Ordering blood at the VA:
Doctor’s menu. Blood products. Inpatient: type&screen/RBC. And Nursing admission over (transfusion).
– Sign consent form: paper forms at nursing stations
– Type and Cross
– Order blood products (2U PRBCs)
– Transfuse blood order
Tab (bottom): Consults. New Consult (button). Consults/Procedures Menu. Medical Services. Cardiology consult menu. Cardiology Menu. Echo Menu. TTE (bottom option)
Doctors’ Menu. Inpatient Pharmacy. SubQ Insulin Therapy. Sliding Scale.
Start Heparin drip:
Doctors’ Menu. Inpatient Pharmacy. Heparin Infusion Protocol. Select Low or High intensity. (Select LOW intensity WITH bolus!!!)
Choose 2nd on list.
Call admission: 7508
MRI Screening record:
Must be completed before a pt gets an MRI.
Foley catheter: Doctor’s menu, medical service, foley catheter order
PICC line: Doctor’s menu, medical services, IV line care.
PICC Line Placement.
Get chest X-ray to confirm placement
PICC Line Flush order set – ok to use.
NG tube placement: Doctor’s menu, medical service, (right side) NG tubes placement order set.
DNAR: do not attempt to resuscitate.
“Resuscitation status (DNAR) note.” Attending must cosign.
Doctor’s menu, inpatient pharmacy, (left) substance withdrawal treatment protocol, Lorazepam Assessment Driven Protocol for Floor.
Transfer to full admission (from obs):
Doctors’ menu – Conversion to Full Admission