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TSC - Vascular Surgery - Adult - Postoperative [4771]

TSC - Vascular Surgery - Adult - Postoperative [4771] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Transformations Surgery Center


TSC - Vascular Surgery - Adult - Postoperative [4771]
Post-Op Phase II
Medications - Analgesics (PRN) (Single Response) [132543]
acetaMINOPHEN (TYLENOL) tab [34149] 650 mg, Oral, EVERY 4 HOURS PRN For 24 Hours, pain, for
mild pain or as part of multimodal therapy, Post-Op/Phase II
oxycodone-acetaminophen (PERCOCET) 5-325 mg per
tab RANGE [750033]
1-2 tab, Oral, EVERY 4 HOURS PRN For 24 Hours, pain,
severe pain, Post-Op/Phase II
hydrocodone-acetaMINOPHEN (NORCO) 5-325 MG per
tab RANGE [750021]
1-2 tab, Oral, EVERY 4 HOURS PRN For 24 Hours, pain,
severe pain, Post-Op/Phase II
Medications - Analgesics (Scheduled) (Single Response) [193520]
ibuprofen (MOTRIN) tab [38353] 600 mg, Oral, Post-Op/Phase II
oxycodone tab [45976] 5 mg, Oral, Post-Op/Phase II
oxycodone tab [45976] 10 mg, Oral, ONCE For 1 Doses, Post-Op/Phase II
Patient Care Instructions [128904]
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
Patient Monitoring [132000]
GLUCOSE, POC [HCMGLUC] ONCE For 1 Occurrences, Routine
If Conditional, What Condition?
Post-Op/Phase II
Activity [128909]
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:
Post-Op/Phase II
Non-Categorized Patient Care Orders [133441]
Equipment/Supplies Needed [NURCOM0022] ONCE, ***, Post-Op/Phase II
TSC Discharge Policy [128948]
Patient to be discharged to home when deemed stable
per TSC Discharge From Phase II Recovery To Home
Policy [NURCOM0022]
ONCE, Starting today For 1 Occurrences, Phase II Discharge
Outpatient Discharge Orders (Medications)
Medications - Prescriptions - Analgesics (Single Response) [128902]
hydrocodone-acetaMINOPHEN (NORCO) 5-325 MG per
tab [71425]
20 tab, 0, starting 10/7/15, Normal
ibuprofen (MOTRIN) 800 MG tab [38357] 30 tab, 1, starting 10/7/15, Normal
oxycodone-acetaMINOPHEN (PERCOCET) 5-325 MG
per tab [40668]
20 tab, 0, starting 10/7/15, Normal
oxycodone 5 MG tab [45976] 20 tab, 0, starting 10/7/15, Normal
Medications - Prescriptions - Anti-emetics [193521]
ondansetron (ZOFRAN ODT) 4 MG disintegrating tab
[64224]
10 tab, 0, starting 10/7/15, Normal
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Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison

 

Medications - Prescriptions - Bowel Management [192855]
senna-docusate (SENOKOT S) 8.6-50 MG per tab -
NOTE: order if opioids are prescribed [60530]
starting 10/7/15, Normal
Outpatient Discharge Orders (Discharge Instructions)
Procedure [132128]
Procedure [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine,
***
Specific Treatments [132129]
Specific Treatments [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine,
***
Activity [132125]
Activity [NURACT0008] Routine
Discharge Activity: See Instructions
Ambulate as tolerated starting today, weight bearing as
tolerated, and progressing daily as comfort allows. Crutch
support only if needed. Maximum of 20 lbs weight lifting x 2
weeks. Avoid strenuous or impact activity/exercise x 2 weeks.
Elevate feet at rest on 1-2 pillows above horizontal and ice
incisional areas over dressings. Do calf pumps/ankle range of
motion activities every 10-15 minutes at rest.
May resume driving {UWIP TSC AFTER 4 DAYS 1
WEEK:300004}.
May return to work {UWIP TSC AFTER 4 DAYS 1
WEEK:300004}.
Diet [132126]
Diet [NUT0006] Routine
Diet: Other (Comment Required)
Resume general diet.
Wound Care [132127]
Wound Care [NURWND0015] Routine, Keep dressing clean, dry, and in place for 48 hours.
Then remove dressings, shower -- gently washing with soap
and water, drying legs carefully, and re-wrap with clean ace
wraps from toes to groin. Thereafter, {UWIP WOUND CARE
WRAP:3400013} first thing in morning and remove at bedtime
daily until instructed otherwise.
May shower when dressings removed after 48 hours.
IV Site [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine,
• Sometimes redness, warmth, or soreness occurs at the (IV)
Intravenous 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 gets worse.
When to Call Your Surgeon [129448]
When to Call Your Surgeon [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine,
• Excessive bleeding.
• Excessive swelling in the lower leg.
• Persistent nausea and vomiting.
• Pain not relieved with pain medication.
• Fever over 100° F (by mouth) for two readings taken four
hours apart.
• Problems urinating or emptying your bladder.
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Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison

 

• Incision or drain sites become more painful, swollen, red
and/or feel warmer than usual.
• Severe Chest Pain or Shortness of Breath - Call 911.
Other Discharge Instructions [132130]
Other Discharge Patient Care Instructions
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine,
Due to the use of anesthetics and narcotics during and after
surgery, patients often experience constipation
postoperatively. Therefore it is highly recommended to start
taking an over-the-counter stool softener/laxative preparation
such as colace, docusate, pericolace/senna, or miralax -- per
specific instructions, prophylactically following surgery for
about 2 weeks.
Contact Information [129298]
Contact Information [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine,
For any questions or concerns after your surgery, please call:
608-836-9990 or Toll Free 1-866-477-9990, Monday through
Friday from 8 a.m. to 5 p.m. to speak with a nurse or have a
call returned to you. After hours, weekends or holidays,
please call the same number and give the operator your
name, surgeon's name and your phone number including
area code. A physician will return your call.
Follow-Up Appointments [132124]
Schedule Appointment at Transformations
[NURCOM0056]
Routine
Purpose:
With whom:
For when:
Transformations Clinic
2349 Deming Way
Madison, WI
(608) 836-9990
Schedule Appointment at West Clinic [NURCOM0056] Routine
Purpose:
With whom:
For when:
West Clinic
451 Junction Road
Madison, WI 53717
(608) 263-8915
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Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 10/7/2015 8:47:01 AM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison