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/clinical/cckm-tools/content/order-sets/inpatient/bmtoncologyhematology/name-97850-en.cckm

201711307

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,BMT/Oncology/Hematology

IP - Fever and Neutropenia - Pediatric - Admission [1320]

IP - Fever and Neutropenia - Pediatric - Admission [1320] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, BMT/Oncology/Hematology


IP - Fever and Neutropenia - Pediatric - Admission [1320]
for Pediatric Patients Only""Intended
Admission Status
Level of Care (Single Response) [186484]
*An admit patient order has already been written, but the level of care at which the patient
should be placed still needs to be identified.
Place Patient on General Care [ADT0018] General Care, has already been signed. This order
will ensure that the patient is placed at the appropriate
level of care.
Place Patient on Intermediate Care (IMC)
[ADT0018]
Intermediate Care, has already been signed. This
order will ensure that the patient is placed at the
appropriate level of care.
Place Patient on Intensive Care (ICU) [ADT0018] Intensive Care, has already been signed. This order
will ensure that the patient is placed at the appropriate
level of care.
Admit to Inpatient (Single Response) [188296]
Admit To Inpatient [ADT0001] Attending:
Admitting Resident:
Requested Floor:
Service:
I certify that an inpatient stay is medically necessary
because of either an anticipated LOS >2 midnights,
complexity and/or severity of illness, an inpatient-
only surgery, or a previously-authorized inpatient
stay. Rationale listed below. Yes
C - CLEAR DIAGNOSIS:
E - EVALUATIONS PLANNED:
R - RESULTS EXPECTED:
T - TREATMENTS ORDERED:
Admit to Observation (Single Response)
[188297]
Admit To Observation [ADT0002] Attending:
Admitting Resident:
Requested Floor:
Service:
Admit to Outpatient Short Stay (Single
Response) [188298]
Admit To Outpatient Short Stay [ADT0003] Attending:
Admitting Resident:
Requested Floor:
Service:
Admission Status (Single Response) [112139]
Admit To Inpatient Status [ADT0001] Attending:
Admitting Resident:
Requested Floor: P4
Service:
Rationale for LOS greater than 2 midnights:
Admit To Observation Status [ADT0002] Attending:
Admitting Resident:
Requested Floor:
Service:
Admit To Outpatient Short Stay [ADT0003] Attending:
Admitting Resident:
Requested Floor:
Service:
Page 1 of 10
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Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org

