Orders

Cortisol Response to ACTH Stimulation” Careset Change and Addition

The existing careset “Cortisol Response to ACTH Stimulation” has the new note added to it as a reminder to place the Cosyntropin medication when placing the careset. It is to be administered after the baseline lab value is drawn.

Note that the “Cortisol 15 Minutes” lab order has been removed from the careset as requested.

You will note these changes in the production environment if the careset is placed.

REMINDER: There is a new “ACTH Testing Procedure Plan” in production as of this week available for use as well.

Naming Convention of “Dobhoff” will be change to “Post Pyloric Feeding Tube”

The following Orders will have the name “Dobhoff” changed to “Post Pyloric Feeding Tube”

Maintain Dobhoff

Discontinue Dobhoff Tube

Cleared for use – Dobhoff Tube

The following Nursing Tasks will have the name “Dobhoff” changed to “Post Pyloric Feeding Tube”

Dobhoff Tube Placement

Dobhoff Tube Insertion Charge

The following Charges will have the name “Dobhoff” change to “Post Pyloric Feeding Tube”

Dobhoff Tube Insertion Charge

Vasopressor Order Education

*** Go live date June 1st***

 

What is changing and why

The current order entry layout for titratable drips has specific titration parameters required depending on the medication. We have received feedback that the current required parameters are not appropriate for all situations.  In order to accommodate this request, we have designed a new form that allows the primary and additional titration goals to be customized in order to meet the needs of individual patients.

Current form:

Redesigned form:

The same options that are on the current form will still be available in a drop-down menu. In addition, a free text ‘Other Titration Goals’ will be available.

MAR – There is a character limit on the MAR.  If all of the titration goals & values are utilized as well as the ‘Other Titration Goals’ that character limit may be exceeded.

To see all the information from the MAR, Orders Menu, or INet right click the order > Order Info or View Order Info > History

Medications Impacted – titratable drips containing the following medications

DOPamine

EPINEPHrine

norepinephrine

phenylephrine

DOBUTamine

milrinone

isoproterenol

nitroGLYCerin

nitroprusside

 


Click HERE for printable Instructions

Upcoming New Radiology Orders

COMING 4/28/2020

Upcoming New Radiology orders:

  • NM Bone Limited : Acquisition of images localized to a single area (knees, feet, lumbar spine, etc…)
  • US Guided Midline/Vascular Access : For CT and MRI outpatients that may be hard to start IV on
  • US Thoracentesis : Will now be a power plan with options of US Thoracentesis (Left), US Thoracentesis (Right) and US Thoracentesis (Bilat)