ID

16564

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

24 juli 2016

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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

Alias
UMLS CUI [1]
C0027365
Age
Beskrivning

Age

Datatyp

integer

Alias
UMLS CUI [1]
C0001779
Date of Birth
Beskrivning

Date of Birth

Datatyp

date

Alias
UMLS CUI [1]
C0421451
Medical record number
Beskrivning

Medical record number

Datatyp

integer

Alias
UMLS CUI [1]
C1301894
Status
Beskrivning

Status

Status
Beskrivning

Status

Datatyp

text

Alias
UMLS CUI [1]
C0449438
Attending
Beskrivning

Attending

Name of attending physician
Beskrivning

Name of attending physician

Datatyp

text

Alias
UMLS CUI [1]
C2361125
Phone number of attending physician
Beskrivning

Phone number of attending physician

Datatyp

integer

Alias
UMLS CUI [1]
C3262226
Admitting Diagnosis
Beskrivning

Admitting Diagnosis

Seizures Contributing Diagnoses
Beskrivning

Admitting Diagnosis

Datatyp

text

Alias
UMLS CUI [1]
C0332133
Condition
Beskrivning

Condition

Condition
Beskrivning

Physical Condition

Datatyp

text

Alias
UMLS CUI [1]
C3714565
Allergies
Beskrivning

Allergies

Allergies
Beskrivning

Allergies

Datatyp

text

Alias
UMLS CUI [1]
C0020517
Diet
Beskrivning

Diet

Diet
Beskrivning

Diet

Datatyp

text

Alias
UMLS CUI [1]
C0012155
Activity
Beskrivning

Activity

Bed rest with seizure precautions
Beskrivning

Activity

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0004910
UMLS CUI [1,2]
C0150329
Nursing
Beskrivning

Nursing

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

Vital signs

Datatyp

boolean

Alias
UMLS CUI [1]
C0518766
Notify MD for: T > 100, BP < 90/60 or > 170/110, seizures, glasgow coma scale < 15
Beskrivning

Nursing

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C0028678
Medications
Beskrivning

Medications

Dilantin loading options
Beskrivning

Medications

Datatyp

text

Alias
UMLS CUI [1]
C0699512
If PO Dilantin, please specify amount
Beskrivning

Medications

Datatyp

integer

Alias
UMLS CUI [1]
C0699512
If IV Dilantin 50 mg/min, please specify IVP to total of
Beskrivning

Medications

Datatyp

integer

Alias
UMLS CUI [1]
C0699512
Ativan 2-4 mg slow IVP over 10 min prn active seizures lasting more than 3 min
Beskrivning

Medications

Datatyp

boolean

Alias
UMLS CUI [1]
C0699194
Tylenol 650 mg PO every 4-6 hrs prn fever or pain
Beskrivning

Medications

Datatyp

boolean

Alias
UMLS CUI [1]
C0699142
MOM 30 mL PO every 12 hrs prn constipation
Beskrivning

Medications

Datatyp

boolean

Alias
UMLS CUI [1]
C0013227
Other
Beskrivning

Medications

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205394
If Other, please specify
Beskrivning

Medications

Datatyp

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205394
Lab
Beskrivning

Lab

Hemogram
Beskrivning

Lab

Datatyp

boolean

Alias
UMLS CUI [1]
C0200631
Comp met profile
Beskrivning

Lab

Datatyp

boolean

Alias
UMLS CUI [1]
C3853758
VDRL
Beskrivning

Lab

Datatyp

boolean

Alias
UMLS CUI [1]
C0201406
Urine Toxicology screen for "drugs of abuse"
Beskrivning

Lab

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2702984
UMLS CUI [1,2]
C0428264
Other
Beskrivning

Other

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

Other

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0412674
UMLS CUI [1,2]
C0748604
EEG for " new onset seizures"; to be read by neurologist
Beskrivning

Other

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0748604
Consult
Beskrivning

Consult

Consult
Beskrivning

Consult

Datatyp

text

Alias
UMLS CUI [1]
C0009818
Signature
Beskrivning

Signature

Datatyp

text

Alias
UMLS CUI [1]
C1519316
Print Name
Beskrivning

Print Name

Datatyp

text

Alias
UMLS CUI [1]
C0027365
Date and Time
Beskrivning

Date and Time

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0040223
Tillbaka till toppen

Similar models

AAFP: Seizures Admission Order

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Medical record number
Item
Medical record number
integer
C1301894 (UMLS CUI [1])
Item Group
Status
Item
Status
text
C0449438 (UMLS CUI [1])
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 of attending physician
Item
Name of attending physician
text
C2361125 (UMLS CUI [1])
Phone number of attending physician
Item
Phone number of attending physician
integer
C3262226 (UMLS CUI [1])
Item Group
Admitting Diagnosis
Admitting Diagnosis
Item
Seizures Contributing Diagnoses
text
C0332133 (UMLS CUI [1])
Item Group
Condition
Item
Condition
text
C3714565 (UMLS CUI [1])
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
C0020517 (UMLS CUI [1])
Item Group
Diet
Diet
Item
Diet
text
C0012155 (UMLS CUI [1])
Item Group
Activity
Activity
Item
Bed rest with seizure precautions
boolean
C0004910 (UMLS CUI [1,1])
C0150329 (UMLS CUI [1,2])
Item Group
Nursing
Vital signs
Item
Vital signs: every 2 hrs with neuro checks until stable X4, then every 4 hrs
boolean
C0518766 (UMLS CUI [1])
Nursing
Item
Notify MD for: T > 100, BP < 90/60 or > 170/110, seizures, glasgow coma scale < 15
boolean
C0518766 (UMLS CUI [1,1])
C0028678 (UMLS CUI [1,2])
Item Group
Medications
Item
Dilantin loading options
text
C0699512 (UMLS CUI [1])
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
C0699512 (UMLS CUI [1])
Medications
Item
If IV Dilantin 50 mg/min, please specify IVP to total of
integer
C0699512 (UMLS CUI [1])
Medications
Item
Ativan 2-4 mg slow IVP over 10 min prn active seizures lasting more than 3 min
boolean
C0699194 (UMLS CUI [1])
Medications
Item
Tylenol 650 mg PO every 4-6 hrs prn fever or pain
boolean
C0699142 (UMLS CUI [1])
Medications
Item
MOM 30 mL PO every 12 hrs prn constipation
boolean
C0013227 (UMLS CUI [1])
Medications
Item
Other
boolean
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Medications
Item
If Other, please specify
text
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Lab
Lab
Item
Hemogram
boolean
C0200631 (UMLS CUI [1])
Lab
Item
Comp met profile
boolean
C3853758 (UMLS CUI [1])
Lab
Item
VDRL
boolean
C0201406 (UMLS CUI [1])
Lab
Item
Urine Toxicology screen for "drugs of abuse"
boolean
C2702984 (UMLS CUI [1,1])
C0428264 (UMLS CUI [1,2])
Item Group
Other
Other
Item
MRI of head with and without contrast for "new onset seizures, R/O mass, lesion"
boolean
C0412674 (UMLS CUI [1,1])
C0748604 (UMLS CUI [1,2])
Other
Item
EEG for " new onset seizures"; to be read by neurologist
boolean
C0013819 (UMLS CUI [1,1])
C0748604 (UMLS CUI [1,2])
Item Group
Consult
Consult
Item
Consult
text
C0009818 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Print Name
Item
Print Name
text
C0027365 (UMLS CUI [1])
Date and Time
Item
Date and Time
datetime
C0011008 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Tillbaka till toppen 

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