/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/delegationpractice-protocols/,/clinical/cckm-tools/content/delegationpractice-protocols/ambulatory-delegation-protocols/,/clinical/cckm-tools/content/delegationpractice-protocols/ambulatory-delegation-protocols/related/,

/clinical/cckm-tools/content/delegationpractice-protocols/ambulatory-delegation-protocols/related/name-124043-en.cckm

20180110

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OP - Cystitis Delegation Protocol - Adult [5187] Smart Set

OP - Cystitis Delegation Protocol - Adult [5187] Smart Set - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Delegation/Practice Protocols, Ambulatory Delegation Protocols, Related


SmartSet: OP - CYSTITIS DELEGATION PROTOCOL - ADULT (ID:5187)
General Information
Display name: OP - Cystitis Delegation Protocol - Adult
Type: General
Merge priority:
Version comment:
Content source:
Synonyms: 1. UTI
2. UROLOGY
SmartSet notes:
Description:
Web information: Title URL
1. Acute Uncomplicated Cystitis
Delegation Protocol
https://uconnect.wisc.edu/clinical/cckm-
tools/content/delegationpractice-
protocols/ambulatory-delegation-
protocols/name-97348-en.cckm
Questionnaire:
Configuration
Documentation
Nurse Documentation
RN Assessment - Acute Cystitis ACUTE CYSTITIS FEMALE
Laboratory
Lab
URINALYSIS WITH MICROSCOPY AND
CULTURE IF >5 WBC/HPF
Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
CULTURE, URINE Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
Lab
Page 1 of 3
Printed by STRAKA, KEVIN F [KFS1] at 9/13/2016 2:23:32 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 09/2016CCKM@uwhealth.org

URINALYSIS WITH MICROSCOPY AND
CULTURE IF >5 WBC/HPF
Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
CULTURE, URINE Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
Lab
URINALYSIS WITH MICROSCOPY AND
CULTURE IF >5 WBC/HPF
Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
CULTURE, URINE Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
Prescriptions
Prescriptions - Anti-infectives
nitrofurantoin monohydrate (MACROBID) 100
mg cap - 2x/d 5d
100 mg, 10 cap, 0, starting t, Normal
sulfamethoxazole-trimethoprim (BACTRIM DS)
800-160 MG per tab - 2x/d-3d
1 tab, 6 tab, 0, starting S until S+3, Normal
ciprofloxacin (CIPRO) 250 mg tab - 2x/d 3d 250 mg, 6 tab, 0, starting t, Normal
Diagnosis
Diagnosis
Dysuria Dysuria
Urinary frequency Urinary frequency
Urinary urgency Urgency of urination
Gross hematuria Gross hematuria
Criteria
Suggestions:
Filter: RESTRICTION LOCATOR-OP CYSTITIS RN DELEGATION PROTOCOL[2937]
Restrict SmartSet:
Settings
Discontinue action:
Deselect sections for
Pended/Held orders:
Pended/Held orders
display:
Page 2 of 3
Printed by STRAKA, KEVIN F [KFS1] at 9/13/2016 2:23:32 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2016CCKM@uwhealth.org

Release date: Use System Definitions Setting
Disallow user override:
Page 3 of 3
Printed by STRAKA, KEVIN F [KFS1] at 9/13/2016 2:23:32 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2016CCKM@uwhealth.org