Unique Plan Description: ED Sexual Assault (MH/WH/JE)
Plan Selection Display: ED Sexual Assault (MH/WH/JE)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-02-28 16:59:52
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-02-21 09:15:56
Available at all facilities: Yes

ED Sexual Assault (MH/WH/JE)
Laboratory
	Beta-HCG Quantitative - Pregnancy
		Stat, spec type = Blood
	Assault Pregnancy Test Urine
		Stat, Stat, spec type = Urine
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	HIV-1/2 Ag/Ab Combo - MH/WH/JE
		T;N, Stat, spec type = Blood
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, spec type = Urine
	Acute Hepatitis Panel with Rflx to Hepatitis C Confirm
		T;N, Stat
	Hepatitis B Core Antibody IgM (Acute)
		Stat, spec type = Blood
	Hepatitis B Surface Antigen
		Stat, spec type = Blood
	Hepatitis B Surface Antibody
		Stat, spec type = Blood
Medications
	tetanus immune globulin
		250 units, Injection, IM-IntraMUSCULAR, Once, STAT
		For patients who have already received the Tdap vaccine(NOTE)*
	tetanus-diphth toxoids (Td) adult/adol
		0.5 mL, Injection, IM-Intramuscular, Once, STAT
		For patients who have never received the Tdap vaccine(NOTE)*
	Adacel (Tdap) intramuscular suspension
		0.5 mL, Suspension-Injection, IM-IntraMUSCULAR, Once, STAT
		For weight < 150kg(NOTE)*
	Rocephin IM
		500 mg, Injection, IM-Intramuscular, Once, Gyn infection, STAT
			Comment: 500mg cefTRIAXone vial dissolved with 1mL yields 350mg/mL final concentration.
	Xylocaine-MPF 1% preservative-free injectable solution
		1 mL, Injection, IM-Intramuscular, Once, STAT
			Comment: 500mg cefTRIAXone vial dissolved with 1mL yields 350mg/mL final concentration.
		For weight > 150kg(NOTE)*
	Rocephin IM
		1,000 mg, Injection, IM-Intramuscular, Once, Gyn infection, STAT
			Comment: 1,000mg cefTRIAXone vial dissolved with 2.1mL yields 1,000mg/2.86mL final concentration.
	Xylocaine-MPF 1% preservative-free injectable solution
		2.1 mL, Injection, IM-Intramuscular, Once, STAT
			Comment: 1,000mg cefTRIAXone vial dissolved with 2.1mL yields 1,000mg/2.86mL final concentration.
	cefixime
		800 mg, Capsule, By Mouth, Once, Gyn infection, STAT
		For patients with a true allergy to cephalosporins(NOTE)*
	azithromycin
		1,000 mg, Tab, By Mouth, Once, Prophylaxis, STAT
		2,000 mg, Tab, By Mouth, Once, Prophylaxis, STAT
	doxycycline
		100 mg, Capsule, By Mouth, Once, Prophylaxis, STAT
	metroNIDAZOLE
		2,000 mg, Tab, By Mouth, Once, Other- type in, STD prophylaxis, STAT
			Comment: Do not give if recent alcohol use.
		500 mg, Tab, By Mouth, Once, Gyn infection, STAT
			Comment: Do not give if recent alcohol use.
		IF ALLERGIC TO PCN OR CEPHALOSPORINS(NOTE)*
	gentamicin
		240 mg, Injection, IM-Intramuscular, Once, Gyn infection, STAT
			Comment: Give with Azithromycin 2000mg PO:  Gentamicin contraindicated in patients with impaired renal function.
	azithromycin
		2,000 mg, Tab, By Mouth, Once, Gyn infection, STAT
			Comment: Give with Gentamicin 240mg IM
		CHLAMYDIA PROPHYLAXIS TREATMENT RECOMMENDATIONS(NOTE)*
		2,000 mg, Tab, By Mouth, Once, Gyn infection, STAT
		1,000 mg, Tab, By Mouth, Once, Gyn infection, STAT
	Recombivax HB Pediatric/Adolescent 5 mcg/0.5 mL intramuscular suspension
		0.5 mL, Solution-Injection, IM-Intramuscular, Once, STAT
	Engerix-B Pediatric 10 mcg/0.5 mL IM suspension (MH)
		0.5 mL, Suspension-Injection, IM-Intramuscular, Once, STAT
			Comment: For booster dose or alternate dosing schedule, consult package labeling as dosing may need modification.
	hepatitis B adult vaccine 20 mcg/mL intramuscular suspension
		1 mL, Suspension-Injection, IM-Intramuscular, Once, STAT
	hepatitis B adult vaccine 10 mcg/mL intramuscular suspension
		1 mL, Solution-Injection, IM-Intramuscular, Once, STAT
	Truvada 200 mg-300 mg oral tablet
		1 TAB, Tab, By Mouth, Once, Prophylaxis
	Phenergan oral tablet
		25 mg, Tab, By Mouth, Once, STAT
	levonorgestrel 1.5 mg oral tablet
		1.5 mg, Tab, By Mouth, Once, STAT
	ondansetron
		4 mg, Tablet-Disintegrating, By Mouth, Once, STAT
		8 mg, Tablet-Disintegrating, By Mouth, Once, STAT
	Isentress
		400 mg, Tab, By Mouth, Once, Prophylaxis, STAT
	ParaGard
		1 EA, Insert, IntraUterine, Once
	Liletta
		52 mg, Insert, IntraUterine, Once
Consults/Follow-up
	Consult Hospitalist
		Reason for Referral: sexual assault

*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