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MEDICATION EXTRAPOLATION/ INFILTRATION ORDERS ALL ORDERS MUST HAVE DATE, TIME WRITTEN, WRITER IS AND TRANSCRIBER IS LEGIBLE SIGNATURE (FIRST INITIAL, LAST NAME, TITLE) AND TRANSCRIPTION TIME. DIAGNOSIS
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How to fill out medication extravasation infiltration orders

How to fill out medication extravasation infiltration orders:
01
Start by gathering the necessary information: Obtain the patient's name, medical record number, date of birth, and any relevant medical history.
02
Indicate the specific medication: Write down the name of the medication that caused the extravasation or infiltration event.
03
Assess the severity: Determine the degree of extravasation or infiltration based on the established grading scale. This will help guide the appropriate treatment and monitoring required.
04
Document the affected area: Clearly describe the location of the extravasation or infiltration, such as the arm, hand, or another part of the body.
05
Note the date and time: Record the exact date and time when the extravasation or infiltration was identified.
06
Describe the symptoms and signs: Document any observable changes or symptoms, such as redness, swelling, pain, or decreased range of motion.
07
Specify the treatment provided: Outline the initial steps taken to manage the extravasation or infiltration event, including any antidotes or interventions administered.
08
Identify healthcare provider involvement: Indicate the names of the healthcare professionals involved in the patient's care, including nurses, pharmacists, or physicians.
09
Detail the follow-up plan: Specify the steps that need to be taken after the extravasation or infiltration event, including continued monitoring, additional treatments, or consultations with specialists.
10
Obtain appropriate signatures: Ensure that orders are signed and dated by the prescribing healthcare provider and any other relevant healthcare professionals involved in the patient's care.
Who needs medication extravasation infiltration orders?
01
Patients who experience extravasation or infiltration of medication during their treatment may require medication extravasation infiltration orders.
02
Healthcare providers, including nurses, physicians, or pharmacists, who are responsible for the care and treatment of patients experiencing extravasation or infiltration events may need medication extravasation infiltration orders.
03
Medical facilities and institutions that provide healthcare services, including hospitals, clinics, and infusion centers, may require medication extravasation infiltration orders as part of their documentation and quality assurance processes.
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What is medication extravasation infiltration orders?
Medication extravasation infiltration orders are instructions given by healthcare providers to address the leakage of medication into the surrounding tissues during administration.
Who is required to file medication extravasation infiltration orders?
Healthcare providers such as nurses or physicians are required to file medication extravasation infiltration orders.
How to fill out medication extravasation infiltration orders?
Medication extravasation infiltration orders should be filled out by documenting the specific details of the extravasation event, the medication involved, and any interventions taken.
What is the purpose of medication extravasation infiltration orders?
The purpose of medication extravasation infiltration orders is to guide appropriate treatment and prevent further damage from the extravasated medication.
What information must be reported on medication extravasation infiltration orders?
Information such as the type of medication, amount extravasated, location of extravasation, patient's symptoms, and any interventions should be reported on medication extravasation infiltration orders.
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