Unique Plan Description: OB Triage
Plan Selection Display: OB Triage
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-22 19:26:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-11-14 10:54:12
Available at all facilities: Yes

OB Triage
Laboratory
	CBC with Diff
		T;N, Stat, spec type = Blood
	Comprehensive Metabolic Panel
		T;N, Stat, spec type = Blood
	Protein Creatinine Ratio Urine
		T;N, Routine, Routine, spec type = Urine
		T;N, Stat, Stat, spec type = Urine
	Type and Screen (No Product on hold)
		T;N, Stat, spec type = Blood
Cervical/Vaginal Specimens
	Amniotic Fluid Screen (ROM)
		T;N, Stat, spec type = Vaginal
	GC/Chlamydia PCR-MH/WH/PC
		T;N, Stat, spec type = Cervix
		T;N, Stat, spec type = Vaginal
	Urine GC/Chlamydia PCR - MH/WH/PC
		T;N, Stat, spec type = Urine
	GC/Chlamydia(Rapid) DNA - FH/JE
		T;N, Stat, spec type = Cervix
		T;N, Stat, spec type = Urine
		T;N, Stat, spec type = Vaginal
	Group B Strep by PCR
		T;N, Routine, spec type = Vaginal/Rectal
	Trichomonas PCR
		T;N, Stat, spec type = Genital
	Calcofluor Stain
		T;N, Stat, spec type = Genital
	Vaginitis Panel PCR
		T;N, Stat, spec type = Genital
	Fetal Fibronectin
		T;N, Stat, spec type = Swab
Urine Studies
	UA (Culture if Positive)
		T;N, Stat, Stat, Urine, spec type = Urine
Diagnostic Tests

	US OB Limited
		T;N, Routine
	US OB Transvaginal
		T;N, Routine
	PNATE OB US
		T;N, Pregnancy
IV Solutions
	Lactated Ringers Injection
		1,000 mL, IV, 125 ml/hr
		1,000 mL, IV, 1 Dose(s)/Time(s), 999 ml/hr
			Comment: Bolus
Patient Care
	Resuscitation Status
		T;N, Full Code
		T;N, No Code
	Non-stress test
		T;N
			Comment: On Admission. To assess labor status
	Fetal Heart Rate
		T;N
			Comment: on admission
	External Toco Monitoring
		T;N
			Comment: On Admission. To assess labor status
	Vaginal Exam
		T;N
			Comment: Once, On Admission
	Notify Health Care Provider
		T;N, of admission to L&D or HROB.
		T;N, of assessment findings
	Notify MD
		Obstetric Call Parameters: SBP >160 mmHg and/or DBP >110 mmHg, P: >120 or <50, O2 Sat: <90%, RR: <10 or >30, Oliguria: <60 mL in 2 hours, Single Temp > 39.0C (102.2F), OR 2 temps between 38.0C (100.4F) and 39C (102.2F), at least 30 min apart
		If patient is in hospital >/= 8 hours to obtain Admit to Observation Status order
Consults/Follow-up
	Consult Perinatologist
		
Charges/Supplies
	99998L OB Laborist Tracking
		WH L-D

Peripheral Lock - Access
Medications
	sodium chloride 0.9% flush injectable soln
		10 mL Syringe IV PUSH BID
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush
	lidocaine 1% injectable solution (MH/WH/FH)
		0.1 mL, IntraDermal, Q1H, PRN, see comment
			Comment: For IV start
	sodium chloride bacteriostatic 0.9% injectable soln
		0.1 mL, Injection, IntraDermal, Q1H, PRN, see comment
			Comment: For IV start, use if patient has lidocaine allergy.
	Sodium Chloride 0.9% IVPB Flush
		25 mL, IVPB, Q1H, PRN, IV line flush, 5 min(s)
			Comment: Use if medication not compatible with primary line or there is no primary line;  infuse 25mL.
Patient Care
	Peripheral Lock-Insert
		T;N

*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