/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/plastics/,

/clinical/cckm-tools/content/order-sets/ambulatory/plastics/name-98534-en.cckm

201712342

page

100

UWHC,UWMF,

Tools,

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

OP - Plastic Surgery - Breast - Adult - Postoperative [5220]

OP - Plastic Surgery - Breast - Adult - Postoperative [5220] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Plastics


OP - Plastic Surgery - Breast - Adult - Postoperative [5220]
Post Op/Phase II
Medications - Opioid (Oral) PRN (Single Response) [143579]
oxycodone-acetaMINOPHEN (PERCOCET)
5-325 MG per tab [40668]
1 tab, Oral, ONCE PRN For 1 Doses, pain
See Pain Management Algorirthm for the Selection of
As-Needed Analgesic
No more than 4 grams acetaminophen per 24 hours
for adults or 15mg/kg per dose for peds <40kg.
Post-Op/Phase II
hydrocodone-acetaMINOPHEN (NORCO) 5-325
MG per tab [71425]
1 tab, Oral, ONCE PRN For 1 Doses, pain
See Pain Management Algorirthm for the Selection of
As-Needed Analgesic
No more than 4 grams acetaminophen per 24 hours
for adults or 15mg/kg per dose for peds <40kg.
Post-Op/Phase II
oxycodone tab [45976] 5 mg, Oral, ONCE PRN For 1 Doses, pain
See Pain Management Algorirthm for the Selection of
As-Needed Analgesic
Post-Op/Phase II
Medications - Non-Opioid (Oral) PRN [200904]
acetaMINOPHEN (TYLENOL) tab [34149] 650 mg, Oral, ONCE PRN For 1 Doses, pain
See Pain Management Algorithm for the Selection of
As-Needed Analgesics
Post-Op/Phase II
Anti-emetics [200905]
ondansetron (ZOFRAN ODT) disintegrating tab
[64224]
4 mg, Oral, ONCE PRN For 1 Doses, nausea/vomiting
Use first line
Post-Op/Phase II
ondansetron (ZOFRAN) injection [800202] 4 mg, Intravenous, ONCE PRN For 1 Doses,
nausea/vomiting
Use first line if unable to take medications by mouth or
enteral tube OR if immediate effect is needed
Post-Op/Phase II
Patient Care Instructions [143585]
Vital Signs [NURMON0013] SEE COMMENTS, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every 1-2 hours until discharge, Post-Op/Phase II
Discharge IV When Tolerating By Mouth / Prior to
Discharge [NURTAD0046]
ONCE
Activity [NURACT0008] CONTINUOUS, Routine
AD LIB:
AMBULATE: with assistance
CHAIR:
DANGLE:
BEDREST:
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Prior to Discharge [143580]
Page 1 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

