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OP - Cardiac Surgery - Pediatric - Preoperative [4500]

OP - Cardiac Surgery - Pediatric - Preoperative [4500] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Cardiology/CT Surgery


OP - Cardiac Surgery - Pediatric - Preoperative [4500]
Pre-Day of Procedure
Laboratory [86317]
CBC WITH DIFFERENTIAL [CBC] Status: Standing, Expires:9/26/16 MANUAL,Count:1, Normal,
Routine
PROTHROMBIN TIME/INR [PT] Status: Standing, Expires:6/28/17 MANUAL,Count:1, Normal,
Routine
PTT [PTT] Status: Standing, Expires:9/26/16 MANUAL,Count:1, Normal,
Routine
ELECTROLYTES [LYTE] Status: Standing, Expires:9/26/16 MANUAL,Count:1, Normal,
Routine
GLUCOSE [GLU] Status: Standing, Expires:9/26/16 MANUAL,Count:1, Normal,
Routine
BUN [BUN] Status: Standing, Expires:9/26/16 MANUAL,Count:1, Normal,
Routine
CREATININE [CRET] Status: Standing, Expires:6/28/17 MANUAL,Count:1, Normal,
Routine
CALCIUM [CA] Status: Standing, Expires:9/26/16 MANUAL,Count:1, Normal,
Routine
TSH [TSH] Status: Standing, Expires:6/28/17 MANUAL,Count:1, Normal,
Routine
T4, FREE [FT4] Status: Standing, Expires:9/26/16 MANUAL,Count:1, Normal,
Routine
URINALYSIS, NO MICROSCOPY [UACHEM] Status: Standing, Expires:7/11/16 MANUAL,Count:1, Normal,
Routine
Laboratory - Pregnancy Test [87226]
Obtain pregnancy test if female between menarche & menopause and any of: (1) surgery is pelvic, renal, or intra-
abdominal, (2) patient had unprotected intercourse, (3) patient missed menses, (4) patient says she "could" be pregnant.
Urine, Pregnancy Test [UPREG] Status: Standing, Expires:7/11/16 MANUAL,Count:1, Normal,
Routine
Labs - Blood Bank [121548]
Antibody Screen
Use to prescreen patient for alloantibodies to red blood cell components. Order if specimen collection will be greater than
72 hours prior to surgery. Blood products cannot be issued on the basis of this test.
ABO and Rh Typing
Use to determine patient blood type. Order if specimen collection will be greater than 72 hours prior to surgery. Blood
products cannot be issued on the basis of this test.
Type and Screen
Order if specimen collection will be less than 72 hours prior to surgery.
TYPE AND SCREEN [HCTS] Status: Standing, Expires:7/11/16 MANUAL,Count:1, Normal,
Routine
ANTIBODY SCREEN [ABSCR] Status: Standing, Expires:7/11/16 MANUAL,Count:1, Normal,
Routine
ABO AND RH TYPING [ABO] Status: Standing, Expires:7/11/16 MANUAL,Count:1, Normal,
Routine
TYPE AND SCREEN, NEONATAL [HCNTS] Status: Standing, Expires:7/11/16 MANUAL,Count:1, Normal,
Routine
Diagnostic Tests and Imaging [86319]
ECG - 12 Lead [EKG0008] Status: Future, Expires: 6/27/17, Normal, Routine
ECG - 12 Lead (PEDS) [EKG0014] Status: Future, Expires: 6/27/17, Normal, Routine
X-RAY CHEST PA & LAT VIEWS [R71020] Status: Future, Expires: 7/27/17, Normal, Routine
Diagnostic Tests and Imaging - For Patients with Down Syndrome [86364]
X-ray cervical spine >= 4 views [R72040] Status: Standing AUTO, Normal, Routine
Diagnosis- Pre-Op Cardiac Surgery Physical Exam [711]
Pre-operative general physical examination [255759] Other specified pre-operative examination
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 05/2016CCKM@uwhealth.org