Table 2.
Identifying information | Clinical scenario | Medication | If…,then… | To do: |
---|---|---|---|---|
Patient namea | One-line summary of clinical scenarioa | Lisinopril 5 mg po daily, insulin glargine 20 units SQ qHS, Novolog 8 units TID c meals, Albuterol/atrovent nebs q4h, sliding scale insulin | 1. Anticipation of need for escalation of careb | [] Follow-up on CXRb |
Patient MRNa | 1. Active medical issues (i.e., COPD exacerbation, fever) | [] Follow-up on BMP/K+b | ||
Rm ba | 2. Chronic stable medical issues( i.e., HTN, DM2) | |||
Allergiesa | Moxifloxacin 400 mg po q24h, Prednisone 60 mg po daily SHOULD INCLUDE: NAME [GENERIC] DOSE ROUTE COMPLIANT ABBREVIATIONS | 2. Anticipation of hyperglycemia given diabetic and on steroidsa | [] Family meeting to discuss goals of careb | |
Code statusab | 3. Prophylaxis | |||
PCPa | 4. Code status |
aInformation derived from mock chart
bInformation obtained from video