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/clinical/cckm-tools/content/order-sets/ambulatory/transplant/name-98526-en.cckm

201709258

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

OP - Vascular Access Surgery - Adult - Postoperative [2994]

OP - Vascular Access Surgery - Adult - Postoperative [2994] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Transplant


OP - Vascular Access Surgery - Adult - Postoperative [2994]
for Adult Patients OnlyIntended
PACU
Monitoring [208631]
Check Pulse [NURMON0008] EVERY 1 HOUR, Routine
Method: Doppler
Pulse Side:
Pulse Location: Radial
PACU
PostOp/Phase II
Monitoring [208633]
Check Pulse [NURMON0008] EVERY 1 HOUR, Routine
Method: Doppler
Pulse Side:
Pulse Location: Radial
Post-Op/Phase II
Analgesics - Opioids - Oral - PRN [93675]
oxycodone-acetaminophen (PERCOCET) 5-325
mg per tab [40668]
1 tab, Oral, ONCE For 1 Doses, Post-Op/Phase II
Prior to Discharge [92767]
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
Activity [92406]
Activity [NURACT0008] Routine
Discharge Activity: Other (Comment)
May resume normal activity 1 day after surgery. No
lifting greater than 10 pounds until 2 weeks after
surgery., Phase II Discharge
Nutrition [92407]
Resume Normal Diet as Tolerated [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications:
Resume normal diet as tolerated (low fat initially is
best).
Wound Care [92475]
Wound Care [NURWND0015] Routine, Routine, Monitor your incision for infection
such as redness, tenderness or drainage. Leave
bandage on for *** hours. If bandage becomes
soaked in the first 24 hours, call nurse triage. No
swimming or soaking in water unti lafter return
appointment. Okay to shower after 24 hours. Do NOT
use ointments, powders, or creams on the wound.
Remove Extremity from Sling Upon Arrival Home
[NURWND0018]
Routine
Elevate Extremity [NURACT0010] Routine, Routine, Elevate extremity on 2-3 pillows for
2-5 days or longer if swelling persists. Avoid bending
extremity or excessive movement.
Page 1 of 2
Printed by STRAKA, KEVIN F [KFS1] at 9/12/2017 3:21:17 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 09/2017CCKM@uwhealth.org

No Procedures on Operative Extremity
[NURCOM0022]
Routine, Routine, NO procedures on {RIGHT OR
LEFT:11304} arm and NO IV blood draws or blood
pressure checks on {RIGHT OR LEFT:11304} arm.
Medications - Prescriptions [93672]
oxycodone-acetaminophen (PERCOCET) 5-325
mg per tab - 1-2t q4h prn [40668]
1-2 tab, 5 tab, 0, starting 9/12/17, Normal, Phase II
Discharge
Medication Instructions [92487]
Do NOT Drive or Operate any Machinery While
Taking Narcotic Pain Medication [NURCOM0022]
Routine
Contingency Parameters [92476]
Notify Doctor [NURCOM0001] Routine, Regarding your fistula or graft:
The anesthesia should wear off in 6-12 hours. You
should be able to move your hand as anesthesia
wears off. Your pain should be controlled with the
prescribed pain medications. You should contact your
doctor if:
- you have severe pain in your hand or arm that is
not relieved with the prescribed pain medications.
- your hand is cold and blue.
- you cannot move your hand after the anesthesia
wears off.
You may always go to the Emergency Department for
evaluation to get an examination.
In general, call your doctor for nausea or vomiting
lasting more than 24 hours; if you have not had a
bowel movement in 3 days; if temperature above
100.4 degrees F by mouth; excess swelling or
bleeding; increased redness and/or warmth at the
incision site; pus-like drainage; pain not relieved by
pain pills; rapid or excess bruising (some bruising is
normal); sudden shortness of breath or cough, and/or
ongoing bleeding at the incision site.
During the daytime, you can call the Vascular Access
clinic at 608.262.5420. After hours, you will be
transferred to the main operator and you can ask for
the transplant surgery resident on call. The main
hospital operator is 608.263.6400.
Follow-Up Appointment [92488]
Patient to Schedule Appointment [NURCOM0056] Routine
Purpose: Postoperative evaluation
With whom: ***
For when: 2 weeks after surgery
Page 2 of 2
Printed by STRAKA, KEVIN F [KFS1] at 9/12/2017 3:21:17 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2017CCKM@uwhealth.org