Common Hospital Flowchart Note Examples

Flowchart Notes is a flexible tool to capture relevant chronological information within a patient channel. This feature allows adding Notes that can be entirely free form or based on pre-defined templates containing prompts for common treatment questions. Every entry is logged with a timestamp and the name of the entity who added the note, enhancing tracing and accountability.

For information on how to add a Flowchart Note template in Pulsara MANAGER see How to Create Flowchart Notes Templates in MANAGER

Flowchart notes and flowchart note templates are designed to save your team valuable time during critical care emergencies. With just the tap of a button, you can communicate vital information across the entire care team. 

*This is not a comprehensive list and you should create your Flowchart Note templates from input from your teams and EMS partners.  These are a few examples for your team to use.* 

STEMI

Template Title

Alert Text

Body Text

MED - ASA 324 mg (PO)

Aspirin 324 mg (PO) Administered

Aspirin 324 mg (PO)

MED - Heparin (IV)

Heparin (IV) Administered

Dose:         Route:

MED - IV Bolus

IV Bolus

Administered ( ) ml ( ) L

MED - Nitroglycerin (SL)

Nitroglycerin (SL) Administered

Dose:         Route:

MED - Plavix [Clopidogrel] (PO)

Plavix [Clopidogrel] (PO) Administered

Dose:         Route:

MED - TNKase (IV)

TNKase (IV) Administered

Dose:         Route:

PROCEDURE - Defibrillation

Defibrillation Delivered

Joules ( ) Result ( )

PROCEDURE - Vascular Access

Vascular Access

Attempts ( ) Location ( ) Size ( )

 

Stroke

Template Title

Alert Text

Body Text

MED - ASA 324 mg (PO)

Aspirin 324 mg (PO) Administered

Aspirin 324 mg (PO)

MED - Heparin (IV)

Heparin (IV) Administered

Dose:         Route:

MED - Plavix [Clopidogrel] (PO)

Plavix [Clopidogrel] (PO) Administered

Dose:         Route:

MED - Activase [Alteplase] (IV)

Activase [Alteplase] (IV) Administered

Dose:         Route:

PROCEDURE - Airway Mgt

Airway Mgt

BVM ( ) OPA ( ) NPA ( ) King ( ) iGEl ( ) Intubation ( )

PROCEDURE - Vascular Access

Vascular Access

Attempts ( ) Location ( ) Size ( )

DIAGNOSIS - CT Results

CT Results Completed

Imaging Findings:

 

Cardiac Arrest

Template Title

Alert Text

Body Text

EKG - Initial Rhythm

EKG - Initial Rhythm

Initial Rhythm:

MED - Amiodarone (IV/IO)

Amiodarone (IV/IO) Administered

Dose:         Route:

MED - Atropine (IV/IO)

Atropine (IV/IO) Administered

Dose:         Route:

MED - Bicarbonate (IV/IO)

Bicarbonate (IV/IO) Administered

Dose:         Route:

MED - Calcium Chloride (IV/IO)

Calcium Chloride (IV/IO) Administered

Dose:         Route:

MED - Epinephrine (IV/IO)

Epinephrine (IV/IO) Administered

Dose:         Route:

MED - IV Bolus

IV Bolus

Administered ( ) ml ( ) L

MED - Lidocaine (IV/IO)

Lidocaine (IV/IO) Administered

Dose:         Route:

MED - Magnesium Sulfate

Magnesium Sulfate (IV/IO) Admin

Dose:         Route:

PROCEDURE - Airway Mgt

Airway Mgt

BVM ( ) OPA ( ) NPA ( ) King ( ) iGEl ( ) Intubation ( )

PROCEDURE - Defibrillation

Defibrillation Delivered

Joules ( ) Result ( )

PROCEDURE - Vascular Access

Vascular Access

Attempts ( ) Location ( ) Size ( )

 

Sepsis

Template Title

Alert Text

Body Text

CRITERIA - Sepsis Protocol

Sepsis Criteria Met

Adult: SBP <90 ( ) RR>22 ( ) HR>90 ( ) Temp >38C or <36C: ( ) SaO2 <92% ( ) GCS ( ) 

LAB - Blood Cultures Collected

Blood Cultures Collected

 

LAB - Lactate Collected

Lactate Collected

 

MED - Ceftriaxone 2 gm (IV)

Ceftriaxone 2 gm (IV) Administered

Dose:         Route:

MED - IV Bolus

IV Bolus

Administered ( ) ml ( ) L

MED - IV Bolus 30 ml/kg COMPLETE

IV Bolus 30 ml/kg COMPLETE

 

MED - IV Bolus 30 ml/kg INITIATED

IV Bolus 30 ml/kg INITIATED

 

MED - Vancomycin (IV)

Vancomycin (IV) Administered

Dose:         Route:

PROCEDURE - Vascular Access

Vascular Access

Attempts ( ) Location ( ) Size ( )

 

Trauma

Template Title

Alert Text

Body Text

ASSESSMENT - AVPU

AVPU

Alert ( ) Verbal ( ) Pain ( ) Unresponsive ( )

