RESP THERAPY O2 PROTOCOL DOCUMENTATION INTERDISCIPLINARY
Form from HIS OpenVistA

  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
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])