Admission Orders

Admission Orders ADC VANDALISM Here

A Admit to CCU / Tele / Med / Surg. Attending, Resident, Intern, Student

D Diagnosis (NO RULE OUT)

C Condition: Fair / Guarded / Critical

V Vital Signs: q4° when awake / q4° / q2° × 3 then q4°

A Allergies: Drug (Reaction)

N Nursing: Per protocol / Strict I & Os / Accuchecks AC QHS / Seizure Precautions / Wound orders

D Diet: NPO / NPO except ice chips/meds / clear liquid as tol / advance as tol / regular / 4 g Na / diabetic (1800, 2000, 2400)

A Activity: Bed rest / bathroom privileges (BRP) / out of bed (OOB) ad lib / bedside commode / up in chair as tolerated

L Labs: CBC, CMP, CE q8° x 3

I IV: Heplock / LR / NS / D5 1/2NS / D5 1/4NS / 3% saline and Rate (40/20/10 rule)

S Special:

  • Imaging

  • EKG

  • Consults

    • O2

      • O2 PRN O2 sat < 92%

      • CPAP (FiO2 40% frequency)

      • BiPAP (Ipap 10, Epap 5, Rate ?, FiO2 40%, frequency)

M Medications: Name Route Dose Frequency Form

    • Bowel Protocol

      • Docusate Na 100 mg PO BID

      • Bisacodyl 5 mg PO or 10 mg PR QHS PRN no BM for 24°

      • MOM 30 mL PO QHS PRN no BM for 48°

    • Pain Management

      • Ketorolac 30 mg IVP q6° PRN pain

      • Hydrocodone 5-10 mg / APAP 500 mg PO q4° PRN

      • Ibuprofen 400-600 mg PO q6° schd ×48° then PRN

      • APAP 650 mg PO q4° PRN fever/pain

    • DVT Prophylaxis

      • Enoxaparin 30-40 mg SUBQ q12°-24°

    • Antiemetic

      • Ondansetron 4 mg IV ×1 MRP ×1 PRN N/V

      • Prochlorperazine 10 mg IV q6° PRN N/V

      • Promethazine 25 mg PR q4° PRN N/V

Here House Officer Calls: Notify HO if

  • HR < 60 or > 100 bpM

  • RR < 10 or > 30 per minute

  • SBP < 90-100 or > 150-180

  • DBP < 60 or > 100

  • Temp < 96 or > 101-101.5°F

  • UOP < 30 mL/hr for 2°