ID

16579

Description

AAFP: Neutropenic Fever 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-second section ("AAFP: Neutropenic Fever Admission Order")

Link

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

Keywords

Versions (2)
  1. 7/4/16 7/4/16 -
  2. 7/25/16 7/25/16 -
Uploaded on

July 25, 2016

DOI

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License

Creative Commons BY-NC 3.0
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AAFP: Neutropenic Fever Admission Order

English

AAFP: Neutropenic Fever 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

date

Alias
UMLS CUI [1]
C0421451
Medical record number
Description

Medical record number

Data type

integer

Alias
UMLS CUI [1]
C1301894
The Neutropenic fever patient is defined as a single oral temperature of > 38.3 C (101 F) x1 in the absence of an obvious environmental source or a temperature of > 38.0 C (100.4 F) for > 1 hr in a patient whose Absolut Neutrophil Count (ANC= (% polys + % bands) x WBC) is equal to or less than 100 mm^3. The patient should be considered in an emergency state.
Description

The Neutropenic fever patient is defined as a single oral temperature of > 38.3 C (101 F) x1 in the absence of an obvious environmental source or a temperature of > 38.0 C (100.4 F) for > 1 hr in a patient whose Absolut Neutrophil Count (ANC= (% polys + % bands) x WBC) is equal to or less than 100 mm^3. The patient should be considered in an emergency state.

Status
Description

Status

Oncology ward
Description

Status

Data type

boolean

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

Neutropenic Fever 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

Regular diet with no fresh fruits or vegetables
Description

Diet

Data type

boolean

Alias
UMLS CUI [1]
C0012155
Activity
Description

Activity

Bed rest with bathroom privileges with assistance
Description

Bed rest

Data type

boolean

Alias
UMLS CUI [1]
C0004910
Nursing
Description

Nursing

Vital signs: every 2 hrs X4 then every 4 hrs X 24 hrs then every shift if stable
Description

Vital signs

Data type

boolean

Alias
UMLS CUI [1]
C0518766
No plants in the room
Description

No plants in the room

Data type

boolean

Alias
UMLS CUI [1]
C0032098
Strict I&O
Description

I&O

Data type

boolean

Alias
UMLS CUI [1]
C0204708
Medications
Description

Medications

Start cefepime 2 mg IV every 8 hrs
Description

cefepime

Data type

boolean

Alias
UMLS CUI [1]
C0055003
Patient with renal insufficiency
Description

renal insufficiency

Data type

boolean

Alias
UMLS CUI [1]
C1565489
If Patient with renal insufficiency
Description

DO NOT GIVE to patients with a history of anaphylaxis to penicillin. If patient has a non-life threatening allergic reaction to penicillin (pruritus, rash, etc.), cefepime may be given.

Data type

text

Alias
UMLS CUI [1]
C1565489
If patient had anaphylaxis to a penicillin or cephalosporin: start aztreonam 2 gm IV 18h and clindamycin 900 mg IV every 8 hrs
Description

hypersensitivity tp penicillin or cephalosporin

Data type

boolean

Alias
UMLS CUI [1]
C0030824
UMLS CUI [2]
C0571444
Patient with renal insufficiency
Description

renal insufficiency

Data type

boolean

Alias
UMLS CUI [1]
C1565489
If patient with renal insufficiency
Description

renal insufficiency

Data type

text

Alias
UMLS CUI [1]
C1565489
If patient has any of the following: severe mucositis, obvious catheter related-infection, consider starting vancomycin
Description

severe mucositis, obvious catheter related-infection

Data type

boolean

Alias
UMLS CUI [1]
C0333355
UMLS CUI [2]
C0860239
UMLS CUI [3]
C0042313
Lab
Description

Lab

Blood culture X 2 from different peripheral sites
Description

Blood culture

Data type

boolean

Alias
UMLS CUI [1]
C0200949
CCMS UA and urine culture and sensitivity
Description

UA and urine culture

Data type

boolean

Alias
UMLS CUI [1]
C0042014
UMLS CUI [2]
C0848716
UMLS CUI [3]
C0497093
Gram stain and culture any suspicious area plus sputum if producing
Description

