Unique Plan Description: ED Advanced Triage Vaginal Bleeding
Plan Selection Display: ED Advanced Triage Vaginal Bleeding
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2022-02-22 09:41:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-02-21 08:58:12
Available at all facilities: Yes

ED Advanced Triage Vaginal Bleeding
Activity
	Position Patient
		T;N
			Comment: If pregnant AND > 24 weeks gestation, position pt on left side and apply O2 via nasal cannula if severe abdominal pain and large amount of vaginal bleeding or suspected volume depletion
Laboratory
	CBC with Diff
		Stat, spec type = Blood
			Comment: if suspected volume depletion or syncope
	ABORh Patient Type
		T;N, Stat, spec type = Blood
	Beta-HCG Quantitative - Pregnancy
		Stat, spec type = Blood
			Comment: if < 12 weeks gestation or pregnancy status not known
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
			Comment: if indicated with UTI symptoms
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
	Oxygen Therapy, Nurse to Administer
		Via Nasal Cannula, O2 @ 2 L/min
			Comment: position pt on left side and apply O2 via nasal cannula if severe abdominal pain and large amount of vaginal bleeding or suspected volume depletion
	Non-stress test
		T;N
			Comment: If pregnant and > 23 week gestation

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