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/clinical/cckm-tools/content/order-sets/ambulatory/bmtoncologyhematology/name-98496-en.cckm

20170120

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Ambulatory,BMT/Oncology/Hematology

OP - Bone Marrow Harvest - Postprocedure [4093]

OP - Bone Marrow Harvest - Postprocedure [4093] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, BMT/Oncology/Hematology


OP - Bone Marrow Harvest - Postprocedure [4093]
PostOp/Phase II
IV Fluids [109854]
Discontinue IV Fluids When Patient Able to
Tolerate Oral Intake [NURCOM0022]
ONCE, Starting today For 1 Occurrences, Post-
Op/Phase II
Analgesics - Acetaminophen PRN [110162]
acetaMINOPHEN (TYLENOL) tab [34149] 650 mg, Oral, EVERY 4 HOURS PRN, pain
Mild to moderate pain or symptomatic fever greater
than 38.2 degress Celsius. No more than 4 grams
acetaminophen per 24 hours for adults or 15mg/kg
per dose for peds <40kg.
Post-Op/Phase II
Analgesics - NSAIDs - Scheduled [218570]
ketOROLAC (TORADOL) injection - NOTE: Do
NOT order ketorolac if patients 65 years or older,
50 kg or less, or serum creatinine 1.2 mg/dL or
more [800050]
30 mg, Intravenous, ONCE For 1 Doses, Post-
Op/Phase II
Analgesics - Opioid - PRN - Oral [218571]
hydrocodone-acetaMINOPHEN (NORCO) 5-325
mg per tab RANGE [750021]
1-2 tab, Oral, EVERY 4 HOURS PRN, pain
Moderate to severe pain. No more than 4 grams
acetaminophen per 24 hours for adults or 15mg/kg
per dose for peds <40kg.
Post-Op/Phase II
Analgesics - Opioids - Intravenous - PRN [218572]
MORPHine PF injection RANGE [750057] 1-4 mg, Intravenous, EVERY 1 HOUR PRN, pain
Severe pain. Administer when patient is unable to
tolerate orally.
for 4 Minutes, Post-Op/Phase II
Anti-emetics [85222]
ondansetron (ZOFRAN ODT) disintegrating tab
[64224]
4 mg, Oral, EVERY 24 HOURS PRN,
nausea/vomiting
For first line therapy. Administer if patient not already
on scheduled ondansetron (ZOFRAN) as part of
chemotherapy plan
Post-Op/Phase II
ondansetron (ZOFRAN) injection [800202] 4 mg, Intravenous, EVERY 24 HOURS PRN,
nausea/vomiting
For first line therapy. Administer if patient not already
on scheduled ondanestron (ZOFRAN) as part of
chemotherapy plan. Administer if patient is unable to
tolerate orally.
Post-Op/Phase II
prochlorperazine (COMPAZINE) tab [41372] 10 mg, Oral, EVERY 6 HOURS PRN,
nausea/vomiting
For second line therapy when there is no response to
first line therapy within 30 minutes.
Post-Op/Phase II
prochlorperazine (COMPAZINE) injection [41369] 10 mg, Intravenous, EVERY 6 HOURS PRN,
nausea/vomiting
For second line therapy when there is no response to
first line therapy within 30 minutes. Administer if
patient unable to tolerate orally.
If ordered IV: push slowly, max rate 5 mg/minute.
Post-Op/Phase II
Page 1 of 4
Printed by STRAKA, KEVIN F [KFS1] at 1/17/2017 3:03:26 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 01/2017CCKM@uwhealth.org

