Unique Plan Description: ED Advanced Triage OB Fetal Monitoring
Plan Selection Display: ED Advanced Triage OB Fetal Monitoring
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2022-02-22 09:45:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-02-21 08:56:41
Available at all facilities: Yes

ED Advanced Triage OB Fetal Monitoring
Activity
	Position Patient
		T;N
			Comment: If >/= 20 weeks gestation, AND severe abdominal pain with vaginal bleeding or suspected volume depletion, position pt on left side and apply O2 via nasal cannula
Laboratory
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
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
Patient Care
	Oxygen Therapy, Nurse to Administer
		Via Nasal Cannula, O2 @ 2 L/min
			Comment: If >/= 20 weeks gestation, AND severe abdominal pain with vaginal bleeding or suspected volume depletion, position pt on left side and apply O2 via nasal cannula
	Continuous Pulse Oximetry by Nurse
		T;N, Once
	Non-stress test
		T;N
			Comment: If >/= 20 week gestation; notify MWH L&D core to notify of order
	FHR per doppler
		T;N
			Comment: if > 10 weeks gestation

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

*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