Unique Plan Description: ED Abdominal Pain
Plan Selection Display: ED Abdominal Pain
PlanType: Medical                                 
Version: 4          
Begin Effective Date: 2020-04-15 22:53:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-07-24 13:02:22
Available at all facilities: Yes

ED Abdominal Pain
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, spec type = Urine
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Basic Metabolic Panel
		Stat, spec type = Blood
	Lipase Level
		Stat, spec type = Blood
	Pregnancy Test Urine
		Stat, spec type = Urine
	Pregnancy Test Whole Blood - JE
		Stat, spec type = Blood
	Beta-HCG Quantitative - Pregnancy
		Stat, spec type = Blood
	hsCRP
		Stat, spec type = Blood
	hs Troponin T - MH/WH/JE
		Stat, spec type = Blood
	hs Troponin I - FH
		Stat, spec type = Blood
	Ammonia
		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
	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 = Urine
		T;N, Stat, spec type = Cervix
		T;N, Stat, spec type = Vaginal
	Occult Blood Stool - JE
		Stat, spec type = Stool
	Occult Blood - MH/WH/FH
		Stat, spec type = Stool
	Lactate
		Stat, spec type = Blood
	Procalcitonin
		T;N, Stat, spec type = Blood
Diagnostic Tests
Radiology
	Abd & Upright w Chest
		Stat, Abdominal Pain
	Abd & Upright
		Stat, Abdominal Pain
	CT Abd Pelvis R/O Kidney Stone
		Stat, Renal Calculi
	CT Abd Pelvis w/o Contrast
		Stat
	CT Abd Pelvis w Contrast
		Stat
	CT Abd Pelvis for Appy
		Stat, Pain/ Abdominal
	US Abd Complete
		Stat, Pain/ Abdominal
	US Abd Limited
		Stat, Pain/ Abdominal
	US Scrotum & Contents
		Stat, Torsion
	US Pelvis Complete Non OB
		Stat, Pain/ Pelvic
	US OB Transvaginal 1st Trimester
		Stat, Pelvic Pain
	US OB Complete
		Stat, Pelvic Pain
	US OB Transvaginal
		Stat, Pelvic Pain
	US Transvaginal
		Stat, Pain/ Pelvic
	US Duplex Abd Pelvis Renal Scrotum Limited
		Stat
		Pelvic Pain r/o ovarian torsion-US(NOTE)*
	US Pelvis Complete Non OB
		Stat, Pain/ Pelvic
	US Transvaginal
		Stat, Pain/ Pelvic
	US Duplex Abd Pelvis Renal Scrotum Limited
		Stat, Pain/ Pelvic
Cardiology
	ECG in ED
		Stat, Indication: Epigastric Pain
IV Solutions

	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
		1,000 mL, IV, STAT, 75 ml/hr
		1,000 mL, IV, STAT, 100 ml/hr
		1,000 mL, IV, STAT, 125 ml/hr
		1,000 mL, IV, STAT, 500 ml/hr
Medications
	Dilaudid
		0.5 mg, Injection, IV Push, Once, STAT
		1 mg, Injection, IV Push, Once, STAT
	morphine  IV
		2 mg, Syringe, IV PUSH, Once, STAT
		4 mg, Syringe, IV PUSH, 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
	ketorolac injectable
		15 mg, Injection, IV PUSH, Once, STAT, 1 Dose(s)/Time(s)
		30 mg, Injection, IV PUSH, Once, STAT, 1 Dose(s)/Time(s)
		15 mg, Injection, IM-IntraMUSCULAR, Once, STAT, 1 Dose(s)/Time(s)
		30 mg, Injection, IM-IntraMUSCULAR, Once, STAT, 1 Dose(s)/Time(s)
		60 mg, Injection, IM-IntraMUSCULAR, Once, STAT, 1 Dose(s)/Time(s)
	Ativan
		1 mg, Injection, IV Push, Once, STAT
	Pepcid
		20 mg, Injection, IV PUSH, Once, STAT
		20 mg, Tab, BY MOUTH, Once, STAT
	Bentyl
		20 mg, Tab, BY MOUTH, Once, STAT
		20 mg, Injection, IM-IntraMUSCULAR, Once, STAT
			Comment: For IM Use Only: DO NOT ADMINISTER IV.
	pantoprazole IV
		40 mg, Injection, IV Push, Once, STAT
	Protonix
		40 mg, Tablet, Enteric-Coated, BY MOUTH, Once, STAT
	Phenergan (FH)
		25 mg, Injection, IM-Intramuscular, Once, STAT
	prochlorperazine
		5 mg, Injection, IV Push, Once, STAT
		10 mg, Injection, IV Push, Once, STAT
		10 mg, Injection, IM-Intramuscular, Once, STAT
	Reglan
		10 mg, Injection, IV PUSH, Once, STAT
		10 mg, Injection, IM-Intramuscular, Once, STAT
	ondansetron
		4 mg, Injection, IV PUSH, Once, STAT
	ondansetron (MH/WH)
		8 mg, Injection, IV Push, Once, STAT
	ondansetron
		4 mg, Tablet, Disintegrating, By Mouth, Once, STAT
		8 mg, Tablet, Disintegrating, By Mouth, Once, STAT
	droPERidol
		0.625 mg, Injection, IV Push, Once, STAT
		1.25 mg, Injection, IV Push, Once, STAT
		2.5 mg, Injection, IV Push, Once, STAT
		0.625 mg, Injection, IM-Intramuscular, Once, STAT
		1.25 mg, Injection, IM-Intramuscular, Once, STAT
		2.5 mg, Injection, IM-Intramuscular, Once, STAT
	barium sulfate 2% oral suspension
		450 mL, Suspension, By Mouth, Once, T;N
		450 mL, Suspension, By Mouth, Once, T;N
Patient Care
	Bladder Scan
		Once
	Continuous Pulse Oximetry by Nurse
		Once
	BP and Pulse, Orthostatic
		Once
	ED Cardiac Telemetry Monitoring
		Once
	Oxygen Therapy, Nurse to Administer
		