Activity [109860]
Bedrest - Strict Bedrest [NURACT0008] SEE COMMENTS, Starting today, Routine
AD LIB:
AMBULATE:
CHAIR:
DANGLE:
BEDREST: strict bedrest
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Continuous for 2 hours postoperative then up with
assistance as tolerated. Patient to lie in supine
position if possible., Post-Op/Phase II
Nutrition [109861]
General Diet [NUT9999] EFFECTIVE NOW, Starting today, Routine
Patient Type: Adult
Diet Type: General (no Modifications)
Bedside Meal Instructions:
Room Service Class:
Post-Op/Phase II
Site Care [109862]
Wound Care [NURWND0015] CONTINUOUS, Routine
Wound Type:
Wound Site:
Wound Location:
Assess Frequency:
Care Frequency:
Wash With:
Irrigate/Rinse With:
Apply (Must also enter separate medication order to
obtain drug):
Primary Dressing:
Secondary Dressing:
Check dressing for signs of bleeding. If dressing is
saturated reinforce dressing and call
Attending/NP/CNS, Post-Op/Phase II
Contingency Parameters [109863]
Page 2 of 4
Printed by STRAKA, KEVIN F [KFS1] at 1/17/2017 3:03:26 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
01/2017CCKM@uwhealth.org

Notify Provider/Attending/NP/PA [NURCOM0001] Provider to Notify: Provider
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg):
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C):
If temperature < (C):
If heart rate > (bpm):
If heart rate < (bpm):
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%):
If urine output < (mL):
Other: Continuous bleeding that saturates the
dressing
Post-Op/Phase II
Prior to Discharge [109865]
Patient Must Be Seen by Attending Prior to
Discharge [NURMON0083]
ONCE, Starting today For 1 Occurrences, Routine,
Post-Op/Phase II
Patient Must Be Seen by Fellow/Physician's
Assistant/Nurse Practitioner [NURMON0082]
ONCE, Starting today For 1 Occurrences, Routine,
Post-Op/Phase II
Patient Must Void Prior to Discharge
[NURMON0081]
ONCE, Starting today For 1 Occurrences, Routine,
Post-Op/Phase II
Laboratory
Draw Now [109866]
CBC WITH DIFFERENTIAL [CBC] NEXT DRAW For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Post-Op/Phase II
Outpatient Discharge Orders
Medications - Prescriptions [109855]
acetaMINOPHEN (TYLENOL) tab [34149] 325 mg, 100 tab, 0, starting 1/17/17 until 2/16/17,
Normal, Phase II Discharge
ibuprofen (MOTRIN) tab [38356] 600 mg, 60 tab, 0, starting 1/17/17 until 2/16/17,
Normal, Phase II Discharge
hydrocodone-acetaMINOPHEN (NORCO) 5-325
mg per tab - 1-2t q4h prn [71425]
1-2 tab, 30 tab, 0, starting 1/17/17, Normal, Phase II
Discharge
senna-docusate (SENOKOT S) 8.6-50 MG per
tab - Consider adding bowel management if
hydrocodone-acetaMINOPHEN (NORCO) is
prescribed [60530]
2 tab, starting 1/17/17, Normal, Phase II Discharge
Activity/Return to Work [109868]
Activity [NURACT0011] Routine, May resume normal activity 3 days after
surgery. No lifting greater than 20 pounds for 5 days
after surgery. May return to work within 72 hours
Nutrition [109869]
Diet [NURDIE0013] Routine, Resume normal diet as tolerated
Wound Care [109870]
Page 3 of 4
Printed by STRAKA, KEVIN F [KFS1] at 1/17/2017 3:03:26 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
01/2017CCKM@uwhealth.org

Wound Care [NURWND0018] Routine, Leave bandage on for 24 hours post surgery
then remove. Leave steri-strip in tact until they peel
off on their own. May shower/or bath after 24 hours
following surgery.
Medication Instructions [86380]
Medication Instructions [NURCOM0022] Routine, Do NOT drive or operate any machinery
while taking narcotic pain medication.
Contingency Parameters [109871]
Contingency Parameters [NURTRT0048] Routine, Call Bone Marrow Transplant Coordinator at
(608) 263-1700 for: temperature above 101 F by
mouth, for 2 readings taken 4 hours apart; excessive
swelling or bleeding from harvest site; pain not
relieved by pain pills; signs and symptoms of infection
(redness, swelling).
Page 4 of 4
Printed by STRAKA, KEVIN F [KFS1] at 1/17/2017 3:03:26 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
01/2017CCKM@uwhealth.org