Code Neuro [30400804]
If appropriate for patient condition, please consider the following order sets:
Acute Stroke ED/RRT #812
Hydration Order for Reducing Risk of Radiocontrast Induced Nephrotoxicity #683
If GFR is decreased and patient requires IV contrast study, consider hydrating patient
Height_____________________
Weight_____________________
Allergies____________________
General
Vital Signs
[X] Vital signs every 15 minutes
[X] Neuro checks every 15 minutes
STAT, Every 15 min, Starting today
STAT, Every 15 min, Starting today
Activity
[X] Elevate head of bed
STAT, Until discontinued, Starting today
Elevate HOB: __________________________________ Required
30 - 45 degrees
Diet
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Diet NPO
Diet effective now, Starting today
NPO Except:
Diet Comments:
SAH, SCH, SFH, SJMC Nursing Assessments
[X] Nursing communication
[X] Nursing communication
[X] NIH stroke scale
STAT, Once, Starting today For 1 Occurrences, Initiate Code Neuro
Triage Alert.
STAT, Once, Starting today For 1 Occurrences, Page
Neurointerventionalist on call
STAT, Once, Starting today, NIH Stroke Scale on admission,
pre-treatment, post-treatment, and with any changes in neurological
status. On Admission, pre-treatment, post-treatment, and with any
changes in neurological status.
Highline & Harrison Nursing Assessments
[X] Nursing communication
[X] NIH stroke scale
STAT, Once, Starting today For 1 Occurrences, Initiate Code Neuro
Triage Alert.
STAT, Once, Starting today, NIH Stroke Scale on admission,
pre-treatment, post-treatment, and with any changes in neurological
status. On Admission, pre-treatment, post-treatment, and with any
changes in neurological status.
Labs
Chemistry
[X] Basic metabolic panel
[X] Creatinine, whole blood
STAT, Starting today For 1 Occurrences
STAT, Starting today For 1 Occurrences
Code Neuro - call all results to ED.
Provider Initial:______________
PATIENT INFORMATION
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Code Neuro [30400804]
PHYSICIAN ORDERS
SAH, SCH, SFH, SJMC Hematology
[ ] Troponin I
[X] CBC and differential
[ ] CK total and CKMB
STAT, Starting today For 1 Occurrences
Once, Starting today
Once, Starting today
Harrison Hematology
[ ] Troponin I, POCT
[X] CBC and differential
[ ] CK total and CKMB
STAT, Starting today For 1 Occurrences
Once, Starting today
Once, Starting today
Highline Chemistry
[ ] Troponin T
[X] CBC and differential
[ ] CK total and CKMB
STAT, Starting today For 1 Occurrences
Once, Starting today
Once, Starting today
Coagulation
[ ] Activated partial thromboplastin time
[X] Protime-INR
Once, Starting today For 1 Occurrences
STAT, Starting today For 1 Occurrences
POCT Labs
[X] POCT glucose
STAT, Once, Starting today For 1 Occurrences, STAT, on arrival.
Imaging
If GFR decreased and patient requires IV contrast study, consider hydrating patient using Hydration Order for Reducing Risk of
Radiocontrast Induced Nephrotoxicity Physician Order #683
X-Ray
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[]
Do not delay tPA administration to complete chest x-ray
X-ray chest AP portable
STAT, Once, Starting today For 1 Occurrences
STAT, 1 time imaging, Starting today For 1
Reason for Exam: Other (Please Specify)
Is the patient pregnant? __________________________ Required
CT Scan
[X] CT head without contrast stroke
[X] CT angiogram head with and without contrast
[X] CT angiogram neck with and or without contrast
STAT, 1 time imaging, Starting today For 1
Reason for Exam: _______________________________ Required
Is the patient pregnant? ___________________________ Required
What is the patient's sedation/anesthesia requirement? No Sedation
Reason for Exam (USE SIGNS AND SYMPTOMS):
Transport Mode: Bed
STAT, 1 time imaging, Starting today For 1
Complete CT and patient to return to DI for CTA when creatinine
available
Reason for Exam: _______________________________ Required
Is the patient pregnant? ___________________________ Required
What is the patient's sedation requirement? No Sedation
STAT, 1 time imaging, Starting today For 1 Occurrences
Reason for Exam: _______________________________ Required
Is the patient pregnant? __________________________ Required
What is the patient's sedation/anesthesia requirement? No Sedation
Transport Mode: Bed
Provider Initial:______________
PATIENT INFORMATION
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Code Neuro [30400804]
PHYSICIAN ORDERS
Cardiac Tests - ECG
[X] Electrocardiogram, 12-lead
STAT, Once, Starting today For 1 Occurrences
Reason for Exam: Other (Please Specify)
IV Fluids
IV Fluids
[X] Saline Lock and Flush Panel
[X] sodium chloride 0.9 % syringe
[X] Saline lock IV
[ ] sodium chloride 0.9% (NS) infusion
10 mL, IntraVENous, Every 8 hours, STAT
STAT, Continuous, Starting today
100 mL/hr, IntraVENous, Continuous, STAT
Date:_______ Time:________ Printed Name of Ordering Provider:____________________________________________________________________
Provider Signature:_______________________________________________________________________________
Date:_______ Time:_______
RN Acknowledged: _______________________________________________________________________________
Provider Initial:______________
PATIENT INFORMATION
Page 3 of 3
Code Neuro [30400804]
PHYSICIAN ORDERS