Core Measures Memo Cards Congestive Heart Failure Pneumonia - patients 18 & older
● Physician orders complete on CHF standing order set
● Obtain blood cultures before administering first antibiotic
● ECHO ordered or previous copy to chart and
● Initial antibiotics received within 6 hours of arrival;
Acute RN to ask ED RN if cx and abx completed
● ACE Inhibitors/ARBS for LVSD prescribed at DC
● Physician orders completed on Pneumonia standing
● Review physicians orders for correct antibiotic
● Contraindications for not prescribing ACE/ARBS
selection for admission(non-ICU pt or ICU pt) correct
must be documented in medical record
antibiotic must be administered within 24 hours of arrival
● High creatinine ● Angioedema with ACE/ARBS ● Bilateral renal stenosis ● Hypotension ● Hyperkalemia ● Patient/family refusal
● Adult smoking cessation advice/counseling
including anyone who has quit within 12 months
● CHF booklet reviewed with patient - document on DC
● Pneumococcal vaccine (year round) / Influenza
(October 1 through March 31); document on DC orders
● Adult smoking cessation advice/counseling including anyone who has quit within 12 months
● Pneumococcal vaccine/Influenza (October 1 through
●●DC instruction must be reviewed by a CN before the patient leaves!
March 31) document on DC orders when completed
● DC instructions include:
● Diet ● Activity ● Follow-up appt
●●DC instructions must be reviewed by a CN before the patient leaves!●● Acute Myocardial Infarction Children's Asthma Care
● Aspirin at arrival and DC
● Review physician's orders for reliever medications
(Contraindication for not prescribing ASA must be
ordered (e.g., Atrovent, Maxair, Albutol Sulfate)
● Review physician's orders for corticosteroids ordered
● Physician orders completed on AMI standing order set
(e.g., Decadron, Prednisone, Solu-Medrol)
● Adult smoking cessation advice/counseling
● Home management plan of care MUST be completed by including anyone who has quit within 12 months
physician with documentation that the patient/caregivers were given a written plan of care that addresses ALL of
● LV Function assessment/documentation
● ACE Inhibitors/ARBS for LVSD prescribed at DC
▪ Arrangements for follow-up care ▪ Environmental control and control of other ● Contraindications for not prescribing ACE/ARBS triggers must be documented in medical record ▪ Method and timing of rescue actions ● High creatinine ● Angioedema with ACE/ARBS
▪ Use of controllers ● Bilateral renal stenosis ● Hypotension ● Hyperkalemia ● Patient/family refusal ▪ Use of relievers ●●DC instructions must be reviewed by the CN
● Pneumococcal vaccine/Influenza (October 1 through
before the patient leaves!●●
March 31) document on DC orders when completed
● Beta-blocker prescribed at discharge (or documentation in medical record for contraindication for not prescribing) ●●DC instruction must be reviewed by a CN before the patient leaves!●●
2009 H1N1 Influenza Vaccine Consent Form STUDENT Section 1: Information about Child to Receive Vaccine (please print) STUDENT’S NAME (Last) STUDENT’S DATE OF BIRTH month_________ day________ year __________ PARENT/LEGAL GUARDIAN’S NAME (Last) STUDENT’S AGE STUDENT’S GENDER PARENT/GUARDIAN DAYTIME PHONE CITY STATE SCHOOL NAME Medicare #
Engelbrektson AL, Korzenik JR, Pittler A, Sanders ME, Klaenhammer TR, Leyer G and CL Kitts. 2009. Probiotics to minimize the disruption of faecal microbiota in healthy subjects undergoing antibiotic therapy. J Med Microbiol 58: 663-670. Engelbrektson, A.L., Korzenik, J.R., Sanders, M.E., Clement, B.G., Leyer, G., Klaenhammer, T.R., & Kitts, C.L., (2006). Analysis of treatment effects on the mi
Core Measures Memo Cards