Admission Status (Single Response) [82665]
Admit To Inpatient [ADT0001] Attending:
Admitting Resident:
Requested Floor:
Service:
I certify that an inpatient stay is medically necessary
because of either an anticipated LOS >2 midnights,
complexity and/or severity of illness, an inpatient-only
surgery, or a previously-authorized inpatient stay.
Rationale listed below. Yes
C - CLEAR DIAGNOSIS:
E - EVALUATIONS PLANNED:
R - RESULTS EXPECTED:
T - TREATMENTS ORDERED:
Admit To Observation [ADT0002] Attending:
Admitting Resident:
Requested Floor:
Service:
Admit To Outpatient Short Stay [ADT0003] Attending:
Admitting Resident:
Requested Floor:
Service:
Isolation Status
If patient requires Isolation, please search for isolation in the additional orders section below.
Isolation [126898]
Isolation - Protective Precautions - Panel
[116356]
Protective Precautions [ISO0001] CONTINUOUS
Reason for Protective Precautions:
Protective - Positive Pressure Room
[NURCOM0109]
CONTINUOUS
Patient Care Orders
Vital Signs [17386]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today For Until specified,
Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every 15 minutes times 4, then every 2 hours times 6,
then every 4 hours.
Activity [17387]
Ad Lib [NURACT0008] CONTINUOUS, Starting today For Until specified,
Routine
AD LIB: ad lib
AMBULATE:
CHAIR:
DANGLE:
BEDREST:
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Page 2 of 10
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Nutrition [24572]
SetSupplemental" Order -Pediatric -to "Parenteral Nutrition Refer
Low Microbial Diet [NUT9999] EFFECTIVE NOW, Starting today, Routine
Patient Type: Pediatric
Diet Type: Diet Modifications
Diet Modifications: Neutropenic
Bedside Meal Instructions:
Room Service Class:
Patient Approved for Additional Menu Items
[DIE0010]
Patient may order food items from UWHC café or
Mendota Market?
Patient may order regular soda or other sugar-
sweetened beverages?
Routine, CONTINUOUS
Respiratory [17389]
Pulse Oximetry - STAT [NURMON0009] ONCE, Starting today For 1 Occurrences, STAT
Pulse Oximetry [NURMON0009] SEE COMMENTS, Starting today with First
Occurrence As Scheduled For Until specified, Routine,
Every 15 minutes times 4, then every 2 hours times 6,
then every 4 hours.
Oxygen Therapy [RT0032] CONTINUOUS, Starting today For Until specified,
Routine
FiO2 (%) Titrate to Keep Sats >/= to ___%:
Liter Flow:
Titrate oxygen to maintain O2 sat at (%):
O2 Delivery Device:
Attempt to Wean Off Oxygen?
Intake and Output [17391]
Measure Intake And Output [NURMON0005] EVERY 4 HOURS, Starting today For Until specified,
Routine
Oral Care [129501]
Oral Care [NURCOM0022] CONTINUOUS, Starting today, Brush teeth with
Biotene toothpaste on a soft toothbrush for 90
seconds twice a day. Replace toothbrush weekly.
Rinse mouth with 15-30 mL of normal saline after
brushing. Swish and spit vigorously four times a day.
Give new bottle of saline every day. If patient unable
to tolerate normal saline, may use sterile water.
Perform lip care twice per day.
Skin Care [225309]
Chlorhexidine Gluconate (CHG) treatment
[NURCOM0022]
1X DAILY
Central Line Care [24574]
Maintain PICC [NURVAD0050] CONTINUOUS, Routine
Device Status: Ready For Use
Site:
PICC Secured With:
Flush With(Must also enter separate medication order
to obtain drug): Heparinized Saline
Site Assessment Frequency: EVERY 8 HOURS
Page 3 of 10
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Maintain Tunneled Central Venous Catheter
[NURVAD0003]
CONTINUOUS, Routine
Device Status: Ready For Use
Type: Hickman
Site:
Location:
Flush With(Must also enter separate medication order
to obtain drug): Heparinized Saline (Every 24 hours or
after each use)
Site Assessment Frequency: EVERY 8 HOURS
Maintain Central Implanted Port [NURVAD0005] CONTINUOUS, Routine
Device Status: Ready For Use
Type:
Site:
Maintain catheter, site, and dressing per Nursing and
Patient Care Policy, 1.56 AP - Central Vascular
Access Device Use, Maintenance and Removal (Adult
& Pediatric).
Non-Categorized Patient Care Orders [17392]
Measure Weight [NURMON0015] 1X DAILY, Starting today For Until specified, Routine
Weigh With?
Weigh when? AM
Measure Height - On Admission [NURMON0052] ONCE For 1 Occurrences, Routine, On Admission
Contingency Parameters [17396]
Notify Provider [NURCOM0001] Provider to Notify: Provider
If systolic blood pressure > (mmHg): ***
If systolic blood pressure < (mmHg): ***
If diastolic blood pressure > (mmHg): ***
If diastolic blood pressure < (mmHg): ***
If temperature > (C): ***
If temperature < (C):
If heart rate > (bpm): ***
If heart rate < (bpm): ***
If respiratory rate >: ***
If respiratory rate <: ***
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%): *** % on 3 Liters/minute with
nasal cannula
If urine output < (mL):
Other: Oxygen is initiated,Signs of blood pressure
instability, tachycardia or other signs of impending
shock,Sodium Chloride 0.9% bolus has been
administered,Patient has voided for the 1st time after
admission
Intravenous Therapy
Premedication for Needle Insertion - Must Choose One [126899]
Medications [152737]
Page 4 of 10
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Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org

