Unique Plan Description: ED Hip Fracture
Plan Selection Display: ED Hip Fracture
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 23:06:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-02-21 09:06:39
Available at all facilities: Yes

ED Hip Fracture
Diet
	NPO
		T;N
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	INR - MH/WH/JE
		Stat, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N, Stat, spec type = Diagnostic Blood
		T;N, Stat, spec type = Therapeutic Blood
	PTT - MH/WH/JE
		Stat, spec type = Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N, Stat, spec type = Diagnostic Blood
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
			Comment: change the indwelling catheter prior to obtaining specimen if catheter in place greater than 2 weeks, or unknown.
	hs Troponin I - FH
		Stat, spec type = Blood
	hs Troponin T - MH/WH/JE
		Stat, spec type = Blood
	Blood Gases Arterial (ABG) - MH/WH/JE
		Stat, spec type = Blood
	Blood Gases Arterial (ABG) - FH
		T;N, Stat, spec type = Blood
Diagnostic Tests
Cardiology
	ECG in ED
		Stat, Indication: Pre-op Clearance
Radiology
	Hip 2 View Lt w Pelvis
		Stat, Injury/Hip
	Hip 2 View Rt w Pelvis
		Stat, Injury/Hip
	Chest 1 View
		Stat, Chest Pain
	Chest 2 View
		Stat, Chest Pain
	Pelvis AP
		Stat, Injury/Hip
	Spine Sacrum Coccyx
		Stat, Injury
	Hip 2 View Bil w/o Pelvis
		Stat, Injury/Hip
	Hip 2 View Bil w Pelvis
		Stat, Injury/Hip
	Femur Lt
		Stat, Injury
	Femur Rt
		Stat, Injury
	CT Head w/o Contrast
		Stat, Closed Head Injury
IV Solutions

	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
		1,000 mL, IV, STAT, 500 ml/hr
		1,000 mL, IV, STAT, 125 ml/hr
		1,000 mL, IV, STAT, 100 ml/hr
		1,000 mL, IV, STAT, 75 ml/hr
Medications
		Dilaudid Dosing Recommendations:  Opiate Naïve=0.2-0.6mg, 65 yrs old=0.1-0.4mg; Hydromorphone 1mg IV=Morphine 7mg IV(NOTE)*
	Dilaudid Injectable
		0.5 mg, Injection, IV PUSH, Once, STAT
		1 mg, Injection, IV PUSH, Once, STAT
		1 mg, Injection, IM-Intramuscular, Once, STAT
	ondansetron
		4 mg, Injection, IV Push, Once, STAT
	ondansetron (MH/WH)
		8 mg, Injection, IV Push, Once, STAT
	morphine  IV
		2 mg, Syringe, IV PUSH, Once, STAT
		4 mg, Syringe, IV PUSH, Once, STAT
	morphine  IM
		2 mg, Syringe, IM-IntraMUSCULAR, Once, STAT
		4 mg, Syringe, IM-IntraMUSCULAR, Once, STAT
	fentaNYL
		25 mcg, Injection, IV Push, Once, STAT
		50 mcg, Injection, IV Push, Once, STAT
		75 mcg, Injection, IV Push, Once, STAT
		100 mcg, Injection, IV Push, Once, STAT
	prochlorperazine
		5 mg, Injection, IV Push, Once, STAT
		10 mg, Injection, IV Push, Once, STAT
	Tylenol
		325 mg, Tab, By Mouth, Once, STAT
		650 mg, Tab, By Mouth, Once, STAT
Patient Care
	Continuous Pulse Oximetry by Nurse
		T;N, Once
	Glucose POC - RN
		T;N, Once
	Oxygen Therapy, Nurse to Administer
		T;N
	Foley Catheter
		T;N, Insert, Once
	ED Cardiac Telemetry Monitoring
		T;N
			Comment: Continuous
	Straight Catheter
		T;N, Straight, Insert, Once
Consults/Follow-up
	Consult Hospitalist
		Reason for Referral: hip fracture
	Consult Orthopedics
		Reason for Referral: hip fracture

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