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
Patient Must Void Prior to Discharge
[NURMON0081]
ONCE, Starting today For 1 Occurrences, Routine,
Post-Op/Phase II
Outpatient Discharge Orders
Medications-Prescriptions-Non-Opioids (Oral) Scheduled [200906]
acetaMINOPHEN (TYLENOL) 325 MG tab - 2t
q6h x7d [34149]
650 mg, starting 12/8/17 until 12/15/17, Normal,
Phase II Discharge
naproxen (NAPROSYN) 500 MG tab - 1t 2x/d x7d
[40052]
500 mg, 0, starting 12/8/17 until 12/15/17, Normal,
Phase II Discharge
Medications - Prescriptions - Opioid (Oral) PRN (Single Response) [143581]
oxycodone 5 MG tab - 1t q4hprn #5 [45976] 5 mg, 5 tab, 0, starting 12/8/17, Normal, Phase II
Discharge
oxycodone 5 mg tab - 1-2t q4hprn #15 [45976] 5-10 mg, 15 tab, 0, starting 12/8/17, Normal, Phase II
Discharge
oxycodone 5 mg tab - 1-2t q4hprn #25 [45976] 5-10 mg, 25 tab, 0, starting 12/8/17, Normal, Phase II
Discharge
Medications - Prescriptions - Bowel Management [143582]
senna-docusate (SENOKOT-S) 8.6-50 mg per tab
[60530]
2 tab, 30 tab, 0, starting 12/8/17, Normal, Phase II
Discharge
docusate sodium (COLACE) cap [36857] 100 mg, 30 cap, 0, starting 12/8/17, Normal, Phase II
Discharge
polyethylene glycol (MIRALAX) oral powder
[61353]
17 g, starting 12/8/17, Normal, Phase II Discharge
Medications - Prescriptions - Anti-infectives [143583]
cephalexin (KEFLEX) 250 mg cap - 4x/d-7d
[44594]
500 mg, 28 cap, 0, starting 12/8/17 until 12/15/17,
Normal, Phase II Discharge
amoxicillin-clavulanate (AUGMENTIN) 875-125
MG per tab - 2x/d x7d [70053]
1 tab, 0, starting 12/8/17 until 12/15/17, Normal,
Phase II Discharge
clindamycin (CLEOCIN) 300 MG cap - 3x/d x7d
[44723]
300 mg, starting 12/8/17 until 12/15/17, Normal,
Phase II Discharge
Medications - Prescriptions - Non-categorized [141907]
methylprednisolone 4 MG tab pack [170928] 1 each, 0, starting 12/8/17, Normal, Phase II
Discharge
diazepam (VALIUM) 5 mg tab - q6-8hp #12
[36679]
5 mg, 12 tab, 0, starting 12/8/17, Normal, Phase II
Discharge
ondansetron (ZOFRAN) tab [45939] 4 mg, 10 tab, 0, starting 12/8/17, Normal, Phase II
Discharge
Discharge Instructions - Procedure Specific [144510]
Augmentation Mammoplasty [143574]
Page 2 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Activity - Augmentation Mammoplasty
[NURACT0008]
Routine
Discharge Activity:
-Continue wearing the surgical bra for 24 hours
(overnight). You may remove it tomorrow to shower
and then put it back on. Wear loose comfortable
clothing. DO NOT wear an under wire bra for 2
weeks. Instead, wear a sports bra or the surgical bra
given at discharge.
-Keep your head elevated as much as possible for
the first 48 hours to help reduce swelling and
discomfort. A lounger is a good place to sleep and
rest. Use extra pillows while you lie in bed to elevate
your head and chest.
-Stay quiet, resting the first 24 hours. Excessive
activity may cause you to bleed. You may gradually
increase your activities as tolerated. Do not do any
activities that cause strenuous use of your arms
such as pushing, pulling, vacuuming and limit
reaching above your head for the first 2 weeks.
-An ice pack can be applied to the incision site once
per hour for 10 minutes each time to help reduce
swelling and discomfort.
-Avoid any strenuous exercise, swimming, running,
or lifting more than 15 pounds for the first two weeks.
-No driving or operating heavy machinery for the
next 24 hours or while on narcotics., Phase II
Discharge
Diet - Augmentation Mammoplasty [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications:
-Eat small well balanced meals, and drink plenty of
fluids. DO NOT drink alcoholic beverages for the first
2 days, or while taking pain medication.
Wound Care - Augmentation Mammoplasty
[NURWND0015]
Routine, • Check your incisions twice daily for any
signs of infection. Redness at the incision site is
normal, but redness extending beyond the incision
(>1cm) or over the breast may indicate an infection.
If your sutures are not dissolvable they will be
removed at your one week post op appointment.
• If you have a dressing, you may see some bloody
drainage up to the size of a quarter. There may also
be a small amount of swelling. If there is excessive
bleeding or swelling, call your surgeon.
• DO NOT massage your breasts. These implants do
not require massage.
• Do not become overly concerned if you notice a
decrease sensation in your nipples. The sensation
usually returns in a few weeks to a month.
• You may hear a sloshing sound in the breasts if
you had saline implants. This is caused by the fluid
and air in the implants. This will stop within a week.
Page 3 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Medications at Home - Augmentation
Mammoplasty [NURCOM0071]
