Unique Plan Description: ED Advanced Triage Chest Pain (Adult)
Plan Selection Display: ED Advanced Triage Chest Pain (Adult)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2019-07-29 06:53:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 10:08:37
Available at all facilities: Yes

ED Advanced Triage Chest Pain (Adult)
Laboratory
	CBC with Diff
		Stat, spec type = Blood
			Comment: if suspect cardiac chest pain or pleuritic chest pain.
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
			Comment: if suspect cardiac chest pain or pleuritic chest pain.
	hs Troponin T - MH/WH/JE
		Stat, spec type = Blood
			Comment: if suspect cardiac chest pain or pleuritic chest pain.
	hs Troponin I - FH
		Stat, spec type = Blood
			Comment: if suspect cardiac chest pain or pleuritic chest pain.
	Pregnancy Test Urine
		Stat, Stat, Urine Random, spec type = Urine
			Comment: if childbearing years (exclude confirmed menopause or pregnancy or hysterectomy).
Diagnostic Tests
	ECG in ED
		Stat, Indication: Chest Pain
			Comment: if suspect cardiac chest pain or pleuritic chest pain.
Radiology
	Chest 1 View
		Stat, Pain/Chest
			Comment: if chest pain or dyspnea AND patient unable to transfer to radiology due to critical status
	Chest 2 View
		Stat, Pain/Chest
			Comment: if chest pain or dyspnea
Medications

	aspirin
		324 mg, Tablet-Chew, By Mouth, Once, STAT
			Comment: if no allergy to ASA and not had PTA, if suspect cardiac chest pain or pleuritic chest pain
	Nitrostat
		0.4 mg, Tab, SUBLINGUAL, Q5MIN, PRN chest pain, STAT, duration: 1 hr
			Comment: may repeat three times. If suspect cardiac chest pain and SBP > 90 and ECG doesn't show right heart ischemia.
Patient Care
	ED Cardiac Telemetry Monitoring
		T;N, Once
			Comment: if suspect cardiac chest pain or pleuritic chest pain
	Oxygen Therapy, Nurse to Administer
		Via Nasal Cannula, O2 @ 2L
			Comment: if O2 sat <93% on room air
	Continuous Pulse Oximetry by Nurse
		T;N, Once
			Comment: if suspect cardiac chest pain or pleuritic chest pain

ED Peripheral Lock Insert with Flush
Medications
	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush, 4 hr
Patient Care
	Peripheral Lock-Insert
		T;N, Once

ED Lab Rainbow
Laboratory
	Extra Drk Grn Tube
		T;N, Stat, spec type = Blood
	Extra EDTA Tube
		T;N, Stat, spec type = Blood
	Extra NaCit Tube
		T;N, Stat, spec type = Blood
	Extra PST Tube
		T;N, Stat, spec type = Blood
		T;N, Stat, spec type = Blood
	Extra SST Tube
		T;N, Stat, spec type = Blood
	Extra NaFlor Tube
		T;N, Stat, spec type = Blood

*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