ID

16577

Description

AAFP: Upper GI Bleed 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-ninth section ("AAFP: Upper GI Bleed Admission Order")

Link

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

Keywords

Versions (2)
  1. 7/5/16 7/5/16 -
  2. 7/25/16 7/25/16 -
Uploaded on

July 25, 2016

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License

Creative Commons BY-NC 3.0
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AAFP: Upper GI Bleed Admission Order

English

AAFP: Upper GI Bleed Admission Order

1 forms  
Default Itemgroup
Description

Default Itemgroup

Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Age
Description

Age

Data type

integer

Alias
UMLS CUI [1]
C0001779
Date of Birth
Description

Date of Birth

Data type

integer

Alias
UMLS CUI [1]
C0421451
Status
Description

Status

Status
Description

Status

Data type

text

Alias
UMLS CUI [1]
C0449438
Attending
Description

Attending

Name of attending physician
Description

Name of attending physician

Data type

text

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

Phone number of attending physician

Data type

integer

Alias
UMLS CUI [1]
C3262226
Admitting Diagnosis
Description

Admitting Diagnosis

Upper Gl Bleed Contributing Diagnoses
Description

Admitting Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0332133
Condition
Description

Condition

Condition
Description

Physical Condition

Data type

text

Alias
UMLS CUI [1]
C1142435
Allergies
Description

Allergies

Allergies
Description

Allergies

Data type

text

Alias
UMLS CUI [1]
C0020517
Diet
Description

Diet

NPO except meds
Description

NPO except meds

Data type

boolean

Alias
UMLS CUI [1]
C0419179
NPO including meds
Description

NPO including meds

Data type

boolean

Alias
UMLS CUI [1]
C0419179
Activity
Description

Activity

Bed rest with bedside commode
Description

Bed rest

Data type

boolean

Alias
UMLS CUI [1]
C0004910
Bathroom privileges with assistance
Description

Bathroom privileges

Data type

boolean

Alias
UMLS CUI [1]
C1827269
Nursing
Description

Nursing

ICU: per routine
Description

ICU

Data type

boolean

Alias
UMLS CUI [1]
C0021708
Telemetry or medical: every 1 hr until stable X4, then every 2 hrs until stable X4, then every 4 hrs
Description

Telemetry

Data type

boolean

Alias
UMLS CUI [1]
C0039451
Notify MD for: BP < 90/60 or > 170/110, P < 60 or > 120, Urine output < 30 cc/hr over 4 hrs, all H/H results
Description

Vital signs

Data type

boolean

Alias
UMLS CUI [1]
C0518766
If NG to suction, replace NG fluid cc for cc with NG with 20 mEq KCl every 12 hrs
Description

Nasogastric feeding

Data type

boolean

Alias
UMLS CUI [1]
C0192456
Medications
Description

Medications

Protonix 40 mg PO/IV every 12 hrs
Description

Protonix

Data type

boolean

Alias
UMLS CUI [1]
C0876139
Other
Description

Other Medications

Data type

boolean

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

If Other, please specify

Data type

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205394
IV
Description

IV

Bolus normal saline___cc over__
Description

Bolus normal saline

Data type

boolean

Alias
UMLS CUI [1,1]
C0445115
UMLS CUI [1,2]
C1511237
If Bolus normal saline, please specify amount
Description

Amount of normal saline bolus

Data type

integer

Alias
UMLS CUI [1,1]
C0445115
UMLS CUI [1,2]
C1511237
UMLS CUI [1,3]
C0678766
If Bolus normal saline, please specify duration
Description

Duration of normal saline bolus

Data type

text

Alias
UMLS CUI [1,1]
C0445115
UMLS CUI [1,2]
C1511237
UMLS CUI [1,3]
C0449238
Dextrose 5% normal saline with 20 mEq KCl/l @___mL/hr total
Description

Dextrose 5% normal saline

Data type

boolean

Alias
UMLS CUI [1]
C0308813
If Dextrose 5% normal saline, please specify amount
Description

Amount of Dextrose 5% normal saline

Data type

integer

Measurement units
  • mL/hr total
Alias
UMLS CUI [1,1]
C0308813
UMLS CUI [1,2]
C0678766
mL/hr total
Lab
Description

