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OP - Urology Interstim I and II - Adult - Postoperative [3416]

OP - Urology Interstim I and II - Adult - Postoperative [3416] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Urology


OP - Urology Interstim I and II - Adult - Postoperative [3416]
for Adult Patients OnlyIntended
Post-Op/Phase II
Nursing Discharge Orders [101857]
Discontinue IV When Tolerating PO Prior to
Discharge [NURMON0060]
ONCE, Starting today For 1 Occurrences, Post-
Op/Phase II
Confirm Postoperative appointment for Interstim I
[NURCOM0022]
ONCE, Starting today For 1 Occurrences, RN to
confirm post op appointment with mid-level provider in
one week for wound check, prior to patient departure.
If appointment not made, then call surgery scheduler
at 263-1669 or 260-8753., Post-Op/Phase II
Confirm Postoperative appointment for Interstim
II [NURCOM0022]
ONCE, Starting today For 1 Occurrences, RN to
confirm post op appointment with mid-level provider
and RN for wound check and Interstim evaluation in
the next 1-2 weeks., Post-Op/Phase II
Prior to Discharge [219973]
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
Patient Must Void Prior to Discharge
[NURMON0081]
ONCE For 1 Occurrences, Routine, Post-Op/Phase II
Outpatient Discharge Orders
Activity/Return to Work - Interstim Stage I [101867]
Activity (No Restrictions) [NURACT0008] Routine
Discharge Activity: Up As Tolerated
Phase II Discharge
Lifting Restrictions [NURACT0011] Routine, No lifting greater than 15 pounds until after
Stage II
Sexual Activity [NURACT0011] Routine, No sexual activity between Stage I and
Stage II
Bathing Restrictions [NURACT0011] Routine, May sponge bathe. Do NOT shower. Keep
dressing clean and dry. No soaking in tubs, swimming
pools, etc.
Other Activity Restrictions [NURACT0011] Routine, May drive if not taking opioid pain
medication.
Activity/Return to Work - Interstim Stage II [102046]
Lifting Restrictions [NURACT0011] Routine, No lifting greater than 15 pounds for one
week.
Sexual Activity [NURACT0011] Routine, Resume sexual activity as tolerated
Bathing Restrictions [NURACT0011] Routine, May shower after 24 hours. Keep dressing
clean and dry. No soaking in tubs, swimming pools
until after post operative visit.
Other Activity Restrictions [NURACT0011] Routine, May drive if not taking narcotic pain
medication.
Nutrition [102047]
General Diet Without Restrictions [NUT8888] Routine
General: General (No Modifications)
Diet Modifications:
Other Diet Modifications:
Resume diet, prior to admission as tolerated
Page 1 of 2
Printed by LIND, JANNA S [JSL237] at 3/15/2017 9:31:31 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 03/2017CCKM@uwhealth.org

Wound Care [101868]
Wound Care [NURWND0015] Routine, Keep dressing on until seen back in clinic,
may reinforce gauze if needed.
Medication Instructions [91629]
Note: Date to resume NSAID (i.e. ibuprofen,
naproxen) anti-inflammatory medications and
aspirin-like products [NURCOM0052]
Routine, Note: No NSAID (i.e. ibuprofen, naproxen)
anti-inflammatory medications and aspirin-like
products for *** days
Note: Date to resume herbal medications and
supplements [NURCOM0052]
Routine, Note: No herbal medications and
supplements for *** days
Medications - Prescriptions - Anti-infectives [102115]
cephalexin (KEFLEX) 500 mg cap - 2x/d [44594] 500 mg, 10 cap, 0, starting 3/15/17 until 3/20/17,
Normal, Phase II Discharge
sulfamethoxazole-trimethoprim (BACTRIM DS)
800-160 MG per tab - NOTE: Order for patients
allergic to penicillin/cephalosporins [46804]
1 tab, 10 tab, 0, starting 3/15/17 until 3/20/17, Normal,
Phase II Discharge
Medications - Prescriptions - Analgesics - Acetaminophen [218872]
acetaMINOPHEN (TYLENOL) 325 mg tab - 2t
q4hprn [34149]
650 mg, 100 tab, 0, starting 3/15/17, Normal, Phase II
Discharge
Medications - Prescriptions - Analgesics - Opioid (Single Response) [102117]
hydrocodone-acetaMINOPHEN (NORCO) 5-325
mg per tab - 1-2t q4hprn #20 [71425]
1-2 tab, 20 tab, 0, starting 3/15/17, Normal, Phase II
Discharge
hydrocodone-acetaMINOPHEN (NORCO) 5-325
mg per tab - 1-2t q4hprn #30 [71425]
1-2 tab, 30 tab, 0, starting 3/15/17, Normal, Phase II
Discharge
Page 2 of 2
Printed by LIND, JANNA S [JSL237] at 3/15/2017 9:31:31 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 03/2017CCKM@uwhealth.org