/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/ambulatory/,/clinical/cckm-tools/content/order-sets/ambulatory/orthopedicsrehab/,

/clinical/cckm-tools/content/order-sets/ambulatory/orthopedicsrehab/name-98548-en.cckm

20170241

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Ambulatory,Orthopedics/Rehab

OP - Spinal Surgery - Adult - Postoperative [2869]

OP - Spinal Surgery - Adult - Postoperative [2869] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Orthopedics/Rehab


OP - Spinal Surgery - Adult - Postoperative [2869]
for Adult Patients OnlyIntended
IntraOp
Diagnostic Tests and Imaging [89279]
X-RAY SPINE, LUMBAR, LATERAL [R72020] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where? Bedside
Transport Method: Floor Determined/Entered
Lumbar, lateral.
To be done IntraOp, IntraOp
X-RAY SPINE, THORACIC, LATERAL [R72020] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where? Bedside
Transport Method: Floor Determined/Entered
Thoracic, lateral.
To be done IntraOp, IntraOp
X-RAY SPINE, CERVICAL, LATERAL [R72020] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where? Bedside
Transport Method: Floor Determined/Entered
Cervical, lateral.
To be done IntraOp, IntraOp
X-RAY SPINE, LUMBAR, AP [R72020] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where? Bedside
Transport Method: Floor Determined/Entered
Lumbar, AP.
To be done IntraOp, IntraOp
Page 1 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 2/6/2017 1:35:26 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 02/2017CCKM@uwhealth.org

X-RAY SPINE, THORACIC, AP [R72020] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where? Bedside
Transport Method: Floor Determined/Entered
Thoracic, AP.
To be done IntraOp, IntraOp
X-RAY SPINE, CERVICAL, AP [R72020] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where? Bedside
Transport Method: Floor Determined/Entered
Cervical, AP.
To be done IntraOp, IntraOp
FLUOROSCOPY <= 1 HOUR [R76000] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Which body area is to be imaged?
Radiology Specialty Area: GENERAL IMAGING
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where? Bedside
Last patient weight? (will auto pull in value and date in
comment):
Transport Method: Floor Determined/Entered
To be done IntraOp, IntraOp
FLUOROSCOPY > 1 HOUR [R76001] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Which body area is to be imaged?
Radiology Specialty Area: GENERAL IMAGING
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where? Bedside
Last patient weight? (will auto pull in value and date in
comment):
Transport Method: Floor Determined/Entered
To be done IntraOp, IntraOp
PostOp/Phase II
Analgesics - Opioids - Oral - PRN (Single Response) [92358]
Page 2 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 2/6/2017 1:35:26 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
02/2017CCKM@uwhealth.org

hydrocodone-acetaMINOPHEN (NORCO) 5-325
mg per tab RANGE [750021]
1-2 tab, Oral, EVERY 4 HOURS PRN, pain
Administer for 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
oxycodone-acetaminophen (PERCOCET) 5-325
mg per tab RANGE [750033]
1-2 tab, Oral, EVERY 4 HOURS PRN, pain
Administer for severe pain.
Post-Op/Phase II
oxycodone tab RANGE [750032] 5-10 mg, Oral, EVERY 4 HOURS PRN, pain
Administer for severe pain.
Post-Op/Phase II
traMADOL (ULTRAM) tab [720174] 50 mg, Oral, EVERY 4 HOURS PRN, pain
Administer for severe pain
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
Medications - Prescriptions - Analgesics [89295]
oxycodone 5 mg tab - q4h prn [45976] 5-15 mg, 0, starting 2/6/17 until 3/8/17, Normal,
Phase II Discharge
oxycodone-acetaminophen (PERCOCET) 5-325
mg per tab - 1-2t q4h prn [40668]
1-2 tab, 0, starting 2/6/17 until 3/8/17, Normal, Phase
II Discharge
hydrocodone-acetaMINOPHEN (NORCO) 5-325
mg per tab - 1-2t q4h prn [71425]
1-2 tab, 0, starting 2/6/17 until 3/8/17, Normal, Phase
II Discharge
traMADOL (ULTRAM) 50 MG tab [50258] 50 mg, 0, starting 2/6/17, Normal, Phase II Discharge
Activity/Return to Work [89280]
Activity [NURACT0008] Routine
Discharge Activity:
Phase II Discharge
Wound Care [89282]
Dressing Care [NURWND0018] Routine, Keep dressing on for 5 days. Do not
shower/get dressing wet. After 5 days, may remove
dressing and shower. Avoid submerging surgical site
(no baths) for 4 weeks.
Contingency Parameters [89283]
Call Physician If: [NURCOM0001] Routine, Increased weakness, numbness, or pain.
Follow-Up Appointments [89284]
Patient to Schedule Appointment
[NURCOM0056]
Routine
Purpose: Follow-up
With whom: Spine Clinic
For when: In 4 weeks
Page 3 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 2/6/2017 1:35:26 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
02/2017CCKM@uwhealth.org