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/clinical/cckm-tools/content/order-sets/inpatient/cardiologyct-surgery/name-98392-en.cckm

201712349

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Cardiology/CT Surgery

IP - Cardiac Surgery - Adult - Postoperative [2821]

IP - Cardiac Surgery - Adult - Postoperative [2821] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Cardiology/CT Surgery


IP - Cardiac Surgery - Adult - Postoperative [2821]
for Adult Patients OnlyIntended
Admission Status
Level of Care (Single Response) [187519]
*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 [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:
Post-Op/Phase II
Admit to Observation (Single Response)
[188297]
Admit To Observation [ADT0002] Attending:
Admitting Resident:
Requested Floor:
Service:
Post-Op/Phase II
Admit to Outpatient Short Stay (Single
Response) [188298]
Admit To Outpatient Short Stay [ADT0003] Attending:
Admitting Resident:
Requested Floor:
Service:
Post-Op/Phase II
Admission Status [95802]
Admit To Inpatient [ADT0001] Attending:
Admitting Resident:
Requested Floor:
Service: CARDIAC SURGERY
Rationale for LOS greater than 2 midnights:
Post-Op/Phase II
Admission Status [125996]
Page 1 of 26
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12/2017CCKM@uwhealth.org

Admit To Inpatient [ADT0001] Attending:
Admitting Resident:
Requested Floor:
Service: CARDIAC SURGERY
Rationale for LOS greater than 2 midnights:
Post-Op/Phase II
Admit To Observation [ADT0002] Service: CARDIAC SURGERY
Post-Op/Phase II
Admit To Outpatient Short Stay [ADT0003] Service: CARDIAC SURGERY
Post-Op/Phase II
Venous Thromboembolism (VTE) Prophylaxis
VTE Prophylaxis (Single Response) [144143]
Caprini VTE Risk Assessment URL: https://uconnect.wisc.edu/clinical/cckm-
tools/content/cpg/hematology-and-
coagulation/related/name-97521-en.cckm
High VTE Risk with Low Bleed Risk [130117]
enoxaparin (LOVENOX) subcutaneous injection
[800040]
40 mg, Subcutaneous, EVERY 24 HOURS, Post-
Op/Phase II
heparin subcutaneous injection [800290] 5,000 units, Subcutaneous, EVERY 12 HOURS,
Post-Op/Phase II
heparin subcutaneous injection [800290] 5,000 units, Subcutaneous, EVERY 8 HOURS
Starting tomorrow at 6:00 AM
Begin Postoperative Day 1
Post-Op/Phase II
Sequential Compression Device (SCD)
(TREATMENT) [NURTRT0028]
CONTINUOUS, Routine
Left/Right/Bilateral? Bilateral
Sequential Compression Device (SCD) / Foot
Pump (SUPPLY) [EQP0023]
CONTINUOUS, Routine
Left/Right/Bilateral?
Type: Knee High
Apply and Maintain Anti-Embolism Stocking
[NURTRT0039]
CONTINUOUS, Routine
Does this need to be inserted/placed?
Left/Right/Bilateral? Bilateral
Type: Knee high
Post-Op/Phase II
High VTE Risk with High Bleed Risk [129757]
Sequential Compression Device (SCD)
(TREATMENT) [NURTRT0028]
CONTINUOUS, Routine
Left/Right/Bilateral? Bilateral
Sequential Compression Device (SCD) / Foot
Pump (SUPPLY) [EQP0023]
CONTINUOUS, Routine
Left/Right/Bilateral?
Type: Knee High
Apply and Maintain Anti-Embolism Stocking
[NURTRT0039]
CONTINUOUS, Routine
Does this need to be inserted/placed?
Left/Right/Bilateral? Bilateral
Type: Knee high
Post-Op/Phase II
No VTE Prophylaxis [130084]
VTE Prophylaxis - Reason Not Ordered
[COR0008]
ONCE, Routine
Reason Not Ordered:
Post-Op/Phase II
VTE Prophylaxis (Single Response) [150210]
Caprini VTE Risk Assessment URL: https://uconnect.wisc.edu/clinical/cckm-
tools/content/cpg/hematology-and-
coagulation/related/name-97521-en.cckm
High VTE Risk with Low Bleed Risk [130117]
Page 2 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