Gram stain and culture

Data type

boolean

Alias
UMLS CUI [1]
C0061856
UMLS CUI [2]
C0430402
Daily CBC´s
Description

Complete blood count

Data type

boolean

Alias
UMLS CUI [1]
C0009555
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: Neutropenic Fever 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
date
C0421451 (UMLS CUI [1])
Medical record number
Item
Medical record number
integer
C1301894 (UMLS CUI [1])
Item Group
The Neutropenic fever patient is defined as a single oral temperature of > 38.3 C (101 F) x1 in the absence of an obvious environmental source or a temperature of > 38.0 C (100.4 F) for > 1 hr in a patient whose Absolut Neutrophil Count (ANC= (% polys + % bands) x WBC) is equal to or less than 100 mm^3. The patient should be considered in an emergency state.
Item Group
Status
Status
Item
Oncology ward
boolean
C0449438 (UMLS CUI [1])
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
Neutropenic Fever 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
Diet
Item
Regular diet with no fresh fruits or vegetables
boolean
C0012155 (UMLS CUI [1])
Item Group
Activity
Bed rest
Item
Bed rest with bathroom privileges with assistance
boolean
C0004910 (UMLS CUI [1])
Item Group
Nursing
Vital signs
Item
Vital signs: every 2 hrs X4 then every 4 hrs X 24 hrs then every shift if stable
boolean
C0518766 (UMLS CUI [1])
No plants in the room
Item
No plants in the room
boolean
C0032098 (UMLS CUI [1])
I&O
Item
Strict I&O
boolean
C0204708 (UMLS CUI [1])
Item Group
Medications
cefepime
Item
Start cefepime 2 mg IV every 8 hrs
boolean
C0055003 (UMLS CUI [1])
renal insufficiency
Item
Patient with renal insufficiency
boolean
C1565489 (UMLS CUI [1])
Item
If Patient with renal insufficiency
text
C1565489 (UMLS CUI [1])
Medications: Option 1
Code List
If Patient with renal insufficiency
CL Item
CrCl 30-60 mo/min: 2 gm IV every 12 hrs (1)
CL Item
CrCl 11-29 mL/min: 2 gm IV every 24 hrs (2)
CL Item
CrCl < 10 mL/min: 1 gm IV every 24 hrs (3)
hypersensitivity tp penicillin or cephalosporin
Item
If patient had anaphylaxis to a penicillin or cephalosporin: start aztreonam 2 gm IV 18h and clindamycin 900 mg IV every 8 hrs
boolean
C0030824 (UMLS CUI [1])
C0571444 (UMLS CUI [2])
renal insufficiency
Item
Patient with renal insufficiency
boolean
C1565489 (UMLS CUI [1])
Item
If patient with renal insufficiency
text
C1565489 (UMLS CUI [1])
Medications: Option 2
Code List
If patient with renal insufficiency
CL Item
CrCl 10-30 mL/min:aztreonam 2 gm x 1, then 1 gm IV every 8 hrs (1)
CL Item
CrCl < 10 mL/min: aztreonam 2 gm x 1 , then 1 gm IV every 12 hrs (2)
severe mucositis, obvious catheter related-infection
Item
If patient has any of the following: severe mucositis, obvious catheter related-infection, consider starting vancomycin
boolean
C0333355 (UMLS CUI [1])
C0860239 (UMLS CUI [2])
C0042313 (UMLS CUI [3])
Item Group
Lab
Blood culture
Item
Blood culture X 2 from different peripheral sites
boolean
C0200949 (UMLS CUI [1])
UA and urine culture
Item
CCMS UA and urine culture and sensitivity
boolean
C0042014 (UMLS CUI [1])
C0848716 (UMLS CUI [2])
C0497093 (UMLS CUI [3])
Gram stain and culture
Item
Gram stain and culture any suspicious area plus sputum if producing
boolean
C0061856 (UMLS CUI [1])
C0430402 (UMLS CUI [2])
Complete blood count
Item
Daily CBC´s
boolean
C0009555 (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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