Please complete in PATIENT FRIENDLY terms.
This order will appear on the patient's After Hospital
Care Plan., Routine, -Take pain medications as
directed.
-Most narcotic pain medications may cause
constipation. We recommend that you take a daily
stool softener (i.e., Docusate sodium) while taking
the pain medication. If you continue to have
problems with constipation you may also try a
dulcolax suppository or Miralax daily until you are
able to move your bowels. All of these medications
may be purchased without a prescription at your
local pharmacy. Increasing your fluid intake and
activity level may also help.
-You may resume your routine medications unless
instructed differently by your surgeon.
Breast Augmentation [143575]
Activity - Breast Augmentaton [NURACT0008] Routine
Discharge Activity:
-Continue wearing the surgical bra for 24 hours
(overnight). You may remove it tomorrow to shower
and then put it back on. Wear loose comfortable
clothing.
-Do not wear an underwire bra for 2 weeks.
-Keep your head elevated as much as possible for
the first 48 hours to help reduce swelling and
discomfort. A lounger is a good place to sleep and
rest. Use extra pillows while you lie in bed to elevate
your head and chest.
-Stay quiet, resting the first 24 hours. Excessive
activity may cause you to bleed. You may gradually
increase your activities as tolerated. Do not do any
activities that cause strenuous use of your arms
such as pushing, pulling, vacuuming, or reaching
above your head for the first 2 weeks.
-Avoid any strenuous exercise, swimming, running,
or lifting more than 10 pounds for the first 2 weeks.
-No driving or operating heavy machinery for the
next 24 hours or while on narcotics., Phase II
Discharge
Wound Care - Breast Augmentaton
[NURWND0015]
Routine, -Look at the surgical area every 4-6 hours
for the first day. Then check your incisions twice
daily for any signs of infection.
-If you have a dressing, you may see some bloody
drainage up to the size of a quarter. There may also
be a small amount of swelling. If there is excessive
bleeding, call your surgeon.
-DO NOT massage your breasts. These implants do
not require massage.
-Do not become overly concerned if you notice
decreased sensation in your nipples. The sensation
usually returns to normal in a few weeks to a month.
-You may hear a sloshing sound in the breasts if you
had saline implants. This is caused by the fluid and
air in the implants. This will stop within a week.
Page 4 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Diet - Breast Augmentaton [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications:
-Eat small well balanced meals, and drink plenty of
fluids. DO NOT drink alcoholic beverages for the first
2 days, or while taking pain medication.
Medications at Home - Breast Augmentaton
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms.
This order will appear on the patient's After Hospital
Care Plan., Routine, -Take pain medications as
directed.
Breast Reduction [143576]
Activity - Breast Reduction [NURACT0008] Routine
Discharge Activity:
-Pain/Discomfort is common after this surgery and
will last up to a week. You may also have some
numbness and tingling in your hands and fingers for
the next few days.
-You will have a special support bra put on after
surgery.
-Only remove the bra for your shower and during
dressing changes.
-Wear the surgical bra for 2 weeks or until instructed
differently by your surgeon.
-You may experience some dizziness the first time
you take the garment off. You need to have
someone with you. Take the garment off slowly while
sitting down.
-No driving or operating heavy machinery for the
next 24 hours or while on narcotics.
-Do not wear an underwire bra for 2 weeks.
-Avoid strenuous exercise for 2 weeks. Slowly
increase your normal activity as you are able. Do not
lift more than 10 pounds for 2 weeks.
-No tub baths, swimming or hot tubs for 2 weeks.,
Phase II Discharge
Page 5 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Wound Care - Breast Reduction [NURWND0015] Routine, • You may shower in 24 hours.
• You may have “drains” or tubes placed during
surgery to drain away excess fluid from your breasts.
The fluid will collect in a bulb attached to the tube.
These will be removed in clinic in 1-2 days. Record
the amount of drainage from the drains and bring the
results with you to your clinic visit. You MAY shower
with the tubes in.
• Clean incisions gently with soap and water once a
day.
• Remove dressings before showering. If you notice
a large steri-strip over the incision leave this in place
until this falls off on its own. Put a thin layer of
bacitracin over the incision twice daily for one week.