enoxaparin (LOVENOX) subcutaneous injection
[800040]
40 mg, Subcutaneous, EVERY 24 HOURS, Post-
Op/Phase II
heparin subcutaneous injection [800290] 5,000 units, Subcutaneous, EVERY 12 HOURS,
Post-Op/Phase II
heparin subcutaneous injection [800290] 5,000 units, Subcutaneous, EVERY 8 HOURS
Starting tomorrow at 6:00 AM
Begin Postoperative Day 1
Post-Op/Phase II
Sequential Compression Device (SCD)
(TREATMENT) [NURTRT0028]
CONTINUOUS, Routine
Left/Right/Bilateral? Bilateral
Sequential Compression Device (SCD) / Foot
Pump (SUPPLY) [EQP0023]
CONTINUOUS, Routine
Left/Right/Bilateral?
Type: Knee High
Apply and Maintain Anti-Embolism Stocking
[NURTRT0039]
CONTINUOUS, Routine
Does this need to be inserted/placed?
Left/Right/Bilateral? Bilateral
Type: Knee high
Post-Op/Phase II
High VTE Risk with High Bleed Risk [129757]
Sequential Compression Device (SCD)
(TREATMENT) [NURTRT0028]
CONTINUOUS, Routine
Left/Right/Bilateral? Bilateral
Sequential Compression Device (SCD) / Foot
Pump (SUPPLY) [EQP0023]
CONTINUOUS, Routine
Left/Right/Bilateral?
Type: Knee High
Apply and Maintain Anti-Embolism Stocking
[NURTRT0039]
CONTINUOUS, Routine
Does this need to be inserted/placed?
Left/Right/Bilateral? Bilateral
Type: Knee high
Post-Op/Phase II
No VTE Prophylaxis [130084]
VTE Prophylaxis - Reason Not Ordered
[COR0008]
ONCE, Routine
Reason Not Ordered:
Post-Op/Phase II
Procedure
For Transapical TAVI Patients Only [135476]
Transapical TAVI [135439]
TROPONIN [GM2447] EVERY 2 HOURS, Starting today For 3
Occurrences, Routine
If add on test, what should lab do if unable to add
test to previous specimen?
If Conditional, What Condition?
Draw for three occurrences or until peak, Post-
Op/Phase II
clopidogrel (PLAVIX) tab [720168] 75 mg, Oral, 1 X DAILY, Post-Op/Phase II
aspirin chew tab [720164] 81 mg, Oral, 1 X DAILY Starting today with First
Dose Include Now
Administer first dose STAT
Post-Op/Phase II
Notify Provider [NURCOM0001] Location:
Notify based on:
Notify provider: chest pain, rhythm change, failure to
sense, hematoma or bleeding at puncture site,
change in neurovascular exam or affected extremity
including pain, cool/cold to touch, numbness or
tingling, Post-Op/Phase II
Page 3 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Wound Care [NURWND0015] CONTINUOUS, Routine
Wound Type: Closed - Incision
Wound Site: Chest
Wound Location:
Assess Frequency: (See Comments)
Care Frequency: 1X DAILY
Wash With: Soap and Water
Irrigate/Rinse With: Other (Comment)
Apply (Must also enter separate medication order to
obtain drug):
Primary Dressing: Gauze
Secondary Dressing:
Assess frequency every 15 minutes x 4, then every
30 minutes x 4, then every 1 hour x 4, then every 4
hours, Post-Op/Phase II
Transthoracic Resting Echocardiogram
[ECH0003]
ONCE, Starting 12/17/17 For 1 Occurrences,
Routine
Reason for exam: TAVI
Do you want Agitated Bubble Study?
Is patient mechanically ventilated?
Is patient ICU status?
Does patient need continuous monitoring?
Patient Care Orders
Vital Signs [192469]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every 15 minutes times 4, then every 30 minutes
times 4, then every hour while on ICU status. Every 4
hours while on intermediate care (IMC) or general
care status., Post-Op/Phase II
Patient Monitoring [87681]
Measure Arterial Line [NURMON0060] CONTINUOUS, Starting today For Until specified,
Post-Op/Phase II
Page 4 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Measure Hemodynamic Parameters
[NURMON0023]
CONTINUOUS, Starting today, Routine
Pulmonary Artery Systolic Pressure (mmHg): Other
(Comment)
Pulmonary Artery Diastolic Pressure (mmHg): Other
(Comment)
Pulmonary Artery Mean Pressure (mmHg): Other
(Comment)
Pulmonary Artery Wedge Pressure (mmHg):
Central Venous Pressure (mmHg): Other (Comment)
Central Venous Pressure (mmH2O):
Cardiac Output: Every 4 hours
Cardiac Output Method: Thermodilution
Cardiac Index: Every 4 hours
Systemic Vascular Resistance: Every 4 hours
Pulmonary Vascular Resistance: Every 4 hours
Pulmonary Vascular Resistance Index:
Stroke Volume (mL/beat):
Stroke Volume Index:
Systemic Vascular Resistance Index:
Left Cardiac Work Index:
Right Cardiac Work Index:
Left Ventricular Stroke Work Index:
Right Ventricular Stroke Work Index:
Pulmonary Capillary Wedge Pressure (mmHg):
Measure with FloTrac? No
Every 15 minutes times 4, then every 30 minutes
times 4, then every hour. If no Drip every 2 hours.,
Post-Op/Phase II
Cardiac Rhythm Monitoring - Adult
[NURMON0010]
CONTINUOUS, Routine
Indication: Post cardiac surgery (72 hours)
Notify Provider:
Functional Cardiac Defibrillator Present:
Post-Op/Phase II
Activity [192470]
Activity Bedrest While Intubated [NURACT0008] SEE COMMENTS, Starting today For 1 Weeks,
Routine
AD LIB:
AMBULATE:
CHAIR:
DANGLE:
BEDREST: strict bedrest
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Increase activity to dangle once patient is extubated.,
Post-Op/Phase II
Elevate Head Of Bed Unless Chest Is Open
[NURACT0002]
Equal to (degrees): 30
Greater than (degrees):
Less than (degrees):
Other options:
Routine, CONTINUOUS, Starting today, Post-
Op/Phase II
High Fowler's Position During Weaning
[NURACT0011]
CONTINUOUS, Starting today, Post-Op/Phase II
Page 5 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
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12/2017CCKM@uwhealth.org

