Hematologic

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Trace DC96-12

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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Smart phrases

EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.

.HEME_TRANSFUSE

Transfusion ({product}): identity/consent verified (two-person); baseline vitals {values}; interval vitals {values}, no reaction ({fever/chills/dyspnea/back pain/rash}); infused over {time}; post vitals/Hgb {values}. Covered skilled procedure + reaction surveillance. Supports Section O; goal {###}.

.HEME_CYTOPENIA

{Anemia/thrombocytopenia/neutropenia}: {Hgb/plt/ANC} {value/trend}. {Bleeding/infection} surveillance: {findings}. Precautions {bleeding/neutropenic} in place. Skilled surveillance required. Supports Section O/I; goal {###}.

.HEME_EMERGENCY

{Neutropenic fever / transfusion reaction / major bleed}: {details}. {Transfusion stopped/line open} if applicable; provider {+ blood bank} notified {time}; {cultures/antibiotics/labs/orders}; representative notified; monitoring. Reassess {when}. Supports Section O/I.

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