Unique Plan Description: ED COVID - 19
Plan Selection Display: ED COVID - 19
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2020-04-15 09:09:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-11-07 13:43:00
Available at all facilities: Yes

ED COVID - 19
Laboratory
STAT Lab
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	CPK
		T;N, Stat, spec type = Blood
	hsCRP
		T;N, Stat, spec type = Blood
	D-Dimer - MH/WH/JE
		T;N, Stat, spec type = Blood
	D-Dimer Level - FH
		T;N, Stat, spec type = Blood
	Lactate
		T;N, Stat, spec type = Blood
	LDH
		T;N, Stat, spec type = Blood
	Procalcitonin
		T;N, Stat, spec type = Blood
	Ferritin
		T;N, Stat, spec type = Blood
	Sed Rate
		T;N, Stat, spec type = Blood
	hs Troponin T - MH/WH/JE
		T;N, Stat, spec type = Blood
	hs Troponin I - FH
		T;N, Stat, spec type = Blood
	COVID-19 (2019 Novel Coronavirus) by PCR
		T;N, Stat, spec type = Nasopharynx
	Respiratory Syncytial Virus (RSV) PCR
		T;N, Stat, spec type = Nasopharynx
Diagnostic Tests

	ECG in ED
		T;N, Stat, Indication: Chest Pain
	Chest 1 View
		T;N, Stat, Fever
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 1 Dose(s)/Time(s), 999 ml/hr, 1 hr, Total Volume = 1,000
	Lactated Ringers Injection
		1,000 mL, IV, STAT, 1 Dose(s)/Time(s), 999 ml/hr, 1 hr, Total Volume = 1,000
	Lactated Ringers - Sepsis
		30 mL/kg, IVPB, Once, STAT
			Comment: Target Dose: Lactated Ringers - Sepsis 30ML/kg
	Sodium Chloride 0.9% - Sepsis
		30 mL/kg, IVPB, Once, STAT
	Levophed 8mg/D5W 250mL Premix
		250 mL, IV, STAT, Duration: 1 Dose(s)/Time(s), Increment Increase: 1 mcg/min, Increment Decrease: 1 mcg/min, Increment Freq: 3 min(s), Max Dose: 30 mcg/min
			Comment: **LEVOPHED** Concentration: 32mcg/mL .  If the dose has been titrated twice within the specified timeframe and goal parameter is not achieved, the titration dose can be doubled until the ordered parameter is achieved or maximum dose is reached.  IV may be re-initiated after weaning within 12hours, re-initiate at the last dosing rate that maintained Goal parameter. Discontinue order after 12hr if patient does not require IV re-initiation.
		8 mg, EVERY BAG, 8 mcg/min
	Levophed 4mg/D5W 250mL Premix
		4 mg, EVERY BAG, 8 mcg/min
		250 mL, IV, STAT, Duration: 1 Dose(s)/Time(s), Increment Increase: 1 mcg/min, Increment Decrease: 1 mcg/min, Increment Freq: 3 min(s), Max Dose: 30 mcg/min
			Comment: **LEVOPHED** Concentration: 16mcg/mL .  If the dose has been titrated twice within the specified timeframe and goal parameter is not achieved, the titration dose can be doubled until the ordered parameter is achieved or maximum dose is reached.  IV may be re-initiated after weaning within 12hours, re-initiate at the last dosing rate that maintained Goal parameter. Discontinue order after 12hr if patient does not require IV re-initiation.
Medications
	Tylenol
		650 mg, Tab, By Mouth, Once, STAT
		650 mg, Suppository, RECTALLY, Once, STAT
	Tylenol Extra Strength
		500 mg, Tab, By Mouth, Once, STAT
		1,000 mg, Tab, By Mouth, Once, STAT
	Tylenol 325 mg/10.15 mL elixir (JE)
		15 mg/kg, Elixir, By Mouth, Once, STAT
	acetaminophen 160 mg/5 mL oral liquid
		15 mg/kg, Liquid, By Mouth, Once, STAT
	acetaminophen 10 mg/mL intravenous solution
		1,000 mg, Solution-Injection, IVPB, Once, STAT, duration: 1 Dose(s)/Time(s)
			Comment: Patient must be NPO
Patient Care
	Isolation Precautions
		T;N, Special Droplet/Contact Isolation, Reason for Isolation: Covid-19
	Continuous Pulse Oximetry by Nurse
		T;N, Once
	Glucose POC - RN
		T;N, Once
	ED Cardiac Telemetry Monitoring
		T;N, Once
	Oxygen Therapy, Nurse to Administer
		T;N, Via Nasal Cannula
			Comment: Constant Indicator
Consults/Follow-up
	Consult Hospitalist
		Reason for Referral: fever
	Consult Infectious Disease
		Reason for Referral: fever
	Consult Intensivist
		Reason for Referral: fever

ED Blood Culture with Lactate
Laboratory
	Lactate
		T;N, Stat, spec type = Blood
	.Blood Culture.
		T;N, Stat, spec type = Blood
	.Culture Blood
		T;N, Stat, spec type = Blood

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

Respiratory Panel Flu/COVID
Laboratory
	Influenza A and B Screen PCR
		T;N, Routine, spec type = Nasopharynx
		T;N, Stat, spec type = Nasopharynx
	COVID-19 (2019 Novel Coronavirus) by PCR
		T;N, Routine, spec type = Nasopharynx
		T;N, Stat, spec type = Nasopharynx

ED Blood Culture Set
	.Blood Culture.
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
	.Blood Culture
		T;N, Stat, spec type = Blood
		T;N, Routine, 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