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201710291

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TSC - Plastic Surgery - Hand - Adult - Postoperative [4820]

TSC - Plastic Surgery - Hand - Adult - Postoperative [4820] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Transformations Surgery Center


TSC - Plastic Surgery - Hand - Adult - Postoperative [4820]
PostOp/Phase II
Analgesics (Single Response) [128914]
oxycodone-acetaminophen (PERCOCET) 5-325
mg per tab RANGE [750033]
1-2 tab, Oral, ONCE PRN For 1 Doses, pain, Severe
pain, Post-Op/Phase II
hydrocodone-acetaMINOPHEN (NORCO) 5-325
MG per tab RANGE [750021]
1-2 tab, Oral, ONCE PRN For 1 Doses, pain, Severe
pain, Post-Op/Phase II
oxycodone tab RANGE [750032] 5-10 mg, Oral, ONCE PRN For 1 Doses, pain, Severe
pain, Post-Op/Phase II
Anti-emetics [128918]
ondansetron (ZOFRAN ODT) disintegrating tab
[64224]
4 mg, Oral, ONCE PRN For 1 Doses,
nausea/vomiting, First Line Therapy, Post-Op/Phase II
ondansetron (ZOFRAN) injection [132824] 4 mg, Intravenous, ONCE PRN For 1 Doses, First
Line Therapy if unable to tolerate orally, for 3 Minutes,
Post-Op/Phase II
prochlorperazine (COMPAZINE) tab [41372] 10 mg, Oral, ONCE PRN For 1 Doses,
nausea/vomiting, Second Line Therapy if
unresponsive to First Line Therapy within 30 minutes,
Post-Op/Phase II
prochlorperazine (COMPAZINE) injection [41369] 10 mg, Intravenous, ONCE PRN For 1 Doses,
nausea/vomiting, Second Line Therapy if unable to
tolerate orally, Post-Op/Phase II
Patient Care Instructions [131475]
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
Give patient sling [NURCOM0022] ONCE, Post-Op/Phase II
Diet [128905]
Advance Diet as Tolerated [NURDIE0013] ONCE, 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
Outpatient Discharge Orders (Medications)
Medications-Prescriptions-Non-Opioids (Oral) Scheduled [200906]
acetaMINOPHEN (TYLENOL) 325 MG tab - 2t
q6h x7d [34149]
650 mg, starting 10/17/17 until 10/24/17, Normal,
Phase II Discharge
naproxen (NAPROSYN) 500 MG tab - 1t 2x/d x7d
[40052]
500 mg, 0, starting 10/17/17 until 10/24/17, Normal,
Phase II Discharge
Medications - Prescriptions - Opioid (Oral) PRN (Single Response) [143581]
Page 1 of 5
Printed by WILLIAMS, HEATHER R [HRS0] at 10/17/2017 9:58:01 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
10/2017CCKM@uwhealth.org

oxycodone 5 MG tab - 1t q4hprn #5 [45976] 5 mg, 5 tab, 0, starting 10/17/17, Normal, Phase II
Discharge
oxycodone 5 mg tab - 1-2t q4hprn #15 [45976] 5-10 mg, 15 tab, 0, starting 10/17/17, Normal, Phase II
Discharge
oxycodone 5 mg tab - 1-2t q4hprn #25 [45976] 5-10 mg, 25 tab, 0, starting 10/17/17, 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 10/17/17, Normal, Phase II
Discharge
docusate sodium (COLACE) cap [36857] 100 mg, 30 cap, 0, starting 10/17/17, Normal, Phase II
Discharge
polyethylene glycol (MIRALAX) oral powder
[61353]
17 g, starting 10/17/17, Normal, Phase II Discharge
Medications - Prescriptions - Anti-infectives [143583]
cephalexin (KEFLEX) 250 mg cap - 4x/d-7d
[44594]
500 mg, 28 cap, 0, starting 10/17/17 until 10/24/17,
Normal, Phase II Discharge
amoxicillin-clavulanate (AUGMENTIN) 875-125
MG per tab - 2x/d x7d [70053]
1 tab, 0, starting 10/17/17 until 10/24/17, Normal,
Phase II Discharge
clindamycin (CLEOCIN) 300 MG cap - 3x/d x7d
[44723]
300 mg, starting 10/17/17 until 10/24/17, Normal,
Phase II Discharge
Medications - Prescriptions - Non-categorized [141907]
methylprednisolone 4 MG tab pack [170928] 1 each, 0, starting 10/17/17, Normal, Phase II
Discharge
diazepam (VALIUM) 5 mg tab - q6-8hp #12
[36679]
5 mg, 12 tab, 0, starting 10/17/17, Normal, Phase II
Discharge
ondansetron (ZOFRAN) tab [45939] 4 mg, 10 tab, 0, starting 10/17/17, Normal, Phase II
Discharge
Outpatient Discharge Orders (Discharge Instructions)
What to Expect [194175]
What to Expect [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, • Discomfort or pain will vary from
person to person and will depend upon the type of
surgery
Activity [129667]
Activity [NURACT0008] Routine
Discharge Activity: See Instructions
• You should not drive for 24 hours; even though you
may not feel tired, your judgment and reflexes may be
impaired.
• Rest today and resume your normal activity
tomorrow., Phase II Discharge
Diet [129669]
Page 2 of 5
Printed by WILLIAMS, HEATHER R [HRS0] at 10/17/2017 9:58:01 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
10/2017CCKM@uwhealth.org

