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/clinical/cckm-tools/content/order-sets/ambulatory/gynecology/name-98571-en.cckm

201611326

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UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Ambulatory,Gynecology

OP - Gynecology - Benign - Adult - Postoperative [2988]

OP - Gynecology - Benign - Adult - Postoperative [2988] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Gynecology


OP - Gynecology - Benign - Adult - Postoperative [2988]
for Adult Patients OnlyIntended
Post-Op/Phase II
Analgesics - Opioid (Oral) (Single Response) [92130]
hydrocodone-acetaMINOPHEN (NORCO) 5-325
mg per tab [71425]
1 tab, Oral, ONCE PRN For 1 Doses, pain, For
severe pain, Post-Op/Phase II
hydrocodone-acetaMINOPHEN (NORCO) 10-
325 mg per tab [64942]
1 tab, Oral, ONCE PRN For 1 Doses, pain, For
severe pain, Post-Op/Phase II
oxycodone-acetaminophen (PERCOCET) 5-325
mg per tab [40668]
1 tab, Oral, ONCE PRN For 1 Doses, pain, For
severe pain, Post-Op/Phase II
oxycodone tab RANGE [750032] 5-10 mg, Oral, ONCE PRN For 1 Doses, pain, For
severe pain, Post-Op/Phase II
Analgesics - NSAID (Oral) (Single Response) [198423]
ibuprofen (MOTRIN) tab RANGE [750024] 400-600 mg, Oral, ONCE PRN For 1 Doses, pain,
Mild to moderate pain or multi-modal therapy, Post-
Op/Phase II
Prior to Discharge [92767]
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 Resident Prior to
Discharge [NURMON0082]
ONCE, Starting today For 1 Occurrences, Routine,
Post-Op/Phase II
Outpatient Discharge Orders
Analgesics - Opioid (Oral) - Prescriptions (Single Response) [92129]
hydrocodone-acetaMINOPHEN (NORCO) 5-325
mg per tab - q4h prn [71425]
1-2 tab, 0, starting 11/21/16, Normal, Phase II
Discharge
hydrocodone-acetaMINOPHEN (NORCO) 10-
325 mg per tab - q4h prn [64942]
1 tab, 0, starting 11/21/16, Normal, Phase II
Discharge
oxycodone-acetaminophen (PERCOCET) 5-325
mg per tab - q4h prn [40668]
1-2 tab, 0, starting 11/21/16, Normal, Phase II
Discharge
oxycodone-acetaminophen (PERCOCET)
7.5-325 mg per tab - q4h prn [68619]
1 tab, 0, starting 11/21/16, Normal, Phase II
Discharge
oxycodone 5 mg tab - 1-2t q 4h prn [45976] 5-10 mg, 0, starting 11/21/16, Normal, Phase II
Discharge
Analgesics - NSAID (Oral) - Prescriptions (Single Response) [197966]
ibuprofen (MOTRIN) 200 MG tab [38353] 200-600 mg, 100 tab, 0, starting 11/21/16, Normal
Medications - General - Prescriptions [198425]
senna-docusate (SENNA-DOCUSATE SODIUM)
8.6-50 MG per tab [60530]
2 tab, starting 11/21/16, Normal
polyethylene glycol (MIRALAX) oral powder
[61353]
17 g, starting 11/21/16, Normal
Activity/Return to Work [91328]
Activity [NURACT0008] Routine
Discharge Activity:
May return to work/school in ***.
No lifting greater than 15 pounds for 2 weeks.
No driving for 2 days or while taking pain pills.
Intercourse: ***, Phase II Discharge
Suture Line Care - Wound Care [91331]
Page 1 of 2
Printed by LIND, JANNA S [JSL237] at 11/21/2016 8:15:56 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2016CCKM@uwhealth.org

Discharge - Suture Line Care [DC0021] Routine, Patient has (select all that apply): {Select
type(s):4001480}
Leave original surgical dressing on for: *** or until
MD follow-up.
Keep incision completely dry (shower only with
waterproof covering) for *** or until MD follow-up.
Other: ***
When to Call Your Doctor [199263]
When to Call Your Doctor [NURCOM0079] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan.
You should include specific instructions on when and
who to call.
You should include actual provider names (i.e. not
'PCP').
You should NOT include the discharging unit as a
contact., Routine, Call your doctor if you have any of
these symptoms: increased pain not relieved by
medication, fever over 100.4 degrees for two readings
taken 4 hours apart, increased shortness of breath,
redness/drainage at incision site, inability to tolerate
food/liquid by mouth, vaginal bleeding greater than
one pad per hour.
- Call 911 for emergencies.
- Call your doctor at Gynecology clinic Monday-Friday
8:00am to 5:00pm at 608-263-6240.
- To reach a doctor after hours or on weekends, call
608-263-6240 and ask for the gynecology physician
on call.
- For clinic appointments call 608-263-6240. Toll free
phone number is 800-323-8942. Clinic fax number is
608-265-1726.
Follow-Up Appointments [91336]
Patient to Schedule Appointment
[NURCOM0056]
Routine
Purpose:
With whom:
For when:
Page 2 of 2
Printed by LIND, JANNA S [JSL237] at 11/21/2016 8:15:56 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2016CCKM@uwhealth.org