UMC Health System Patient Label Here ISCHEMIC
UMC Health SystemPatient Label HereISCHEMIC STROKE/TIA PLANPHYSICIAN ORDERSDiagnosisWeightAllergiesPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSPatient CareVital SignsPer Unit Standards, Every 15 min x 2 hrs; then every 30 min x 6 hrs; then every 1 hr x 16 hrsPerform Neurological Checksq4hSpecial Instructions, Every 15 min x 2 hrs; then every 30 min x 6 hrs; then every 1 hr x 16 hours.Daily WeightNursing Swallowing ScreenPerform prior to PO intake. If pt fails swallow screening keep NPO until swallow evaluation.Patient ActivityBedrest, Bed Position: HOB Greater Than or Equal to 30 degreesAssist as Needed, Bed Position: HOB Greater Than or Equal to 30 degreesUp to Bedside Commode Only, Bed Position: HOB Greater Than or Equal to 30 degreesSeizure PrecautionsStrict Intake and OutputPer Unit StandardsContinuous Telemetry (Intermediate Care)Intermittent TelemetryCommunicationNotify Provider/Primary Team of Pt AdmitIn AMUpon Arrival to Floor/UnitNowNotify Nurse (DO NOT USE FOR MEDS)Complete a Stroke Scale on admission or at onset of symptoms, at discharge, and with any change in neuro status.Notify Provider of VS ParametersTemp Greater Than 101, RR Greater Than 24, RR Less Than 10, SpO2 Less Than 94, SBP Greater Than 220, SBP Less Than 120, DBPGreater Than 120, DBP Less Than 60, HR Greater Than 120, HR Less Than 50Notify Provider (Misc)Reason: Deterioration of neurological status, problems swallowing, or signs of bleeding.DietaryPlease choose only ONE diet type below.NPO DietNPO, until AFTER swallow/dysphagia screening performed.TORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time12011 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereISCHEMIC STROKE/TIA PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSOral DietClear Liquid DietRegular DietFull Liquid DietAHA DietADA Diet1800 Calories, AHA1800 Calories1600 Calories, AHA1600 CaloriesIV SolutionsNSIV, 75 mL/hrIV, 150 mL/hrIV, 125 mL/hrIV, 200 mL/hrNS 20 mEq KCl/LIV, 75 mL/hrIV, 150 mL/hrIV, 125 mL/hrIV, 200 mL/hrNS 40 mEq KCl/LIV, 75 mL/hrIV, 150 mL/hrIV, 125 mL/hrIV, 200 mL/hrMedicationsMedication sentences are per dose. You will need to calculate a total daily dose if needed.AntithromboticsMust be given within 48 hours of arrival per Core Measures.If not given, choose the Contraindications Order below and CompleteContraindications AntithromboticAllergyHistory of GI bleedRisk of bleedingAnticoagulant already prescribedPositive Occult Blood in StoolOther (specify below in other reason)Order aspirin suppository if patient is unable to swallow.aspirinFOR STROKE, 81 mg, chewed, tab chew, DailyThis medication must be given immediately for STROKE if not given in ER.Contact the physician to order the suppository if patient is unable to swallow.FOR STROKE, 325 mg, PO, tab, DailyThis medication must be given immediately for STROKE if not given in ER.Contact the physician to order the suppository if patient is unable to swallow.FOR STROKE, 300 mg, rectally, supp, DailyThis medication must be given immediately for STROKE if not given in ER.aspirin-dipyridamoleFOR STROKE, 1 cap, PO, cap, BIDThis medication must be given immediately for STROKE if not given in ER.Do Not crush or chew.Continued on next page.TORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time12012 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereISCHEMIC STROKE/TIA PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSclopidogrelFOR STROKE, 75 mg, PO, tab, DailyThis medication must be given immediately for STROKE if not given in ER.warfarin1 mg, PO, tab, In PM2.5 mg, PO, tab, In PM4 mg, PO, tab, In PM6 mg, PO, tab, In PM10 mg, PO, tab, In PM2 mg, PO, tab, In PM3 mg, PO, tab, In PM5 mg, PO, tab, In PM7.5 mg, PO, tab, In PMrivaroxaban20 mg, PO, tab, In PMapixaban5 mg, PO, tab, BIDBlood Pressure Managementlabetalol10 mg, IVPush, inj, q10min, PRN hypertensionGive for SBP greater than and/or DBP greater than . Do not give if HR less than 