Unique Plan Description: Behavioral Health Admission FH
Plan Selection Display: Behavioral Health Admission FH
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-21 15:04:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2026-05-08 07:28:06
Available at all facilities: No

Behavioral Health Admission FH
Admit/Discharge/Transfer
	Admit to Psych - Involuntary
		T;N, Length of Stay 2 midnight or more
			Comment: Admit to inpatient
	Admit to Psych - Voluntary
		T;N, Length of Stay 2 midnight or more
			Comment: Admit to inpatient
Vital Signs
	Vital Signs
		T;N, Q12H-Start of Shift
		T;N, Per protocol
Diet
	Regular Diet
		T;N, Protective Care Tray
	Cardiac Diet
		T;N, Protective Care Tray
	Diabetic Diet
		T;N, Protective Care Tray
Laboratory
	CBC with Diff
		T;N, Routine, spec type = Blood
	Comprehensive Metabolic Panel
		T;N, Routine, spec type = Blood
	TSH
		T;N, Routine, spec type = Blood
	Thyroxine Total T4 (not for screening)
		T;N, Routine, spec type = Blood
	Free T4
		T;N, Routine, spec type = Blood
	GGT
		T;N, Routine, spec type = Blood
	UA (Culture if Positive)
		T;N, Routine, Routine, spec type = Urine
	Lipid Panel
		T+1;0400, Routine, spec type = Blood
	Drug Screen DAU
		T;N, Routine, Urine Random, spec type = Urine
	Pregnancy Test Urine
		T;N, Routine, Routine, spec type = Urine
	RPR - Syphilis
		T;N, Routine, spec type = Blood
Diagnostic Tests
	EEG
		T;N, Priority Routine
	ECG
		T;N, Routine
	Echo w Doppler resting
		T;N, Routine
Radiology
	Chest 2 View
		T;N, Routine
	CT Head w & w/o Contrast
		T;N, Routine
	CT Head w/o Contrast
		T;N, Routine
Medications

	Haldol  Oral
		2 mg Tab BY MOUTH Q4H, PRN psychosis
			Comment: /agitation
		5 mg Tab BY MOUTH Q4H, PRN psychosis
			Comment: /agitation
	Haldol  injectable
		2 mg, Injection, IM-IntraMUSCULAR, Q4H, PRN, see comment
			Comment: for agitation/psychosis.
		5 mg, Injection, IM-IntraMUSCULAR, Q4H, PRN, see comment
			Comment: for agitation/psychosis.
	OLANZapine
		10 mg, Tab, By Mouth, Q8H, PRN for agitation
			Comment: Max dose 30mg per 24hr period (include all olanzapine orders).
		10 mg, Injection, IM-Intramuscular, Q8H, PRN for agitation
			Comment: Use oral first if ordered and patient able to take PO.  Max dose 30mg per 24hr period (include all olanzapine orders).
	Ativan
		1 mg, Tab, BY MOUTH, Q4H, PRN, anxiety, 14 Day(s)
			Comment: /restlessness.
		2 mg, Tab, BY MOUTH, Q4H, PRN, anxiety, 14 Day(s)
			Comment: /restlessness.
		1 mg, Injection, IV Push, Q4H, PRN, anxiety, 14 Day(s)
			Comment: /restlessness.
		2 mg, Injection, IV Push, Q4H, PRN, anxiety, 14 Day(s)
			Comment: /restlessness.
	Ativan Injectable
		1 mg, Injection, IV Push, Q4H, PRN for anxiety, duration: 14 Day(s)
			Comment: /restlessness. Use oral first if ordered and patient able to take PO
		1 mg, Injection, IM-Intramuscular, Q4H, PRN for anxiety, duration: 14 Day(s)
			Comment: /restlessness. Use oral first if ordered and patient able to take PO
		2 mg, Injection, IV Push, Q4H, PRN for anxiety, duration: 14 Day(s)
			Comment: /restlessness. Use oral first if ordered and patient able to take PO
		2 mg, Injection, IM-Intramuscular, Q4H, PRN for anxiety, duration: 14 Day(s)
			Comment: /restlessness. Use oral first if ordered and patient able to take PO
	hydrOXYzine HCl
		50 mg, Tab, By Mouth, QID, PRN for anxiety
		25 mg, Tab, By Mouth, QID, PRN for anxiety
	traZODone
		50 mg, Tab, By Mouth, QHS, PRN for insomnia
		25 mg, Tab, By Mouth, QHS, PRN for insomnia
		100 mg, Tab, By Mouth, QHS, PRN for insomnia
	benztropine
		1 mg, Tab, By Mouth, BID, PRN for extrapyramidal side effects
		1 mg, Injection, IM-Intramuscular, DAILY, PRN for extrapyramidal side effects
			Comment: Use oral first if ordered and patient able to take PO
	Tylenol
		650 mg, Tab, BY MOUTH, Q4H, PRN for discomfort
			Comment: and/or fever
	ibuprofen
		800 mg, Tab, By Mouth, Q8H, PRN for pain-mild
			Comment: and/or fever
		600 mg, Tab, By Mouth, Q8H, PRN for pain-mild
			Comment: and/or fever
		400 mg, Tab, By Mouth, Q8H, PRN for pain-mild
			Comment: and/or fever
		200 mg, Tab, By Mouth, Q8H, PRN for pain-mild
			Comment: and/or fever
	Pepcid
		20 mg, Tab, By Mouth, BID, PRN for dyspepsia
	Imodium
		2 mg, Capsule, By Mouth, Q3H, PRN for diarrhea
			Comment: Max 8 capsules per day
	Colace
		100 mg, Capsule, By Mouth, BID, PRN for constipation
	Milk of Magnesia 8% oral suspension
		30 mL, Suspension, By Mouth, DAILY, PRN for constipation
	aluminum hydroxide/magnesium hydroxide/simethicone 200 mg-200 mg-20 mg/5 mL oral susp
		30 mL, Suspension-Oral, BY MOUTH, Q4H, PRN, dyspepsia
	Cepacol Regular Strength lozenge
		1 Loz Lozenge BY MOUTH Q1H, PRN sore throat
		Nicotine Replacement Warnings (Physician to determine risk vs benefit): Severe/life-threatening arrhythmias, severe/worsening angina pectoris, immediate postmyocardial infarction period (2 weeks), accelerated hypertension.(NOTE)*
		Precautions:  pregnancy, breastfeeding; PUD, CAD, PVD, HTN, Hepatic disease, severe renal impairment, diabetes, previous allergy, sensitivity, or reaction to nicotine patch or gum; microvascular free flaps (immediate postop) and arthrodesis.(NOTE)*
		If patient is breastfeeding or pregnant, consider using OB Nicotine/Tobacco Cessation.(NOTE)*
		For patients who smoke > 10 cigarettes/day; more than 1 cigar per day, or uses > 1 can or pouch/week). Weight>100lb. Do not use 21 mg for patients with history of cardiovascular disease.(NOTE)*
		For patients who smoke <10 cigarettes/day, 1 cigar per day, or uses < 1 can/pouch per week, but daily use, patients weighing less than 100lb, or patients with a history of cardiovascular disease.(NOTE)*
		For patients who don't use nicotine daily.(NOTE)*
	nicotine
		2 mg, Gum, TransMUCOSAL, Q1H, PRN for smoking cessation
			Comment: <25 cigarettes/day; max 24 pieces/24 hours
		4 mg, Gum, TransMUCOSAL, Q1H, PRN for smoking cessation
			Comment: >25 cigarettes/day; max 24 pieces/24 hours
Patient Care
	Notify MD
		T;N, PCP (with signed consent)
	Notify
		T;N, Outpatient Providers (with signed consent)
	Resuscitation Status
		T;N, Full Code
	Suicide Precautions
		
