ID

22545

Description

Form from HIS OpenVistA

Keywords

Versions (2)
  1. 2/25/12 2/25/12 -
  2. 6/7/17 6/7/17 - Martin Dugas
Uploaded on

June 7, 2017

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License

Creative Commons BY-NC 3.0
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RESP THERAPY O2 PROTOCOL DOCUMENTATION INTERDISCIPLINARY

German English

HIS

1 forms  
  1. StudyEvent: HIS
    1. HIS
Oxygen Therapy Protocol
Description

Oxygen Therapy Protocol

Alias
UMLS CUI-1
C0184633
1.Evaluate patient on receipt of physician order for Respiratory Therapy Consult.
Description

Evaluate patient

Data type

boolean

Alias
UMLS CUI [1]
C0679830
2.Determine if the patient meets the criteria for the oxygen therapy protocol.
Description

criteria for the oxygen therapy

Data type

boolean

Alias
UMLS CUI [1,1]
C0242801
UMLS CUI [1,2]
C1283174
3 If the patient meets the criteria for the oxygen therapy protocol, insure that no contraindications are met.
Description

check contraindications

Data type

boolean

Alias
UMLS CUI [1,1]
C0522473
UMLS CUI [1,2]
C1283174
4.Obtain a room air Sp02 (Sp02 is saturation offered by Pulse Oximetry).
Description

Oxygen saturation on room air

Data type

boolean

Alias
UMLS CUI [1]
C2923807
5.The Sp02 threshold of 90% has been established .(above or equal to 95% on Cardiac patients)
Description

Oxygen saturation threshold

Data type

boolean

Alias
UMLS CUI [1,1]
C0523807
UMLS CUI [1,2]
C0449864
6. If the Sp02 is < 90% on room air, determine the need for a low flow or high flow system.
Description

need for low flow or high flow system

Data type

boolean

Alias
UMLS CUI [1]
C3846158
7.If low flow system, place the patient on a NC @ 2 l/m. Titrate the Fi02 by 1 l/m to Room Air to maintain and Sp02 above or equal to 90%.
Description

Oxygen saturation low flow system

Data type

boolean

Alias
UMLS CUI [1,1]
C0523807
UMLS CUI [1,2]
C0508287
8.If high flow system, notify the physician. Titrate the Fi02 to maintain Spo2 above or equal 90%. Once the Fi02 reaches 40%, convert the patient to NC @ 6 l/m and titrate the Fio2 by 1 l/m until on room air to maintain Spo2 above or equal to 90%.
Description

Oxygen saturation high flow system

Data type

boolean

Alias
UMLS CUI [1,1]
C0523807
UMLS CUI [1,2]
C1735979
9.If the Sp02 decreases to < 90% while on room air, place the patient back on the previous flow for re-evaluation.
Description

previous oxygen setting

Data type

boolean

Alias
UMLS CUI [1,1]
C0462866
UMLS CUI [1,2]
C0205156
10.Once the patient is weaned to room air, evaluation will continue for the next 24 hours before protocols are discontinued.
Description

evaluation 24 hours

Data type

boolean

Alias
UMLS CUI [1,1]
C0220825
UMLS CUI [1,2]
C1442770
11.Sp02 checks will be done PRN and QShift.Continuous pulse oximetry will be done on patients with Fi02 above or equal to 40%.
Description

oxygen saturation checks

Data type

boolean

Alias
UMLS CUI [1,1]
C0523807
UMLS CUI [1,2]
C1960498
12.Oxygen will remain in the room for PRN purposes only for patients that are being monitored for chest pain or cardiac disease. Oxygen will not be discontinued on patients that use oxygen at home.
Description

Oxygen PRN

Data type

boolean

Alias
UMLS CUI [1,1]
C0184633
UMLS CUI [1,2]
C0558288
13.Patients will be discontinued from oxygen when the room air Sp02 is above or equal to 90% and oxygen is not needed for exercise or ambulation.
Description

Oxygen discontinuation

Data type

boolean

Alias
UMLS CUI [1,1]
C0184633
UMLS CUI [1,2]
C0457454
14.The physician and nurse will be notified if the Sp02 < 85% or if the oxygen requirements increase by 2 l/m or 10% above baseline.
Description

Notification of physician

Data type

boolean

Alias
UMLS CUI [1]
C1998015
Settings and O2 findings
Description

Settings and O2 findings

Cardiac rate
Description

HEART RATE

Data type

string

Alias
UMLS CUI 2011AA
C0018810
SNOMED CT 2011_0131
364075005
MedDRA 14.1
10019299
LOINC Version 232
MTHU003114
Respiratory equipment
Description

OXYGEN MODALITY

Data type

string

Alias
UMLS CUI 2011AA
C0457169
SNOMED CT 2011_0131
277973009
L FLOW/%OXYGEN
Description

Oxygen flow and FiO2

Data type

text

Alias
UMLS CUI [1,1]
C1960999
UMLS CUI [1,2]
C0428167
Patient activity checklist
Description

PATIENT ACTIVITY

Data type

text

Alias
SNOMED CT 2011_0131
273688003
UMLS CUI [1]
C0451369
Oxygen saturation measurement (Oximetry)
Description

O2 SATURATION

Data type

integer

Measurement units
  • %
Alias
SNOMED CT 2011_0131
264598005
MedDRA 14.1
10033316
UMLS CUI [1]
C0523807
%
Delivered oxygen flow rate
Description

