Bronchiolitis Clinical Pathway – Emergency Department and Inpatient – Sample Bronchiolitis Pathway Patient Progression

Bronchiolitis Clinical Pathway – Emergency Department and Inpatient – Sample Bronchiolitis Pathway Patient Progression

Sample Bronchiolitis Pathway Patient Progression

Time 2300 2400 0100 0200 0300 0400 0500 0600 0800
Patient Pathway Assessment Severe Severe Severe Moderate Moderate Moderate Moderate Moderate Moderate
Severe Severe Severe Severe Severe Severe Severe Moderate Moderate
Assessment with score CRM CRM
Cont. Pox		 CRM
Cont. Pox		 CRM
Cont. Pox		 CRM
Cont. Pox		 Discontinue CRM and Cont. POX Spot check POX Spot check POX Spot check POX Spot check POX
Intervention Assess in 10 minutes if intervention was due to escalation of care Wall suction/neb treatment / oxygen as ordered Wall suction/neb treatment / oxygen as ordered Wall suction/neb treatment / oxygen as ordered Wall suction/neb treatment / oxygen as ordered Wall suction/neb treatment / oxygen as ordered Wall suction/neb treatment / oxygen as ordered Wall or bulb suction/neb treatment / Oxygen as ordered Wall or bulb suction/neb treatment / Oxygen as ordered

Change Orders		 Wall or bulb suction/neb treatment / Oxygen as ordered
Time 1000 1200 1400 1600 1800 2000 2200 2400 0400
Patient Pathway Assessment Moderate Moderate Moderate Moderate Moderate Mild Mild Mild Mild
Moderate Moderate Moderate Moderate Moderate Moderate Moderate Mild Mild
Assessment with score   Spot check POX   Spot check POX   Spot check POX   Spot check POX  
Intervention Assess in 10 minutes if intervention was due to escalation of care Wall or bulb suction/neb treatment / oxygen as ordered Wall or bulb suction/neb treatment / oxygen as ordered Wall or bulb suction/neb treatment / oxygen as ordered Wall or bulb suction/neb treatment / oxygen as ordered Wall or bulb suction/neb treatment / oxygen as ordered Bulb suction prn Bulb suction prn Bulb suction prn

Change Orders		 Bulb suction prn

Discharge Criteria:

  • Pulse ox ≥ 90% in room air for 3 consecutive checks 4 hrs apart
  • Feeding adequately to stay hydrated
  • No wall suction for ≥ 8 hrs