lidocaine (LMX) 4% topical dressing kit [66882] Topical, EVERY 1 HOUR PRN, prior to needle sticks
to reduce pain. See "LMX Use Instructions" order in
Active Orders report or the Admin Instructions for
application details
FOR PATIENTS 5 Kg OR LESS: Do NOT apply to
area greater than 100 square centimeters.
(maximum 1 g/site; maximum 1 site per hour, 6
times per day).
FOR PATIENTS 5.1-10 Kg: Do NOT apply to area
greater than 100 square centimeters. (maximum 1
g/site; maximum 2 sites per hour, 6 times per day).
FOR PATIENTS GREATER THAN 10 Kg: Do NOT
apply to area greater than 200 square centimeters.
(maximum 2.5 g/site; maximum 4 sites per hour, 6
times per day).
For patients less than 1 year old do NOT leave on
longer than 1 hour. For patients 1 year or older do
NOT leave on longer than 2 hours
LMX Use Instructions for Premedication Prior to
Needle Insertion [NURCOM0095]
Details
IV Fluids [19300]
sodium chloride 0.9% BOLUS - NOTE:
Suggested dose 10 mL/kg/dose [730003]
10 mL/kg, Intravenous, PRN For 3 Doses, blood
pressure less than *** mmHG.
Give over 10-15 minutes
dextrose 5%-NaCl 0.2% infusion - NOTE:
Suggested dose 1.5-2 x maintenance rate or 125
mL/m2 [51615]
Intravenous, CONTINUOUS
Via alternate lumen to facilitate easier administration
of antibiotic administration
NOTE: Suggested dose 1.5-2 x maintenance rate or
125 mL/m2
dextrose 5%-NaCl 0.45% infusion - NOTE:
Suggested dose 1.5-2 x maintenance rate or 125
mL/m2 [51613]
Intravenous, CONTINUOUS
Via alternate lumen to facilitate easier administration
of antibiotic administration
NOTE: Suggested dose 1.5-2 x maintenance rate or
125 mL/m2
Medications - Anti-infectives
Management of Fever and Neutropenia - Pediatric
- Inpatient/Ambulatory/Emergency Department -
Clinical Practice Guideline
URL: https://uconnect.wisc.edu/clinical/cckm-
tools/content/cpg/oncology/name-116777-
en.cckm
Anti-Pseudomonal Coverage [126900]
cefepime (MAXIPIME) intraVENOUS [800016] 50 mg/kg, Intravenous, EVERY 8 HOURS
Administer after blood cultures are obtained and within
1 hour of admission. Ordering MD please notify
pharmacy of STAT antibiotic request. Please use last
weight obtained within 30 days for dosing. NOTE:
Give first dose STAT - suggested dose 50 mg/kg/dose
(Maximum 2 g/dose)
piperacillin-tazobactam (ZOSYN) intraVENOUS -
NOTE: choose for patient with suspected intra-
abdominal source or those with suspected
anaerobic infection [800074]
100 mg/kg, Intravenous, EVERY 6 HOURS
Administer after blood cultures are obtained and within
1 hour of admission. Ordering MD please notify
pharmacy of STAT antibiotic request. Please use last
weight obtained within 30 days for dosing. NOTE:
Give first dose STAT - suggested dose 100
mg/kg/dose (Maximum 3.375 g/dose)
Page 5 of 10
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Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
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meropenem (MERREM) intraVENOUS - NOTE:
choose for patients with history of multidrug-
resistant organisms [800055]
20 mg/kg, Intravenous, EVERY 8 HOURS For 96
Hours
Administer after blood cultures are obtained and within
1 hour of admission. Ordering MD please notify
pharmacy of STAT antibiotic request. Please use last
weight obtained within 30 days for dosing. NOTE:
Give first dose STAT - suggested dose 20 mg/kg/dose
(Maximum 1000 mg/dose)
aztreonam (AZACTAM) intraVENOUS - NOTE:
choose for patients with a severe, non-IgE
mediated reaction or an IgE-mediated beta-
lactam allergy to beta-lactam antibiotics. Must
order concurrent intravenous vancomycin.
[800013]
30 mg/kg, Intravenous, EVERY 8 HOURS For 96
Hours
Administer after blood cultures are obtained and within
1 hour of admission. Ordering MD please notify
pharmacy of STAT antibiotic request. Please use last
weight obtained within 30 days for dosing. NOTE:
Give first dose STAT - suggested dose 30
mg/kg/dose. Maximum dose 2 g/dose
tobramycin (NEBCIN) intraVENOUS - NOTE: add
to cefipime or meropenem in clinically unstable
patients or patients with a history of carbapenem-
resistant organisms [800081]
4 mg/kg, Intravenous, EVERY 12 HOURS
Administer after blood cultures are obtained and within
1 hour of admission. Ordering MD please notify
pharmacy of STAT antibiotic request. Please use last
weight obtained within 30 days for dosing. NOTE:
Give first dose STAT - suggested dose 4 mg/kg/dose
Gram-Positive Coverage (Single Response) [19041]
vancomycin (VANCOCIN) intraVENOUS - NOTE:
Add if patient is receiving aztreonam, is clinically
unstable, has acute myeloid leukemia, has a
history of methicillin-resistant Staphylococcus
aureus or beta-lactam-resistant Streptococcus
spp., or has received high-dose cytarabine.
Consider adding vancomycin if the patient has
grade 3 or 4 mucositis, hospital-acquired
pneumonia, concern for skin and soft tissue
infection, or concern for catheter-releated
infection. [800084]
15 mg/kg, Intravenous, EVERY 6 HOURS
Administer after blood cultures are obtained and within
1 hour of admission. Ordering MD please notify
pharmacy of STAT antibiotic request. Please use last
weight obtained within 30 days for dosing. NOTE:
Give first dose STAT - suggested dose 15
mg/kg/dose. Maximum dose 2 g/dose.
maxium concentration: peripheral 5 mg/mL: Central
line 10 mg/mL
Anaerobic Coverage (Single Response) [232598]
metRONIDazole (FLAGYL) intraVENOUS -
NOTE: Add to cefepime if anaerobic infection
(e.g., typhlitis) is suspected. [800062]
10 mg/kg, Intravenous, EVERY 8 HOURS
Administer after blood cultures are obtained and within
1 hour of admission. Ordering MD please notify
pharmacy of STAT antibiotic request. Please use last
weight obtained within 30 days for dosing. NOTE:
Give first dose STAT - suggested dose 10
mg/kg/dose. Maximum dose 500 mg/dose
Medications - General
Steroids - Stress dose [19303]
hydrocortisone sodium succinate injection -
NOTE: Suggested dose 1 mg/kg/dose (Maximum
100 mg/dose) [800189]
1 mg/kg, Intravenous, EVERY 8 HOURS For 48 Hours
NOTE: Suggested dose 1 mg/kg/dose (Maximum 100
mg/dose)
Sucrose for Oral Analgesia [110384]
sucrose (SWEET-EASE) 24% buccal soln
[794009]
Oral, PRN, pain, mild pain or potentially painful
procedures. See Admin Instructions
Laboratory
STAT [17397]
Page 6 of 10
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CBC WITH DIFFERENTIAL [CBC] STAT - RN COLLECT, Starting today For 1
Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
ELECTROLYTES [LYTE] STAT - RN COLLECT For 1 Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
GLUCOSE [GLU] STAT - RN COLLECT For 1 Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
BUN [BUN] STAT - RN COLLECT For 1 Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CREATININE [CRET] STAT - RN COLLECT For 1 Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CALCIUM [CA] STAT - RN COLLECT For 1 Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
MAGNESIUM [MAG] STAT - RN COLLECT, Starting today For 1
Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PHOSPHATE [PHOS] STAT - RN COLLECT, Starting today For 1
Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PROTHROMBIN TIME/INR [PT] STAT - RN COLLECT, Starting today For 1
Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PTT [PTT] STAT - RN COLLECT, Starting today For 1
Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
FIBRINOGEN [GM1320] STAT - RN COLLECT, Starting today For 1
Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CULTURE, BLOOD, BACTERIA/YEAST (2
SITES) [116728]
.Practices for Blood Culturing Best This order equals 2 sites (4 bottles). See link below for
Page 7 of 10
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CULTURE, BLOOD, BACTERIA AND YEAST
[GM4045]
STAT - RN COLLECT, Starting today For 1
Occurrences, Routine, For optimum diagnosis of
sepsis, sample 3-4 sites only on the first day of a
septic episode. Cultures on subsequent days are of
minimal diagnostic value. Culture detects bacteria,
Candida and Cryptococcus. If filamentous fungi are
suspected see Culture, Blood, Filamentous Fungi.
Patient's Active Lines:
No Active Lines Found.
If Conditional, What Condition?
CULTURE, BLOOD, BACTERIA AND YEAST
[GM4045]
STAT - RN COLLECT, Starting today For 1
Occurrences, Routine, For optimum diagnosis of
sepsis, sample 3-4 sites only on the first day of a
septic episode. Cultures on subsequent days are of
minimal diagnostic value. Culture detects bacteria,
Candida and Cryptococcus. If filamentous fungi are
suspected see Culture, Blood, Filamentous Fungi.
Patient's Active Lines:
No Active Lines Found.
If Conditional, What Condition?
Conditional 48 Hours After Initial Blood Culture if Initial Blood Cultures Were Positive [17398]
CULTURE, BLOOD, BACTERIA AND YEAST
[GM4045]
CONDITIONAL - RN COLLECT For 4 Occurrences,
Routine, For optimum diagnosis of sepsis, sample 3-4
sites only on the first day of a septic episode. Cultures
on subsequent days are of minimal diagnostic value.
Culture detects bacteria, Candida and Cryptococcus.
If filamentous fungi are suspected see Culture, Blood,
Filamentous Fungi.
Patient's Active Lines:
No Active Lines Found.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? 48 hours after initial
blood culture if initial blood cultures were positive.
CULTURE, BLOOD, BACTERIA AND YEAST
[GM4045]
CONDITIONAL - RN COLLECT For 4 Occurrences,
Routine, For optimum diagnosis of sepsis, sample 3-4
sites only on the first day of a septic episode. Cultures
on subsequent days are of minimal diagnostic value.
Culture detects bacteria, Candida and Cryptococcus.
If filamentous fungi are suspected see Culture, Blood,
Filamentous Fungi.
Patient's Active Lines:
No Active Lines Found.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? 48 hours after initial
blood culture if initial blood cultures were positive.
48 hours after initial blood culture if initial blood
cultures were positive.
With First Void [17399]
Page 8 of 10
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Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org