60.niCARdipine 25 mg/250 mL - TitratableIV, Maximum titration: 2.5 mg/hr every 5 minutes, Max dose: 15 mg/hrFinal concentration 0.1 mg/mL (100 mcg/mL).Start at rate: mg/hrStatinsContraindications StatinsHypersensitivityLiver disease or elevated transaminasesOtherIntolerance(myopathy, myalgia, myositis)Pregnancy or breastfeedingsimvastatin5 mg, PO, tab, Nightly20 mg, PO, tab, Nightly80 mg, PO, tab, Nightly10 mg, PO, tab, Nightly40 mg, PO, tab, Nightlyatorvastatin10 mg, PO, tab, Nightly40 mg, PO, tab, Nightly20 mg, PO, tab, Nightly80 mg, PO, tab, NightlyLaboratoryCBC with DifferentialNext Day in AM, T 1;0300Prothrombin Time with INRNext Day in AM, T 1;0300PTTNext Day in AM, T 1;0300TORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time12013 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereISCHEMIC STROKE/TIA PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSLipid PanelNext Day in AM, T 1;0300, Comment: FASTINGComprehensive Metabolic PanelNext Day in AM, T 1;0300***Perform pregnancy test if patient is premenopausal female.***Beta HCG Serum QualitativeSTATDiagnostic TestsEcho Transthoracic (TTE) with contrast i (Echo Transthoracic (TTE) with contrast if needed)EKG-12 LeadVL Carotid Duplex (Vascular Lab)DX Chest PA & LateralCT Head w/oIschemic Stroke/TIA EvaluationCT Head w/CT Head, Neck AngiographyModified Barium SwallowRespiratoryRespiratory Care Plan GuidelinesArterial Blood GasPhysical Medicine and RehabConsult Speech Therapy for Eval & TreatOther, Sp/lang/cog and swallow eval & treatment., Eval for Ischemic Stroke/TIAConsult PT Mobility for Eval & TreatEval for Ischemic Stroke/TIAConsult Occ Therapy for Eval & TreatEval for Ischemic Stroke/TIAConsults/ReferralsConsult MDService: Neurology, Reason: Ischemic Stroke/TIA EvalConsult Dietitianfor Other Nutrition Needs, Eval for Ischemic Stroke/TIA.Additional OrdersTORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time12014 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereDISCOMFORT MED PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSPatient CarePerform Bladder ScanScan PRN, If more than 250, Then: Call MD, Perform as needed for patients complaining of urinary discomfort and/or bladderdistention present OR 6 hrs post Foley removal and patient has not voided.MedicationsMedication sentences are per dose. You will need to calculate a total daily dose if needed.menthol-benzocaine topical (Chloraseptic 6 mg-10 mg mucous membrane lozenge)1 lozenge, mucous membrane, lozenge, q4h, PRN sore throatdextromethorphan-guaiFENesin (dextromethorphan-guaiFENesin 20 mg-200 mg/10 mL oral liquid)10 mL, PO, liq, q4h, PRN coughdexamethasone-diphenhydrAMIN-nystatin-NS (Fred’s Brew)15 mL, swish & spit, liq, q2h, PRN mucositisWhile awakeAnti-pyreticsSelect only ONE of the following for feveracetaminophen500 mg, PO, tab, q4h, PRN fever***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***1,000 mg, PO, tab, q6h, PRN fever***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***ibuprofen200 mg, PO, tab, q4h, PRN feverDo not exceed 3,200 mg in 24 hours. Give with food.400 mg, PO, tab, q4h, PRN feverDo not exceed 3,200 mg in 24 hours. Give with food.Analgesics for Mild PainSelect only ONE of the following for mild painacetaminophen500 mg, PO, tab, q6h, PRN pain-mild (scale 1-3)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***1,000 mg, PO, tab, q6h, PRN pain-mild (scale 1-3)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***650 mg, rectally, supp, q4h, PRN pain-mild (scale 1-3)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***ibuprofen400 mg, PO, tab, q6h, PRN pain-mild (scale 1-3)***Do not exceed 3,200 mg of ibuprofen from all sources in 24 hours***. Give with food.Analgesics for Moderate PainSelect only ONE of the following for moderate painTORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time12015 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereDISCOMFORT MED PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSHYDROcodone-acetaminophen (HYDROcodone-acetaminophen 5 mg-325 mg oral tablet)1 tab, PO, tab, q4h, PRN pain-moderate (scale 4-7)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***2 tab, PO, tab, q4h, PRN pain-moderate (scale 4-7)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***acetaminophen-codeine (acetaminophen-codeine (Tylenol with Codeine) 300 mg-30 mg oral tablet)1 tab, PO, tab, q4h, PRN pain-moderate (scale 4-7)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***2 tab, PO, tab, q4h, PRN pain-moderate (scale 4-7)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***traMADol50 mg, PO, tab, q6h, PRN pain-moderate (scale 4-7)50 mg, PO, tab, q4h, PRN pain-moderate (scale 4-7)ketorolac15 mg, IVPush, inj, q6h, PRN pain-moderate (scale 4-7), x 48 hr***May give IM if no IV access***Analgesics for Severe PainSelect only ONE of the following for severe painmorphine2 mg, Slow IVPush, inj, q4h, PRN pain-severe (scale 8-10)HYDROmorphone0.2 mg, Slow IVPush, inj, q4h, PRN pain-severe (scale 8-10)0.6 mg, Slow IVPush, inj, q4h, PRN pain-severe (scale 8-10)4 mg, Slow IVPush, inj, q4h, PRN pain-severe (scale 8-10)0.4 mg, Slow IVPush, inj, q4h, PRN pain-severe (scale 8-10)AntiemeticsSelect only ONE of the following for nausea/vomitingpromethazine25 mg, PO, tab, q4h, PRN nausea/vomitingondansetron4 mg, IVPush, soln, q8h, PRN nausea/vomitingGastrointestinal AgentsSelect only ONE of the following for constipationdocusate100 mg, PO, cap, Nightly, PRN constipationbisacodyl10 mg, rectally, supp, Daily, PRN constipationAntacidsAl hydroxide-Mg hydroxide-simethicone (aluminum hydroxide-magnesium hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oralsuspension)30 mL, PO, susp, q4h, PRN indigestionAdminister 1 hour before meals and nightly.TORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time12016 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereDISCOMFORT MED PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSsimethicone80 mg, PO, tab chew, q4h, PRN gas160 mg, PO, tab chew, q4h, PRN gasAnxietySelect only ONE of the following for anxietyALPRAZolam0.25 mg, PO, tab, TID, PRN anxietyLORazepam1 mg, IVPush, inj, q6h, PRN anxiety0.5 mg, IVPush, inj, q6h, PRN anxietyInsomniaSelect only ONE of the following for insomniaALPRAZolam0.25 mg, PO, tab, Nightly, PRN insomniaLORazepam2 mg, PO, tab, Nightly, PRN insomniazolpidem5 mg, PO, tab, Nightly, PRN insomniamay repeat x1 in one hour if ineffectiveAntihistaminesdiphenhydrAMINE25 mg, PO, cap, q4h, PRN itching25 mg, IVPush, inj, q4h, PRN itchingAnorectal PreparationsSelect only ONE of the following for hemorrhoid carewitch hazel-glycerin topical (witch hazel-glycerin 50% topical pad)1 app, topical, pad, as needed, PRN hemorrhoid careWipe affected areaphenylephrine topical (phenylephrine 0.25%-3% rectal ointment)1 app, rectally, oint, q6h, PRN hemorrhoid careApply to affected areaTORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time12017 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereGERIATRIC DISCOMFORT MED PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSPatient CarePerform Bladder ScanScan PRN, If more than 250, Then: Call MD, Perform as needed for patients complaining of urinary discomfort and/or bladderdistention present OR 6 hrs post Foley removal and patient has not voided.MedicationsMedication sentences are per dose. You will need to calculate a total daily dose if needed.menthol-benzocaine topical (Chloraseptic 6 mg-10 mg mucous membrane lozenge)1 lozenge, mucous membrane, lozenge, q4h, PRN sore throatdextromethorphan-guaiFENesin (dextromethorphan-guaiFENesin 20 mg-200 mg/10 mL oral liquid)10 mL, PO, liq, q4h, PRN coughmelatonin2 mg, PO, tab, Nightly, PRN insomniaAnalgesics for Mild PainSelect only ONE of the following for Mild Painacetaminophen500 mg, PO, tab, q6h, PRN pain-mild (scale 1-3)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***1,000 mg, PO, tab, q6h, PRN pain-mild (scale 1-3)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***650 