Treatment
Acetaminophen or Ibuprofen can be ordered for adults and children for either of these two symptoms.
What is fever and/or pain?
Serum lactate is often indicated for patients suspected of sepsis. Lactate is elevated when tissues are deprived of this.
What is oxygen?
When entering an electronic order using a medical directive, the communication type in the "Ordering Physician" section is this.
What is 'medical directive'?
Using the appropriate medical directive, adult patients presenting with symptoms associated with acute coronary syndrome can be administered this medication.
What is ASA?
Using the associated medical directive, this is the dose of acetaminophen in mg/kg that can be administered to a child aged 3 months or older presenting with fever
What is 15 mg/kg?
These are the oxygen titration targets associated with the oxygen therapy medical directive.
What is 92% for patients without a COPD diagnosis or between 88-92% with a COPD diagnosis?
The "Diagnostic imaging" medical directive includes ordering of x-rays to rule out orthopedic fractures and includes these body parts.
What are toes, foot, ankle, knee, tib/fib, pelvis/hip, finger, hand, wrist, scaphoid, forearm, elbow, humerus, shoulder, clavicle, ribs?
All current medical directives can be found in this electronic database.
What is PolicyManager?
The IV initiation medical directive (specific for any MHA patient with a concerning presentation) includes the insertion of saline lock or IV infusing with this solution at this rate.
What is normal saline and 75 mL/hour?
The 'laxative of choice PRN' medical directive includes these 2 medications and associated dosages.
What is Lactulose 30 mL po daily prn and Senokot 2 tabs po daily prn?
Salbutamol and Ipratropium are included in an ED-specific medical directive indicated for patients with SOB and wheezing. This is the drug classification of salbutamol, and this is one of its common side effects.
What is Beta-2 adrenergic agonist (bronchodilator) and what is tachycardia?
When completing an ECG, if you place the RA electrode near the R wrist, the LA electrode should be placed here.
L wrist
The medical directive "initiation of IV access" includes an order for IV insertion which can be saline locked or attached to this type of solution to run at this rate.
What is Normal saline at 75 mL/hour?
In the medical directive 'hypoglycemia with altered LOC' the order includes administration of dextrose 50% or this medication given using this route
What is glucagon 1 mg IM?
The components in LET are this; therefore, LET cannot be applied to these parts of one's body.
What are lidocaine, epinephrine and tetracaine? What are digits?
This is one of three listed contraindications listed in the urinary catheter medical directive
pelvic trauma; recent urethral surgery or bladder reconstruction; known strictures or previous difficult catheterizations
The "Blood culture" medical directive authorizes nurses to obtain blood cultures from patients who present with these signs/symptoms in addition to suspected or actual infection. Include 3/6
Tachypnea > 20; Tachycardia > 90; Hypotension sBP< 90; altered LOC, immunocompromised, have indwelling vascular access device.
As per the medical directive, intraurethral lidocaine would be applied prior to catheter insertion for this type of patient.
What is male and over the age of 16?
This medical directive would be indicated to treat patients presenting with chemical splash to eye.
What is eye irrigation?
These are two out of the three listed indications (in ED medical directive) for administration of IV dextrose
What are: POC glucose < 3mmol/l.; altered LOC felt to be due to suspected to be due to low blood sugar; assurance of properly functioning IV?
For patients presenting with acute coronary syndrome, completion of ECG would be one medical directive to complete. This would likely be another one.
What are: cardiac marker troponin, routine blood work, IV access?
According to CNO, these are 2 of the 5 components that are required in a medical directive.
What are: 1. the name and description of the procedure(s)/ treatment(s)/intervention(s) being ordered; 2. clinical conditions/ circumstances that must be met. 3. Listed contraindications. 4. Names of physicians/NPs approving directive. 5. Date/signature of administrative approval.
The ED medical directive "administration of Epinephrine - for anaphylaxis" includes an assessment of this body system prior to an administration of this dose & concentration of epinephrine administered using this route.
What is respiratory, 1:100 with 0.3-0.5 mL administered IM?
As per the medical directive, there are 2 major contraindications regarding application of ophthalmic eye drops. Allergy is one, this is the other.
What is a penetrating eye injury?