1 / 9

Handling Complex Orderables

Handling Complex Orderables. Insulin Sliding Scale. Children Orderables < 250 mg/dl Blood Glucose Level 2 units INSULIN HUMAN-R SUBCUTANEOUSLY PRN > 251 mg/dl Blood Glucose Level 6 units INSULIN HUMAN-R SUBCUTANEOUSLY PRN Complex Orderable Attributes Frequency* (e.g. PRN)

banyan
Download Presentation

Handling Complex Orderables

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Handling Complex Orderables

  2. Insulin Sliding Scale • Children Orderables • < 250 mg/dl Blood Glucose Level • 2 units INSULIN HUMAN-R SUBCUTANEOUSLY PRN • > 251 mg/dl Blood Glucose Level • 6 units INSULIN HUMAN-R SUBCUTANEOUSLY PRN • Complex Orderable Attributes • Frequency* (e.g. PRN) • Route* (e.g. Subcutaneously) • Instructions

  3. Total Parenteral Nutrition (TPN) • Children Orderables • AMINO ACIDS 10% IV BAG 10% 500 ML • DEXTROSE 10% IN WATER (D10W) IV BAG 1 ML • FAT EMULSION 10% IV BTL 500 ML • KCL INU VIAL 40MEQ/20 ML 20 ML • MULTIVITAMIN INJ VIAL 10 ML • TRACE ELEMENT INU VIAL 5 ML • SOD PHOSPHATE INU VIAL 4MEQ/ML 15 ML • Complex Orderable Attributes • Central Line vs Peripheral Line (Route?) • Infuse Over (Units of time) • Initial rate of infusion (ML/HR) • Order Frequency (ACHSPRN) • Instruction (Free Text) • Total Volume (2021 ML) • Patient Ages (Adult, Pediatric, Neonatal)

  4. PCA • Patient-controlled analgesia (PCA) is any method of allowing a person in pain to administer their own pain relief.The infusion is programmable by the prescriber. If it is programmed and functioning as intended, the machine is unlikely to deliver an overdose of medication.

  5. Patient Controlled Analgesia • Children Orderables • Morphine PCA (PF) INJ PKG 1MG/ML • Complex Orderable Attribute • Concentration: 1 MG/ML • Loading Dose: 10 MG • Basal Rate: 1 MG/HR • Demand Dose: 3 MG • Demand Interval: 10 MIN • Lockout Amount: 10 MG • Lockout Interval: 15 MIN • Rescue Dose: 0.5 MG • Rescue Dose Interval: 5 MIN • Rescue Dose Duration: 8 Doses • Route: IV • Frequency: ACHSPRN

  6. IV with Additives • Children Orderables • Fluids: • ½ NS IV BAG 1000 ML 1000 ML • D5 1/2NS IV BAG 1000 ML • … • Additives: • HYDROCORTISONE INJ VIAL 1000MG/2ML 2 EA (Dose 100, UOM mg) • MAGNESIUM SULF 50% INJ VIAL 8MEQ/2ML 2ML (Dose 8, UOM meq) • … • Complex Orderable Metadata • Route: IV • Rate: • Order Frequency: ACHSPRN • Instructions

  7. Oral Steroid Tapering • Children Orders • PREDNIZONE 10MG TAB (Dose 10MG, Freq: BID, Route Oral, Duration: 2 Days) • PREDNIZONE 5MG TAB (Dose 5MG, Freq: BID, Route Oral, Duration: 3 Days) • PREDNIZONE 1MG TAB (Dose 1MG, Freq: BID, Route Oral, Duration: 3 Days) • PREDNIZONE 1MG TAB (Dose 1MG, Freq: Daily, Route Oral, Duration: 2 Days) • PREDNIZONE 1MG TAB (Dose 1MG, Freq: TID, Route Oral, Duration: 1 Days) • PREDNIZONE 0.5MG TAB (Dose 0.5MG, Freq: QID, Route Oral, Duration: 5 Days) • Complex Orderable Metadata • Instructions

  8. Respiratory Protocol – Currently unstructured

  9. Respiratory Protocol - Structured • XOR • AND • Ventilator settings • AND • Pulse Oximetry • Blood gas, arterial • AND • XOR • Oxygen via nasal canula • Oxygen via nonrebreather face mask • Oxygen via simple face mask • Oxygen via venturi mask • XOR • Pulse Oximetry • AND • Pulse Oximetry • Blood gas, arterial

More Related