Prototype for Medical Facility Orders During a Radiation Event

QualityTool

Prototype for Medical Facility Orders During a Radiation Event

Description

This tool is a prototype form that can be customized to document the assessment and treatment of adult patients exposed to radiation.

This form provides space to record the following types of information:

  • Diagnosis
  • Condition
  • Vital signs
  • Special orders for radiation contamination
  • Allergies
  • Activity
  • Diet
  • Height and weight
  • Peripheral IV management
  • Foley catheter management
  • Monitor intake/output
  • Deep venous thrombosis prophylaxis
  • Respiratory care
  • Wound care
  • Orthopedic care
  • Admission studies
  • Standing laboratory studies
  • Electrocardiogram (EKG)
  • Biodosimetry tests
  • For isotope decorporation: Caution
  • Type and screen
  • General medications
  • Neutropenia and antimicrobial therapy
  • Body chart

Developer:

National Library of Medicine; U.S. Department of Health and Human Services, Office of Planning and Emergency Operations; U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response

Funding Sources:

U.S. Department of Health and Human Services

History

Release Date: 2007
Review Date: 2008
Recent Summary: March 2008
Original Summary: March 2007
Last Updated: 05/19/08

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