ID

16207

Beschrijving

AAFP: Pelvic Inflammatory Disease 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-sixth section ("AAFP: Pelvic Inflammatory Disease Admission Order")

Link

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

Trefwoorden

  1. 05-07-16 05-07-16 -
  2. 24-07-16 24-07-16 -
  3. 17-09-21 17-09-21 -
Geüploaded op

5 juli 2016

DOI

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Licentie

Creative Commons BY-NC 3.0

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AAFP: Pelvic Inflammatory Disease Admission Order

AAFP: Pelvic Inflammatory Disease 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

Pelvic Inflammatory Disease Associated 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

Routine as tolerated
Beschrijving

Diet

Datatype

boolean

Activity
Beschrijving

Activity

Bed rest with bathroom privileges
Beschrijving

Activity

Datatype

boolean

Nursing
Beschrijving

Nursing

Vital signs: every shift
Beschrijving

Nursing

Datatype

boolean

Notify MD for: T > 102.5; P > 120 and < 60; BP < 90/60 and > 180/110
Beschrijving

Nursing

Datatype

boolean

Medications
Beschrijving

Medications

Medications
Beschrijving

Medications

Datatype

text

Vicodin 1-2 PO every 6-8 hrs prn pain
Beschrijving

Medications

Datatype

boolean

Ambien 10 mg PO @ bedtime prn insomnia
Beschrijving

Medications

Datatype

boolean

Phenergan 12.5-25 mg SIVP every 6-8 hrs prn nausea/ vomiting
Beschrijving

Medications

Datatype

boolean

Tylenol 500 mg 1-2 every 6-8 hrs prn fever or pain
Beschrijving

Medications

Datatype

boolean

MOM 30 mL PO every 12 hrs prn constipation
Beschrijving

Medications

Datatype

boolean

Other
Beschrijving

Medications

Datatype

boolean

If Other, please specify
Beschrijving

Medications

Datatype

text

IV
Beschrijving

IV

Dextrose 5% in 1/2 normal saline @ 125 mL/hr
Beschrijving

IV

Datatype

boolean

Lab
Beschrijving

Lab

CBC, UA, urine HCG, basal metabolic profile
Beschrijving

Lab

Datatype

boolean

Gentamicin level 6-14 hrs after initial infusion if using once a day
Beschrijving

Lab

Datatype

boolean

Gentamicin dosing
Beschrijving

Lab

Datatype

boolean

Cervical swab for GC/Chlaydia
Beschrijving

Lab

Datatype

boolean

Hemogram daily in a.m.
Beschrijving

Lab

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: Pelvic Inflammatory Disease 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)
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
Pelvic Inflammatory Disease Associated 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
Routine as tolerated
boolean
Item Group
Activity
Activity
Item
Bed rest with bathroom privileges
boolean
Item Group
Nursing
Nursing
Item
Vital signs: every shift
boolean
Nursing
Item
Notify MD for: T > 102.5; P > 120 and < 60; BP < 90/60 and > 180/110
boolean
Item Group
Medications
Item
Medications
text
Code List
Medications
CL Item
Cefotetan 2gm IVPB every 23 hrs OR (1)
CL Item
Cefoxitin 2 gm IVPB every 6 hrs plus doxycycline 100 mg IV/PO every 12 hrs OR (2)
CL Item
Clindamycin 900 mg IVPB every 8 hrs plus Gentamycin 7 mg/kg IVPB over 1 hr per day (adjust dose according to normagram) OR (3)
CL Item
Unasyn 3 grams IVPB every 6 hrs plus Doxycycline 100 mg IV/PO every 12 hrs (4)
Medications
Item
Vicodin 1-2 PO every 6-8 hrs prn pain
boolean
Medications
Item
Ambien 10 mg PO @ bedtime prn insomnia
boolean
Medications
Item
Phenergan 12.5-25 mg SIVP every 6-8 hrs prn nausea/ vomiting
boolean
Medications
Item
Tylenol 500 mg 1-2 every 6-8 hrs prn fever or pain
boolean
Medications
Item
MOM 30 mL PO every 12 hrs prn constipation
boolean
Medications
Item
Other
boolean
Medications
Item
If Other, please specify
text
Item Group
IV
IV
Item
Dextrose 5% in 1/2 normal saline @ 125 mL/hr
boolean
Item Group
Lab
Lab
Item
CBC, UA, urine HCG, basal metabolic profile
boolean
Lab
Item
Gentamicin level 6-14 hrs after initial infusion if using once a day
boolean
Lab
Item
Gentamicin dosing
boolean
Lab
Item
Cervical swab for GC/Chlaydia
boolean
Lab
Item
Hemogram daily in a.m.
boolean
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime

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