Standardized Order Forms                        

DRUGS TREATMENT AREAS
 Alteplase Frequent Monitoring Flowsheet (NUR-1482)   Alcohol Withdrawal Nursing Flowsheet
 Anticoagulation Flow Sheet (CARD 1056)   Burn Center Orders
 EPO Order Sheet - (CCEXAM-1069)   Brain Death Criteria Checklist
 EPO Order Sheet -Myelodysplastic Syndrome (CCEXAM-1092)   Breast Center Procedure Record  (CCBR-1066)
 EPO Order Sheet-Chemotherapy Induced Anemia (CCEXAM-1090)   Bronchoscopy Informed Consent (ENDO-1096)
 EPO Order Sheet-Chronic Kidney Disease (CCEXAM-1091)   Cancer Center Treatment Outpatient Admission Orders  (NUR-1309)
 Hyperbaric Oxygen Consent Form   Cardiac Care Orders
  Intrathecal Baclofen Screening Trial - 23 Hr Admit (REHABADM-1064)   Chemotherapy Order Form
   Investigational Drug Order Form (PHAR-1166)   Chemotherapy Cytotoxic Meds for Peri-Operative Services     (PHAR 1178)
   IVIG: PEDIATRICS   Colonoscopy Informed Consent (ENDO 1097)
   Insulin Orders: Modified Adult Insulin Yale Protocol (NUR 1475)   Consultation Report  (MRD 008)
   IV Insulin: Critical Care Intensive Protocol Orders  (NUR 1201)   Continuous Closed Circuit EEG monitoring  (NUR41 1065)
   Medication Reconciliation Form (PHAR 1182)    Delirium ICU Orders (NUR52 1079)
   Procainamide Challenge for Brugada  (CARD EPL 1108)    Diabetes Flow Sheet
  Trepostinil SQ (Remodulin) Orders  (NUR 1452)   Discharge Checklist
  Trepostinil IV (Remodulin) Orders (NUR 1452)   
      Endoscopy Informed Consent (ENDO 1099)
      Expired Patient Summary Checklist (AUTO 1052)
  Zolendronic Acid (Reclast) (Infusion Therapy Clinic) (PAT-023)   Frequent Monitoring Flow Sheet (NUR 1184)
    Gynecology Orders
    History and Physical Examination Orders (KUPI 1054)
    Hyperbaric Medicine Orders (HMC 1078)
    Hyperthermic Intraoperative Intraperitoneal/Limb Perfusion  (PHAR 1177)
    Hypothermia Therapy Flowsheet (NUR 1299)
    Informed Consent (MRD 007)
     Infusion Therapy Clinic Orders
     Internal Medicine Pre-Admission Orders
     Investigation of Suspected Transfusion Reaction (NUR 1188)
     IV Room Referral Form (Internal Medicine)
  Mechanically Ventilated Patients:  Analgesia Orders (NUR52-1069)
  Mohs Note (KUPI 1070)
     Multiple Sclerosis: Diagnosis Orders (NUR53-1051)
  Neurology History Physical Form (NUR53-1061)
  Neurosurgery Bowel Care  (NUR15B-1050)
  Ophthalmology Standard Orders (NUR 1179)
  Operative Progress Notes
  Orthopedics: Fever/Bowel Orders (NUR43 1094)
  Outpatient Infusion Therapy Clinic Physician Orders (PAT 027)
    Pallative Care Flowsheet (PAL-004)
    Pediatrics: General
  Post Abcess Drainage Orders (RAD-1081)
  Post Tonsillectomy Orders  (NUR 1344)
  Procedural Sedation/Analgesia Orders (NUR 1092)
  Progress Note (NUR 1430)
  Radiology Orders
  Rehabilitation Unit Orders-Orthopedics (NUR3F-1096)
  Restraint Re-Order Only (NUR 1446)
  Sedation-ICU Orders (NURICU 1051)
  Seizure Monitoring-Phase II  (NUR15C 1057)
  Sepsis Screening Tools
  Specimen Orders
      Stroke Flowsheets and Notes
     Therapeutic Apheresis Flowsheet  (NUR 1251)
  Trauma Critical Care Progress Notes (TS 1058)
  Trauma Admission Orders to ICU (Adult)  (NUR 1062)
  Transfusion Reaction, Investigation of Suspected Reaction  (NUR 1188)
  Transplant Orders
  Transplant Adult Blood & Marrow Readmission Orders (NUR 1346)
     Transplant Adult Cancer Treatment Outpatient Orders (NUR 1347)
  Upper Extremity Surgery-Post Operative Orders (NUR 1429)
  Wound Care/HBO Clinic Orders