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EPIC ICU Template

Here’s the EPIC EMR template I made聽for rounding in the VAD/transplant ICU. The formatting is off (bold, centered, etc), but the shortlinks are still there for the problem list, problem list, recent vitals,聽VAD data, ins/outs, recent labs, scheduled medications, and infusion medications. Hope this helps at least one person! 馃檪

VAD AND TRANSPLANT ICU – DAILY PROGRESS NOTE

Previous 24 Hours
***

Hospital Course
Hospital Day: @LOS@

Plan:

# Neuro

– ***

# CV

– ***

# Pulm

– ***

# GI and F/E/N

– ***

# Renal

– ***

# Heme

– ***

# Endo

– ***

# ID

– ***

# ICU Checklist

ASA

Beta-blocker

Glycemic Control

Nutrition

Restraints

Need CVC?

***

***

***

***

***

***

– DVT PPX: ***
– GI PPX: ***
– Analgesia: ***
– Lines/drains: ***

Problem List:

@PROB@

Physical Exam:

General: Alert and oriented, NAD
HEENT: Normocephalic, atraumatic, EOMI, vision grossly intact
Neck: No JVD, supple
CV: Audible pump hum, nonpulsatile on exam
Pulm: CTAB
Abd: Soft, NTND
Derm: Normal, no evidence of skin breakdown
Ext: Warm, well-perfused, no peripheral edema

Vitals:聽

@VSRANGES@

VAD Data:

HeartMate II

@FLOW24(3048317:LAST)@

@FLOW24(3048316:LAST)@

@FLOW24(3048318:LAST)@

@FLOW24(3048319:LAST)@

HeartWare

@FLOW24(3048312:LAST)@

@FLOW24(3048313:LAST)@

@FLOW24(3048314:LAST)@

I/O’s:

@IOBRIEF@

Labs:

@LABRCNT(wbc:3,hgb:3,hct:3,plt:3)@

@LABRCNT(na:3,k:3,cl:3,co2:3,bun:3,creatinine:3,calcium:3,mg:3,phos:3,ldh:3)@

@LABRCNT(INR:3,pt:3,ptt:3)@

@LABRCNT(tacrolimus:3,sirolimus:3)@

@LABRCNT(phart:3,pco2art:3,po2art:3)@

Diagnostics:

I have reviewed the relevant diagnostic imaging.

Microbiology:

I have reviewed the relevant microbiology.

Medications:

@MEDSSCHEDULED@

@MEDSINFUSIONS@

——————-
Rishi Kumar, MD
BCM Anesthesiology, PGY-3
VAD/Transplant ICU Team

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