Unique Plan Description: Induction/Cooling for normothermia (MHWH)
Plan Selection Display: Induction/Cooling for normothermia (MHWH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2024-02-07 13:49:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-04-04 15:07:12
Available at all facilities: No

Induction/Cooling for normothermia (MHWH)
Patient Care
	Therapeutic Hypothermia Device
		T;N, Set machine to 36 C (96.8 F) for 24 hours. Once reaches target temp, maintain at 36 degrees C for 24 hours.
	Warming Blanket
		T;N, Add Forced air warming device at lowest setting at initiation of cooling
	Bedside Shivering Assessment Scale
		Every 30 min during induction/cooling and rewarming. Once reach target temperature, then q1h during maintenance phase.
	Notify MD
		T;N, PRN, if temperature >36 C (96.8 F) during cooling maintenance phase despite implementation of ordered interventions; if phosphate <2. If serum magnesium <1.8, for shivering unresponsive to treatment.
		When patient has been at target temperature of 36 C (96.8 F) for 24 hours for orders to initiate Therapeutic Hypothermia Rewarming Phase orders.
	Do Not
		T;N, Initiate Sedation Awakening or Spontaneous Breathing Trials during cooling, maintenance, or active re-warming phase

*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