Physician Orders PEDIATRIC: LEB ED Hx of DKA with Hyperglycemia Plan
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- Morgan Washington
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1 LEB ED Triage Hx of DKA w Hyperglycemia Non Categorized Criteria for use: Patients less than 18 years of age with known or suspected Diabetes Mellitus and blood glucose greater than 300mg/dL.(NOTE)* Vital Signs Vital Signs T;N, Stat, q1h(std) Patient Care Neurochecks T;N, Stat, once Bedside Glucose Nsg T;N, Stat, q1h(std) IV Insert/Site Care LEB T;N, Stat, q2h(std) Cardiopulmonary Monitor T;N Stat, Monitor Type: CP Monitor Respiratory Care ISTAT POC (RT Collect) T;N Stat q1h(std) For 4 occurrence, Test Select VBG AnGap BUN (ED Only) Electrolytes Glucose Hct and Hgb, Special Instructions: EC8 (VBG) until ph greater than 7.2 and Osmolality less than 330. Laboratory CMP Beta-Hydroxybutyrate Osmolality Serum CBC Magnesium Level Phosphorus Level Urinalysis w/reflex Microscopic Exam STAT, T;N, once, Type: Urine NOTE: If new DKA- order Genetic Profile below and it must be obtained prior to start of insulin.(note)* C-Peptide Pediatric LEB ED Hyperglycemia w-hx of DKA Plan PP QM0908 Rev Page 1 of 6*065*
2 ICA 512 Antibody Glutamic Acid Decarboxylase Autoantibody Ped Insulin Level Pediatric ED DKA Two-Bag Calculations Phase Patient Care ED DKA Two-Bag Calculations T;N, ED Two-Bag Calculations form for ED LEB ED Hx of DKA w Hyperglycemia Phase Non Categorized Powerplan Open Food/Nutrition Clear Liquid Diet Start at: T;N Comments: do not force PO intake Patient Care Neurochecks T;N, Stat, q1h(std) (DEF)* T;N, Stat, q2h(std) T;N, Stat, q4h(std) Intake and Output T;N, Stat, q1h(std) (DEF)* T;N, q2h(std) Indwelling Urinary Catheter Insert-Follow Removal Protocol T;N Replogle (NGT) T;N, Suction Strength: To Gravity (DEF)* T;N, Suction Strength: Low Intermittent Respiratory Care Oxygen Delivery T;N Stat, Special Instructions: Titrate to keep O2 sat =/> 95%. Wean to room air Continuous Infusion 1,000 ml, IV, STAT, ml/hr Bolus LEB ED Hyperglycemia w-hx of DKA Plan PP QM0908 Rev Page 2 of 6*065*
3 20 ml/kg, IV, once, STAT, ( infuse over 15 min ), (Bolus) (DEF)* 10 ml/kg, IV, once, STAT, ( infuse over 15 min ), (Bolus) 10 ml/kg, IV, once, STAT, ( infuse over 30 min ), (Bolus) 20 ml/kg, IV, once, STAT, ( infuse over 30 min ), (Bolus) 1,000 ml, IV, STAT, Replacement Fluid Comments: If within a 4 hour period the urine output is greater than ml, then replace the excess urine output ml for ml with NS bolus over 30 minutes. MD to supply volume based on 3 ml/kg/hr. Insulin Drip (Pediatric) (IVS)* ml, IV, STAT, 0.1 unit/kg/hr Comments: Flush 50mL insulin solution through IV tubing before infusing in patient, Do not give insulin bolus insulin regular (additive) 125 units NOTE: Lower insulin doses are ineffective; use higher insulin dose in severe DKA.(NOTE)* NOTE: Patient with OSMOLALITY less than 320 and POTASSIUM less than 5.5, choose the following Bag 1 & Bag 2:(NOTE)* LeBonheur Bag 1: 1/2NS 1000 with KAc 20mEq /L+ Kphos / (IVS)* Sodium Chloride 0.45% 1,000 ml, IV, Routine, ml/hr, BAG#1 Comments: BAG #1 ; ONLY FOR PATIENT WITH OSMOLALITY less than 320 and K less than 5.5; For Bag #1 (1/2 NS + ml/hr for BG greater than 300 For Bag #2: (D10 1/2 NS + 20 TITRATE, Start at zero ml/hr for BG greater than 300 For Bag#1 (1/2 NS + ml/hr for BG 200 to 300 For Bag #2 (D10 1/2 NS + ml/hr for BG 200 to 300 For Bag #1 (1/2 NS + 20 TITRATE, Start at zero ml/hr for BG less than 200 For Bag #2 (D10 1/2 NS + ml/hr for BG less than 200 LeBonheur Bag 2: D10 1/2NS + /L KAc + /L Kphos (IVS)* Comments: BAG #2; ONLY FOR PATIENT WITH OSMOLALITY less than 320 and K less than 5.5; Order comments: See order comments on Bag #1 for fluid rate. 77 meq LEB ED Hyperglycemia w-hx of DKA Plan PP QM0908 Rev Page 3 of 6*065*
