Unique Plan Description: ED Fever
Plan Selection Display: ED Fever
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 20:59:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-02-21 09:05:21
Available at all facilities: Yes

ED Fever
Laboratory
STAT Lab
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
	hsCRP
		Stat, spec type = Blood
	Lactate
		Stat, spec type = Blood
	Sed Rate
		Stat, spec type = Blood
	Influenza A and B Screen PCR
		Stat, spec type = Nasopharynx
	Infectious Mononucleosis Screen
		T;N, Stat, spec type = Blood
	Strep Group A PCR
		T;N, Stat, spec type = Throat
	Procalcitonin
		T;N, Stat, spec type = Blood
Adult Respiratory Panel
Diagnostic Tests

	ECG in ED
		T;N, Stat, Indication: Chest Pain
	Chest 1 View
		T;N, Stat, Fever
	Chest 2 View
		T;N, Stat, Fever
	CT Chest w/o Contrast
		Stat
			Comment: ind: altered mental status
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
		1,000 mL, IV, STAT, 500 ml/hr
		1,000 mL, IV, STAT, 125 ml/hr
		1,000 mL, IV, STAT, 100 ml/hr
		1,000 mL, IV, STAT, 75 ml/hr
		1,000 mL, IV, STAT, 20 ml/hr
	Sodium Chloride 0.9% Intravenous Solution (Bolus)
		30 mL/kg, IVPB, 1 Dose(s)/Time(s), 1 hr
			Comment: Bolus in ED
	Lactated Ringers - Sepsis Bolus
		30 mL/kg, IVPB, Once, STAT
			Comment: Target Dose: Lactated Ringers - Sepsis 30ML/kg
	Sodium Chloride 0.9% - Sepsis Bolus
		30 mL/kg, IVPB, Once, STAT
Medications
	Tylenol
		650 mg, Tab, By Mouth, Once, STAT
		650 mg, Suppository, RECTALLY, Once, STAT
	Tylenol Extra Strength
		500 mg, Tab, By Mouth, Once, STAT
		1,000 mg, Tab, By Mouth, Once, STAT
	Tylenol 325 mg/10.15 mL elixir (JE)
		15 mg/kg, Elixir, By Mouth, Once, STAT
	acetaminophen 160 mg/5 mL oral liquid
		15 mg/kg, Liquid, By Mouth, Once, STAT
	acetaminophen 10 mg/mL intravenous solution
		1,000 mg, Solution-Injection, IVPB, Once, STAT, duration: 1 Dose(s)/Time(s)
			Comment: Patient must be NPO
	ibuprofen
		400 mg, Tab, By Mouth, Once, STAT
		800 mg, Tab, By Mouth, Once, STAT
	Motrin oral suspension
		10 mg/kg, Suspension, By Mouth, Once, STAT
	Ancef IVPB
		1,000 mg, Injection-Premix, IVPB, Once, STAT
		2,000 mg, Injection-Premix, IVPB, Once, STAT
	Ancef IVPB (FH)
		1,000 mg, INT, IVPB, Once, STAT
		2,000 mg, INT, IVPB, Once, STAT
		Rocephin weight based dosing: 50-100 mg/kg/day.(NOTE)*
	Rocephin IVPB
		1,000 mg, Injection-Premix, IVPB, Once, STAT
			Comment: in 50 mL D5W
	Rocephin IVPB (FH)
		1,000 mg, INT, IVPB, Once, STAT
		Pediatric Dose - cefTRIAXone __ mg/lidocaine 1%MPF IM-Intramuscular(NOTE)*
	Zosyn IVPB
		4.5 gm, Injection-Premix, IVPB, Once, STAT, Infuse Over 30 min(s)
	Zosyn IVPB (FH)
		4.5 gm, INT, IVPB, Once, STAT, Infuse Over 30 min(s)
	Cipro IVPB
		400 mg, Injection-Premix, IVPB, Once, STAT
	Levaquin IVPB
		500 mg, Injection-Premix, IVPB, Once, STAT
		750 mg, Injection-Premix, IVPB, Once, STAT
	levoFLOXacin
		500 mg, Tab, BY MOUTH, Once, STAT
		1,000 mg, Tab, BY MOUTH, Once, STAT
Patient Care
	Continuous Pulse Oximetry by Nurse
		T;N, Once
	Glucose POC - RN
		T;N, Once
	Bladder Scan
		T;N, Once
	Foley Catheter
		T;N, Insert, Once
	Straight Catheter
		T;N, Insert, Once
	ED Cardiac Telemetry Monitoring
		T;N, Once
	Oxygen Therapy, Nurse to Administer
		T;N, Via Nasal Cannula
			Comment: Constant Indicator
	Sepsis Advisor
		