mg, rectally, supp, q4h, PRN pain-mild (scale 1-3)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***ibuprofen400 mg, PO, tab, q6h, PRN pain-mild (scale 1-3)***Do not exceed 3,200 mg of ibuprofen from all sources in 24 hours***Give with food.Analgesics for Moderate PainSelect only ONE of the following for Moderate PainHYDROcodone-acetaminophen (HYDROcodone-acetaminophen 5 mg-325 mg oral tablet)1 tab, PO, tab, q4h, PRN pain-moderate (scale 4-7)***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours ****acetaminophen-codeine (acetaminophen-codeine (Tylenol with Codeine) 300 mg-30 mg oral tablet)1 tab, PO, tab, q4h, PRN pain-moderate (scale 4-7)***** Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours*****2 tab, PO, tab, q4h, PRN pain-moderate (scale 4-7)***** Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours*****Analgesics for Severe PainSelect only ONE of the following for Severe Painmorphine2 mg, Slow IVPush, inj, q4h, PRN pain-severe (scale 8-10)HYDROmorphone0.2 mg, Slow IVPush, inj, q4h, PRN pain-severe (scale 8-10)TORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time12018 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereGERIATRIC DISCOMFORT MED PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSAntiemeticsondansetron4 mg, IVPush, soln, q8h, PRN nausea/vomitingGastrointestinal AgentsSelect only ONE of the following for constipationdocusate100 mg, PO, cap, Nightly, PRN constipationbisacodyl10 mg, rectally, supp, Daily, PRN constipationAntacidsAl hydroxide-Mg hydroxide-simethicone (aluminum hydroxide-magnesium hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oralsuspension)30 mL, PO, susp, q4h, PRN indigestionAdminister 1 hour before meals and nightly.simethicone80 mg, PO, tab chew, q4h, PRN gas160 mg, PO, tab chew, q4h, PRN gasAnti-pyreticsSelect only ONE of the following for feveracetaminophen500 mg, PO, tab, q4h, PRN fever***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***1,000 mg, PO, tab, q6h, PRN fever***Do not exceed 4,000 mg of acetaminophen from all sources in 24 hours***ibuprofen200 mg, PO, tab, q4h, PRN fever***Do not exceed 3,200 mg of ibuprofen from all sources in 24 hours***Give with food.400 mg, PO, tab, q4h, PRN fever***Do not exceed 3,200 mg of ibuprofen from all sources in 24 hours***Give with food.Anorectal PreparationsSelect only ONE of the following for hemorrhoid carewitch hazel-glycerin topical (witch hazel-glycerin 50% topical pad)1 app, topical, pad, as needed, PRN hemorrhoid careWipe affected areaphenylephrine topical (phenylephrine 0.25%-3% rectal ointment)1 app, rectally, oint, q6h, PRN hemorrhoid careApply to affected areaTORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time12019 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereSLIDING SCALE INSULIN REGULAR PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILSPatient CarePOC Blood Sugar CheckPer Sliding Scale Insulin FrequencyAC & HS 3 daysBIDq6hq4hAC & HSTIDq12hq6h 24 hrq2hSliding Scale Insulin Regular GuidelinesFollow SSI Regular Reference TextMedicationsMedication sentences are per dose. You will need to calculate a total daily dose if needed.insulin regular (Low Dose Insulin Regular Sliding Scale)0-10 units, subcut, inj, AC & nightly, PRN glucose levels - see parametersLow Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 2 units subcut181-240 mg/dL - 3 units subcut241-300 mg/dL - 4 units subcut301-350 mg/dL - 6 units subcut351-400 mg/dL - 8 units subcutIf blood glucose is greater than 400 mg/dL, administer 10 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.0-10 units, subcut, inj, BID, PRN glucose levels - see parametersLow Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 2 units subcut181-240 mg/dL - 3 units subcut241-300 mg/dL - 4 units subcut301-350 mg/dL - 6 units subcut351-400 mg/dL - 8 units subcutIf blood glucose is greater than 400 mg/dL, administer 10 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.Continued on next