0 Bedömningar
ID

22545

Beskrivning

Form from HIS OpenVistA

Nyckelord

Versioner (2)
  1. 2012-02-25 2012-02-25 -
  2. 2017-06-07 2017-06-07 - Martin Dugas
Uppladdad den

7 juni 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

  • Senaste
  • Äldsta
  • Önskad
  • Senaste
    • Senaste
    • Äldsta
    • Önskad

    Inga kommentarer

    Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

    RESP THERAPY O2 PROTOCOL DOCUMENTATION INTERDISCIPLINARY

    Tysk Engelsk

    HIS

    1 Formulär  
    1. StudyEvent: HIS
      1. HIS
    Oxygen Therapy Protocol
    Beskrivning

    Oxygen Therapy Protocol

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

    Evaluate patient

    Datatyp

    boolean

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

    criteria for the oxygen therapy

    Datatyp

    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.
    Beskrivning

    check contraindications

    Datatyp

    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).
    Beskrivning

    Oxygen saturation on room air

    Datatyp

    boolean

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

    Oxygen saturation threshold

    Datatyp

    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.
    Beskrivning

    need for low flow or high flow system

    Datatyp

    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%.
    Beskrivning

    Oxygen saturation low flow system

    Datatyp

    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%.
    Beskrivning

    Oxygen saturation high flow system

    Datatyp

    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.
    Beskrivning

    previous oxygen setting

    Datatyp

    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.
    Beskrivning

    evaluation 24 hours

    Datatyp

    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%.
    Beskrivning

    oxygen saturation checks

    Datatyp

    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.
    Beskrivning

    Oxygen PRN

    Datatyp

    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.
    Beskrivning

    Oxygen discontinuation

    Datatyp

    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.
    Beskrivning

    Notification of physician

    Datatyp

    boolean

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

    Settings and O2 findings

    Herzfrequenz
    Beskrivning

    HEART RATE

    Datatyp

    string

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

    OXYGEN MODALITY

    Datatyp

    string

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

    Oxygen flow and FiO2

    Datatyp

    text

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

    PATIENT ACTIVITY

    Datatyp

    text

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

    O2 SATURATION

    Datatyp

    integer

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

    Oxygen flow rate

    Datatyp

    text

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

    OXYGENATION

    Datatyp

    float

    Måttenheter
    • %
    Alias
    SNOMED CT 2011_0131
    431314004
    UMLS CUI [1]
    C2317096
    %
    COMMENT
    Beskrivning

    COMMENT

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0947611
    Tillbaka till toppen

    Similar models

    HIS

    1 Formulär
    1. StudyEvent: HIS
      1. HIS
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    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])
    Tillbaka till toppen 

    Hjälp

    Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

    Watch Tutorial