4 NOTE: Patient with OSMOLALITY greater than or equal to 320 and POTASSIUM less than 5.5, choose the following Bag 1 & Bag 2:(NOTE)* LeBonheur Bag 1: NS 1000 with KAc 20mEq/L+ Kphos /L (IVS)* 1,000 ml, IV, Routine, ml/hr, BAG#1 Comments: BAG #1; ONLY FOR PATIENT WITH OSMOLALITY greater than or equal to 320 and K less than 5.5; For Bag #1 (NS + ml/hr for BG greater than 300; For Bag #2: (D10NS + 20 TITRATE, Start at zero ml/hr for BG greater than 300 For Bag#1 (NS + ml/hr for BG 200 to 300 For Bag #2 (D10NS + ml/hr for BG 200 to 300 For Bag #1 (NS + 20 TITRATE, Start at zero ml/hr for BG less than 200 For Bag #2 (D10NS + ml/hr for BG less than 200 LeBonheur Bag 2: D10NS /L KAc + /L Kphos (IVS)* Comments: BAG #2; ONLY FOR PATIENT WITH OSMOLALITY greater than or equal to 320 and K less than 5.5; Order comments: See order comments on Bag #1 for fluid rate. 154 meq NOTE: Patient with OSMOLALITY less than 320 and K greater than 5.5, choose the following Bag 1 & Bag 2:(NOTE)* LeBonheur Bag 1: 1/2 NS 1000 (IVS)* Sodium Chloride 0.45% 1,000 ml, IV, Routine, ml/hr, BAG#1 Comments: BAG #1 ; ONLY FOR PATIENT WITH OSMOLALITY less than 320 and K greater than 5.5; For Bag #1 (1/2 ml/hr for BG greater than 300For Bag #2: (D10 1/2 TITRATE, Start at zero ml/hr for BG greater than 300 For Bag#1 (1/2 ml/hr for BG 200 to 300 For Bag #2 (D10 1/2 ml/hr for BG 200 to 300 For Bag #1 (1/2 TITRATE, Start at zero ml/hr for LEB ED Hyperglycemia w-hx of DKA Plan PP QM0908 Rev Page 4 of 6*065*
5 BG less than 200 For Bag #2 (D10 1/2 ml/hr for BG less than 200 LeBonheur Bag 2: D10 1/2NS (IVS)* Comments: BAG #2; ONLY FOR PATIENT WITH OSMOLALITY less than 320 and K greater than 5.5. Order comments: See order comments on Bag #1 for fluid rate. 77 meq NOTE: Patient with OSMOLALITY greater than or equal to 320 and POTASSIUM greater than 5.5, choose the following Bag 1 & Bag 2:(NOTE)* LeBonheur Bag 1: NS 1000 (IVS)* 1,000 ml, IV, Routine, BAG#1 Comments: BAG #1; ONLY FOR PATIENT WITH OSMOLALITY greater than or equal to 320 and K greater than 5.5 For Bag #1 ml/hr for BG greater than 300; For Bag #2: TITRATE, Start at zero ml/hr for BG greater than 300 For Bag#1 ml/hr for BG 200 to 300 For Bag #2 ml/hr for BG 200 to 300 For Bag #1 TITRATE, Start at zero ml/hr for BG less than 200For Bag #2 ml/hr for BG less than 200 LeBonheur Bag 2: D10NS 1000 (IVS)* Comments: BAG #2; ONLY FOR PATIENT WITH OSMOLALITY greater than or equal to 320 and K greater than 5.5 Order comments: See order comments on Bag #1 for fluid rate. 154 meq Medications NOTE: SELECT ONE OF THE FOLLOWING ORDERS: NOTE: Patient less than 5 years old, choose the following insulin glargine order. Administer within 2 hours of admission.(note)* +2 Hours insulin glargine 100 units/ml subcutaneous solution 0.2 units/kg, Injection, Subcutaneous, once, STAT, Less than 5 years of age; Consult Endocrinology NOTE: Patient less than 5 to 9 years old, choose the following insulin glargine order. Administer within 2 hours of admission(note)* +2 Hours insulin glargine 100 units/ml subcutaneous solution 0.25 units/kg, Injection, Subcutaneous, once, STAT, 5 to 9 years of age; Consult Endocrinology NOTE: Patient greater than or equal to 10 years old, choose the following insulin glargine order. Administer within 2 hours of admission(note)* +2 Hours insulin glargine 100 units/ml subcutaneous solution LEB ED Hyperglycemia w-hx of DKA Plan PP QM0908 Rev Page 5 of 6*065*