URINALYSIS, WITHOUT MICROSCOPY
[UACHEM]
ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CULTURE, URINE WITH GRAM STAIN
[HCURNCS]
ONCE, Starting today For 1 Occurrences, Routine
Does patient have an indwelling urinary catheter?
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Clean catch midstream with first void.
Tomorrow AM [17400]
CBC WITH DIFFERENTIAL [CBC] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
ELECTROLYTES [LYTE] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
GLUCOSE [GLU] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
BUN [BUN] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CREATININE [CRET] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CALCIUM [CA] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Therapeutic Drug Levels/Toxicology - Unit pharmacist will schedule [19043]
Note: Draw Drug Level - Vancomycin - trough
level to be drawn prior to fourth dose (Pharmacy
to schedule) [950003]
ONCE For 1 Doses
Vancomycin - trough level to be drawn prior to fourth
dose (Pharmacy to schedule)
Tests
Tests [186485]
Type and Screen - Week 1 [HCTS] CONDITIONAL - RN COLLECT, Starting tomorrow
For 7 Days, Routine, As good clinical practice and for
patient safety, the Transfusion Service will
automatically crossmatch 2 packed RBCs on all
patients with antibodies to ensure blood would be
available in the event it is needed. If you would like to
opt out of this automatic order for this patient please
contact the UWHC Blood Bank at (608) 263-8367 or
The American Center Lab at (608) 234-6600 as
appropriate.
Page 9 of 10
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Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org

