ID

16577

Descripción

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

Palabras clave

Versiones (2)
  1. 5/7/16 5/7/16 -
  2. 25/7/16 25/7/16 -
Subido en

25 de julio de 2016

DOI

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Licencia

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

Inglés

AAFP: Upper GI Bleed Admission Order

1 formularios  
Default Itemgroup
Descripción

Default Itemgroup

Name
Descripción

Name

Tipo de datos

text

Alias
UMLS CUI [1]
C0027365
Age
Descripción

Age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
Date of Birth
Descripción

Date of Birth

Tipo de datos

integer

Alias
UMLS CUI [1]
C0421451
Status
Descripción

Status

Status
Descripción

Status

Tipo de datos

text

Alias
UMLS CUI [1]
C0449438
Attending
Descripción

Attending

Name of attending physician
Descripción

Name of attending physician

Tipo de datos

text

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

Phone number of attending physician

Tipo de datos

integer

Alias
UMLS CUI [1]
C3262226
Admitting Diagnosis
Descripción

Admitting Diagnosis

Upper Gl Bleed Contributing Diagnoses
Descripción

Admitting Diagnosis

Tipo de datos

text

Alias
UMLS CUI [1]
C0332133
Condition
Descripción

Condition

Condition
Descripción

Physical Condition

Tipo de datos

text

Alias
UMLS CUI [1]
C1142435
Allergies
Descripción

Allergies

Allergies
Descripción

Allergies

Tipo de datos

text

Alias
UMLS CUI [1]
C0020517
Diet
Descripción

Diet

NPO except meds
Descripción

NPO except meds

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0419179
NPO including meds
Descripción

NPO including meds

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0419179
Activity
Descripción

Activity

Bed rest with bedside commode
Descripción

Bed rest

Tipo de datos

boolean

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

Bathroom privileges

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1827269
Nursing
Descripción

Nursing

ICU: per routine
Descripción

ICU

Tipo de datos

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
Descripción

Telemetry

Tipo de datos

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
Descripción

Vital signs

Tipo de datos

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
Descripción

Nasogastric feeding

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0192456
Medications
Descripción

Medications

Protonix 40 mg PO/IV every 12 hrs
Descripción

Protonix

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0876139
Other
Descripción

Other Medications

Tipo de datos

boolean

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

If Other, please specify

Tipo de datos

text

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

IV

Bolus normal saline___cc over__
Descripción

Bolus normal saline

Tipo de datos

boolean

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

Amount of normal saline bolus

Tipo de datos

integer

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

Duration of normal saline bolus

Tipo de datos

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
Descripción

Dextrose 5% normal saline

Tipo de datos

boolean

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

Amount of Dextrose 5% normal saline

Tipo de datos

integer

Unidades de medida
  • mL/hr total
Alias
UMLS CUI [1,1]
C0308813
UMLS CUI [1,2]
C0678766
mL/hr total
Lab
Descripción

Lab

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

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

Tipo de datos

boolean

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

HH

Tipo de datos

boolean

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

PRBC

Tipo de datos

boolean

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

amount of units PRBC

Tipo de datos

integer

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

Consult

Consult
Descripción

Consult

Tipo de datos

text

Alias
UMLS CUI [1]
C0009818
Signature
Descripción

Signature

Tipo de datos

text

Alias
UMLS CUI [1]
C1519316
Print Name
Descripción

Print Name

Tipo de datos

text

Alias
UMLS CUI [1]
C0027365
Date and Time
Descripción

Date and Time

Tipo de datos

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 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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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