6 0.3 units/kg, Injection, Subcutaneous, once, STAT, Greater than 10 years of age; Consult Endocrinology Laboratory Basic Metabolic Panel Calcium Level Magnesium Level Phosphorus Level Osmolality Serum Consults/Notifications/Referrals Notify Physician-Continuing T;N, Of blood glucose less than 80, Serum K less than 3.0 or Ca less than 8.0 or Mg less than 1.5, if urine output is greater than 3 ml/kg/hr over any 4 hour period. Notify Physician-Continuing T;N, If corrected sodium is falling or neurological status worsens. Consult MD Group T;N, Routine, Group: ULPS Endo, Reason for Consult: DKA Date Time Physician s Signature MD Number *Report Legend: DEF - This order sentence is the default for the selected order GOAL - This component is a goal IND - This component is an indicator INT - This component is an intervention IVS - This component is an IV Set NOTE - This component is a note Rx - This component is a prescription SUB - This component is a sub phase, see separate sheet R-Required order LEB ED Hyperglycemia w-hx of DKA Plan PP QM0908 Rev Page 6 of 6*065*
Physician Orders PEDIATRIC: LEB DKA Diabetes Mellitus Admit Plan
Initiate Orders Phase Non Categorized R Powerplan Open Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: Admit DKA Two-Bag Calculations Phase, When to Initiate: Initiate Powerplan Phase Phase:
Physician Orders PEDIATRIC: : LEB ED Trauma (Major) Plan
LEB ED Standing Orders Trauma (Major) Ph Non Categorized Criteria: Patients between 0-18 years of age that present with a Major Trauma that meet LeBonheur Trauma stat or Trauma Alert Guidelines.(NOTE)*
Physician Orders PEDIATRIC: LEB Stroke Admit Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: LEB Stroke Admit Phase. When to Initiate: LEB Stroke Admit Phase Admission/Transfer/Discharge Patient Status Initial
Physician Orders Pediatric: LEB ED Asthma Plan
LEB ED Triage Standing SOB/Wheeze Asthma Non Categorized Criteria: Patients greater than 2 years of age with a history of asthma or airway active disease or two or more previous illnesses treated with
Physician Orders PEDIATRIC: LEB Oral Maxillofacial Post Op Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: LEB Oral Maxillofacial Postop Phase, When to Initiate: LEB Oral Maxillofacial Post Op Phase Admission/Transfer/Discharge
Physician Orders PEDIATRIC: LEB Kidney Transplant Post Op Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: LEB Kidney Transplant Post Op Phase, When to Initiate: LEB Kidney Transplant Post Op Phase Admission/Transfer/Discharge
Physician Orders PEDIATRIC: LEB Critical Care Respiratory Plan
LEB Critical Care Respiratory Plan Patient Care Cardiopulmonary Monitor T;N Routine, Monitor Type: End Tidal Co2 (DEF)* T;N Routine, Monitor Type: Transcutaneous Co2 Respiratory Care Initiate Pediatric
Physician Orders PEDIATRIC: LEB Eating Disorder Admit Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: LEB Eating Disorder Admit Phase, When to Initiate: When patient arrives to unit LEB Eating Disorder Admit Phase Admission/Transfer/Discharge
Physician Orders PEDIATRIC: LEB NEURO SURG Surgical Spine Post Op Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: LEB Neuro Surg Spine Postop Phase, When to Initiate: LEB Neuro Surgical Spine Post Op Phase Admission/Transfer/Discharge
Physician Orders ADULT: Kidney-Panc/PancTransplant Post Op Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase T;N, Phase: Kidney-Panc/Panc Transp Post Op Phase, When to Initiate: Kidney-Panc/Panc Transp Post Op Phase Vital Signs Vital
