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Beschreibung
Form from HIS OpenVistA
Stichworte
Versionen (2)
- 25.02.12 25.02.12 -
- 07.06.17 07.06.17 - Martin Dugas
Hochgeladen am
25. Februar 2012
DOI
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Creative Commons BY-NC 3.0
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HIS RESP THERAPY O2 PROTOCOL DOCUMENTATION INTERDISCIPLINARY
Ähnliche Modelle
HIS
- StudyEvent: HIS
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
1.Evaluate patient on receipt of physician order for Respiratory Therapy Consult.
Item
1.Evaluate patient on receipt of physician order for Respiratory Therapy Consult.
boolean
2.Determine if the patient meets the criteria for the oxygen therapy protocol.
Item
2.Determine if the patient meets the criteria for the oxygen therapy protocol.
boolean
3 If the patient meets the criteria for the oxygen therapy protocol, insure that no contraindications are met.
Item
3 If the patient meets the criteria for the oxygen therapy protocol, insure that no contraindications are met.
boolean
4.Obtain a room air Sp02 (Sp02 is saturation offered by Pulse Oximetry).
Item
4.Obtain a room air Sp02 (Sp02 is saturation offered by Pulse Oximetry).
boolean
5.The Sp02 threshold of 90% has been established .(above or equal to 95% on Cardiac patients)
Item
5.The Sp02 threshold of 90% has been established .(above or equal to 95% on Cardiac patients)
boolean
6.If the Sp02 is < 90% on room air, determine the need for a 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
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%.
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
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%.
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
9.If the Sp02 decreases to < 90% while on room air, place the patient back on the previous flow for re-evaluation.
Item
9.If the Sp02 decreases to < 90% while on room air, place the patient back on the previous flow for re-evaluation.
boolean
10.Once the patient is weaned to room air, evaluation will continue for the next 24 hours before protocols are discontinued.
Item
10.Once the patient is weaned to room air, evaluation will continue for the next 24 hours before protocols are discontinued.
boolean
11.Sp02 checks will be done PRN and QShift.Continuous pulse oximetry will be done on patients with Fi02 above or equal to 40%.
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
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.
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
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.
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
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.
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
HEART RATE
Item
Herzfrequenz
string
C0018810 (UMLS CUI 2011AA)
364075005 (SNOMED CT 2011_0131)
10019299 (MedDRA 14.1)
MTHU003114 (LOINC Version 232)
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)
277973009 (SNOMED CT 2011_0131)
L FLOW/%OXYGEN
Item
L FLOW/%OXYGEN
text
PATIENT ACTIVITY
Item
Patient activity checklist
string
C0451369 (UMLS CUI 2011AA)
273688003 (SNOMED CT 2011_0131)
273688003 (SNOMED CT 2011_0131)
O2 SATURATIONS: %
Item
Oximetrie
integer
C0523807 (UMLS CUI 2011AA)
264598005 (SNOMED CT 2011_0131)
10033316 (MedDRA 14.1)
264598005 (SNOMED CT 2011_0131)
10033316 (MedDRA 14.1)
CURRENT L FLOW
Item
Delivered oxygen flow rate
string
C1960999 (UMLS CUI 2011AA)
427081008 (SNOMED CT 2011_0131)
427081008 (SNOMED CT 2011_0131)
% OXYGENATION
Item
periphere O2-Sättigung
string
C2317096 (UMLS CUI 2011AA)
431314004 (SNOMED CT 2011_0131)
431314004 (SNOMED CT 2011_0131)
COMMENT
Item
COMMENT
text