SMH Medication Formulary
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SMH Medication Formulary
Medication Protocols & Preprinted Order Sets

 

A

Adult Severe Sepsis Screening and Treatment Pathway

Alteplase (Cathflow®) Administration Guidelines

Alteplase (T-PA) Administration Guidelines

Amiodarone IV Administration Guidelines

Anemia Management Orders

Atlanta Protocol (IV Insulin) Orders

Automatic Renal Dose Adjustment of Medications

 

 

B

Blood and Blood Product Transfusion Orders

 

C

Cancer and Chemotherapy-Related Physician Order Sets

 

D

Darbepoetin (Aranesp®) – Hematopoietic Colony Stimulating Growth Factors Clinical Protocol

Dexmedetomidine (Precedex®)

Physician Orders

Nursing Worksheet

Diltiazem (Cardizem®) IV Administration Guidelines

DOPAmine IV Administration Guidelines

Doripenem (Doribax®) – Automatic Renal Dose Adjustment of Medications

 

Drotrecogin alfa (Xigris®) Pre-Order Worksheet

 

E

Electrolyte Sliding Scale Orders – for ICU and ED only

Enoxaparin (Lovenox®) - Automatic Renal Dose Adjustment

 

Epoetin (Epogen®, Procrit®) – Hematopoietic Colony Stimulating Growth FactorsClinical Prtocol

Extravasation

Clinical Protocol for Management for All Extravasated Drugs

Extravasation Protocol Orders

 

 

F

Filgrastim (Neupogen®) – Hematopoietic Colony Stimulating Growth Factors Clinical Protocol

 

H

Hematopoietic Colony Stimulating Growth Factors Clinical Protocol

Heparin Protocol – Physician Orders

H1N1 Influenza Vaccination Orders

H1N1 Vaccination Consent Form

H1N1 Vaccine Information Sheet – Inactivated, Injection

H1N1 Vaccine Information Sheet – Live, Intranasal

 

I

Insulin, Atlanta Protocol (IV) Dosing Tables

Blood Glucose Target 80-110 1003661

1003663

Insulin, IV Protocol Orders 1003546

Insulin, Portland Protocol (IV) and Physician Orders

Blood Glucose Target 70-110

Blood Glucose Target 80-120

Blood Glucose Target 100-150

Blood Glucose Target 125-175

Insulin, Sliding Scale – Physician Orders 1000605

 

K

Ketorolac (Toradol®) – Automatic Dose Adjustment

 

 

L

Lepirudin (Refludan®)

Physician Orders for Administration and Monitoring

Nursing Record of Administration

Levofloxacin (Levaquin®) – Automatic Renal Dose Adjustment

 

 

N

Nesiritide (Natrecor®) Physician Orders

 

P

Parenteral Nutrition, Adult Orders 1001844

Pegfilgrastim (Neulasta®) – Hematopoietic Colony Stimulating Growth Factors Clinical Protocol

Pneumonia (Adult) Physician Orders

Pneumonia (Adult) Antibiotic Guidelines

Pneumococcal/Influenza Adult Vaccination Orders 1000534

Vaccine Information Statements (VIS)

n  Influenza, Inactivate (Shot) Vaccine, English

n  Pneumococcal 23-Valent Vaccine (Pneumovax®)

n  Other VIS, other languages

Portland Protocol (IV Insulin) and Physician Orders

Blood Glucose Target 70-110

Blood Glucose Target 80-120

Blood Glucose Target 100-150

Blood Glucose Target 125-175

 

R

Restricted Medication Administration

 

S

Severe Sepsis Screening and Treatment Pathway

Sliding Scale Electrolyte Orders – for ICU and ED only

Sliding Scale Insulin – Physician Orders 1000605

Surgical Antibiotic Prophylaxis

 

 

T

Thyrotropin alfa (Thyrogen®) Physician Orders

Trimethoprim-Sulfamethoxazole (bactrim®) IV Prep and Administration

 

V

Vaccinations

H1N1 Influenza Vaccination Orders

H1N1 Vaccination Consent Form

H1N1 Vaccination Information Sheet – Inactivated (Injection)

H1N1 Vaccination Information Sheet – Live (Intranasal)

Pneumococcal/Influenza Adult Vaccination Orders 1000534

Vaccine Information Statements (VIS)

n  Influenza, Inactivated (Injection), English

n  Pneumococcal 23-Valent Vaccine (Pneumovax®)

n  Other VIS, other languages

 

W

Warfarin (Coumadin®)

Dosing Clinical Protocol

Dosing Protocol Orders for

Initiation with Goal INR 2 – 3

Initiation with Goal INR 2.5 – 3.5

Maintenance with Goal INR 2 – 3

Maintenance with Goal INR 2.5 – 3.5

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as to the use of this information outside of Slidell Memorial Hospital.