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ummc:va:orders

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At the VA, How Do I Order [item]?

Radiology

Sniff Test

  1. Radiograph
  2. abdominal radiograph
  3. in comments, write
    sniff test

Lab Tests

Myositis Panel

  1. Misc order
  2. in comments, write
    sent out myositis panel, code 10257

Cystic Fibrosis Genetic Test

  1. Misc order
  2. in Comments, write
    send out CFTR gene, code 10458

Body Fluid Samples

  1. Cytology
    1. collect sample into sample cup
    2. paper lab order form
      1. MICU nurses have this
  2. Micro, chemistries
    1. collect samples into purple- and red-top tubes
    2. place orders
    3. attach patient label to samples
    4. walk to lab on 4F near MICU

Diagnostic Tests

Pulmonary Function Tests

  1. Orders
  2. Consult Menu
  3. Pulmonary, Respiratory & HOME O2
  4. Pulmonary Function Test Outpt - BT

EKG, outpatient

  1. Admission order
  2. pre op
  3. ekg now
  4. then take the patient to EKG area

## Medications

Ordering tPA and dornase

  1. send Teams message to Faryal Qureshi
  2. Orders, High-alert medication

Non-Formulary Medication

  1. Orders
  2. Meds Outpatient Quick Orders
  3. #12 Controlled Substances (non formulary)
  4. (CLICK HERE FOR CONSULT)
  5. Attention: Faryal Qureshi

Asthma Biologics

At the VA, Fasenra (benralizumab) is the only biologic for severe asthma on formulary. It appears Dupixent (dupilumab) is not yet available for eosinophilic COPD.

  • REQUIRED: EpiPens x2
    • Must order when getting benralizumab
      1. Patient must bring to infusion clinic
      2. Options to order benralizumab

      ## DME

Inhaler Adjuncts

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

Home O2 Consult

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.

Referrals

Refer for Lung Transplant

  1. Write a VACO note
    1. Shared Template > Medical Care > Transplant > VACO

Refer to Subspecialty Clinics

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

  1. Orders
  2. Consult
  3. Pulmonary, Respiratory & Home O2

Sleep Disordered Breathing

  1. Refer to Sleep Clinic
    1. Orders Tab
    2. Consult
    3. Neurology
    4. Sleep
    5. Neurology Sleep Disorders Clinic Outpt
  2. NIPPV Equipment (CPAP, BIPAP)
    1. Orders Tab
    2. Consult
    3. Neurology
    4. Sleep
    5. Sleep therapy outpt
ummc/va/orders.1726586196.txt.gz · Last modified: 2024/09/17 15:16 by admin