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ummc:va:orders
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| Both sides previous revisionPrevious revisionNext revision | Previous revision | ||
| ummc:va:orders [2024/09/17 15:36] – admin | ummc:va:orders [2025/02/05 16:34] (current) – admin | ||
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| + | # At the VA, How Do I Refer for [cause]? | ||
| + | |||
| + | ==== Pulmonary Transplant Evaluation ==== | ||
| + | * Determine if YOU think the veteran requires potential consideration | ||
| + | * staff with Drs. Keller or Todd | ||
| + | * in the event that neither are available, or if time constraints exist, the veteran will need to be rescheduled in a time fitting manner for this evaluation and discussion | ||
| + | * for approach candidates, the patient will need to complete the TRACER evaluation | ||
| + | * Mindy Conklin, APRT, has taken the role of facilitating TRACER evaluation and will need to be contacted when the veterans care dictates | ||
| + | |||
| # At the VA, How Do I Order [item]? | # At the VA, How Do I Order [item]? | ||
| - | ## Radiology | ||
| - | ### Sniff Test | + | ====Infusion therapies==== |
| + | |||
| + | * NF consult for approval | ||
| + | * Clinic orders | ||
| + | * < | ||
| + | * Infusion clinic consult | ||
| + | * < | ||
| + | |||
| + | |||
| + | ====Radiology==== | ||
| + | |||
| + | === Sniff Test === | ||
| - Radiograph | - Radiograph | ||
| Line 10: | Line 29: | ||
| ## Lab Tests | ## Lab Tests | ||
| - | ### Myositis Panel | + | |
| + | ===Myositis Panel=== | ||
| - Misc order | - Misc order | ||
| - in comments, write < | - in comments, write < | ||
| - | ### Cystic Fibrosis Genetic Test | + | ===Cystic Fibrosis Genetic Test=== |
| - Misc order | - Misc order | ||
| - in Comments, write < | - in Comments, write < | ||
| - | ### Body Fluid Samples | + | ===Body Fluid Samples=== |
| + | __Cytology__ | ||
| + | * collect sample into sample cup | ||
| + | * paper lab order form | ||
| - | * Cytology | + | __Micro, chemistries__ |
| - | - collect sample into sample cup | + | * collect samples into purple- and red-top tubes |
| - | - paper lab order form | + | |
| - | - MICU nurses have this | + | |
| - | + | | |
| - | * Micro, chemistries | + | |
| - | - collect samples into purple- and red-top tubes | + | |
| - | | + | |
| - | | + | |
| - | | + | |
| ## Diagnostic Tests | ## Diagnostic Tests | ||
| - | ### Pulmonary Function Tests | + | ===Pulmonary Function Tests=== |
| - '' | - '' | ||
| Line 42: | Line 60: | ||
| - '' | - '' | ||
| - | ### EKG, outpatient | + | ===EKG, outpatient=== |
| - '' | - '' | ||
| Line 50: | Line 68: | ||
| ## Medications | ## Medications | ||
| - | + | ===Ordering tPA and dornase=== | |
| - | ### Ordering tPA and dornase | + | |
| - send Teams message to [[mailto: | - send Teams message to [[mailto: | ||
| - Orders, High-alert medication | - Orders, High-alert medication | ||
| - | ### Non-Formulary Medication | + | ===Non-Formulary Medication=== |
| - '' | - '' | ||
| Line 64: | Line 81: | ||
| - '' | - '' | ||
| - | ### Asthma Biologics | + | ===Asthma Biologics=== |
| At Baltimore VA, Fasenra (benralizumab) is the only on-formulary biologic for severe asthma. | At Baltimore VA, Fasenra (benralizumab) is the only on-formulary biologic for severe asthma. | ||
| - | | + | * Order EpiPens x2 |
| - | - Must order when getting benralizumab | + | * Place order for Infusion |
| - | - Patient must bring to infusion | + | |
| - | | + | |
| - | - [[# | + | |
| ## DME | ## DME | ||
| - | + | ===Inhaler Adjuncts=== | |
| - | ### Inhaler Adjuncts | + | |
| Includes: incentive spirometer, PEP device (Acapella), pulse oximeter | Includes: incentive spirometer, PEP device (Acapella), pulse oximeter | ||
| Line 88: | Line 102: | ||
| - '' | - '' | ||
| - | ## Home O2 Consult | + | ===Home O2 Consult=== |
| Below is how to order a 6MWT (to qualify for home oxygen), qualify for nebulizers, obtain suction equipment, obtain ventilators. | Below is how to order a 6MWT (to qualify for home oxygen), qualify for nebulizers, obtain suction equipment, obtain ventilators. | ||
| Line 95: | Line 109: | ||
| - Consult | - Consult | ||
| - Pulmonary, Respiratory & Home O2 | - Pulmonary, Respiratory & Home O2 | ||
| - | - Home Oxygen Request-VAMHCS | + | - Home Oxygen Request |
| + | | ||
| - | **To expedite home O2, contact [[mailto: | + | To expedite home O2, contact [[mailto: |
| ## Referrals | ## Referrals | ||
| - | ### Refer for Lung Transplant | + | ===Refer for Lung Transplant=== |
| * Write a VACO note | * Write a VACO note | ||
| - < | - < | ||
| - | ### Refer to Subspecialty Clinics | + | ===Refer to Subspecialty Clinics=== |
| For lung cancer screening, lung mass clinic, pulmonary hypertension, | For lung cancer screening, lung mass clinic, pulmonary hypertension, | ||
| Line 113: | Line 128: | ||
| - Pulmonary, Respiratory & Home O2 | - Pulmonary, Respiratory & Home O2 | ||
| - | ### Sleep Disordered Breathing | + | ===Sleep Disordered Breathing=== |
| * Refer to Sleep Clinic | * Refer to Sleep Clinic | ||
ummc/va/orders.1726587360.txt.gz · Last modified: 2024/09/17 15:36 by admin
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