• 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

• NF consult for approval
• Clinic orders

  • Clinic Medication Quick Order > Pulmonary Service Clinic Orders Menu

  • Infusion clinic consult

  • Consult > Additional Services > Infusion Clinic

  Radiology

• Radiograph
• abdominal radiograph
• in comments, write <code>sniff test</code>

• Misc order
• in comments, write <code>sent out myositis panel, code 10257</code>

• Misc order
• in Comments, write <code>send out CFTR gene, code 10458</code>

Cytology

• collect sample into sample cup
• paper lab order form

Micro, chemistries

• collect samples into purple- and red-top tubes
• place orders
• attach patient label to samples
• walk to lab on 4F near MICU

• Orders
• Consult Menu
• Pulmonary, Respiratory & HOME O2
• Pulmonary Function Test Outpt - BT

• Admission order
• pre op
• ekg now
• Personally walk the patient to EKG area ## Medications

  Ordering tPA and dornase
• send Teams message to Faryal Qureshi
• Orders, High-alert medication

• Orders
• Meds Outpatient Quick Orders
• #12 Controlled Substances (non formulary)
• (CLICK HERE FOR CONSULT)
• Attention: Qureshi,Faryal

At Baltimore VA, Fasenra (benralizumab) is the only on-formulary biologic for severe asthma.

• Order EpiPens x2
• Place order for Infusion clinic
• Place Non-Formulary Order for Fasenra

Includes: incentive spirometer, PEP device (Acapella), pulse oximeter

For more significant support equipment (oxygen, nebulizers, suction equipment, ventilators, etc.) see Home O2 Consult.

For ordering flutter valves, spacers, peak flow meters, incentive spirometry, etc.

1. Orders
2. Consult
3. Additional Services → Prosthetics
4. Prosthetics Request Non-Implant- Baltimore

Below is how to order a 6MWT (to qualify for home oxygen), qualify for nebulizers, obtain suction equipment, obtain ventilators.

• Orders Tab
• Consult
• Pulmonary, Respiratory & Home O2
• Home Oxygen Request
• VAMHCS

To expedite home O2, contact Richard Farr or Kimberley.

• Write a VACO note

  1. Shared Template > Medical Care > Transplant > VACO

For lung cancer screening, lung mass clinic, pulmonary hypertension, pulmonary rehab, 6MWT, home oxygen assessment, qualify for nebulizers, suction equipment, ventilators.

• Orders
• Consult

  1. Pulmonary, Respiratory & Home O2

  Sleep Disordered Breathing
• Refer to Sleep Clinic
  • Orders
  • Consult
  • Neurology
  • Sleep
  • Neurology Sleep Disorders Clinic Outpt
• NIPPV Equipment (CPAP, BIPAP)
  • Orders
  • Consult
  • Neurology
  • Sleep
  • Sleep therapy outpt