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201711332

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Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Ambulatory,Madison Surgery Center

MSC - Dermatology - Postoperative [5532]

MSC - Dermatology - Postoperative [5532] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Madison Surgery Center


MSC - Dermatology - Postoperative [5532]
PostOp/Phase II
Do NOT order phase II medications for cases involving
anesthesia.
Vital Signs [132380]
Vital Signs [NURMON0013] EVERY 30 MINUTES, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Post-Op/Phase II
Activity [132383]
Activity [NURACT0008] CONTINUOUS, Routine
AMBULATE: with assistance
Post-Op/Phase II
Analgesics (Single Response) [134184]
hydrocodone-acetaMINOPHEN (NORCO) 5-325
MG per tab RANGE [750021]
1-2 tab, Oral, EVERY 4 HOURS PRN, pain, Severe
Pain
No more than 4 grams of acetaminophen per 24
hours for adults or 15 mg/kg per dose for peds <
40kg.
Post-Op/Phase II
oxycodone tab RANGE [750032] 5-10 mg, Oral, EVERY 4 HOURS PRN, pain, Severe
pain, Post-Op/Phase II
oxycodone-acetaMINOPHEN (PERCOCET)
5-325 MG per tab RANGE [750033]
1-2 tab, Oral, EVERY 4 HOURS PRN, pain, Severe
pain
No more than 4 grams of acetaminophen per 24
hours for adults or 15 mg/kg per dose for peds <
40kg.
Post-Op/Phase II
Analgesics (Non-opioids) [197169]
acetaMINOPHEN (TYLENOL) tab RANGE
[750000]
325-650 mg, Oral, EVERY 4 HOURS PRN,
pain/fever, Mild pain/vever or multi-modal therapy
No more than 4 grams acetaminophen per 24 hours
for adults or 15mg/kg per dose for peds <40kg.
Post-Op/Phase II
ibuprofen (MOTRIN) tab [38353] 600 mg, Oral, EVERY 6 HOURS PRN, pain, Mild
pain/vever or multi-modal therapy, Post-Op/Phase II
Patient to be discharged to home when deemed stable per MSC Discharge from Phase II Recovery to
Home Policy [135357]
Patient to be discharged to home when deemed
stable per MSC Discharge from Phase II
Recovery to Home Policy [NURCOM0022]
ONCE, Phase II Discharge
Outpatient Discharge Orders (Medications)
ADULT - Medications - Prescriptions - Analgesics (Opioids) [132529]
hydrocodone-acetaMINOPHEN (NORCO) 5-325
MG per tab [71425]
1-2 tab, 20 tab, , starting 6/27/17, Normal, Phase II
Discharge
oxycodone-acetaMINOPHEN (PERCOCET)
5-325 MG per tab [40668]
1-2 tab, 20 tab, , starting 6/27/17, Normal, Phase II
Discharge
oxycodone 5 MG tab [45976] 5-10 mg, 20 tab, , starting 6/27/17, Normal, Phase II
Discharge
ADULT - Medications - Prescriptions - Analgesics (Non-Opioids) [195776]
Page 1 of 4
Printed by LIND, JANNA S [JSL237] at 6/27/2017 11:25:17 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org

