Emergency Department Hip Fracture Adult Order Set 2026

The document outlines the Goals of Care Designation (GCD) Order for patients, detailing various care options based on patient preferences and medical conditions. It includes sections for patient identification, care goals, involvement of decision-makers, and specific designations (R1, R2, M1, M2, C1, C2) that guide treatment approaches ranging from aggressive medical interventions to comfort-focused care. The document emphasizes the importance of discussions with patients or their decision-makers regarding care preferences and outlines the responsibilities of healthcare providers in documenting these orders.

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Click ‘Get Form’ to open the Emergency Department Hip Fracture Adult Order Set in our editor.
Begin by entering the patient's legal last name and first name in the designated fields. Ensure accuracy for proper identification.
Fill in the preferred name, Goals of Care Designation (GCD) Order date, time, PHN, DOB, ULI, and MRN as required. This information is crucial for patient records.
Select the appropriate Goals of Care Designation by checking the relevant box and initialing next to it. Refer to the definitions provided on the reverse side for clarity.
Indicate if this GCD Order is interim and document any specific clarifications needed on the ACP/GCD Tracking Record.
Specify the patient's location of care and indicate involvement with a patient or alternate decision-maker by checking applicable boxes.
Complete the history/current status section by selecting one of the options regarding previous GCD Orders.
Finally, enter your name, discipline, signature, and date at the bottom of the form to finalize it.

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What is the protocol for a fractured hip?

Most hip fractures are treated in one of the following ways: with metal pins, with a metal plate and screws, metal rod and screws, or replacing the broken femoral head with an artificial implant consisting of metal and plastic.

What will the ER do for a fractured hip?

If fracture or deformity of the femur is obvious, apply a traction splint and place an intravenous (IV) line for hydration. If the patient is hypotensive or tachycardic, initiate crystalloid fluid bolus and administer supplemental oxygen.

What to do for hip fracture EMT?

When responding to patients with a suspected broken hip, remember these tips: Plan then move. The patient is often already in a relative position of comfort. Anticipate hypothermia. Geriatric patients have decreased thermoregulatory responses. Pain management. Splint the long bone above and below. Team lifting.

What is the safest initial management of a person with a suspected hip fracture?

Operative management of a hip fracture should occur within 24 to 48 hours of injury unless a delay is needed to stabilize comorbidities. Early operative management improves pain control, decreases length of hospitalization, and reduces complications.

What is the best thing to do for a fractured hip?

Most people will need surgery to treat a broken hip. Depending on things like your age and the type of break, you may have surgery to: fix the broken bones back into place using screws, nails, rods or plates. replace some of the damaged hip joint with an artificial part (hemiarthroplasty)