ID

16210

Beskrivning

AAFP: Seizures 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-eighth section ("AAFP: Seizures Admission Order")

Länk

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

Nyckelord

Versioner (2)
  1. 2016-07-05 2016-07-05 -
  2. 2016-07-24 2016-07-24 -
Uppladdad den

5 juli 2016

DOI

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Licens

Creative Commons BY-NC 3.0
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AAFP: Seizures Admission Order

Engelsk

AAFP: Seizures 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

Status
Beskrivning

Status

Status
Beskrivning

Status

Datatyp

text

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

Seizures 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

Diet
Beskrivning

Diet

Datatyp

text

Activity
Beskrivning

Activity

Bed rest with seizure precautions
Beskrivning

Activity

Datatyp

boolean

Nursing
Beskrivning

Nursing

Vital signs: every 2 hrs with neuro checks until stable X4, then every 4 hrs
Beskrivning

Nursing

Datatyp

boolean

Notify MD for: T > 100, BP < 90/60 or > 170/110, seizures, glasgow coma scale < 15
Beskrivning

Nursing

Datatyp

boolean

Medications
Beskrivning

Medications

Dilantin loading options
Beskrivning

Medications

Datatyp

text

If PO Dilantin, please specify amount
Beskrivning

Medications

Datatyp

integer

If IV Dilantin 50 mg/min, please specify IVP to total of
Beskrivning

Medications

Datatyp

integer

Ativan 2-4 mg slow IVP over 10 min prn active seizures lasting more than 3 min
Beskrivning

Medications

Datatyp

boolean

Tylenol 650 mg PO every 4-6 hrs prn fever or pain
Beskrivning

Medications

Datatyp

boolean

MOM 30 mL PO every 12 hrs prn constipation
Beskrivning

Medications

Datatyp

boolean

Other
Beskrivning

Medications

Datatyp

boolean

If Other, please specify
Beskrivning

Medications

Datatyp

text

Lab
Beskrivning

Lab

Hemogram
Beskrivning

Lab

Datatyp

boolean

Comp met profile
Beskrivning

Lab

Datatyp

boolean

VDRL
Beskrivning

Lab

Datatyp

boolean

Urine Toxicology screen for "drugs of abuse"
Beskrivning

Lab

Datatyp

boolean

Other
Beskrivning

Other

MRI of head with and without contrast for "new onset seizures, R/O mass, lesion"
Beskrivning

Other

Datatyp

boolean

EEG for " new onset seizures"; to be read by neurologist
Beskrivning

Other

Datatyp

boolean

Consult
Beskrivning

Consult

Consult
Beskrivning

Consult

Datatyp

text

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: Seizures 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
Status
Item
Status
text
Status
Code List
Status
CL Item
Observation (1)
CL Item
Admission (2)
CL Item
Medical floor (3)
CL Item
Monitored bed (4)
CL Item
Telemetry (5)
CL Item
ICU (6)
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
Seizures 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
Diet
text
Item Group
Activity
Activity
Item
Bed rest with seizure precautions
boolean
Item Group
Nursing
Nursing
Item
Vital signs: every 2 hrs with neuro checks until stable X4, then every 4 hrs
boolean
Nursing
Item
Notify MD for: T > 100, BP < 90/60 or > 170/110, seizures, glasgow coma scale < 15
boolean
Item Group
Medications
Item
Dilantin loading options
text
Medications
Code List
Dilantin loading options
CL Item
PO Dilantin____mg (15mg/kg) every 4 hrs X3 doses OR (1)
CL Item
IV Dilantin 50 mg/min; IVP to total of____mg (18mg/kg) then begin Dilantin 300mg PO QD OR (2)
CL Item
Fosphenytoin-load (10-20 PE/kg) (3)
Medications
Item
If PO Dilantin, please specify amount
integer
Medications
Item
If IV Dilantin 50 mg/min, please specify IVP to total of
integer
Medications
Item
Ativan 2-4 mg slow IVP over 10 min prn active seizures lasting more than 3 min
boolean
Medications
Item
Tylenol 650 mg PO every 4-6 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
Lab
Lab
Item
Hemogram
boolean
Lab
Item
Comp met profile
boolean
Lab
Item
VDRL
boolean
Lab
Item
Urine Toxicology screen for "drugs of abuse"
boolean
Item Group
Other
Other
Item
MRI of head with and without contrast for "new onset seizures, R/O mass, lesion"
boolean
Other
Item
EEG for " new onset seizures"; to be read by neurologist
boolean
Item Group
Consult
Consult
Item
Consult
text
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime
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