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22545

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Form from HIS OpenVistA

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  1. 25-02-12 25-02-12 -
  2. 07-06-17 07-06-17 - Martin Dugas
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7 juni 2017

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    RESP THERAPY O2 PROTOCOL DOCUMENTATION INTERDISCIPLINARY

    Duits Engels

    HIS

    1 Formulieren  
    1. StudyEvent: HIS
      1. HIS
    Oxygen Therapy Protocol
    Beschrijving

    Oxygen Therapy Protocol

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

    Evaluate patient

    Datatype

    boolean

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

    criteria for the oxygen therapy

    Datatype

    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.
    Beschrijving

    check contraindications

    Datatype

    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).
    Beschrijving

    Oxygen saturation on room air

    Datatype

    boolean

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

    Oxygen saturation threshold

    Datatype

    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.
    Beschrijving

    need for low flow or high flow system

    Datatype

    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%.
    Beschrijving

    Oxygen saturation low flow system

    Datatype

    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%.
    Beschrijving

    Oxygen saturation high flow system

    Datatype

    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.
    Beschrijving

    previous oxygen setting

    Datatype

    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.
    Beschrijving

    evaluation 24 hours

    Datatype

    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%.
    Beschrijving

    oxygen saturation checks

    Datatype

    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.
    Beschrijving

    Oxygen PRN

    Datatype

    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.
    Beschrijving

    Oxygen discontinuation

    Datatype

    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.
    Beschrijving

    Notification of physician

    Datatype

    boolean

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

    Settings and O2 findings

    Herzfrequenz
    Beschrijving

    HEART RATE

    Datatype

    string

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

    OXYGEN MODALITY

    Datatype

    string

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

    Oxygen flow and FiO2

    Datatype

    text

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

    PATIENT ACTIVITY

    Datatype

    text

    Alias
    SNOMED CT 2011_0131
    273688003
    UMLS CUI [1]
    C0451369
    Oximetrie
    Beschrijving

    O2 SATURATION

    Datatype

    integer

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

    Oxygen flow rate

    Datatype

    text

    Maateenheden
    • l/min
    Alias
    SNOMED CT 2011_0131
    427081008
    UMLS CUI [1]
    C1960999
    l/min
    periphere O2-Sättigung
    Beschrijving

    OXYGENATION

    Datatype

    float

    Maateenheden
    • %
    Alias
    SNOMED CT 2011_0131
    431314004
    UMLS CUI [1]
    C2317096
    %
    COMMENT
    Beschrijving

    COMMENT

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0947611
    Terug naar het begin van de pagina

    Similar models

    HIS

    1 Formulieren
    1. StudyEvent: HIS
      1. HIS
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    Alias
    Item Group
    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])
    HEART RATE
    Item
    Herzfrequenz
    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
    Oximetrie
    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
    periphere O2-Sättigung
    float
    431314004 (SNOMED CT 2011_0131)
    C2317096 (UMLS CUI [1])
    COMMENT
    Item
    COMMENT
    text
    C0947611 (UMLS CUI [1])
    Terug naar het begin van de pagina 

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