Oxygen flow rate

Data type

text

Measurement units
  • l/min
Alias
SNOMED CT 2011_0131
427081008
UMLS CUI [1]
C1960999
l/min
Peripheral oxygen saturation, saturation of peripheral oxygen (SpO2)
Description

OXYGENATION

Data type

float

Measurement units
  • %
Alias
SNOMED CT 2011_0131
431314004
UMLS CUI [1]
C2317096
%
COMMENT
Description

COMMENT

Data type

text

Alias
UMLS CUI [1]
C0947611
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Similar models

HIS

1 forms
  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Oxygen Therapy Protocol
C0184633 (UMLS CUI-1)
Evaluate patient
Item
1.Evaluate patient on receipt of physician order for Respiratory Therapy Consult.
boolean
C0679830 (UMLS CUI [1])
criteria for the oxygen therapy
Item
2.Determine if the patient meets the criteria for the oxygen therapy protocol.
boolean
C0242801 (UMLS CUI [1,1])
C1283174 (UMLS CUI [1,2])
check contraindications
Item
3 If the patient meets the criteria for the oxygen therapy protocol, insure that no contraindications are met.
boolean
C0522473 (UMLS CUI [1,1])
C1283174 (UMLS CUI [1,2])
Oxygen saturation on room air
Item
4.Obtain a room air Sp02 (Sp02 is saturation offered by Pulse Oximetry).
boolean
C2923807 (UMLS CUI [1])
Oxygen saturation threshold
Item
5.The Sp02 threshold of 90% has been established .(above or equal to 95% on Cardiac patients)
boolean
C0523807 (UMLS CUI [1,1])
C0449864 (UMLS CUI [1,2])
need for low flow or high flow system
Item
6. If the Sp02 is < 90% on room air, determine the need for a low flow or high flow system.
boolean
C3846158 (UMLS CUI [1])
Oxygen saturation low flow system
Item
7.If low flow system, place the patient on a NC @ 2 l/m. Titrate the Fi02 by 1 l/m to Room Air to maintain and Sp02 above or equal to 90%.
boolean
C0523807 (UMLS CUI [1,1])
C0508287 (UMLS CUI [1,2])
Oxygen saturation high flow system
Item
8.If high flow system, notify the physician. Titrate the Fi02 to maintain Spo2 above or equal 90%. Once the Fi02 reaches 40%, convert the patient to NC @ 6 l/m and titrate the Fio2 by 1 l/m until on room air to maintain Spo2 above or equal to 90%.
boolean
C0523807 (UMLS CUI [1,1])
C1735979 (UMLS CUI [1,2])
previous oxygen setting
Item
9.If the Sp02 decreases to < 90% while on room air, place the patient back on the previous flow for re-evaluation.
boolean
C0462866 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
evaluation 24 hours
Item
10.Once the patient is weaned to room air, evaluation will continue for the next 24 hours before protocols are discontinued.
boolean
C0220825 (UMLS CUI [1,1])
C1442770 (UMLS CUI [1,2])
oxygen saturation checks
Item
11.Sp02 checks will be done PRN and QShift.Continuous pulse oximetry will be done on patients with Fi02 above or equal to 40%.
boolean
C0523807 (UMLS CUI [1,1])
C1960498 (UMLS CUI [1,2])
Oxygen PRN
Item
12.Oxygen will remain in the room for PRN purposes only for patients that are being monitored for chest pain or cardiac disease. Oxygen will not be discontinued on patients that use oxygen at home.
boolean
C0184633 (UMLS CUI [1,1])
C0558288 (UMLS CUI [1,2])
Oxygen discontinuation
Item
13.Patients will be discontinued from oxygen when the room air Sp02 is above or equal to 90% and oxygen is not needed for exercise or ambulation.
boolean
C0184633 (UMLS CUI [1,1])
C0457454 (UMLS CUI [1,2])
Notification of physician
Item
14.The physician and nurse will be notified if the Sp02 < 85% or if the oxygen requirements increase by 2 l/m or 10% above baseline.
boolean
C1998015 (UMLS CUI [1])
Item Group
Settings and O2 findings
HEART RATE
Item
Cardiac rate
string
C0018810 (UMLS CUI 2011AA)
364075005 (SNOMED CT 2011_0131)
10019299 (MedDRA 14.1)
MTHU003114 (LOINC Version 232)
OXYGEN MODALITY
Item
Respiratory equipment
string
C0457169 (UMLS CUI 2011AA)
277973009 (SNOMED CT 2011_0131)
Oxygen flow and FiO2
Item
L FLOW/%OXYGEN
text
C1960999 (UMLS CUI [1,1])
C0428167 (UMLS CUI [1,2])
PATIENT ACTIVITY
Item
Patient activity checklist
text
273688003 (SNOMED CT 2011_0131)
C0451369 (UMLS CUI [1])
O2 SATURATION
Item
Oxygen saturation measurement (Oximetry)
integer
264598005 (SNOMED CT 2011_0131)
10033316 (MedDRA 14.1)
C0523807 (UMLS CUI [1])
Oxygen flow rate
Item
Delivered oxygen flow rate
text
427081008 (SNOMED CT 2011_0131)
C1960999 (UMLS CUI [1])
OXYGENATION
Item
Peripheral oxygen saturation, saturation of peripheral oxygen (SpO2)
float
431314004 (SNOMED CT 2011_0131)
C2317096 (UMLS CUI [1])
COMMENT
Item
COMMENT
text
C0947611 (UMLS CUI [1])
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