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201710291

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Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Ambulatory,Transformations Surgery Center

TSC –General – Adult – Postoperative [5826]

TSC –General – Adult – Postoperative [5826] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Transformations Surgery Center


TSC - General - Adult - Postoperative [5826]
Post-Op/Phase II
Medications (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
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
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]
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
Page 1 of 4
Printed by WILLIAMS, HEATHER R [HRS0] at 10/17/2017 10:04:53 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org

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 [194340]
Bruising and swelling is common and may
increase before going away completely
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine
What to Expect - Other [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine
Activity [194341]
Do Not Drive [NURACT0008] Routine
Discharge Activity: See Instructions
You should not drink alcohol, drive, or operate
machinery for the next 24 hours and while taking
prescription (narcotic) pain medication., Phase II
Discharge
When Can You Shower [NURACT0008] Routine
Discharge Activity: See Instructions
You may shower in *** hours., Phase II Discharge
Bathing or Swimming [NURACT0008] Routine
Discharge Activity: See Instructions
Do not tub bath, swim, or whirlpool for *** days.,
Phase II Discharge
When Can You Return to Normal Activity
[NURACT0008]
Routine
Discharge Activity: See Instructions
Slowly increase your normal activity as you are able to
tolerate., Phase II Discharge
Lifting Instructions [NURACT0008] Routine
Discharge Activity: See Instructions
Do not lift more than *** pounds for *** days., Phase II
Discharge
Sports or Strenuous Activity [NURACT0008] Routine
Discharge Activity: See Instructions
No sports or strenuous activity for *** weeks., Phase
II Discharge
Avoid Sun Exposure [NURACT0008] Routine
Discharge Activity: See Instructions
Avoid sun exposure for *** weeks to surgical area(s).,
Phase II Discharge
Activity - Other [NURACT0008] Routine
Discharge Activity: See Instructions
Phase II Discharge
Diet [194342]
Page 2 of 4
Printed by WILLIAMS, HEATHER R [HRS0] at 10/17/2017 10:04:53 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org

Resume Diet [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications:
• Drink plenty of liquids when tolerated; slowly with
small amounts.
• Resume your usual diet when you are tolerating
liquids.
Diet - Other [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications:
Wound Care [194343]
When to Remove Dressings [NURWND0015] Routine, May remove dressings in *** hrs.
Dressing Care [NURWND0015] Routine, Keep the dressing clean and dry until
removed.
Apply Ice Packs [NURWND0015] Routine, Apply ice pack(s) to incisions for *** days.
J-P Drain Instructions [NURWND0080] Routine
Wound Care - Other [NURWND0015] Routine
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 [194344]
Medications at Home [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine
When to Call Your Surgeon [129009]
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.
• 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.
• 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]
Page 3 of 4
Printed by WILLIAMS, HEATHER R [HRS0] at 10/17/2017 10:04:53 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org

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
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 4 of 4
Printed by WILLIAMS, HEATHER R [HRS0] at 10/17/2017 10:04:53 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org