/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/beacon-protocols/,/clinical/cckm-tools/content/beacon-protocols/supportive-care/,

/clinical/cckm-tools/content/beacon-protocols/supportive-care/name-122965-en.cckm

201711331

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Beacon Protocols,Supportive Care

CSC SC Phlebotomy Every 1 Week x 24 Ver 11-20-17 (HL 1871)

CSC SC Phlebotomy Every 1 Week x 24 Ver 11-20-17 (HL 1871) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Beacon Protocols, Supportive Care


CSC SC PHLEBOTOMY EVERY 1 WEEK X 24 VER: 11-20-17 –  Properties
Cycle 1 –  11/21/2017 through 12/18/2017 (28 days), Planned
Day 1, Cycle 1 –  Planned for 11/21/2017
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 8, Cycle 1 –  Planned for 11/28/2017
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 15, Cycle 1 –  Planned for 12/5/2017
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 1 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2017CCKM@uwhealth.org

Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 22, Cycle 1 –  Planned for 12/12/2017
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Cycle 2 –  12/19/2017 through 1/15/2018 (28 days), Planned
Day 1, Cycle 2 –  Planned for 12/19/2017
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 2 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

PHLEBOTOMY
Order details
Day 8, Cycle 2 –  Planned for 12/26/2017
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 15, Cycle 2 –  Planned for 1/2/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 22, Cycle 2 –  Planned for 1/9/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 3 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Cycle 3 –  1/16/2018 through 2/12/2018 (28 days), Planned
Day 1, Cycle 3 –  Planned for 1/16/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 8, Cycle 3 –  Planned for 1/23/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 4 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

PHLEBOTOMY
Order details
Day 15, Cycle 3 –  Planned for 1/30/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 22, Cycle 3 –  Planned for 2/6/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Cycle 4 –  2/13/2018 through 3/12/2018 (28 days), Planned
Day 1, Cycle 4 –  Planned for 2/13/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 5 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 8, Cycle 4 –  Planned for 2/20/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 15, Cycle 4 –  Planned for 2/27/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 6 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

PHLEBOTOMY
Order details
Day 22, Cycle 4 –  Planned for 3/6/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Cycle 5 –  3/13/2018 through 4/9/2018 (28 days), Planned
Day 1, Cycle 5 –  Planned for 3/13/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 8, Cycle 5 –  Planned for 3/20/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 7 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 15, Cycle 5 –  Planned for 3/27/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 22, Cycle 5 –  Planned for 4/3/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 8 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

PHLEBOTOMY
Order details
Cycle 6 –  4/10/2018 through 5/7/2018 (28 days), Planned
Day 1, Cycle 6 –  Planned for 4/10/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 8, Cycle 6 –  Planned for 4/17/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 15, Cycle 6 –  Planned for 4/24/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 9 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Day 22, Cycle 6 –  Planned for 5/1/2018
Pre-Labs
HEMOGLOBIN
Expires: S+365
HEMATOCRIT
Expires: S+365
FERRITIN
Expires: S+365
Treatment Conditions
Treatment Condition A
Perform phlebotomy if *** > ***
Supportive Care Procedures
PHLEBOTOMY
Order details
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:45:43 AM Page 10 of 10
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org