TED Pathway Basics
What does a green dot in the Pathway column indicate?
It indicates that a TED pathway is active for the patient.
Name two ways an ED provider can access or order the TED diuresis panel
The provider can order it directly from the OPA or from a Quick List in the Orders activity.
Where can the nurse administer and document the first TED diuretic dose?
Through the MAR or ED Narrator.
What information appears in the Storyboard OPA after the urine sodium result is available?
The urine sodium result and the recommended second dose.
Where can ED staff add the Pathway column?
What three diuresis classifications help determine the orders included in the TED diuresis panel?
Diuresis naive, diuresis experienced, and diuresis resistant.
How long after the first dose should the urine sodium specimen be collected?
Between 30 and 120 minutes after the first dose is administered. A result may be inaccurate if collected before 30 minutes or after 120 minutes.
How can inpatient nurses access the TED Nurse Pathway?
Inpatient nurses can access it through the Pathway activity. Both ED and inpatient nurses may also use the Pathway column on their Patient List or ED Track Board.
Where is the OPA alert seen to suggests that the ED provider order the TED diuresis panel?
An OPA on the Storyboard or Workup tab.
What must the admitting provider do with TED pathway orders initiated in the ED for continuity of care?
The admitting provider must reconcile the orders under Admit Orders activity found in the admission navigator.
How many hours after the first dose should the second dose be administered?
Six hours after the first dose.
When should the nurse collect the BMP and magnesium labs after pathway initiation?
Eight hours after pathway initiation of the pathway.
Why does the option to order the TED pathway disappear from the provider’s Quick List after it is ordered?
To prevent duplicate ordering of the pathway
For a direct admission, what order set can the provider select, and which two pathways are linked within it?
The provider can order the TED Pathways order set, which contains links to the TED and HF pathways to follow and place orders.
If an appropriate urine sodium specimen cannot be collected, what should the nurse do for the second dose?
Administer the same dose as the initial dose. Do not give an increased dose without a urine sodium result.
What does the HF pathway include for inpatient providers?
Links to the TED and GDMT pathways, orderable items, informational resources, note clipboard, an Admission and Acute Care pathway, and a Transfer and Discharge pathway.