Dangle With Leg Extension Exercises After
Extubation [NURACT0008]
CONTINUOUS, Starting today, Routine
AD LIB:
AMBULATE:
CHAIR:
DANGLE: 3x daily
BEDREST:
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Once extubated, increase activity to dangle., Post-
Op/Phase II
Activity Chair [NURACT0008] CONTINUOUS, Routine
AD LIB:
AMBULATE:
CHAIR: 3x daily
DANGLE:
BEDREST:
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
To chair if tolerate dangling, Post-Op/Phase II
Activity Ambulate [NURACT0008] CONTINUOUS, Routine
AD LIB:
AMBULATE: 4x daily
CHAIR:
DANGLE:
BEDREST:
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Once pulmonary catheter is removed, Post-Op/Phase
II
Reposition Patient [NURACT0005] Type:
Routine, SEE COMMENTS, Starting today, Every 2
hours., Post-Op/Phase II
Sternal Precautions [PRECAU0010] CONTINUOUS, Starting today, Routine, Sternal
Precautions:
No lifting greater than 8 pounds.
No pushing/pulling with arms during transfers.
No shoulder elevation past 90 degrees., For
Transcatheter Aortic Valve Replacement (TAVR)
patients: No lifting greater than 10 pounds for 2
weeks., Post-Op/Phase II
Nutrition [87684]
Page 6 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
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12/2017CCKM@uwhealth.org

