FH Orders and Directives 2014 eForm by Dr. John Robertson is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.
Permissions beyond the scope of this license may be available at http://www.oscarcanada.org/.

Time Stamp
Insert Current Rx
Insert Recent Rx
Own Meds
Antepartum Admit

DM/GDM standard orders
2100kcal no labour
NPO no labour
GDM Labour I Drip orders
GDM In Labour No I Drip
Insulin Sliding Scale
PP-GDM PP-Type2DM
PP-Type1DM

Gestational Hypertension Orders
AntePartum
PostPartum

Mid Trimester Loss
Insert Orders

Hyperemesis
Insert Orders

MTX for Ectopic
Insert Orders

Signature

Outpatient Antibiotics
Mandatory Orders
Cefazolin Probenecid
Cefazolin Cephalexin
Clindamycin Ceftriaxone
Vancomycin Gentamycin
‡Ertapenem-Restricted Drug‡
Other Reassessment
Wound Care Other Referral
ID Consulted

Signature

Restricted Antimicrobial Drugs (Adult)
For febrile neutropenia, please use the Febrile Neutropenia PPO (latest version of Form ID:DRD0105161
Preamble-mandatory
--Carbapenem--Pick indication then drug
Indication Carbpenem CNS
Indication Carbpenem CF
Indication Carbpenem Other
meropenem Q6
meropenem eGFR less than 50
meropenem CNS-CF
Imipenem Q6
Imipenem eGFR less than 50
‡ertapenem‡
‡ertapenem eGFRless than 30‡
--linezolid--Pick indication then dose
Indication linezolid-bacterial resistance
Indication linezolid-patient intolerance
Indication linezolid-other
linezolid-PO linezolid-IV
--daptomycin--Pick indication then dose
Indication bacterial resistance
Indication linezolid-patient intolerance
Indication daptomycin-other
daptomycin dose

ID Consulted

Signature