You may need to use gauze bandages over the
incisions for a few days until the incisions stop
weeping. Wound drainage will be bloody at first but
will turn to a straw color as it decreases in amount.
Once incisions are dry you do not need to use
bandages.
• An ice pack can be applied to the incision site once
per hour for 10 minutes each time to help reduce
swelling and discomfort.
• Change gauze dressings over drain sites when
they become wet.
• Most of your stitches will dissolve. If you have
stitches that need to be removed, this will be done at
your post operative appointment. They may feel
prickly at first, this is normal.
Diet - Breast Reduction [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications:
-Increase your diet as tolerated. Drink a lot of fluids
and eat a well balanced diet. A healthy diet helps
wound healing after surgery.
-Do not drink alcohol for 24 hours after your surgery
or while taking narcotics.
Medications at Home - Breast Reduction
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms.
This order will appear on the patient's After Hospital
Care Plan., Routine, -You have been given a
prescription for pain medication. Usually the first 1 or
2 days are the most uncomfortable; we suggest
taking the pain medication as ordered. ALSO,
remember that you must not drive while you are
taking this medication.
-Most narcotic pain medications may cause
constipation. We recommend that you take a daily
stool softener (i.e., Docusate sodium) while taking
the pain medication. If you continue to have
problems with constipation you may also try a
dulcolax suppository or Miralax daily until you are
able to move your bowels. All of these medications
may be purchased without a prescription at your
local pharmacy. Increasing your fluid intake and
activity level may also help.
Page 6 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Gynecomastia [143577]
Activity - Gynecomastia [NURACT0008] Routine
Discharge Activity:
-Continue wearing your compression vest or binder
for 24 hours (overnight). Remove the vest for
showering and dressing changes, and then put it
back on.
-You may shower 24 hours after your surgery.
-Plan to take it easy for the next week or two.
-No driving or operating heavy machinery for the
next 24 hours or while on narcotics.
-Avoid strenuous exercise for 3-4 weeks. Slowly
increase your activity. Limit activities that bring your
arms over your head like pulling on clothes or lifting
items to shelves for 1-2 weeks.
-Do not lift anything more than 15 pounds for 2
weeks.
-You may have increased or decreased sensation in
your nipples. The sensation usually returns to normal
in a few weeks to a month.
-Do not massage your breasts.
-Sleep with your head elevated for 5 days., Phase II
Discharge
Wound Care - Gynecomastia [NURWND0015] Routine, -Vaseline may be applied to keep the skin
supple.
-Look at the surgical area every 4-6 hours the first
day. You should change the gauze pads as needed.
The drainage will decrease each day. You may also
notice some swelling, this is normal. If there is
excessive bleeding or swelling (having to change the
gauze pads every hour), then you need to call your
surgeon.
-Wound drains, which may have been placed under
each breast, will be removed in the clinic.
-Most of your stitches will dissolve. If you have
stitches that need to be removed, this will be done at
your post operative appointment. They may feel
prickly at first, this is normal.
-Swelling and bruising is common and may increase
before going away completely.
-Cold packs should be applied over the operative
site for the first 48 hours, to reduce swelling and
discomfort.
Diet - Gynecomastia [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications:
-Do not drink alcohol for 24 hours after your surgery
or while you are taking narcotics (pain medications).
-Increase your diet as tolerated. Eat a well balanced
diet and drink plenty of fluids. A healthy diet helps
wound healing after surgery.
Page 7 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Medications at Home - Gynecomastia
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms.
This order will appear on the patient's After Hospital
Care Plan., Routine, -Take your pain medications as
directed by your doctor. Do not drive while taking
pain medication.
-Most narcotic pain medications may cause
constipation. We recommend that you take a daily
stool softener (ie. Docusate sodium) while taking the
pain medication. If you continue to have problems
with constipation you may also try a dulcolax
suppository or Miralax daily until you are able to
move your bowels. All of these medications may be
purchased without a prescription at your local
pharmacy. Increasing your fluid intake and activity