NPO except Medications [NUT9999] EFFECTIVE NOW, Starting today, Routine
Patient Type: Adult
Diet Type: NPO
NPO: NPO except Medications
Bedside Meal Instructions:
Room Service Class:
Restrict IV fluids/medications to 2,000 mLs/24H., Post-
Op/Phase II
Respiratory [87685]
Respiratory Therapy per Protocol [RT0035] Routine
Protocol Type:
FiO2 100%, Post-Op/Phase II
Mechanical Ventilation - Adult [192471]
Provide Manual Resuscitator at Bedside
[RT0039]
CONTINUOUS, Routine, Post-Op/Phase II
Mechanical Ventilation [RT0028] Routine, For ADULT patients order chlorihexidene
gluconate (PERIDEX) 0.12% soln 15 mL to swab
oral cavity 2x daily while on ventilation.
Ventilator Management: Per MD
Wean: Per Cardiothoracic Surgery Algorithm
Mode:
Set Rate/Min:
Tidal Volume Multiplier: 6
PEEP (cmH2O):
FiO2 (%) Titrate to Keep Sats >/= to ___%:
Pressure Support:
Pressure Control:
P High (cmH20):
P Low (PEEP) (cmH20):
T High (sec):
T Low (T PEEP) (sec):
PS above P High (cmH2O):
PS above PEEP (cmH2O):
NAVA Level (µV):
Refer to Cardiac Surgery, Transplant, and VAD Early
Extubation Algorithm, Post-Op/Phase II
chlorhexidine (PERIDEX) 0.12 % soln
MULTIDOSE [792004]
15 mL, Mouth/Throat, 2 X DAILY Starting today
Use to swab oral cavity. Discontinue when patient no
longer on ventilation.
Post-Op/Phase II
Pulse Oximetry [NURMON0009] SEE COMMENTS, Starting today, Routine,
Continuous while on ICU status, then every 4 hours
while on intermediate care (IMC) or general care
status., Post-Op/Phase II
Oxygen Therapy [RT0032] CONTINUOUS, Starting today, Routine
FiO2 (%) Titrate to Keep Sats >/= to ___%:
Liter Flow:
Titrate oxygen to maintain O2 sat at (%): 90
O2 Delivery Device: Nasal Cannula
Attempt to Wean Off Oxygen? Yes
Post-Extubation, Post-Op/Phase II
Wound/Chest Tube Care [87688]
Page 7 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
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12/2017CCKM@uwhealth.org

Wound Care - Closed Incision (Adult)
[NURWND0055]
CONTINUOUS, Routine
Wound Site:
Wound Location:
Assess Frequency: EVERY 8 HOURS
Incision Closed With: Other (Comment) (Dermabond)
Maintain OR Dressing: Minimum of 48 hours
Remove OR Dressing after 48 hours: Yes
Removal of OR Dressing performed by: RN
Cleansing with Removal of OR Dressing: CHG
Primary Dressing (after 48 hours): Dry Gauze
Incision Care (after 48 hours): Cleanse daily with CHG
If dressing becomes saturated in 48 hours, sterile
dressing change? Yes - Notify provider
Post-Op/Phase II
Wound Care [NURWND0015] CONTINUOUS, Starting today, Routine
Wound Type: Open
Wound Site: Chest
Wound Location:
Assess Frequency: EVERY 8 HOURS
Care Frequency:
Wash With:
Irrigate/Rinse With:
Apply (Must also enter separate medication order to
obtain drug):
Primary Dressing: Other (Comment) (Ioban)
Secondary Dressing:
Provider to perform dressing change if patient's chest
is still open., Post-Op/Phase II
Maintain Chest Tube [NURTAD0001] CONTINUOUS, Starting today For Until specified,
Routine
Location: Other (Comment Required)
Position: Anterior
Drainage Options: -20 cm wall suction
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: 1 X DAILY (After first 24 hours)
Wash With: Chlorhexidine Sponge
Primary Dressing: Gauze
Secondary Dressing:
Location applies to all chest tubes., Post-Op/Phase II
Measure Chest Tube Output [NURTAD0013] SEE COMMENTS, Starting today For Until specified,
Routine, Every 15 minutes times 4, then every 30
minutes times 4, then every hour while on ICU status.
Every 4 hours while on intermediate care (IMC) or
general care status., Post-Op/Phase II
Intake and Output [192472]
Measure Intake And Output [NURMON0005] SEE COMMENTS, Starting today, Routine, Every 15
minutes times 4, then every 30 minutes times 4, then
every hour while on ICU status. Every 4 hours while
on intermediate care (IMC) or general care status.,
Post-Op/Phase II
Non-Categorized Patient Care Orders [87690]
Measure Weight [NURMON0015] 1X DAILY, Starting today, Routine
Weigh With?
Weigh when?
Post-Op/Phase II
OG Tube Placement - Adult [120995]
Page 8 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
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12/2017CCKM@uwhealth.org