Physician Orders ADULT: Asthma and Bronchitis Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase, Phase: Asthma and Bronchitis Phase, When to Initiate: Asthma and Bronchitis Phase Non Categorized Problem: Asthma Problem:
Physician Orders PEDIATRIC: LEB NEURO Epilepsy Monitoring Unit Admit Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: LEB Neuro Epilepsy Monitoring Unit Admit Phase, When to Initiate: LEB Neuro Epilepsy Monitor Unit Admit Phase Non Categorized
Physician Orders ADULT: Sickle Cell Inpatient Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: Sickle Cell Inpatient Phase, When to Initiate: When patient arrives to unit Sickle Cell Inpatient Phase Admission/Transfer/Discharge
Physician Orders LEB PICU Status Epilepticus Plan. [ ] No known allergies
![Physician Orders LEB PICU Status Epilepticus Plan. [ ] No known allergies](/thumbs/80/82315048.jpg "Physician Orders LEB PICU Status Epilepticus Plan. [ ] No known allergies")
Height: cm Weight: kg Allergies: [ ] No known allergies [ ] Initiate Powerplan Phase T;N, Phase: LEB PICU Admit Phase Admission/Transfer/Discharge [ ] Admit Patient to Dr. [ ] Admit Status: [ ] Inpatient
Physician Orders ADULT: Acute MI/Acute Coronary Syndrome Adult Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: Acute MI/Acute Coronary Syndrome Adult Phase, When to Initiate: Acute MI/Acute Coronary Syndrome Adlt Phase Non Categorized
Physician Orders ADULT: Head and Neck Postoperative Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase, Phase: Head and Neck Postoperative Phase, When to Initiate: Head and Neck Post Operative Phase, Monitor and Record T,P,R,BP,
Physician Orders ADULT: LEB Asthma Admit Plan. Anticipated LOS: 2 midnights or more Patient Status Initial Outpatient T;N Attending Physician:
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase, Phase: LEB Asthma Admit Phase, When to Initiate: LEB Asthma Admit Phase Non Categorized Add To Problem List Problem: Asthma
Physician Orders ADULT: Atrial Fib/Flutter Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: Atrial Fib/Flutter Phase, When to Initiate: Atrial Fib/Flutter Phase Non Categorized Problem: Atrial fibrillation Problem:
PICU ADMIT DKA PLAN - Phase: Begin Immediately
- Phase: Begin Immediately Diagnosis Weight Allergies Admit/Discharge/Transfer Patient Status Requested Location: PICU, Pt Status: Inpatient (LOS > 2 midnights) Requested Location: PICU, Pt Status: Observation
ALL orders are active unless: 1. Order is manually lined through to inactivate 2. Orders with check boxes ( ) are unchecked
Available at: BMC-B BMC-D BMC-N BMC-S Condition/Status ***(NOTE)***For purpose of this DKA Regimen, DKA is considered clear only when the CO2 is GREATER than 18 meq/l and the anion gap is LESS than 12
DRUG ALLERGIES WT: KG
DRUG AND TREATMENT Acute Diabetic Ketoacidosis Condition/Status ***(NOTE)*** For purpose of this DKA Regimen, DKA is considered clear only when the CO2 is GREATER than 18 meq/l and the anion gap is LESS
Physician Orders ADULT Order Set: Respiratory Failure Orders
[R] = will be ordered Height: cm Weight: kg Allergies: [ ] No known allergies [ ]Medication allergy(s): [ ] Latex allergy [ ]Other: Admission/Transfer/Discharge [ ] Patient Status Initial Inpatient Attending
Physician Orders. PED Endocrine General Admit Plan [X or R] = will be ordered unless marked out. [ ] No known allergies