	Glucose POC - RN
		Once
			Comment: In ED
	Fetal Heart Rate
		Once
	Enteral Tube
		Per Nasogastric Tube (NG), Insert, X Ray
	Foley Catheter
		Insert, Once
	Straight Catheter
		Insert, Once
	Peripheral Lock-Insert
		T;N;, Once
	Prepare for pelvic exam
		T;N, Abdominal Pain
Consults/Follow-up
	Consult Gastroenterologist
		Reason for Referral: abdominal pain
	Consult General Surgery
		Reason for Referral: abdominal pain
	Consult Hospitalist
		Reason for Referral: abdominal pain

 ED Stool Testing
Laboratory
		NOTE: For community acquired diarrhea or traveler's diarrhea for less than 7 days; order Stool Pathogen Panel (PCR) only(NOTE)*
	Stool Pathogen Panel (PCR)
		T;N, Routine, Orders for Future Visit In Approximately 3 Day(s), spec type = Stool
		Includes targets for: Campylobacter, Salmonella, Shigella, Vibrio, Yersinia enterocolitica, Shiga Toxins 1 and 2, Norovirus and Rotavirus.(NOTE)*
		NOTE: If patient has received antibiotics or chemotherapy in recent weeks, add C.diff assay(NOTE)*
	Toxigenic Clostridioides Difficile by EIA Reflex to PCR
		T;N, Routine, Orders for Future Visit In Approximately 3 Day(s), spec type = Stool
		NOTE: If patient is a recent foreign traveler, a full O&P should be ordered. Contact the Micro dept to place full O&P order(NOTE)*
		NOTE: Persistent diarrhea for GREATER THAN 7 DAYS, order Giardia/Cryptosporidium screen(NOTE)*
		NOTE: If patient is immunocompromised and/or HIV/AIDS positive, add Giardia/Cryptosporidium Screen and Stool Pathogen Panel (PCR) (see panel A)(NOTE)*
	Giardia/Cryptosporidium Antigen Screen
		T;N, Routine, Orders for Future Visit In Approximately 3 Day(s), spec type = Stool
	Fecal Lactoferrin
		T;N, Routine, Orders for Future Visit In Approximately 3 Day(s), spec type = Stool
	O and P Screen
		T;N, Routine, Orders for Future Visit In Approximately 3 Day(s), spec type = Stool

ED Blood Culture with Lactate
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
	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

GI Cocktail Order Set
Medications
	Maalox Plus oral susp
		30 mL, Suspension, Oral, By Mouth, Once, STAT
			Comment: Administer with 15mL of Viscous Lidociane for GI cocktail.
	lidocaine Viscous 2% solution
		15 mL, Soln, By Mouth, Once, STAT
			Comment: Administer with 30mL of Maalox Plus oral susp for GI cocktail.

ED Pelvic Exam (MH WH FH)
Laboratory
	Vaginitis Panel PCR
		T;N, Stat, spec type = Genital
	GC/Chlamydia PCR-MH/WH/PC
		T;N, Stat, spec type = Cervix
		T;N, Stat, spec type = Vaginal
	GC/Chlamydia(Rapid) DNA - FH/JE
		T;N, Routine, spec type = Cervix
		T;N, Routine, spec type = Vaginal
		T;N, Stat, spec type = Urine
	Urine GC/Chlamydia PCR - MH/WH/PC
		T;N, Stat, spec type = Urine
	Wet Prep - PC/FH
		T;N, Stat, spec type = Genital
Consults/Follow-up
	Consult Hospitalist

*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