Order Adult & Pediatric Physiologic Monitoring and Checks—Vitals

• The default options and settings are determined by age group. To remove the override of the age group for a neonate, see Changing a Neonate Age For Orders.

• If you haven't already:

1. Select the patient.

2. Click Write (ALT+W).

3. Click VS/Monitoring/Restraints/Code Status (ALT+V).

4. Click Physiologic Monitoring and Checks (ALT+M).

• Complete the form

• Click More Info (ALT+I) for clinical guidelines on ECG and pulse oximetry monitoring. Click the CAS icon in the taskbar at the bottom of the monitor to toggle back to Order Entry. Click  to close the window.

5. Click a checkbox (or press ALT+the underlined letter) to select one or more monitor or check options.

6. Complete the selections as follows:

• Cardiac Monitoring (ALT+M): Click to select a risk option, based on the descriptions provided.

• O2 Saturation Monitoring (ALT+S): Click to select a risk option, based on the descriptions provided. See below at O2 Sat Monitoring for setting SpO2 alarm limits.

• Pain Assessment (ALT+P), Neuro Checks (ALT+N): Click Select a frequency. If Other, type a frequency in the field provided.

• OB Monitoring (ALT+B): Click to select Electronic Fetal Monitoring or Non Stress Test. Click Select a frequency. If Other, type a frequency in the field provided.

• O2 Sat Monitoring (ALT+O): Type numbers to set the upper and lower limits for the SpO2 alarm.

• Pulse Volume Recording (PVR): Select a frequency. If Other, type a frequency in the field provided. Select a site. If Other, type a site in the field provided.

7. Select a Time (Now or Other ).

8. Click OK (ALT+O).

9. If the patient already has an ECG or Pulse Oximetry Monitoring order:

• Click Cancel New Order (ALT+N) to leave the existing order as is.

• Click Keep New Order (ALT+K) to discontinue the existing order and continue with the new order.

• Write additional orders as needed, then sign the session.