level may also help.
Mastopexy [143578]
Activity - Mastopexy [NURACT0008] Routine
Discharge Activity:
-Continue to wear the surgical bra for 24 hours
(overnight). Remove the bra for showering and
dressing changes, and then put it back on. DO NOT
wear an under wire bra for 2 weeks.
-You may shower 24 hours after your surgery.
-Plan to take it easy for the next week or two.
-No driving or operating heavy machinery for the
next 24 hours or while on narcotics.
-Avoid strenuous exercise for 3-4 weeks. Slowly
increase your normal activity. Limit activities that
bring your arms over your head like pulling on
clothes or lifting items to shelves for 1-2 weeks.
-Do not lift anything more than 15 pounds for 2
weeks.
-Your surgeon will discuss increasing activity at your
post-op visit.
-Do not massage your breasts.
-You may have decreased sensation in your nipples.
The sensation usually returns in a few weeks to a
month.
-Sleep with your head elevated for the first 3-5 days.,
Phase II Discharge
Page 8 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Wound Care - Mastopexy [NURWND0015] Routine, -Look at the surgical area every 4-6 hours
the first day. You should change the gauze pads as
needed. The drainage will decrease each day. You
may also notice some swelling, this is normal. If
there is excessive bleeding or swelling (having to
change the gauze pads every hour), then you need
to call your surgeon.
-Wound drains, which may have been placed under
each breast, will be removed in the clinic.
-Most of your stitches will dissolve. If you have
stitches that need to be removed, this will be done at
your post operative appointment. They may feel
prickly at first, this is normal.
-Swelling and bruising is common and may increase
before going away completely.
-Cold packs should be applied over the operative
site for the first 48 hours to reduce swelling and
discomfort.
Diet - Mastopexy [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications:
-Do not drink alcohol for 24 hours after your surgery
or while you are taking narcotics (pain medications).
-Increase your diet as tolerated. Eat a well balanced
diet and drink plenty of fluids. A healthy diet helps
wound healing after surgery
Medications at Home - Mastopexy
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms.
This order will appear on the patient's After Hospital
Care Plan., Routine, -Take your pain medications as
directed by your doctor. Do not drive while taking
pain medication.
-Most narcotic pain medications may cause
constipation. We recommend that you take a daily
stool softener (i.e., Docusate sodium) while taking
the pain medication. If you continue to have
problems with constipation you may also try a
dulcolax suppository or Miralax daily until you are
able to move your bowels. All of these medications
may be purchased without a prescription at your
local pharmacy. Increasing your fluid intake and
activity level may also help.
Other Wound Care Instructions [143589]
J-P Drain Instructions [NURWND0080] Routine
IV Site Care [NURWND0015] Routine, Sometimes redness, warmth, or soreness
occurs at the Intravenous (IV) site. This can be
relieved by putting a warm, wet washcloth on the site
4 times a day. Call your Doctor/Nurse if this does not
get better in 1-2 days or if it gets worse.
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: ***
Page 9 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Other Patient Care Instructions [143592]
Surgery and Smoking [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, Research and experience with
smoking patients have shown the supply of blood to
small capillaries in the tissue is reduced, so the risk of
bad healing, failure to heal, or even death of some
tissue, increased scarring or other complication
increases.
When to Call Your Doctor [143593]
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, -Excessive bleeding.
- Persistent nausea and vomiting.
- Pain not relieved with pain medication.
- Fever over 100.5º F (by mouth) for two readings
taken four hours apart.
- Problems urinating or emptying your bladder.
- Incisions or drain sites become more painful,
swollen, red and/or feel warmer than usual.
- Severe Chest Pain or Shortness of Breath - Call 911.
Contact Information [143584]
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 hours, please call the same
number listed above and you will be directed to the
paging operater who will contact the Resident on call.
Follow Up Appointments [142234]
Patient to Schedule Appointment [NURCOM0056] Routine
Purpose:
With whom:
For when:
Page 10 of 10
Printed by BENNETT, SARA J [SJB008] at 12/8/2017 9:20:35 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org