![Physician Orders. PED Endocrine General Admit Plan [X or R] = will be ordered unless marked out. [ ] No known allergies](/thumbs/90/102440183.jpg "Physician Orders. PED Endocrine General Admit Plan [X or R] = will be ordered unless marked out. [ ] No known allergies")
Height: cm Weight: kg Allergies: [ ] No known allergies [ ] Initiate Powerplan Phase T;N, Phase:PED Endo General Admit Phase Admission/Transfer/Discharge [ ] Admit Patient to Dr. Admit Status: [ ] Inpatient
Physician Orders ADULT: Renal Transplant Admit Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase, Phase: Renal Transplant Admit Phase, When to Initiate: Renal Transplant Admit Phase Non Categorized Initiate Powerplan Phase,
PHYSICIAN SIGNATURE DATE TIME DRUG ALLERGIES WT: KG
DRUG AND TREATMENT *****ALSO ORDER SUB ACUTE DKA IV FLUIDS REGIMEN & SUB ACUTE ELECTROLYTE REPLACEMENT on separate forms ***** Condition/Status For purpose of this DKA Regimen, DKA is considered clear
Physician Orders ADULT: Medical Response Team Standing Orders Protocol Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase When to Initiate: Other-See Special Instructions, If MRT is notified per MD, Condition H or any associate, review and Initiate
Standard Precautions Droplet Precautions Standard Precautions Contact Precautions Droplet Precautions Standard Precautions Neutropenic Precautions
Unique Plan Description: Neurosurgery Subarachnoid Hemorrhage Admission Adult Plan Selection Display: Neurosurgery Subarachnoid Hemorrhage Admission Adult PlanType: Medical Version: 10 Begin Effective
DONATION AFTER CARDIAC DEATH PLAN
DONATION AFTER CARDIAC DEATH PLAN Diagnosis Weight Allergies Patient Care Core Body Temperature Monitoring Maintain body temp 96-99 degrees Farenheit. Utilize Hyper/Hypothermia blanket prn Insert Gastric
PEDIATRIC LIFEGIFT BRAIN DEATH PLAN
PHYSICIAN S Diagnosis Weight Allergies Admit/Discharge/Transfer THIS PLAN IS TO BE ED ONLY ON THE LIFEGIFT ENCOUNTER, WITH DR LIFEGIFT AS THE ATTENDING. Patient Status Pt Status: Inpatient (Inpatient only
Physician Orders ADULT: Ortho Total Joint Plan
Initiate Orders Phase Non Categorized R Powerplan Open Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: Ortho Total Joint Preop Phase, When to Initiate: Other-See Special Instructions, initiate
ADMIT DIABETIC KETOACIDOSIS (DKA) PLAN - Phase: Begin Immediately/Emergency Center
- Phase: Begin Immediately/Emergency Center Weight PHYSICIAN S Allergies Admit/Discharge/Transfer Patient Status Requested Location: MICU, Pt Status: Inpatient (LOS > 2 midnights) Requested Location: 5E
Physician Orders ADULT: Vascular Surgery AAA Endovascular Post Op Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: AAA Endovascular PACU Phase, When to Initiate: Initiate Powerplan Phase Phase: Mechanically Ventilated Patients Phase,
PHYSICIAN SIGNATURE DATE TIME DRUG ALLERGIES WT: KG
DRUG AND TREATMENT Non Categorized SUB Sub Phase (SUB)* Non Categorized Quality Measures STK Diet ED NPO Until Bedside Swallow Screen passed Nursing Orders Activate Code Stroke Vital Signs Q15MINS Int
LIFEGIFT BRAIN DEATH PLAN
Diagnosis Weight Allergies Admit/Discharge/Transfer ***THIS PLAN IS TO BE ED ONLY ON THE LIFEGIFT ENCOUNTER, WITH DR LIFEGIFT AS THE ATTENDING*** Patient Status Pt Status: Inpatient (Inpatient only procedure)
Physician Orders ADULT: PCI Post Procedure Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: PCI Post Procedure Phase, When to Initiate: Initiate Powerplan Phase Phase: Post Cath/PCI Hydration Protocol Phase,
Physician Orders: Pediatric. Title: LEB PICU Asthma Plan [X or R] = will be ordered unless marked out.
