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Must-Know CCS Order Sets: The Free Database (2026)

SM

Satya Moolani

One of the most requested resources on r/step3 is a comprehensive list of CCS order sets organized by condition. Instead of memorizing thousands of individual orders, you can learn standardized order sets for the most common presentations and then modify them based on the specific case. This article is that database.

Each order set below is organized into four phases: Initial Orders, Diagnostic Workup, Treatment, and Disposition/Follow-Up. Memorize these frameworks, and you will have a strong foundation for any CCS case.

How to Use This Database

1. Study phase: Read through each order set and understand why each order is included

2. Memorization phase: Focus on the conditions most likely to appear (high-yield cases)

3. Practice phase: Use these order sets during practice CCS cases and modify as needed

4. Exam day: Write the universal ER/clinic sets on your scratch paper for quick reference

Universal Order Sets

Universal ER Opening

• IV access

• Cardiac monitor

• Pulse oximetry

• Vital signs

• CBC, BMP, UA

• EKG (12-lead)

Universal 2-Minute Screen Checklist

• Follow-up appointment

• Influenza vaccine

• Tdap vaccine

• Colonoscopy referral (age ≥ 45)

• Mammogram referral (female ≥ 40)

• Smoking cessation counseling (if smoker)

• Diet counseling

• Exercise counseling

• Condition-specific follow-up labs

Cardiac Conditions

Acute Coronary Syndrome (STEMI/NSTEMI)

Initial: IV access, cardiac monitor, pulse ox, O2 if SpO2 < 94%

Diagnostic: EKG, troponin (serial x 3), CBC, BMP, coagulation panel, lipid panel, BNP, CXR, echocardiogram

Treatment: Aspirin 325 mg, heparin, clopidogrel (or ticagrelor), nitroglycerin, morphine (refractory pain), beta-blocker, ACE inhibitor, high-intensity statin, cardiology consult, PCI for STEMI

Location: ICU/CCU

Disposition: Step down to floor when stable → discharge with cardiac rehab referral, smoking cessation, diet counseling, follow-up in 1–2 weeks

Congestive Heart Failure Exacerbation

Initial: IV access, cardiac monitor, pulse ox, O2

Diagnostic: BNP, CBC, BMP, troponin, CXR, EKG, echocardiogram

Treatment: Furosemide IV, nitroglycerin (if hypertensive), ACE inhibitor, beta-blocker (continue if already on; do not start acutely if decompensated), sodium and fluid restriction, daily weights, strict I&Os

Monitoring: Daily BMP (K+ and creatinine), daily weights, repeat CXR

Disposition: Floor → discharge when euvolemic. Follow-up in 1 week. Cardiology referral. Diet counseling (low sodium). Medication adherence counseling.

Atrial Fibrillation (New Onset)

Initial: Cardiac monitor, EKG, IV access

Diagnostic: CBC, BMP, TSH, magnesium, CXR, echocardiogram

Treatment: Rate control: metoprolol IV (or diltiazem). Anticoagulation assessment: CHA2DS2-VASc score → apixaban or warfarin if score ≥ 2. Cardioversion if hemodynamically unstable.

Disposition: Floor or observation → discharge with oral rate control. Anticoagulation follow-up. Cardiology referral.

Pulmonary Conditions

Pulmonary Embolism

Initial: IV access, cardiac monitor, pulse ox, O2

Diagnostic: D-dimer (low/mod risk), CT pulmonary angiography, troponin, BNP, lower extremity doppler ultrasound, echocardiogram (right heart strain), CBC, BMP, coagulation panel

Treatment: Heparin drip → transition to oral anticoagulation (rivaroxaban, apixaban, or warfarin). Massive PE with shock: tPA (alteplase) + ICU.

Location: Floor for stable PE, ICU for massive/submassive

Disposition: Discharge on oral anticoagulation (minimum 3 months). Hematology referral if unprovoked. Anticoagulation clinic. Follow-up in 1–2 weeks.

