Unique Plan Description: ED Advanced Triage Fever (Adult only)
Plan Selection Display: ED Advanced Triage Fever (Adult only)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2019-07-29 06:56:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 10:10:32
Available at all facilities: Yes

ED Advanced Triage Fever (Adult only)
Laboratory
	CBC with Diff
		Stat, spec type = Blood
			Comment: If suspected infection, volume depletion, or electrolyte abnormality.
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
			Comment: If suspected infection, volume depletion, or electrolyte abnormality.
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
			Comment: If suspected infection, volume depletion, or electrolyte abnormality.
	Pregnancy Test Urine
		Stat, Stat, Urine Random, spec type = Urine
			Comment: if childbearing years (exclude confirmed menopause or pregnancy or hysterectomy).
	Procalcitonin
		Stat, spec type = Blood
			Comment: If suspected infection.
	Glucose POC - RN
		Once, NOW, in ED
			Comment: If concerns for elevated or low glucose
		Enter ED blood culture if fever or history of fever >100.4 F.(NOTE)*
Diagnostic Tests
	ECG in ED
		T;N, Stat, Indication: Tachycardia
	Chest 2 View
		T;N, Stat, Fever
			Comment: if requires oxygen 2L via nasal cannula to maintain sats >93%.
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 1 Dose(s)/Time(s), 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
Medications
	Tylenol Extra Strength
		1,000 mg, Tab, By Mouth, Once, STAT
			Comment: if no history of liver problems or excessive ETOH use. If not given within 6 hours.
	ibuprofen
		600 mg, Tab, By Mouth, Once, STAT
			Comment: If no history of GI bleeding and hasn't received within 6 hours.
Patient Care
	Isolation Precautions
		T;N, Protective, Reason for Isolation: Immune suppressed
			Comment: ANC < 500) or stem cell transplant in last six months

ED Blood Culture with Lactate
Laboratory
	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 Blood Culture Bottle
		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