Unique Plan Description: ED Advanced Triage GI Bleeding (Adult)
Plan Selection Display: ED Advanced Triage GI Bleeding (Adult)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-20 14:48:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-02-21 08:55:37
Available at all facilities: Yes

ED Advanced Triage GI Bleeding (Adult)
Laboratory
	CBC with Diff
		Stat, spec type = Blood
			Comment: if suspected volume depletion or electrolyte imbalance.
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
			Comment: if suspected volume depletion or electrolyte imbalance.
	PTT - MH/WH/JE
		Stat, spec type = Blood
			Comment: if suspected volume depletion or electrolyte imbalance.
	Partial Thromboplastin Time (PTT) - FH
		T;N, Stat, spec type = Diagnostic Blood
	Protime - MH/WH/JE
		Stat, spec type = Blood
			Comment: if suspected volume depletion or electrolyte imbalance.
	Prothrombin Time (PT) - FH
		T;N, Stat, spec type = Diagnostic Blood
		T;N, Stat, spec type = Therapeutic Blood
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
			Comment: if electrolyte imbalance, concern for sepsis, or altered mental status
	Occult Blood Stool - JE
		Stat, spec type = Stool
			Comment: send to lab if patient produces stool.
	Occult Blood Stool - MH/WH/FH
		Stat, spec type = Stool
			Comment: send to lab if patient produces stool.
	Type and Screen (No Product on hold)
		Stat, spec type = Blood
			Comment: if gross bloody stool or concern for volume depletion
Diagnostic Tests
Diagnostics
	ECG in ED
		
IV Solutions

	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 1 Dose(s)/Time(s), 999 ml/hr
			Comment: if SBP<90 and/or MAP <65 with suspected volume depletion or sepsis and no history of renal failure or CHF
Patient Care

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