PROCEDURE - Airway 

Airway Mgt

BVM ( ) OPA ( ) NPA ( ) King ( ) iGEl ( ) Intubation ( )

CRITERIA - Trauma (Step 1)

Trauma - Physiologic Criteria

DOCUMENT ONE OR MORE CRITERIA


( ) GCS - Less than or equal to 13


( ) SBP - Less than or equal to 90


( ) RR Less than 10 or greater than 29/min

( ) RR Less than 20 for Pediatrics less than 1 year

CRITERIA - Trauma (Step 2)

Trauma - Anatomic Criteria

DOCUMENT ONE OR MORE CRITERIA


PENETRATING INJURY:

( ) Head

( ) Neck

( ) Chest/Torso

( ) Above Elbow - Proximal Extremities

( ) Above Knee - Proximal Extremities


CHEST WALL INJURY

( ) Instability

( ) Deformity


TWO or MORE PROXIMAL LONG BONE FRACTURES

( # ) Humerus/Upper Arm - Proximal

( # ) Femur/Upper Leg - Proximal


SEVERE EXTREMITY INJURY

( ) Crushed Extremity

( ) Degloved Extremity

( ) Mangled Extremity

( ) Pulseless Extremity


PROXIMAL AMPUTATION

( ) Above the Wrist

( ) Above the Ankle


PELVIC INJURY

( ) Pelvic Fractures


SKULL INJURY

( ) Open Skull Fracture

( ) Depressed Skull Fracture


SPINAL TRAUMA

( ) Paralysis

CRITERIA - Trauma (Step 3)

Trauma - Mechanism of Injury Criteria

DOCUMENT ONE OR MORE CRITERIA


FALLS

( ) Adults: >20 feet

( ) Children: >10 feet

( ) Children: 2 or 3 Times the Height of the Child


HIGH-RISK AUTO CRASHES

( ) Intrusion - Including Roof: >12" Occupant Site; >18" Any Site

( ) Ejection from Automobile -Partial or Complete

( ) Death in Same Passenger Compartment

( ) Vehicle Telemetry Data Consistent with a High Risk of Injury


PEDESTRIAN/BICYCLIST

( ) Auto vs. Pedestrian

( ) Auto vs. Bicyclist Thrown

( ) Run Over

( ) Significant (>20 mph) Impact


MOTORCYCLE

( ) Motorcycle Crash >20 mph

CRITERIA - Trauma (Step 4)

Trauma - Special Considerations Criteria

DOCUMENT ONE OR MORE CRITERIA


OLDER ADULT

( ) Age 55+ Risk of Injury/Death Increases

( ) Age 65+ with SBP less than 110

( ) Low Impact Mechanisms (e.g. Ground Level Falls) May Result in Severe Injury


CHILDREN

( ) Should be Triaged Preferentially to Pediatric Capable Trauma Centers


ANTICOAGULANTS & BLEEDING DISORDERS

( ) Patients with Head Injury are at High Risk for Rapid Deterioration


BURNS

( ) Without Other Trauma Mechanism: Triage to Burn Facility

( ) With Trauma Mechanism: Triage to Trauma Center


PREGNANCY

( ) Greater Than 20 Weeks Pregnant


EMS JUDGEMENT

( ) Provider Judgment

PROCEDURE - Vascular Access

Vascular Access

Attempts ( ) Location ( ) Size ( )


General

Template Title

Alert Text

Body Text

ASSESSMENT - AVPU

AVPU

Alert ( ) Verbal ( ) Pain ( ) Unresponsive ( )

ASSESSMENT - Echocardiogram Right Ventricular Enlargement

Right Ventricular Enlargement on Echocardiogram

 

BELONGINGS - left with family

Belongings left with family

 

BELONGINGS - with patient

Belongings with patient

 

DIAGNOSIS - CT Results

CT Results Completed

Imaging Findings:

DISPOSITION - Transferred to Floor

Transferred to Floor

 

EKG - Initial Rhythm

EKG - Initial Rhythm

Initial Rhythm:

MED - IV Bolus

IV Bolus

Administered ( ) ml ( ) L

PRECAUTION - (Airborne): TB /Chicken Pox / Measles

AIRBORNE PRECAUTION: TB /Chicken Pox / Measles

 

PRECAUTION - (Special Respiratory) SARS / MERS / COVID

RESPIRATORY PRECAUTION: SARS / MERS / COVID

 

PROCEDURE - Airway Mgt

Airway Mgt

BVM ( ) OPA ( ) NPA ( ) King ( ) iGEl ( ) Intubation ( )

PROCEDURE - Defibrillation

Defibrillation Delivered

Joules ( ) Result ( )

PROCEDURE - EKOS® Catheter Deployed

EKOS® Catheter Deployed

 

PROCEDURE - Vascular Access

Vascular Access

Attempts ( ) Location ( ) Size ( )

PROCEDURE - Restraints

Restraints

Physical ( ) MED ( )

PROCEDURE- CPAP

CPAP Applied

 


For more information on how to use Flowchart Notes in Pulsara MOBILE, 
check out this guide

Team Pulsara

Written by Team Pulsara