COPD Exacerbation

Initial: Pulse ox, O2 (target 88–92%), IV access

Diagnostic: ABG, CBC, BMP, CXR, sputum culture

Treatment: Albuterol + ipratropium nebulizers, systemic steroids (prednisone or methylprednisolone), antibiotics (azithromycin or levofloxacin), BiPAP if worsening. Intubation if BiPAP fails.

Monitoring: Repeat ABG, continuous pulse ox

Disposition: Floor → discharge with oral steroids (5-day course), inhalers (LAMA + LABA + ICS), smoking cessation, pulmonary rehab referral, influenza + pneumococcal vaccines. Follow-up in 1–2 weeks.

Community-Acquired Pneumonia

Initial: IV access, pulse ox, O2

Diagnostic: Blood cultures x 2, sputum culture, CBC, BMP, lactate, procalcitonin, CXR, Legionella urine antigen, pneumococcal urine antigen, UA

Treatment: Ceftriaxone + azithromycin (inpatient). Advance clock 1 min between cultures and antibiotics. IV fluids if dehydrated. Antipyretics.

Monitoring: Repeat CXR at 48–72 hours, follow fever curve, WBC trend

Disposition: Floor → discharge when afebrile 48 hours and tolerating PO. Transition to oral antibiotics. Influenza + pneumococcal vaccines. Follow-up in 1–2 weeks.

Infectious Disease

Sepsis / Septic Shock

Initial: IV access x 2, cardiac monitor, pulse ox, O2, Foley catheter

Diagnostic: Lactate (STAT), blood cultures x 2, CBC, BMP, LFTs, coagulation panel, procalcitonin, ABG, UA + urine culture, CXR

Treatment: Blood cultures → advance 1 min → broad-spectrum IV antibiotics (vancomycin + piperacillin-tazobactam), NS 30 mL/kg bolus. Vasopressors (norepinephrine) if MAP < 65 after fluids. Stress-dose hydrocortisone if refractory shock.

Location: ICU for septic shock; floor for sepsis without shock

Monitoring: Repeat lactate at 3–6 hours, urine output, serial vitals

Disposition: ICU → floor when off vasopressors. Narrow antibiotics based on cultures. Follow-up in 1 week.

Meningitis

Initial: IV access, cardiac monitor

Diagnostic: Blood cultures x 2, CT head without contrast (before LP), lumbar puncture → CSF: cell count, glucose, protein, gram stain, culture, HSV PCR

Treatment: Empiric antibiotics immediately (vancomycin + ceftriaxone + dexamethasone). Add ampicillin if age > 50 or immunocompromised. Add acyclovir if HSV suspected.

Location: ICU

Monitoring: Serial neuro checks, repeat LP if not improving

Disposition: Complete antibiotic course. Follow-up with infectious disease. Hearing test after bacterial meningitis.

Endocrine Conditions

Diabetic Ketoacidosis (DKA)

Initial: IV access x 2, cardiac monitor, pulse ox, Foley catheter

Diagnostic: Fingerstick glucose, CBC, BMP (with anion gap), ABG or VBG, serum ketones, UA, phosphate, magnesium, HbA1c, blood cultures if febrile

Treatment: Insulin drip (regular insulin), aggressive IV NS (1–2 L in first hour), potassium replacement (if K < 5.3, add to fluids BEFORE insulin; if K < 3.3, hold insulin until K repleted), phosphate and magnesium replacement as needed, transition to subcutaneous insulin when anion gap closes and patient is eating

Location: ICU

Monitoring: Hourly fingerstick glucose, BMP every 2–4 hours (K+, bicarb, anion gap), ABG every 4–6 hours

Disposition: Floor when stable → discharge with diabetes education, insulin teaching, endocrinology follow-up. Diet counseling. Medication adherence counseling. Follow-up HbA1c in 3 months.