![Physician Orders: Pediatric. Title: LEB PICU Asthma Plan [X or R] = will be ordered unless marked out.](/thumbs/71/65974412.jpg "Physician Orders: Pediatric. Title: LEB PICU Asthma Plan [X or R] = will be ordered unless marked out.")
Height: cm Weight: kg Allergies: [ ] No known allergies [ ]Medication allergy(s): [ ] Latex allergy [ ]Other: Uncategorized [X] Initiate Powerplan Phase T;N, Phase: LEB PICU Asthma Phase When to Initiate:
(31189) Hypothermia Initiation Phase One
Hypothermia Initiation Phase One Diagnosis Allergies For hypothermia tracking purposes only. Please do not uncheck.- Required Cardiac Emergency Tracking For hypothermia tracking purposes only. Consults
Physician Orders. LEB NICU Sepsis Plan [X or R] = will be ordered unless marked out.
![Physician Orders. LEB NICU Sepsis Plan [X or R] = will be ordered unless marked out.](/thumbs/77/75931338.jpg "Physician Orders. LEB NICU Sepsis Plan [X or R] = will be ordered unless marked out.")
Height: cm Weight: kg Allergies: [ ] No known allergies [ ] Latex allergy [ ]Other: [ ] Initiate Powerplan Phase, Phase: LEB NICU Sepsis Phase Admission/Transfer/Discharge [ ] Patient Status Initial Inpatient
ALL orders are active unless: 1. Order is manually lined through to inactivate 2. Orders with check boxes ( ) are unchecked DRUG AND TREATMENT ORDERS
Available at: ALL Adult Facilities Non Categorized SUB Protocol(SUB)* SUB Protocol Lab Orders(SUB)* ED Rainbow Tubes(SUB)* ***Reminder: Order ED Rainbow Tubes (SUB) as a separate form*** Nursing Orders
DKA Adult ICU Powerplan
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Diabetic Ketoacidosis
Diabetic Ketoacidosis Definition: Diabetic Ketoacidosis is one of the most serious acute complications of diabetes. It s more common in young patients with type 1 diabetes mellitus. It s usually characterized
Physician Orders ADULT: Vascular Surgery AAA Repair Open Post Op Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: AAA Repair Open Postop Phase, When to Initiate: Initiate Powerplan Phase Phase: Mechanically Ventilated Patients Phase,
Clinical Guideline DKA
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ADVOCATE CHRIST MEDICAL CENTER DKA (DIABETIC KETOACIDOSIS) TREATMENT GUIDELINES
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Diabetic Ketoacidosis (DKA) Critical Care Guideline Two Bag System
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Attach patient label here. Physician Orders ADULT: Palliative Care Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase T;N, Phase: Palliative Care Phase, When to Initiate: Palliative Care Phase Admission/Transfer/Discharge Patient Status Initial
PHYSICIAN SIGNATURE DATE TIME DRUG ALLERGIES WT: KG
DRUG AND TREATMENT Available ONLY at: BMC-B BMC-D BMC-N BMC-S Nursing Orders Communication Order If CVP unavailable, administer fluid boluses every 30 minutes except monitor O2 requirements Comments: Every
Diabetic Ketoacidosis: When Sugar Isn t Sweet!!!
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Arterial blood gas Capillary blood glucose every hour. Continue to monitor hourly capillary blood glucose as per protocol (See Appendix A and B)
Page 1 of 6 Hyperglycemic Emergency Management (DKA/HHS 1 ) - Adult PATIENT PRESENTATION Patient with history of Type 1 or 2 Diabetes Mellitus or presenting with polyuria, polydipsia, nausea/ vomiting,
Arterial blood gas Capillary blood glucose every hour. Continue to monitor hourly capillary blood glucose as per protocol (See Appendix A and B)
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DAYTON CHILDREN S HOSPITAL CLINICAL PRACTICE GUIDELINES
DAYTON CHILDREN S HOSPITAL CLINICAL PRACTICE GUIDELINES DISCLAIMER: This Clinical Practice Guideline (CPG) generally describes a recommended course of treatment for patients with the identified health
Physician Orders ADULT: Routine Deceased Donor Adult Plan
Initiate Orders Phase Non Categorized NOTE: Nurse - confirm PM Discharge disposition set to "Donor and or Life Support" on hospital encounter. Enter these orders on new OP encounter created by Access/Registration
Physician Orders ADULT: ANES Enhanced Recovery After Surgery (ERAS) Plan
Initiate Orders Phase Non Categorized R Powerplan Open Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: Anes (ERAS) Pre-insertion Phase, When to Initiate: Other-See Special Instructions,
PHYSICIAN SIGNATURE DATE TIME DRUG ALLERGIES WT: KG
DRUG AND TREATMENT Available at: BMC-B BMC-D BMC-N BMC-S Condition/Status Patient Status Inpatient Patient Status: Inpatient, Level of Care: Med/Surg without Telemetry (1) (DEF)* Patient Status: Inpatient,
Physician Orders PEDIATRIC: LEB Ortho Accelerated Posterior Spinal Fusion Post Op Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: LEB Ortho Accelerated PSF Post Op Initial Phase, When to Initiate: Initiate Powerplan Phase Phase: LEB Ortho Accelerated
DIABETIC KETOACIDOSIS (DKA) K E M I A D E Y E R I, P G Y - 1
DIABETIC KETOACIDOSIS (DKA) K E M I A D E Y E R I, P G Y - 1 QUESTION # 1 7 year old boy comes to the ER with a 2 week history of abdominal pain and weight loss. Further history reveals polyuria and polydipsia,
PHYSICIAN SIGNATURE DATE TIME DRUG ALLERGIES WT: KG
DRUG AND TREATMENT Available at: ALL Adult Facilities Non Categorized SUB Protocol(SUB)* SUB Protocol Lab Orders(SUB)* ED Rainbow Tubes(SUB)* ***Reminder: Order ED Rainbow Tubes (SUB) as a separate form***
Neurosurgery Pre-Op [1710] Patient Name MRN. General. Nursing. Case Request [ ] Case request operating room Scheduling/ADT, Scheduling/ADT [ ] Other
![Neurosurgery Pre-Op [1710] Patient Name MRN. General. Nursing. Case Request [ ] Case request operating room Scheduling/ADT, Scheduling/ADT [ ] Other](/thumbs/96/128298591.jpg "Neurosurgery Pre-Op [1710] Patient Name MRN. General. Nursing. Case Request [ ] Case request operating room Scheduling/ADT, Scheduling/ADT [ ] Other")
Neurosurgery Pre-Op [1710] Patient Name MRN General Case Request [ ] Case request operating room Scheduling/ADT, Scheduling/ADT Inpatient Only Procedure (Single Response) ( ) Admit to Inpatient Diagnosis:
Patient: Becky Smith DOB: 01/26/XXXX Age: 5 y/o Attending: Dr. D. Miles Allergies: NKA MR#: 203. Patient Chart #203 Becky Smith
Patient Chart #203 Becky Smith 1 Property of CSCLV CSCLV Rev: 06/04/2018 Chief Complaint: Abdominal pain. Informant: Parents. HISTORY & PHYSICAL HPI: Ill looking patient, healthy until 2 days ago when