Insert and Maintain Orogastric Tube
[NURTAD0015]
CONTINUOUS, Routine
Options: Low, Continuous Suction
Flush with:
Flush Frequency: EVERY 8 HOURS
Check Residual:
Does this need to be inserted/placed?
Device Status: Ready For Use
No anti-reflux valve. Confirm placement prior to use.
Discontinue when extubated.
Refer to Policy 2.20 Enteral Tubes Used for
Instillation of Fluids, Medications, or Feeding., Post-
Op/Phase II
X-RAY ABDOMEN AP VIEW (KUB) [R74000] CONDITIONAL For 3 Days, Routine
Radiology Specialty Area: GENERAL IMAGING
Current signs and symptoms? Orogastric tube
placement
What specific question(s) would you like answered
by this exam? Evaluate orogastric tube placement
Relevant recent/past history? Cardiac Surgery
Is patient pregnant?
If being performed remotely, where?
Last patient weight? (will auto pull in value and date
in comment):
Transport Method: Floor Determined/Entered
If Conditional, What Condition? Evaluate orogastric
tube placement. The location of orogastric tube
should be confirmed prior to the instillation of fluids,
medications, or feedings. Refer to Policy 2.20
Enteral Tubes Used for Instillation of Fluids,
Medications, or Feeding
Post-Op/Phase II
Insert and Maintain Urinary Catheter
[NURELM0013]
CONTINUOUS, Starting today, Routine, To
discontinue this order, enter a new order for
"Discontinue Urinary Catheter".
To modify this order, enter a new order for "Maintain
Urinary Catheter" and make the necessary changes in
the new order.
Type: Indwelling Single Lumen
Indication for Placement: Postoperative Requirements
of Specific Procedure
Initiate Urinary Catheter Removal Protocol? No
Details: To Dependent Drainage
Does this need to be inserted/placed?
Post-Op/Phase II
Use Warm Air Blanket as Needed for
Temperature Less Than 36.0 Degrees Celsius
[NURTRT0027]
PRN, Starting today, Routine, Use Warm Air Blanket
as Needed for Temperature Less Than 36.0 Degrees
Celsius, Post-Op/Phase II
Notify Primary Service to Place Diabetes
Management Service Consult Order if Patient Has
A Single Blood Glucose Result Greater Than 180
milligrams per deciliter within 24 hours of
anesthesia end time. [NURCOM0022]
CONTINUOUS, Starting today, Post-Op/Phase II
Initiate B4/5 Insulin Infusion Protocol
[NURMON0062]
CONTINUOUS, Routine, Post-Op/Phase II
Page 9 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Maintain active Type and Screen while on ICU
status. Contact provider for order.
[NURCOM0022]
CONTINUOUS, Post-Op/Phase II
Temporary Pacemaker Epicardial Settings (Single Response) [88596]
Epicardial Pacemaker Settings (ADULT)
[NURTRT0077]
ON, Starting today, Routine,
Use .epicardialpacemaker in the comments field to
create the list of pacemaker setting fields., Post-
Op/Phase II
Contingency Parameters [87692]
Notify Provider [NURCOM0001] Provider to Notify: Provider
If systolic blood pressure > (mmHg): 150
If systolic blood pressure < (mmHg): 80
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C): 38.5
If temperature < (C):
If heart rate > (bpm): 120
If heart rate < (bpm): 50
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL): 400
If blood glucose < (mg/dL): 40
If pain score >:
Pulse Oximetry < (%): 90
If urine output < (mL): 30 mL/hour for 2 consecutive
hours
Other: Mean arterial pressure less than 60 or greater
than 90mmHg,Change in cardiac rhythm,Chest tube
output greater than 150 mL/hour,Hematocrit less than
25%,Potassium less than 3.2 mmol/L,Phosphate
<2.5,Magnesium less than 1.0mg/dL or repeat
magnesium supplementation required,Creatinine
greater than 2.5mg/dL or increased more than 2 times
preoperative baseline,Temporary pacemaker needs to
be reactivated,Temporary or permanent pacemaker
failure to capture or sense,Rigors lasting longer than 5
minutes after Demerol given,Wound with purulent
drainage, excessive drainage, and or separated
edges,Rhythm changes and/or arrhythmias,Cardiac
index < 2.2 liter/minutes/square/meter,Serum
potassium less than 3.2 or greater than
5.0mmol/L,More than 1 temperature spike,Ventricular
ectopy,Systemic vascular resistance less than 700 or
greater than 1400,PaO2 less than 60,PaCo2 greater
than 50,pH less than 7.3 or greater than 7.5
Post-Op/Phase II
Cardiac Arrest/Change In Rhythm
Resuscitation Orders [142071]
Cardiac Surgery/Heart Transplant Post
Resuscitation Algorithm
URL: https://uconnect.wisc.edu/policies/clinical/uwhc-
clinical/uwhc-wide/patient-care/resources/name-
67288-en.file
Resuscitation Progression - Ventricular
Fibrillation/Pulseless Ventricular Tachycardia
(Witnessed) [NURVENT0018]
CONTINUOUS, Starting today, Routine, Post-
Op/Phase II
Page 10 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
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12/2017CCKM@uwhealth.org