	BH Aggression Precautions
		T;N
	BH Alcohol Withdrawal Precautions
		T;N
	BH Elopement Precautions
		T;N
	BH Homicide Precautions
		T;N
	Fall Precautions
		T;N
	Isolation Precautions
		T;N
	Seizure Precautions
		T;N
	BH Level of Observation 15 minutes
		T;N
	BH Level of Observation 1:1
		T;N
	BH Level of Observation Line of Sight (FH)
		T;N
	Glucose POC - RN
		T;N, QIDACHS
		T;N, ACBKFST
		T;N, Once
		T;N, Q6H-Sch
	BH Self-harm Precautions
		T;N
Therapies
	Chemical Dependency Therapist to See
		T;N, Evaluation
	Psych Education To See:
		T;N, Education
	Psych Nursing To See
		T;N, Education
	Psych Social Services to See
		T;N, Education, Discharge Planning
			Comment: Psychosocial assessment; individual and or family as needed.
	Therapeutic Recreation to See
		T;N, Evaluate/Follow
	Smoking Cessation Education BH (FH)
		T;N, Education
	Individual Therapy session/s (FH)
		DAILY, PRN, PRN Reason see comment

nicotine 14 mg/24 hr Patch
Medications
	nicotine
		14 mg, Patch, TOPICAL, DAILY
	nicotine Patch Removal
		Patch Removal, Patch, TOPICAL, DAILY, T+1;0900
Patient Care
	Medication patch site check
		T;N, QHS

nicotine 21 mg/24 hr Patch
Medications
	nicotine
		21 mg, Patch, TOPICAL, DAILY
	nicotine Patch Removal
		Patch Removal, Patch, TOPICAL, DAILY, T+1;0900
Patient Care
	Medication patch site check
		T;N, QHS

nicotine 7 mg/24 hr Patch
Medications
	nicotine
		7 mg, Patch, TOPICAL, DAILY
	nicotine Patch Removal
		Patch Removal, Patch, TOPICAL, DAILY, T;N+1440
Patient Care
	Medication patch site check
		T;N, QHS

*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