/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/pulmonary/,

/clinical/cckm-tools/content/order-sets/ambulatory/pulmonary/name-98530-en.cckm

201606170

page

100

UWHC,UWMF,

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

OP - Pulmonary - Adult - Postprocedure [4601]

OP - Pulmonary - Adult - Postprocedure [4601] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Pulmonary


OP - Pulmonary - Adult - Postprocedure [4601]
Intended for Adult Patients Only
PostOp/Phase II
Non-Categorized Patient Care Orders [93830]
Glucose, POC [IPGLUCOSE] AS NEEDED FOR SIGNS AND SYMPTOMS OF
HYPOGLYCEMIA, Starting today, Routine
If Conditional, What Condition?
Post-Op/Phase II
Glucose, POC [IPGLUCOSE] AFTER PROVIDING HYPOGLYCEMIA TREATMENT,
Starting today, Routine
If Conditional, What Condition?
Post-Op/Phase II
Contingency Parameters (Single Response) [128069]
Notify Fellow [NURCOM0001] Provider to Notify: Other (Comment)
If systolic blood pressure > (mmHg): 180
If systolic blood pressure < (mmHg): 90
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C): 38
If temperature < (C):
If heart rate > (bpm): 120
If heart rate < (bpm):
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%): 90
If urine output < (mL):
Other: New chest pain
Laboratory [89262]
HEMOGLOBIN [HGB] STAT - RN COLLECT, Starting today For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Post-Op/Phase II
PLATELET COUNT [PLT] STAT - RN COLLECT, Starting today For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Post-Op/Phase II
GLUCOSE [GLU] STAT - RN COLLECT, Starting today For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Post-Op/Phase II
PROTHROMBIN TIME/INR [PT] STAT - RN COLLECT, Starting today For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Post-Op/Phase II
TROPONIN [GM2447] EVERY 6 HOURS, Starting today For 10 Occurrences,
Routine
Page 1 of 3
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 4/27/2015 1:21:46 PM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority


If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Draw immediately post-procedure and then every 6 hours
times 3 or until peak., Post-Op/Phase II
Diagnostic Tests and Imaging [124155]
X-RAY CHEST AP VIEW [R71010] 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?
Last patient weight? (will auto pull in value and date in
comment):
Transport Method: Floor Determined/Entered
Post-Op/Phase II
Prior To Discharge [127714]
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
Medication Instructions [86458]
Resume clopidogrel (PLAVIX) [NURTRT0048] ONCE, Starting today For 1 Occurrences, Resume
clopidogrel (PLAVIX) in *** days, Post-Op/Phase II
Resume warfarin (COUMADIN) [NURTRT0048] ONCE, Starting today For 1 Occurrences, Resume warfarin
(COUMADIN) in *** days, Post-Op/Phase II
Resume low molecular weight heparin [NURTRT0048] ONCE, Starting today For 1 Occurrences, Resume low
molecular weight heparin at previous schedule for *** days,
Post-Op/Phase II
Resume aspirin and non-steroidal anti-inflammatories
[NURTRT0048]
ONCE For 1 Occurrences, Resume aspirin and non-steroidal
anti-inflammatories in *** days, Post-Op/Phase II
Follow-Up Appointments [86266]
Schedule Appointment [NURCOM0026] Routine
Reason for Appointment:
When do you want appointment:
Which Clinic or Specialty:
Which Provider (Optional):
Diagnosis
Diagnosis - Pre Op [711]
Pre-operative general physical examination [255759] Other specified pre-operative examination
Level of Service
Office Visit - Established Patients [30779]
99211 - Level I LOS Code
99212 - Level II LOS Code
99213 - Level III LOS Code
99214 - Level IV LOS Code
99215 - Level V LOS Code
99211 - w/ Resident (GC) - Level I LOS Code
99212 - w/ Resident (GC) - Level II LOS Code
99213 - w/ Resident (GC) - Level III LOS Code
Page 2 of 3
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 4/27/2015 1:21:46 PM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority


99214 - w/ Resident (GC) - Level IV LOS Code
99215 - w/ Resident (GC) - Level V LOS Code
Office visit - New Patients [30778]
99201- Level I LOS Code
99202- Level II LOS Code
99203- Level III LOS Code
99204- Level IV LOS Code
99205 - Level V LOS Code
99201- w/ Resident (GC) - Level I LOS Code
99202- w/ Resident (GC) - Level II LOS Code
99203- w/ Resident (GC) - Level III LOS Code
99204- w/ Resident (GC) - Level IV LOS Code
99205- w/ Resident (GC) - Level V LOS Code
Consults - New or Established Patients [30780]
If Medicare patient, do not use Consult LOS. Choose an Established or New Patient LOS. Add the appropriate additional
E/M Code of 99354-99359 for prolonged office consultations in the LOS section of the Visit Navigator.
99241 - Level I LOS Code
99242 - Level II LOS Code
99243 - Level III LOS Code
99244 - Level IV LOS Code
99245 - Level V LOS Code
99241- w/ Resident (GC) - Level I LOS Code
99242 - w/ Resident (GC)- Level II LOS Code
99243 - w/ Resident (GC) - Level III LOS Code
99244 - w/ Resident (GC) - Level IV LOS Code
99245 - w/ Resident (GC) - Level V LOS Code
Page 3 of 3
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 4/27/2015 1:21:46 PM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority