Below are some common text orders that I've saved (just to save time from typing it out for every patient). You can use the tabs above for some more interactive text orders (that change depending on the input)
Please wean supplemental oxygen Q2H for goal SpO2 between 92-97% (e.g. SpO2 >97%, decrease supplemental O2). If SpO2 >92% on 1L NC, turn off supplemental O2
STRICT I/Os: Please document strict intake and output per shift. May place condom cath or purewick if needed. If unable to record strict I/Os for some reason, please contact the inpatient provider.
Please actually collect the MRSA screen (nasal swab) that was automatically ordered on admission
Please *ward collect* vancomycin trough 30 minutes before next vancomycin level is due
Please stop checking routine accuchecks/POC glucose. May check POC glucose concerned for overt hypoglycemia.
This can be used to order bladder scans / post void residuals (PVR) and gives instructions on what the nurse should do. It tells them to check PVRs at a certain frequency. If given a cutoff for the bladder scan, it tells them to call the team &/or straight cath the patient. Most importantly, it gives them instructions about documenting the results, so folks can find it later on.
Enter the frequency above to generate the text order
It's always a pain when some of the patient's are listed under the wrong inpatient provider, and this happens alot on RITE team. This generates a text order to change the inpatient provider (&/or attending) depending on the names that are entered in the boxes below. You can use the drop down menus to specify if this is a change (i.e. provider to XYZ, keep attending as ABC).
Edit the inputs to generate the text order
asd
Enter the frequency above to generate the text order
In progress...
Should also mention that heparin kills people
In additon to placing the text order, you must: (1) verbally communicate the plan with the bedside RN, (2) place the order for the repeat PTT, and (3) order the heparin bolus, if applicable
By clicking submit...you're responsible, and you double checked the rate is correct.
TODO: Make modal popup like the med rec
Click submit (after reviewing inputs) to generate the text
I'm still working on this, so there may be bugs. Do not use until this message has been removed
| PTT | Action | Rate change | Recheck |
|---|---|---|---|
| <50 | Give bolus | Increase by 1.2 cc/hr | 6 hours |
| 51-59 | Increase by 1.2 cc/hr | 6 hours | |
| 60-85 | No change | 24 hours | |
| 86-95 | Decrease by 0.8 cc/hr | 6 hours | |
| 96-119 | Hold for 30 minutes | Decrease by 0.8 cc/hr | 6 hours |
| ≥120 | Hold for 60 minutes | Decrease by 1.6 cc/hr | 6 hours |