity

Data type

boolean

Activity
Description

Up ad lib

Data type

boolean

Nursing
Description

Nursing

Vital signs and temperature every 4 hrs
Description

Nursing

Data type

boolean

Notify MD if: systolic BP < 90 or > 180; temperature > 101.5 PO; pulse < 55 bpm or > 120 bpm
Description

Nursing

Data type

boolean

I&O
Description

Nursing

Data type

boolean

Daily weights
Description

Nursing

Data type

boolean

IV
Description

IV

Normal saline @250 mL/hr x 2L, then D5
Description

IV

Data type

boolean

Normal saline with 20 mEq KCl/L
Description

IV

Data type

boolean

Other
Description

IV

Data type

boolean

If Other, please specify
Description

IV

Data type

boolean

Lab
Description

Lab

Admission: CBC, comp met profile, amylase, lipase, UA, PT/INR
Description

Lab

Data type

boolean

In a.m.: Lipid profile, amylase, CBC, basal metabolic profile
Description

Lab

Data type

boolean

Daily: CBC, basal metabolic profile, amylase every a.m.
Description

Lab

Data type

boolean

Medications
Description

Medications

Meperidine 25-100 mg slow IVP every 2-4 hrs prn for pain
Description

Medications

Data type

boolean

Protonix 40 mg IV daily
Description

Medications

Data type

boolean

Other
Description

Medications

Data type

boolean

If Other, please specify
Description

Medications

Data type

text

Radiology
Description

Radiology

Acute abdominal series
Description

Radiology

Data type

boolean

Radiology
Description

CXR-PA and Lat if not done

Data type

boolean

Ultrasound RUQ-Pancreatitis
Description

Radiology

Data type

boolean

CT abdomen with and without contrast
Description

Radiology

Data type

boolean

Consider
Description

Consider

Gl consult
Description

Consider

Data type

boolean

Lovenox ___mg subcutaneously daily for DVT prophylaxis
Description

Consider

Data type

boolean

If Lovenox, please specify amount
Description

Consider

Data type

integer

Measurement units
  • mg
mg
Blood cultures X2 if febrile
Description

Consider

Data type

boolean

Other Orders
Description

Other Orders

Other Orders
Description

Other Order

Data type

text

Signature
Description

Signature

Data type

text

Print Name
Description

Print Name

Data type

text

Date and Time
Description

undefined item

Data type

datetime

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Similar models

AAFP: Acute Pancreatitis Admission Order

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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
Status
Item
Status
text
Status
Code List
Status
CL Item
Admission (1)
CL Item
Medical floor (2)
CL Item
Monitored bed (3)
CL Item
ICU (4)
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
Acute Pancreatitis 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 Group
Allergies
Allergies
Item
Allergies
text
Item Group
Diet
Diet
Item
NPO
boolean
Diet
Item
NG tube to low suction; irrigate prn
boolean
Item Group
Activity
Activity
Item
Bed rest
boolean
Activity
Item
Bed rest with bathroom privileges with assistance
boolean
Activity
Item
boolean
Item Group
Nursing
Nursing
Item
Vital signs and temperature every 4 hrs
boolean
Nursing
Item
Notify MD if: systolic BP < 90 or > 180; temperature > 101.5 PO; pulse < 55 bpm or > 120 bpm
boolean
Nursing
Item
I&O
boolean
Nursing
Item
Daily weights
boolean
Item Group
IV
IV
Item
Normal saline @250 mL/hr x 2L, then D5
boolean
IV
Item
Normal saline with 20 mEq KCl/L
boolean
IV
Item
Other
boolean
IV
Item
If Other, please specify
boolean
Item Group
Lab
Lab
Item
Admission: CBC, comp met profile, amylase, lipase, UA, PT/INR
boolean
Lab
Item
In a.m.: Lipid profile, amylase, CBC, basal metabolic profile
boolean
Lab
Item
Daily: CBC, basal metabolic profile, amylase every a.m.
boolean
Item Group
Medications
Medications
Item
Meperidine 25-100 mg slow IVP every 2-4 hrs prn for pain
boolean
Medications
Item
Protonix 40 mg IV daily
boolean
Medications
Item
Other
boolean
Medications
Item
If Other, please specify
text
Item Group
Radiology
Radiology
Item
Acute abdominal series
boolean
Radiology
Item
boolean
Radiology
Item
Ultrasound RUQ-Pancreatitis
boolean
Radiology
Item
CT abdomen with and without contrast
boolean
Item Group
Consider
Consider
Item
Gl consult
boolean
Consider
Item
Lovenox ___mg subcutaneously daily for DVT prophylaxis
boolean
Consider
Item
If Lovenox, please specify amount
integer
Consider
Item
Blood cultures X2 if febrile
boolean
Item Group
Other Orders
Other Order
Item
Other Orders
text
Signature
Item
Signature
text
Print Name
Item
Print Name
text
undefined item
Item
Date and Time
datetime
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