ID

211

Description

Form from HIS OpenVistA

Keywords

  1. 2/25/12 2/25/12 -
  2. 6/7/17 6/7/17 - Martin Dugas
Uploaded on

February 25, 2012

DOI

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License

Creative Commons BY-NC 3.0

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HIS RESP THERAPY O2 PROTOCOL DOCUMENTATION INTERDISCIPLINARY

  1. StudyEvent: HIS
    1. HIS
Oxygen Therapy Protocol
Description

Oxygen Therapy Protocol

1.Evaluate patient on receipt of physician order for Respiratory Therapy Consult.
Description

1.Evaluate patient on receipt of physician order for Respiratory Therapy Consult.

Data type

boolean

2.Determine if the patient meets the criteria for the oxygen therapy protocol.
Description

2.Determine if the patient meets the criteria for the oxygen therapy protocol.

Data type

boolean

3 If the patient meets the criteria for the oxygen therapy protocol, insure that no contraindications are met.
Description

3 If the patient meets the criteria for the oxygen therapy protocol, insure that no contraindications are met.

Data type

boolean

4.Obtain a room air Sp02 (Sp02 is saturation offered by Pulse Oximetry).
Description

4.Obtain a room air Sp02 (Sp02 is saturation offered by Pulse Oximetry).

Data type

boolean

5.The Sp02 threshold of 90% has been established .(above or equal to 95% on Cardiac patients)
Description

5.The Sp02 threshold of 90% has been established .(above or equal to 95% on Cardiac patients)

Data type

boolean

6.If the Sp02 is < 90% on room air, determine the need for a low flow or high flow system.
Description

6.If the Sp02 is < 90% on room air, determine the need for a low flow or high flow system.

Data type

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%.
Description

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%.

Data type

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%.
Description

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%.

Data type

boolean

9.If the Sp02 decreases to < 90% while on room air, place the patient back on the previous flow for re-evaluation.
Description

9.If the Sp02 decreases to < 90% while on room air, place the patient back on the previous flow for re-evaluation.

Data type

boolean

10.Once the patient is weaned to room air, evaluation will continue for the next 24 hours before protocols are discontinued.
Description

10.Once the patient is weaned to room air, evaluation will continue for the next 24 hours before protocols are discontinued.

Data type

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%.
Description

11.Sp02 checks will be done PRN and QShift.Continuous pulse oximetry will be done on patients with Fi02 above or equal to 40%.

Data type

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.
Description

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.

Data type

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.
Description

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.

Data type

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.
Description

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.

Data type

boolean

Settings and O2 findings
Description

Settings and O2 findings

Cardiac rate
Description

HEART RATE

Data type

string

Alias
UMLS CUI 2011AA
C0018810
SNOMED CT 2011_0131
364075005
MedDRA 14.1
10019299
LOINC Version 232
MTHU003114
Respiratory equipment
Description

OXYGEN MODALITY

Data type

string

Alias
UMLS CUI 2011AA
C0457169
SNOMED CT 2011_0131
277973009
L FLOW/%OXYGEN
Description

L FLOW/%OXYGEN

Data type

text

Patient activity checklist
Description

PATIENT ACTIVITY

Data type

string

Alias
UMLS CUI 2011AA
C0451369
SNOMED CT 2011_0131
273688003
Oxygen saturation measurement (Oximetry)
Description

O2 SATURATIONS: %

Data type

integer

Alias
UMLS CUI 2011AA
C0523807
SNOMED CT 2011_0131
264598005
MedDRA 14.1
10033316
Delivered oxygen flow rate
Description

CURRENT L FLOW

Data type

string

Alias
UMLS CUI 2011AA
C1960999
SNOMED CT 2011_0131
427081008
Peripheral oxygen saturation, saturation of peripheral oxygen (SpO2)
Description

% OXYGENATION

Data type

string

Alias
UMLS CUI 2011AA
C2317096
SNOMED CT 2011_0131
431314004
COMMENT
Description

COMMENT

Data type

text

Similar models

  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Oxygen Therapy Protocol
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
Item Group
Settings and O2 findings
HEART RATE
Item
Cardiac rate
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)
L FLOW/%OXYGEN
Item
L FLOW/%OXYGEN
text
PATIENT ACTIVITY
Item
Patient activity checklist
string
C0451369 (UMLS CUI 2011AA)
273688003 (SNOMED CT 2011_0131)
O2 SATURATIONS: %
Item
Oxygen saturation measurement (Oximetry)
integer
C0523807 (UMLS CUI 2011AA)
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)
% OXYGENATION
Item
Peripheral oxygen saturation, saturation of peripheral oxygen (SpO2)
string
C2317096 (UMLS CUI 2011AA)
431314004 (SNOMED CT 2011_0131)
COMMENT
Item
COMMENT
text

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