Unique Plan Description: ED Advanced Triage Altered Mental Status (Adult)
Plan Selection Display: ED Advanced Triage Altered Mental Status (Adult)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-20 14:47:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-02-21 08:55:11
Available at all facilities: Yes

ED Advanced Triage Altered Mental Status (Adult)
Laboratory
	CBC with Diff
		Stat, spec type = Blood
			Comment: if electrolyte imbalance, concern for sepsis, or altered mental status
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
			Comment: if electrolyte imbalance, concern for sepsis, or altered mental status.
	hs Troponin T - MH/WH/JE
		Stat, spec type = Blood
			Comment: if electrolyte imbalance, concern for sepsis, or altered mental status.
	hs Troponin I - FH
		Stat, spec type = Blood
			Comment: if electrolyte imbalance, concern for sepsis, or altered mental status.
	Pregnancy Test Urine
		Stat, Stat, Urine Random, spec type = Urine
			Comment: if childbearing years (exclude confirmed menopause or pregnancy or hysterectomy).
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
			Comment: if electrolyte imbalance, concern for sepsis, or altered mental status.
	Procalcitonin
		Stat, spec type = Blood
			Comment: if fever or history of fever >100.4 F.
	Ethanol Level
		Stat, spec type = Blood
			Comment: if electrolyte imbalance, concern for sepsis, or altered mental status.
	Drug Screen DAU - MH/WH/JE
		Stat, Stat, Urine Random, spec type = Urine
			Comment: < 40 years old and altered mental status
	Drug Screen Urine - FH
		T;N, Stat, Stat, Urine Random, spec type = Urine
			Comment: < 40 years old and altered mental status
		Enter ED blood culture if fever or history of fever >100.4 F.(NOTE)*
Diagnostic Tests
	ECG in ED
		Stat, Indication: Altered Mental Status
			Comment: if electrolyte imbalance, concern for sepsis, or altered mental status
Radiology
	Chest 2 View
		Stat, Fatigue
			Comment: if O2 sats <92% or suspect pneumonia or concern for sepsis.
	Chest 1 View
		Stat, Fatigue
			Comment: if O2 sats <93% and patient unable to transfer to radiology due to critical status
IV Solutions

	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
			Comment: if SBP<90 and/or MAP <65 with suspected volume depletion or sepsis and no history of renal failure or CHF
Patient Care
	Glucose POC - RN
		T;N
			Comment: if electrolyte imbalance, concern for sepsis, or altered mental status.

ED Blood Culture with Lactate
Laboratory
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		<!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)*
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		<!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

ED Lab Rainbow
Laboratory
	Extra Drk Grn Tube
		T;N, Stat, spec type = Blood
	Extra EDTA Tube
		T;N, Stat, spec type = Blood
	Extra NaCit Tube
		T;N, Stat, spec type = Blood
	Extra PST Tube
		T;N, Stat, spec type = Blood
		T;N, Stat, spec type = Blood
	Extra SST Tube
		T;N, Stat, spec type = Blood
	Extra NaFlor Tube
		T;N, Stat, 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