ID

16177

Description

AAFP: Partial Small Bowel Obstruction 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-fourth section ("AAFP: Partial Small Bowel Obstruction Admission Order")

Lien

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

Mots-clés

Versions (2)
  1. 04/07/2016 04/07/2016 -
  2. 26/07/2016 26/07/2016 -
Téléchargé le

4 juillet 2016

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
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AAFP: Partial Small Bowel Obstruction Admission Order

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AAFP: Partial Small Bowel Obstruction Admission Order

1 Formulaires  
Default Itemgroup
Description

Default Itemgroup

Name
Description

Name

Type de données

text

Age
Description

Age

Type de données

integer

Date of Birth
Description

Date of Birth

Type de données

date

Medical record number
Description

Medical record number

Type de données

integer

Status
Description

Status

Status
Description

Status

Type de données

text

Attending
Description

Attending

Name of attending physician
Description

Name

Type de données

text

Phone number of attending physician
Description

Phone

Type de données

integer

Admitting Diagnosis
Description

Admitting Diagnosis

Partial Small Bowel Obstruction Contributing Diagnoses
Description

Admitting Diagnosis

Type de données

text

Condition
Description

Condition

Condition
Description

Condition

Type de données

text

Allergies
Description

Allergies

Allergies
Description

Allergies

Type de données

text

Diet
Description

Diet

NPO
Description

Diet

Type de données

boolean

Activity
Description

Activity

Bed rest with bathroom privileges with assistance
Description

Activity

Type de données

boolean

Nursing
Description

Nursing

Vital signs: every 4 hrs for 24 hrs then every shift
Description

Nursing

Type de données

boolean

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

Nursing

Type de données

boolean

NG tube to low continuous suction
Description

Nursing

Type de données

boolean

I&O
Description

Nursing

Type de données

boolean

Medications
Description

Medications

Demerol 25-50mg slow IVP every 3-4 hrs prn pain
Description

Medications

Type de données

boolean

Phenergan 12.5 mg slow IVP every 3-4 hrs
Description

Medications

Type de données

boolean

IV
Description

IV

Dextrose 5% normal saline with 20 mEq KCl @125 mL/hr
Description

IV

Type de données

boolean

Bolus_____
Description

IV

Type de données

boolean

If Bolus, please specify
Description

IV

Type de données

text

Replace NG output mL per mL with___normal saline every 12 hrs
Description

IV

Type de données

boolean

Please specify amount of normal saline if NG output is replaced by saline
Description

IV

Type de données

integer

Lab
Description

Lab

Daily hemogram, basal metabolic profile in a.m.
Description

Lab

Type de données

boolean

Other Orders
Description

Other Orders

X-ray: acute abdominal series if not done in ER/clinic
Description

Other

Type de données

boolean

Surgical consult as indicated (complete obstruction)
Description

Other

Type de données

boolean

Consider DVT prophylaxis with Lovenox 40 mg sq daily
Description

Other

Type de données

boolean

Consider gastrografin UGI with small bowel follow-through after 24-26 hrs of NG suction
Description

Others

Type de données

boolean

Signature
Description

Signature

Type de données

text

Print Name
Description

Print Name

Type de données

text

Date and Time
Description

Date and Time

Type de données

datetime

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Similar models

AAFP: Partial Small Bowel Obstruction Admission Order

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
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
Observation (1)
CL Item
Admission (2)
CL Item
Medical floor (3)
CL Item
Surgical (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
Partial Small Bowel Obstruction 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
NPO
boolean
Item Group
Activity
Activity
Item
Bed rest with bathroom privileges with assistance
boolean
Item Group
Nursing
Nursing
Item
Vital signs: every 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
NG tube to low continuous suction
boolean
Nursing
Item
I&O
boolean
Item Group
Medications
Medications
Item
Demerol 25-50mg slow IVP every 3-4 hrs prn pain
boolean
Medications
Item
Phenergan 12.5 mg slow IVP every 3-4 hrs
boolean
Item Group
IV
IV
Item
Dextrose 5% normal saline with 20 mEq KCl @125 mL/hr
boolean
IV
Item
Bolus_____
boolean
IV
Item
If Bolus, please specify
text
IV
Item
Replace NG output mL per mL with___normal saline every 12 hrs
boolean
IV
Item
Please specify amount of normal saline if NG output is replaced by saline
integer
Item Group
Lab
Lab
Item
Daily hemogram, basal metabolic profile in a.m.
boolean
Item Group
Other Orders
Other
Item
X-ray: acute abdominal series if not done in ER/clinic
boolean
Other
Item
Surgical consult as indicated (complete obstruction)
boolean
Other
Item
Consider DVT prophylaxis with Lovenox 40 mg sq daily
boolean
Others
Item
Consider gastrografin UGI with small bowel follow-through after 24-26 hrs of NG suction
boolean
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime
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