Diet [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications: -
Solid Consistency:
Liquid Consistency:
Liquid:
Esophagectomy:
Fat Controlled:
Fiber:
Fluid Restriction:
Heart Healthy:
Metabolic:
Renal:
Sodium Controlled:
NPO:
• 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 [129668]
Wound Care [NURWND0015] Routine, • You may have a bulky dressing and ace
bandage.
• Pain and swelling can be relieved by taking your
medication and by elevating your arm above the level
of your heart. Ice packs may be used to decrease
swelling and pain for 1-2 days following surgery.
• Keep the dressing and/or elastic wrapping dry. The
elastic bandage may be rewrapped as necessary if it
becomes too loose or too tight.
• Check for circulation to the hand and fingers 3-4
times tomorrow. Do this by looking at the skin color
and feeling the temperature. The skin color should be
the same as your other hand and should feel warm to
the touch.
• Watch for excess swelling; some swelling is to be
expected. This should decrease with rest and
elevation.
• Watch for loss of motion or increased pain.
• Do not move fingers that are in a splint.
• Make sure there is feeling in the fingers. Be alert to
any numbness, tingling or “pins and needles”
sensation.
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.
Medications at Home [129670]
Medications at Home [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, • You may resume taking your routine
medications.
When to Call Your Surgeon [129666]
Page 3 of 5
Printed by WILLIAMS, HEATHER R [HRS0] at 10/17/2017 9:58:01 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
10/2017CCKM@uwhealth.org

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, • Fingers are cold to the touch or blue
in color.
• Tingling, numbness and/or increasing pain in the
fingers occurs.
• Loss of motion to the fingers is experienced.
• Excess swelling is not relieved with elevation and/or
ice.
• Excessive bleeding.
• Persistent nausea and vomiting.
• Pain not relieved with pain medication.
• Fever over 100° F (by mouth) for two readings taken
four hours apart during the first 3 days.
• Problems urinating or emptying your bladder.
• 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 [129018]
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
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.
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 [128913]
Schedule Appointment at Transformations
[NURCOM0056]
Routine
Purpose:
With whom:
For when:
Transformations Clinic
2349 Deming Way
Madison, WI
(608) 836-9990
Page 4 of 5
Printed by WILLIAMS, HEATHER R [HRS0] at 10/17/2017 9:58:01 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
10/2017CCKM@uwhealth.org

Schedule Appointment at UW Hospital and Clinics
[NURCOM0056]
Routine
Purpose:
With whom:
For when:
UW Hospital and Clinics
600 Highland Avenue
Madison, WI
(608) 263-7502
Schedule Appointment at UW Health - 1 S. Park
Clinic [NURCOM0056]
Routine
Purpose:
With whom:
For when:
UW Health Clinic
1 S. Park St.
Madison, WI 53715
Phone: (608) 287-2000
Schedule Appointment at UW Health at The
American Center [NURCOM0056]
Routine
Purpose:
With whom:
For when:
UW Health at The American Center
4602 Eastpark Blvd
Madison, WI 53718
Page 5 of 5
Printed by WILLIAMS, HEATHER R [HRS0] at 10/17/2017 9:58:01 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
10/2017CCKM@uwhealth.org