Hyperthyroidism / Thyroid Storm

Initial: IV access, cardiac monitor, cooling measures if febrile

Diagnostic: TSH, free T4, free T3, CBC, BMP, LFTs

Treatment: Beta-blocker (propranolol), PTU or methimazole, hydrocortisone (blocks T4→T3 conversion), iodine (give 1 hour AFTER PTU)

Location: ICU for thyroid storm; floor for uncomplicated hyperthyroidism

Disposition: Endocrinology referral. Follow-up TFTs in 4–6 weeks.

Neurological Conditions

Acute Ischemic Stroke

Initial: IV access, cardiac monitor, pulse ox, fingerstick glucose

Diagnostic: CT head without contrast (STAT), CT angiography, CBC, BMP, coagulation panel, troponin, EKG, glucose

Treatment: tPA (alteplase) if within time window and no contraindications. BP management (permissive hypertension unless > 220/120, or > 185/110 if giving tPA). Neurology consult STAT. Aspirin (after 24 hours if tPA given). Statin.

Location: Stroke unit / ICU

Monitoring: Serial NIH Stroke Scale, neuro checks every 1–2 hours, BP monitoring

Disposition: Floor when stable → discharge with aspirin + statin, PT/OT/speech therapy, neurology follow-up. Fall prevention, diet counseling, smoking cessation.

Seizure / Status Epilepticus

Initial: Protect airway, IV access, cardiac monitor, pulse ox, fingerstick glucose

Diagnostic: CBC, BMP, magnesium, calcium, glucose, toxicology screen, antiepileptic drug levels, CT head, EEG

Treatment: Lorazepam IV (first-line for active seizure), levetiracetam or fosphenytoin (second-line), intubation if status epilepticus not breaking. Neurology consult.

Location: ICU for status epilepticus; floor for resolved seizure with workup

Disposition: Neurology follow-up. Driving restrictions counseling. Antiepileptic medication. Follow-up EEG if indicated.

GI Conditions

Upper GI Bleed

Initial: IV access x 2, cardiac monitor, type and crossmatch, NPO

Diagnostic: CBC (serial), BMP, LFTs, coagulation panel, blood type and crossmatch

Treatment: IV PPI (pantoprazole drip), transfuse pRBCs if Hgb < 7 (or < 9 if symptomatic/cardiac), IV fluids, GI consult for endoscopy, octreotide if variceal bleed suspected. Hold anticoagulation.

Location: ICU if hemodynamically unstable or active bleeding; floor if stable

Monitoring: Serial CBC (every 6–8 hours), vitals, I&Os

Disposition: Continue PPI. H. pylori testing. GI follow-up. Avoid NSAIDs. Alcohol counseling if applicable.

Acute Pancreatitis

Initial: IV access, NPO, pain management (morphine or hydromorphone)

Diagnostic: Lipase, CBC, BMP, LFTs, calcium, triglycerides, CXR, abdominal ultrasound (gallstones), CT abdomen (if uncertain diagnosis or assess severity after 48–72 hours)

Treatment: Aggressive IV fluid resuscitation (lactated Ringer's), pain control, antiemetics, advance diet as tolerated (early feeding when pain improves — clear liquids then low-fat). No antibiotics unless infected necrosis.

Monitoring: Daily BMP, lipase trend, vital signs. Ranson's or BISAP severity scoring.

Disposition: Floor → discharge when tolerating PO, pain controlled. GI follow-up. If gallstone pancreatitis: cholecystectomy before discharge (if mild) or surgical follow-up. Alcohol counseling if alcohol-related.

How to Memorize These Order Sets

1. Group by system: Cardiac, pulmonary, infectious, endocrine, neuro, GI

2. Learn the framework, not every order: Initial → Diagnostic → Treatment → Disposition

3. Practice with a simulator: Use these order sets as your starting template, then adjust for each case

4. Focus on high-yield conditions first: ACS, CHF, sepsis, PE, DKA, stroke, pneumonia — these appear most frequently

5. Write the universal sets on your scratch paper on exam day

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