PHYSICIAN ORDERS Diagnosis
PICU PROCEDURE PLAN PHYSICIAN S Diagnosis Weight Allergies DETAILS Admit/Discharge/Transfer Patient Status Pt Status: Inpatient (LOS > 2 midnights) Pt Status: Observation (LOS < 2 midnights) Patient Care
Organ Donor Management Recommended Guidelines ADULT Brain Death (NDD)
Date: Time: = Always applicable = Check if applicable ADMISSION INSTRUCTIONS Neurological Determination of Death (NDD) has been performed by at least 2 licensed physicians Contact initiated with BC Transplant
PHYSICIAN SIGNATURE DATE TIME DRUG ALLERGIES WT: KG
DRUG AND TREATMENT Available at: ALL Adult Facilities Non Categorized SUB ED Abdominal Pain Protocol(SUB)* ***The above subphase is available at the end of the plan*** SUB ED Abdominal Pain Protocol Lab
Pediatric Intensive Care Unit (PICU) Pediatric Diabetic Ketoacidosis (DKA) Admission Order Set
Discontinue all previous orders Weight: kg DKA admit order set is for initial management Ongoing management required based on frequent reassessment of TFI, fluid balance and lab results. Admit to PICU
Therapeutic Hypothermia for Post Cardiac Arrest Plan Initial Orders
Arrest Plan Initial Orders Weight Allergies Therapeutic Hypothermia Guidelines ***Required to continue with ordering Plan.*** Strict Intake and Output q1h, throughout cooling and re warming. Set Up for
UMC Health System Patient Label Here. PHYSICIAN ORDERS Diagnosis
PICU GENERAL PLAN UMC Health System PHYSICIAN S Diagnosis Weight Allergies Patient Care Vital Signs Per Unit Standards Daily Weight Patient Activity Bedrest Up Ad Lib/Activity as Tolerated Strict Intake
DRUG ALLERGIES WT: KG
DRUG AND TREATMENT Available at: BMC-B BMC-D BMC-N BMC-S Vital Signs Vital Signs Q4H (DEF)* Q2H Q1H Vital Signs Orthostatic Activity Activity Bedrest, for 12 hours then Up ad lib (DEF)* Bedrest, for 24
Heparin Drip. Ordering
Heparin Drip Ordering Nurse entering of Heparin drip orders for physicians should only occur in situations when it is not feasible for the physician to enter orders directly Select the Heparin IV Drip
Physician Orders ADULT
Physician Orders ADULT attach patient label here Order Set: ED Non-STEMI Unstable Angina Orders Height: cm Weight: kg Allergies: No known allergies Medication allergy(s): Latex allergy Other: Admission/Transfer/Discharge
Pediatric Diabetic Ketoacidosis (DKA) General Pediatrics Admission Order Set
Admitting MRP: Pediatrics: Dr. / Dr. on call to cover until 08:00 am Service: Medicine Team 1 Medicine Team 2 Medical subspecialty Diagnosis: Diabetic Ketoacidosis (DKA) Estimated length of stay Less than
Physician s Order Form. Physician s Order Form. Telemetry/Progressive Care Orders. Continued on next page. >>>>>>> Continued on next page.
DATE: TIME: DATE TIME INTRAVENOS FLID and MEDICATION Status: Admit to Telemetry Admit to Progressive Care nit Transfer to Progressive Care nit Note: Discontinue Previous Orders Transfer to Telemetry nit
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Available at ALL facilities Non Categorized SUB ED Chest Pain: STEMI Protocol(SUB)* SUB ED Chest Pain: STEMI Protocol Lab Orders(SUB)* ED Rainbow Tubes(SUB)* ***Reminder: Order ED Rainbow Tubes (SUB) as
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Sample. Affix patient label within this box.
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Sample. Affix patient label within this box.
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