acetaMINOPHEN (TYLENOL) 325 MG tab
[34149]
325 mg, starting 6/27/17, Normal, Phase II Discharge
ibuprofen (MOTRIN) 200 MG tab [38353] 200-600 mg, starting 6/27/17, Normal, Phase II
Discharge
PEDIATRIC - Medications - Prescriptions - Analgesics (Acetaminophen) (Single Response) [195781]
15 mg/kg (Maximum 650 mg/dose)-dose 10Suggested
acetaMINOPHEN alcohol free (TYLENOL) 160
mg/5 mL susp - q6h prn - NOTE: Suggested
dose 10-15 mg/kg (Maximum 650 mg/dose)
[43991]
1 Bottle, 0, starting 6/27/17, Normal, Phase II
Discharge
acetaMINOPHEN (TYLENOL) 80 mg chew tab -
q6h prn - NOTE: Suggested dose 10-15 mg/kg
(Maximum 650 mg/dose) [34147]
0, starting 6/27/17, Normal, Phase II Discharge
acetaMINOPHEN (TYLENOL) 325 mg tab - q6h
prn - NOTE: Suggested dose 10-15 mg/kg
(Maximum 650 mg/dose) [34149]
0, starting 6/27/17, Normal, Phase II Discharge
PEDIATRIC - Medications - Prescriptions (Opioids) (Single Response) [134186]
0.1 mg/kg (Maximum 5mg/dose) -Suggested dose 0.05
oxycodone 5 mg/5mL soln - q4h prn - NOTE:
Suggested dose 0.05-0.1 mg/kg (Maximum 5
mg/dose) [45975]
0, starting 6/27/17, Normal, Phase II Discharge
oxycodone 5 mg tab - q4h prn - NOTE:
Suggested dose 0.05-0.1 mg/kg (Maximum 5
mg/dose) [45976]
0, starting 6/27/17, Normal, Phase II Discharge
Outpatient Discharge Orders (Discharge Instructions)
Discharge Instructions - Procedure Specific [197591]
CO2 Laser [204429]
Activity [NURACT0008] Routine
Discharge Activity: See Instructions
{Face/Head or Arms/Legs:3041880}
• Return to normal activity as tolerated.
• You should NOT drive while taking narcotics.
• Pain will vary from person to person and will
depend upon the type of procedure done.
• Avoid swimming, hot tubs.
• Avoid excessive stretching or exercising of areas
involving or close to the wound., Phase II
Discharge
Wound Care [NURWND0015] Routine, • Leave dressing on for 24 hours. After 24
hours remove bandage and wash with soap and
water. Rinse well. Let the area air dry or gently pat
dry.
• The crust, if there is any, will slowly come off as
you clean daily. DO NOT force crust off.
• Apply Vaseline to the wound after cleaning. Cover
with Band-Aid or other dressing.
• Some wounds bleed or ooze during the first 24
hours. If the wound does bleed and you see blood
soaking through the bandage, DO NOT remove the
bandage. Cover the bandage with a clean gauze
pad and apply constant pressure for at least 20
minutes.
• Redness and swelling around the procedure site
during the first few days is normal. Clear or yellow
drainage is normal.
• Cool compress may be used to reduce discomfort.
Page 2 of 4
Printed by LIND, JANNA S [JSL237] at 6/27/2017 11:25:17 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org

When to Call Your Surgeon [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, • Excessive swelling.
• Spreading or redness and/or swelling at the
surgical site 1-2 days after the procedure.
• If surgical site is more tender after 1-2 days.
• Fever over 101.5 F (by mouth) for two readings
taken four hours apart.
Excision [204430]
Activity [NURACT0008] Routine
Discharge Activity: See Instructions
{Face/Head or Arms/Legs:3041880}
• Return to normal activity as tolerated.
• You should NOT drive while taking narcotics.
• Pain will vary from person to person and will
depend upon the type of procedure done.
• Avoid swimming, hot tubs.
• Avoid excessive stretching or exercising of areas
involving or close to the wound., Phase II
Discharge
Wound Care [NURWND0015] Routine, {Sutures or Non-Sutures:3041882}
• You will have a scar at the wound site. Some
scars may thicken and other may take several
months to flatten out. Most scars will improve over
time but may take several months.
When to Call Your Surgeon [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, • Excessive swelling.
• Spreading or redness and/or swelling at the
surgical site 1-2 days after the procedure.
• If surgical site is more tender after 1-2 days.
• Fever over 101.5 F (by mouth) for two readings
taken four hours apart.
Botox [204431]
Activity [NURACT0008] Routine
Discharge Activity: See Instructions
• May return to normal activity.
• Pain will vary from person to person and will
depend upon the type and amount of procedure
done., Phase II Discharge
Page 3 of 4
Printed by LIND, JANNA S [JSL237] at 6/27/2017 11:25:17 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org

Wound Care [NURWND0015] Routine, • Remember good hygiene, which means
washing hands for 15 seconds with soap and water
to stop the spread of germs.
• Spot bleeding is normal after the procedure. If
bleeding occurs, a clean bandage or Band-Aid may
be placed over the injection area.
When to Call Your Surgeon [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, • Any muscle weakness around
the injection site.
• Fever over 101.5 F (by mouth) for two readings
taken four hours apart.
Medications at Home [197206]
NO more than 4 grams (4000 mg) of
acetaminophen per 24 hour period
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine
Nutrition [204427]
Diet - General (No Modifications) [NUT8888] Routine
General: General (No Modifications)
Diet Modifications:
Other Diet Modifications:
• You resume your normal diet as tolerated.
• Attempt to eat small, light meals throughout the day
while recovering from the procedure.
• Nausea may be a side effect from anesthesia and is
definitely a side effect from narcotic medication taken
without food.
• Do not drink alcohol for 24 hours after your
procedure or while taking narcotics.
Contact Information [135666]
Contact Information [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, Your Surgeon's name is
@ATTPROV@ and can be reached at
@ATTENDPH@, Monday - Friday between 8:00am
and 4:30pm. After 4:30pm or on weekends please call
the after hours clinic at 262-2122.
Follow-Up Appointments [204428]
Schedule Appointment at 1 South Park -
Dermatology [NURCOM0056]
Routine
Purpose: Postoperative Checkup
Madison Surgery Center
1 South Park
Madison, WI
(608) 287-2450
Page 4 of 4
Printed by LIND, JANNA S [JSL237] at 6/27/2017 11:25:17 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org