Consults/Follow-up
	Consult General Surgery
		Reason for Referral: fever
	Consult Hospitalist
		Reason for Referral: fever
	Consult Infectious Disease
		Reason for Referral: fever
	Consult Intensivist
		Reason for Referral: fever

cefTRIAXone (Rocephin) IM Pediatric Dose / lidocai
Medications
	Rocephin IM
		50 mg/kg, Injection, IM-Intramuscular, Q12H
	Xylocaine-MPF 1% preservative-free injectable solution
		mL, Injection, IM-Intramuscular, Q12H
			Comment: Use 2.1mL lidocaine to dissolve 1,000mg vial to yield 350mg/ml.  Use 1mL lidocaine to dissolve 500mg vial to yield 350mg/mL/  Use 0.9mL lidocaine to dissolve 250mg vial to yield 250mg/mL.

cefTRIAXone (Rocephin) IM 500 mg / lidocaine 1% MP
		cefTRIAXone (Rocephin)  weight-based dosing: 50-100 mg/kg/day.(NOTE)*
	Rocephin IM
		500 mg, Injection, IM-IntraMUSCULAR, Once, STAT
			Comment: 500mg cefTRIAXone vial dissolved with 1mL yields 350mg/mL final concentration.
	Xylocaine-MPF 1% preservative-free injectable solution
		1 mL, Injection, IM-Intramuscular, Once, STAT
			Comment: 500mg cefTRIAXone vial dissolved with 1mL yields 350mg/mL final concentration.

cefTRIAXone (Rocephin) IM 250 mg / lidocaine 1% MP
		cefTRIAXone (Rocephin) weight-based dosing: 50-100 mg/kg/day.(NOTE)*
	Rocephin IM
		250 mg, Injection, IM-IntraMUSCULAR, Once, Other- type in, STD Prophylaxis, STAT
			Comment: 250mg cefTRIAXone vial dissolved with 0.9mL yields 250mg/mL final concentration.
	Xylocaine-MPF 1% preservative-free injectable solution
		0.9 mL, Injection, IM-Intramuscular, Once, STAT
			Comment: 250mg cefTRIAXone vial dissolved with 0.9mL yields 250mg/mL final concentration.

cefTRIAXone (Rocephin) IM 1,000 mg / lidocaine 1%
		cefTRIAXone (Rocephin) weight-based dosing: 50-100 mg/kg/day(NOTE)*
	Rocephin IM
		1,000 mg, Injection, IM-IntraMUSCULAR, Once, STAT
			Comment: 1,000mg cefTRIAXone vial dissolved with 2.1mL yields 1,000mg/2.86mL final concentration.
	Xylocaine-MPF 1% preservative-free injectable solution
		2.1 mL, Injection, IM-Intramuscular, Once, STAT
			Comment: 1,000mg cefTRIAXone vial dissolved with 2.1mL yields 1,000mg/2.86mL final concentration.

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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	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

Respiratory Panel Flu/RSV/COVID EKM
Laboratory
	Respiratory Syncytial Virus (RSV) PCR
		T;N, Routine, spec type = Nasopharynx
		T;N, Stat, spec type = Nasopharynx
	Influenza A and B Screen PCR
		T;N, Routine, spec type = Nasopharynx
			Comment: spec type=Nasoph Micro Swab, RT to Collect
		T;N, Stat, spec type = Nasopharynx
			Comment: spec type=Nasoph Micro Swab, RT to Collect
	COVID-19 (2019 Novel Coronavirus) by PCR
		T;N, Routine, spec type = Nasopharynx
		T;N, Stat, spec type = Nasopharynx
Therapies
	Influenza specimen collection
		T;N

ED Blood Culture Set
Laboratory
	.Blood Culture.
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
	.Blood Culture
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
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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)*
		<!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)*

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NOTE - This component is a note
Rx - This component is a prescription
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