Unique Plan Description: ED Back Pain
Plan Selection Display: ED Back Pain
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 22:29:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-09-05 09:17:16
Available at all facilities: Yes

ED Back Pain
Laboratory
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
	Pregnancy Test Urine
		Stat, Stat, spec type = Urine
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	D-Dimer - MH/WH/JE
		Stat, spec type = Blood
	D-Dimer Level - FH
		Stat, spec type = Blood
	Beta-HCG Quantitative - Pregnancy
		Stat, spec type = Blood
Diagnostic Tests
	Spine Lumbar AP & Lat
		Stat, Back Pain
	Spine Thoracic 3 View
		Stat, Pain/ Back
	MRI Lumbar w & w/o Contrast
		Stat, Pain/Low Back
	MRI Lumbar w/o Contrast
		Stat, Compression Fx
	MRI Thoracic w Contrast
		Stat, Pain/ Back
	MRI Thoracic w/o Contrast
		Stat, Pain/ Back
	CTA Chest
		Stat, Dissection of Aorta
	CTA Abd
		Stat, Aortic Dissection
	CT Abd Pelvis R/O Kidney Stone
		Stat, Renal Calculi
Medications
	ketorolac injectable
		15 mg, Injection, IV PUSH, Once, STAT, 1 Dose(s)/Time(s)
			Comment: Do not give if systolic blood pressure is < 90mm Hg or if serum creatinine is greater than 1.5mg/dL (or creatinine clearance < 50ml/min).  Notify MD of any dose not given with a note in the chart
		30 mg, Injection, IV PUSH, Once, STAT
		30 mg, Injection, IM-IntraMUSCULAR, Once, STAT, 1 Dose(s)/Time(s)
			Comment: If >65 yrs old, <50kg or CrCl<50mL/min
		60 mg, Injection, IM-IntraMUSCULAR, Once, STAT
	orphenadrine Injectable
		60 mg, Injection, IM-Intramuscular, Once, STAT
	acetaminophen-hydrocodone 325 mg-5 mg oral tablet
		1 TAB, Tab, By Mouth, Once, STAT
		2 TAB, Tab, By Mouth, Once, STAT
	acetaminophen-hydrocodone 325 mg-7.5 mg oral tablet
		1 TAB, Tab, By Mouth, Once, STAT
		2 TAB, Tab, By Mouth, Once, STAT
	cyclobenzaprine
		10 mg, Tab, BY MOUTH, Once, STAT
		Dilaudid Dosing Recommendations: Opiate Naive = 0.2 - 0.6 mg, 65 yrs old = 0.1 - 0.4 mg Hydromorphone(NOTE)*
	Dilaudid Injectable
		0.5 mg, Injection, IM-Intramuscular, Once, STAT
		1 mg, Injection, IM-Intramuscular, Once, STAT
		0.5 mg, Injection, IV PUSH, Once, STAT
		1 mg, Injection, IV PUSH, Once, STAT
	Valium
		5 mg, Tab, By Mouth, Once, STAT
		10 mg, Tab, By Mouth, Once, STAT
	Valium Injectable
		5 mg, Injection, IV Push, Once, STAT
	Ativan Injectable
		1 mg, Injection, IV Push, Once, STAT
	Phenergan (MH/WH)
		25 mg, Injection, IM-Intramuscular, Once, STAT
	Phenergan (FH)
		12.5 mg, INT, IVPB, Once, STAT
		25 mg, Injection, IM-Intramuscular, Once, STAT
	ondansetron
		4 mg, Injection, IV PUSH, Once, STAT
		8 mg, Injection, IV PUSH, Once, STAT
		4 mg, Tablet-Disintegrating, By Mouth, Once, STAT
	morphine  IV
		2 mg, Syringe, IV PUSH, Once, STAT
		2 mg, Syringe, IM-Intramuscular, Once, STAT
		4 mg, Syringe, IV PUSH, Once, STAT
		4 mg, Syringe, IM-Intramuscular, Once, STAT
	prochlorperazine
		5 mg, Injection, IV Push, Once, STAT
		10 mg, Injection, IV Push, Once, STAT
	predniSONE
		40 mg, Tab, By Mouth, Once, STAT
		60 mg, Tab, By Mouth, Once, STAT
Patient Care
	Foley Catheter
		Insert, Once
	Straight Catheter
		Insert, Once
	ED Cardiac Telemetry Monitoring
		Once
	Bladder Scan
		Once
	Oxygen Therapy, Nurse to Administer
		
	Continuous Pulse Oximetry by Nurse
		Once
Consults/Follow-up
	Consult Hospitalist
		Reason for Referral: back pain
	Consult Neurosurgery
		Reason for Referral: back pain
	Consult Orthopedics
		Reason for Referral: back 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

*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