page.TORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time120110 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereSLIDING SCALE INSULIN REGULAR PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILS0-10 units, subcut, inj, TID, PRN glucose levels - see parametersLow Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 2 units subcut181-240 mg/dL - 3 units subcut241-300 mg/dL - 4 units subcut301-350 mg/dL - 6 units subcut351-400 mg/dL - 8 units subcutIf blood glucose is greater than 400 mg/dL, administer 10 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.0-10 units, subcut, inj, q6h, PRN glucose levels - see parametersLow Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 2 units subcut181-240 mg/dL - 3 units subcut241-300 mg/dL - 4 units subcut301-350 mg/dL - 6 units subcut351-400 mg/dL - 8 units subcutIf blood glucose is greater than 400 mg/dL, administer 10 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.0-10 units, subcut, inj, q4h, PRN glucose levels - see parametersLow Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 2 units subcut181-240 mg/dL - 3 units subcut241-300 mg/dL - 4 units subcut301-350 mg/dL - 6 units subcut351-400 mg/dL - 8 units subcutIf blood glucose is greater than 400 mg/dL, administer 10 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.Continued on next page.TORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time120111 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereSLIDING SCALE INSULIN REGULAR PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILS0-10 units, subcut, inj, q2h, PRN glucose levels - see parametersLow Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 2 units subcut181-240 mg/dL - 3 units subcut241-300 mg/dL - 4 units subcut301-350 mg/dL - 6 units subcut351-400 mg/dL - 8 units subcutIf blood glucose is greater than 400 mg/dL, administer 10 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.insulin regular (Moderate Dose Insulin Regular Sliding Scale)0-12 units, subcut, inj, AC & nightly, PRN glucose levels - see parametersModerate Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 3 units subcut181-240 mg/dL - 4 units subcut241-300 mg/dL - 6 units subcut301-350 mg/dL - 8 units subcut351-400 mg/dL - 10 units subcutIf blood glucose is greater than 400 mg/dL, administer 12 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.0-12 units, subcut, inj, BID, PRN glucose levels - see parametersModerate Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 3 units subcut181-240 mg/dL - 4 units subcut241-300 mg/dL - 6 units subcut301-350 mg/dL - 8 units subcut351-400 mg/dL - 10 units subcutIf blood glucose is greater than 400 mg/dL, administer 12 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.Continued on next page.TORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time120112 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereSLIDING SCALE INSULIN REGULAR PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILS0-12 units, subcut, inj, TID, PRN glucose levels - see parametersModerate Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 3 units subcut181-240 mg/dL - 4 units subcut241-300 mg/dL - 6 units subcut301-350 mg/dL - 8 units subcut351-400 mg/dL - 10 units subcutIf blood glucose is greater than 400 mg/dL, administer 12 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.0-12 units, subcut, inj, q6h, PRN glucose levels - see parametersModerate Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 3 units subcut181-240 mg/dL - 4 units subcut241-300 mg/dL - 6 units subcut301-350 mg/dL - 8 units subcut351-400 mg/dL - 10 units subcutIf blood glucose is greater than 400 mg/dL, administer 12 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.0-12 units, subcut, inj, q4h, PRN glucose levels - see parametersModerate Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 3 units subcut181-240 mg/dL - 4 units subcut241-300 mg/dL - 6 units subcut301-350 mg/dL - 8 units subcut351-400 mg/dL - 10 units subcutIf blood glucose is greater than 400 mg/dL, administer 12 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.Continued on next page.TORead BackScanned PowerchartScanned PharmScanOrder Taken by Signature: Date TimePhysician Signature:Date Time120113 of 20Ischemic Stroke/TIA PlanVersion: 14Effective on: 11/14/19
