ID

16177

Beschrijving

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")

Link

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

Trefwoorden

  1. 04-07-16 04-07-16 -
  2. 26-07-16 26-07-16 -
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4 juli 2016

DOI

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Licentie

Creative Commons BY-NC 3.0

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AAFP: Partial Small Bowel Obstruction Admission Order

AAFP: Partial Small Bowel Obstruction Admission Order

Default Itemgroup
Beschrijving

Default Itemgroup

Name
Beschrijving

Name

Datatype

text

Age
Beschrijving

Age

Datatype

integer

Date of Birth
Beschrijving

Date of Birth

Datatype

date

Medical record number
Beschrijving

Medical record number

Datatype

integer

Status
Beschrijving

Status

Status
Beschrijving

Status

Datatype

text

Attending
Beschrijving

Attending

Name of attending physician
Beschrijving

Name

Datatype

text

Phone number of attending physician
Beschrijving

Phone

Datatype

integer

Admitting Diagnosis
Beschrijving

Admitting Diagnosis

Partial Small Bowel Obstruction Contributing Diagnoses
Beschrijving

Admitting Diagnosis

Datatype

text

Condition
Beschrijving

Condition

Condition
Beschrijving

Condition

Datatype

text

Allergies
Beschrijving

Allergies

Allergies
Beschrijving

Allergies

Datatype

text

Diet
Beschrijving

Diet

NPO
Beschrijving

Diet

Datatype

boolean

Activity
Beschrijving

Activity

Bed rest with bathroom privileges with assistance
Beschrijving

Activity

Datatype

boolean

Nursing
Beschrijving

Nursing

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

Nursing

Datatype

boolean

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

Nursing

Datatype

boolean

NG tube to low continuous suction
Beschrijving

Nursing

Datatype

boolean

I&O
Beschrijving

Nursing

Datatype

boolean

Medications
Beschrijving

Medications

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

Medications

Datatype

boolean

Phenergan 12.5 mg slow IVP every 3-4 hrs
Beschrijving

Medications

Datatype

boolean

IV
Beschrijving

IV

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

IV

Datatype

boolean

Bolus_____
Beschrijving

IV

Datatype

boolean

If Bolus, please specify
Beschrijving

IV

Datatype

text

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

IV

Datatype

boolean

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

IV

Datatype

integer

Lab
Beschrijving

Lab

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

Lab

Datatype

boolean

Other Orders
Beschrijving

Other Orders

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

Other

Datatype

boolean

Surgical consult as indicated (complete obstruction)
Beschrijving

Other

Datatype

boolean

Consider DVT prophylaxis with Lovenox 40 mg sq daily
Beschrijving

Other

Datatype

boolean

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

Others

Datatype

boolean

Signature
Beschrijving

Signature

Datatype

text

Print Name
Beschrijving

Print Name

Datatype

text

Date and Time
Beschrijving

Date and Time

Datatype

datetime

Similar models

AAFP: Partial Small Bowel Obstruction Admission Order

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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
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
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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