Lab

Hemogram, comp met profile, PT/PTT/INR on admission
Description

Hemogram, comp met profile, PT/PTT/INR on admission

Data type

boolean

Alias
UMLS CUI [1]
C0200631
UMLS CUI [2]
C3853758
UMLS CUI [3]
C0005790
HH every 4 hrs X3
Description

HH

Data type

boolean

Alias
UMLS CUI [1]
C1292147
Type and screen for __units PRBC
Description

PRBC

Data type

boolean

Alias
UMLS CUI [1]
C2316467
If type and screen, please specify amount of units PRBC
Description

amount of units PRBC

Data type

integer

Alias
UMLS CUI [1,1]
C2316467
UMLS CUI [1,2]
C1265611
Consult
Description

Consult

Consult
Description

Consult

Data type

text

Alias
UMLS CUI [1]
C0009818
Signature
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Print Name
Description

Print Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Date and Time
Description

Date and Time

Data type

datetime

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0040223
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Similar models

AAFP: Upper GI Bleed Admission Order

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Date of Birth
Item
Date of Birth
integer
C0421451 (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
Telemetry (4)
CL Item
ICU (5)
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
Upper Gl Bleed Contributing Diagnoses
text
C0332133 (UMLS CUI [1])
Item Group
Condition
Item
Condition
text
C1142435 (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
NPO except meds
Item
NPO except meds
boolean
C0419179 (UMLS CUI [1])
NPO including meds
Item
NPO including meds
boolean
C0419179 (UMLS CUI [1])
Item Group
Activity
Bed rest
Item
Bed rest with bedside commode
boolean
C0004910 (UMLS CUI [1])
Bathroom privileges
Item
Bathroom privileges with assistance
boolean
C1827269 (UMLS CUI [1])
Item Group
Nursing
ICU
Item
ICU: per routine
boolean
C0021708 (UMLS CUI [1])
Telemetry
Item
Telemetry or medical: every 1 hr until stable X4, then every 2 hrs until stable X4, then every 4 hrs
boolean
C0039451 (UMLS CUI [1])
Vital signs
Item
Notify MD for: BP < 90/60 or > 170/110, P < 60 or > 120, Urine output < 30 cc/hr over 4 hrs, all H/H results
boolean
C0518766 (UMLS CUI [1])
Nasogastric feeding
Item
If NG to suction, replace NG fluid cc for cc with NG with 20 mEq KCl every 12 hrs
boolean
C0192456 (UMLS CUI [1])
Item Group
Medications
Protonix
Item
Protonix 40 mg PO/IV every 12 hrs
boolean
C0876139 (UMLS CUI [1])
Other Medications
Item
Other
boolean
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
If Other, please specify
Item
If Other, please specify
text
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
IV
Bolus normal saline
Item
Bolus normal saline___cc over__
boolean
C0445115 (UMLS CUI [1,1])
C1511237 (UMLS CUI [1,2])
Amount of normal saline bolus
Item
If Bolus normal saline, please specify amount
integer
C0445115 (UMLS CUI [1,1])
C1511237 (UMLS CUI [1,2])
C0678766 (UMLS CUI [1,3])
Duration of normal saline bolus
Item
If Bolus normal saline, please specify duration
text
C0445115 (UMLS CUI [1,1])
C1511237 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Dextrose 5% normal saline
Item
Dextrose 5% normal saline with 20 mEq KCl/l @___mL/hr total
boolean
C0308813 (UMLS CUI [1])
Amount of Dextrose 5% normal saline
Item
If Dextrose 5% normal saline, please specify amount
integer
C0308813 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
Item Group
Lab
Hemogram, comp met profile, PT/PTT/INR on admission
Item
Hemogram, comp met profile, PT/PTT/INR on admission
boolean
C0200631 (UMLS CUI [1])
C3853758 (UMLS CUI [2])
C0005790 (UMLS CUI [3])
HH
Item
HH every 4 hrs X3
boolean
C1292147 (UMLS CUI [1])
PRBC
Item
Type and screen for __units PRBC
boolean
C2316467 (UMLS CUI [1])
amount of units PRBC
Item
If type and screen, please specify amount of units PRBC
integer
C2316467 (UMLS CUI [1,1])
C1265611 (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])
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