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201609270

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RAD ONC - Lidocaine for Rectal Balloon [4597]

RAD ONC - Lidocaine for Rectal Balloon [4597] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, HOD, Radiation Oncology


SmartSet: RAD ONC - LIDOCAINE FOR RECTAL BALLOON (ID:4597)
General Information
Display name: RAD ONC - Lidocaine for Rectal Balloon
Type: General
Merge priority:
Version comment:
Content source:
Synonyms: 1. .RADONC
SmartSet notes:
Description:
Web information: Title URL
1.
Questionnaire:
Configuration
Lidocaine - Release Individual Orders Only if New Tube Needed
Lidocaine
lidocaine (XYLOCAINE JELLY) 2 % gel Other, PRN, rectal balloon for Radiation Oncology
treatment
Label tube with patient name and use for each
treatment. Release a new order if a replacement tube
is needed.
Document administration on MAR on the first
administration after the order released. Subsequent
administrations should be documented in the
Progress Notes.
Radiation Oncology
Page 1 of 2
Printed by STRAKA, KEVIN F [KFS1] at 9/26/2016 1:19:18 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 09/2016CCKM@uwhealth.org

lidocaine (XYLOCAINE JELLY) 2 % gel Other, PRN, rectal balloon for Radiation Oncology
treatment
Label tube with patient name and use for each
treatment. Release a new order if a replacement tube
is needed.
Document administration on MAR on the first
administration after the order released. Subsequent
administrations should be documented in the
Progress Notes.
Radiation Oncology
lidocaine (XYLOCAINE JELLY) 2 % gel Other, PRN, rectal balloon for Radiation Oncology
treatment
Label tube with patient name and use for each
treatment. Release a new order if a replacement tube
is needed.
Document administration on MAR on the first
administration after the order released. Subsequent
administrations should be documented in the
Progress Notes.
Radiation Oncology
Criteria
Suggestions:
Filter: UWIP ORDER SET RESTRICTOR - NOT TSC/MSC[3000407]
Restrict SmartSet:
Settings
Discontinue action:
Deselect sections for
Pended/Held orders:
Pended/Held orders
display:
Release date: Use System Definitions Setting
Disallow user override:
Page 2 of 2
Printed by STRAKA, KEVIN F [KFS1] at 9/26/2016 1:19:18 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2016CCKM@uwhealth.org