UMC Health SystemPatient Label HereSLIDING SCALE INSULIN REGULAR PLANPHYSICIAN ORDERSPlace an "X" in the Orders column to designate orders of choice AND an "x" in the specific order detail box(es) where applicable.ORDERORDER DETAILS0-12 units, subcut, inj, q2h, PRN glucose levels - see parametersModerate Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 3 units subcut181-240 mg/dL - 4 units subcut241-300 mg/dL - 6 units subcut301-350 mg/dL - 8 units subcut351-400 mg/dL - 10 units subcutIf blood glucose is greater than 400 mg/dL, administer 12 units subcut, notify provider, and repeat POC blood sugar check in 1hour. Continue to repeat 10 units subcut and POC blood sugar checks every 1 hour until blood glucose is less than 300 mg/dL, thenresume normal POC blood sugar check and insulin regular sliding scale.insulin regular (High Dose Insulin Regular Sliding Scale)0-14 units, subcut, inj, AC & nightly, PRN glucose levels - see parametersHigh Dose Insulin Regular Sliding ScaleIf blood glucose is less than 70 mg/dL and patient is symptomatic, initiate hypoglycemia guidelines and notify provider.70-139 mg/dL - 0 units140-180 mg/dL - 4 units subcut181-240 mg/dL - 6 units s
Respiratory Care Plan Guidelines Arterial Blood Gas Physical Medicine and Rehab Consult Speech Therapy for Eval & Treat Other, Sp/lang/cog and swallow eval & treatment., Eval for Ischemic Stroke/TIA Consult PT Mobility for Eval & Treat Eval for Ischemic Stroke/TIA Consult Occ Therapy for Eval & Treat Eval fo
Efficient user administration is an essential part of every security concept. The User Management Component (UMC) user administration enables system-wide central maintenance . In this application example, the engineering PC with TIA Portal and WinCC Unified will be added to the existing UMC domain as a UMC RT server. This gives the user the .
hopeful and joyful time. The United Methodist Book of Worship of 1992. UMC Tim Schnepp N EWSLETTER B UCK C REEK (continued on page 2) 2 BUCK CREEK UMC NEWSLETTER - JANUARY 2010 THE STAFF, editor. e-mail: timothys81@yahoo.com Nancy Schnepp, primary reporter Additional reporters this month
Wesley Oak UMC Lynn Drake FE 18 White Bluff UMC JOSH DUCKWORTH FE 1 Wilmington Island UMC Rob Grotheer FE 2 Woodbine Cooperative Parish Marie Rainge PL 4 Woodbine UMC Jan Conner FL 2 APPOINTMENTS EXTENDING THE MINISTRY OF THE UNITED METHODIST CHURCH (¶343-344) A. Appointed Within the Connectional Structure: (¶344.1a,c)
Zion UMC-St. Louis Chris W & Shirley J Fotenos Charitable Fund Spofford – Kansas City Bridges of Hope Scholarship Fund St. Paul UMC Margaret Curtis Permanent Endowment Trust St. Paul School of Theology The Boone and Nadine T Ingels Memorial Scholarship Fund St Peter UMC-Blue Springs Rachel House Hudson Camp Fund Tipton UMC
November 11, 2017—District UMW Officers Training, Trenholm Road UMC, Columbia, SC December, 2017—News-A-Plenty Articles Due January 20, 2018—Greenwood District Officers' Training Event, Central UMC, Newberry, SC March 3, 2018—Greenwood District Day Apart, Zion UMC, Prosperity, SC
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Chinese UM Mission Congregation LIE 2801 Hillside Ave, New Hyde Park, NY 11040 7/1/2018 c) Organized or continued Satellite congregations (¶247.22, continue . Church Ghana Wesley UMC Immanuel — First Spanish UMC UMC of the Highlands GCFA # 27214 27225 27236 Name o
from 1976-1991, residing in Greenville, SC. Jim rejoined the UMC in 1991, and served the following churches: Waterloo/Soule Chapel, Langley, Pentecost, Buffalo, and Aldersgate UMC in Inman. He retired in 2003 and was then called to serve Loree UMC. Rev. Covington was also the President and Founder of Christian Life Ministries, a non-
