LAST PR BP DATA: (details about each case to help make decisions)

Location, Age, Sex, Temperature

Pulse rate, Respiratory rate
Blood Pressure & BMI
Drugs, Alcohol, Tobacco, Allergies…….
DOMAINS OF CCS...1.DIAGNOSIS 2. THERAPY 3.MONITORING 4.TIMING 5. SEQUENCING
6. LOCTATION…………THEN

1st: ABCD: 2nd do physical 4th, step: 7th, last 2minute screen
Airway, Breathing, CCC: orders:
Circulation 3rd, Labs: Comfort – pain, AFRAID BEAMSSS
CBC, LFT, ICU, PAX: vomiting, diarrhea, Adults
V-POLICE SI: fever (treat these as Follow up tests &
Pulse Oxy CBC first step if patient is screening tests for
Oxygen BMP unstable or in acute later date (very
L (nothing: D) Cardiac enzymes distress) important and do this
IV access Cure first)
IV FLUIDS LFT, Lipid profile Consults Reassurance
Cardiac monitoring FOBT Advance directives
BP MONITOR Thyroid tests 5th if admitting the Immunizations
EKG patient: Diet advice, Drug
ELEVATE HEAD END Immunological tests ADMIT COR: abuse counsel
Sugar(fingerstick) / (HIV, An/Ab tests, PCR) Activity (bed rest. etc.) Bracelet (for allergies),
Suctioning (airway) Iron (iron profile, Retic Diet Belt (seat belt counsel)
IMMOBILIZE count, Haptoglobin, Medications Exercise, Educate
SPINE(TRAUMA). LDH) Intake & output family
Imaging T (nothing: D) Alcohol
Emergency (CT/MRI/USG/Echo) Medication
treatments: Culture (Blood, Urine, Compression stockings compliance, side
MONAA Wound, CSF) Omeprazole (stress effects
Morphine Urine analysis & ulcer prophylaxis) Sex (safe sex practice
Oxygen toxicology REPEAT NEEDED TEST counsel)
Nitrates (CBC, BMP, PT) Smoking cessation
Aspirin PT/PTT Safety
Antidotes (for Pregnancy Test 6th pre procedure Screening tests
poisonings) – Thiamine Pulmonary function orders: (for all of these you
and Naloxone tests (PEFR, FEV, PFT, ABC PIN could just type Counsel
D-Dimer) Antibiotics and then select
Amylase & lipase, ABG Blood group & typing multiple entries from
X-rays Consent/CXR the options)
PT/PTT
INR For children:
NPO RSVP:
Reassurance
Safety
Vaccines
Parent education