Type and Screen - Week 2 [HCTS] CONDITIONAL - RN COLLECT, Starting 11/6/17 For
7 Days, Routine, As good clinical practice and for
patient safety, the Transfusion Service will
automatically crossmatch 2 packed RBCs on all
patients with antibodies to ensure blood would be
available in the event it is needed. If you would like to
opt out of this automatic order for this patient please
contact the UWHC Blood Bank at (608) 263-8367 or
The American Center Lab at (608) 234-6600 as
appropriate.
Consults
Consults [17401]
Consult Pediatric Inf Disease (Inpatient)
[CON0096]
ONCE
Intent:
Concern or Specific Question or Task to be Addressed
(Symptom, Sign, or Diagnosis):
Can this consult be done via video?
Call back number:
Consult Pediatric Health Psychology (Inpatient)
[CON0202]
ONCE, Routine, Please notify consulting provider if
patient needs to be seen same day (Monday-Friday)
or if special assessment needs.
Reason for Consult:
Can this consult be done via video?
Consult Occupational Therapy (Inpatient) Eval
and Treat [CON0046]
ONCE, Starting today For 1 Occurrences, Routine
Reason for Occupational Therapy Consult:
Consult Physical Therapy (Inpatient) Eval and
Treat [CON0061]
ONCE, Starting today For 1 Occurrences, Routine
Reason for Physical Therapy Consult:
Consult Child Life Specialist (Inpatient)
[CON0014]
ONCE, Routine
Activity Level:
Reason for Consult:
Can this consult be done via video?
Consult School [CON0153] ONCE, Routine, The consulting provider needs to be
verbally notified of this order. A link to Web Paging is
available below.
Reason for Consult:
Can this consult be done via video?
Consult Nutrition (Inpatient) [CON0043] ONCE, Routine
Reason for Consult:
Delegate to Initiate and Manage Tube Feeding:
Delegate to Manage Diet Order/Supplement Order:
Delegate to Dysphagia Diet Order Progression:
Can this consult be done via video?
Consult Social Work (Inpatient) [CON0076] ONCE, Routine
Reason for Consult:
Is this a STAT consult?
Can this consult be done via video?
Consult Spiritual Care (Inpatient) [CON0056] ONCE, Routine
Reason for Consult:
Can this consult be done via video?
BestPractice
No Hospital Problems have yet been identified. [107035]
Specify Hospital Problem(s) [COR0018] You will be prompted to specify a hospital problem on
signing.
Page 10 of 10
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Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org