Resuscitation Progression - Asystole/Severe
Bradycardia [NURVENT0019]
CONTINUOUS, Starting today, Routine, Post-
Op/Phase II
Resuscitation Progression - Pulseless Electrical
Activity [NURVENT0020]
CONTINUOUS, Starting today, Routine, Post-
Op/Phase II
Intravenous Therapy
Premedications for Needle Insertion [242194]
Use lidocaine topical dressing kit for stable patient, no lidocaine allergies, have at least 30
minutes time prior to needing to use IV
Sodium chloride (bacteriostatic) 0.9% intradermal: Useful for patients requiring urgent IV
access; onset is immediate.
lidocaine (LMX) 4% topical dressing kit [66882] Topical, EVERY 1 HOUR PRN, peripheral line
insertion - see Admin Instructions
Do NOT apply to area greater than 200 square
centimeters (maximum 2.5 g/site; maximum 4 sites
per hour, 6 times per day). Do NOT leave on longer
than 2 hours. Use for stable patient, no allergies to
lidocaine, with at least 30 minutes time prior to IV use
Post-Op/Phase II
sodium chloride (bacteriostatic) 0.9 % injection
[50585]
0.05-0.1 mL, Intradermal, PRN, peripheral line
insertion - see Admin Instructions
Use an insulin or TB syringe with a 25-30 gauge
needle to inject solution and create a wheal. Wait 30
seconds to 1 minute then insert IV catheter into center
of wheal. Use if IV is needed within 30 minutes.
Post-Op/Phase II
IV Fluids [87694]
dextrose 5%-NaCl 0.2% infusion [51615] at 5 mL/hr, Intravenous, CONTINUOUS
Per CVP port
Post-Op/Phase II
Insert and Maintain Peripheral IV [NURVAD0013] CONTINUOUS, Starting today, Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
Post-Op/Phase II
Medications - Anti-Infectives
First Line for Valve Patients (Single Response) [141562]
Patients who are 40-120 kg [228626]
cefuroxime (ZINACEF) intraVENOUS [800030] 1.5 g, Intravenous, EVERY 8 HOURS For 2 Doses,
Post-Op/Phase II
vancomycin (VANCOCIN) intraVENOUS
[800084]
15 mg/kg, Intravenous, EVERY 12 HOURS For 1
Doses, Post-Op/Phase II
Patients who are 121 kg or greater [228627]
cefuroxime (ZINACEF) intraVENOUS [800030] 3 g, Intravenous, EVERY 8 HOURS For 2 Doses,
Post-Op/Phase II
vancomycin (VANCOCIN) intraVENOUS
[800084]
15 mg/kg, Intravenous, EVERY 12 HOURS For 1
Doses, Post-Op/Phase II
First Line for CABG patients (Single Response) [141567]
cefuroxime (ZINACEF) intraVENOUS - NOTE:
Patients who are 40-120 kg [800030]
1.5 g, Intravenous, EVERY 8 HOURS For 2 Doses,
Post-Op/Phase II
cefuroxime (ZINACEF) intraVENOUS - NOTE:
Patients who are 121 kg or greater [800030]
3 g, Intravenous, EVERY 8 HOURS For 2 Doses,
Post-Op/Phase II
Patients with Immediate/Severe Reactions to Penicillin or Known Cephalosporin Allergies (Single
Response) [141563]
Patients who are 40-120 kg [240853]
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ciprofloxacin (CIPRO) intraVENOUS [800031] 400 mg, Intravenous, EVERY 12 HOURS For 1
Doses, Post-Op/Phase II
vancomycin (VANCOCIN) intraVENOUS
[800084]
15 mg/kg, Intravenous, EVERY 12 HOURS For 1
Doses, Post-Op/Phase II
patients who are 121 kg to 160 kg [240859]
ciprofloxacin (CIPRO) intraVENOUS [800031] 600 mg, Intravenous, EVERY 12 HOURS For 1
Doses, Post-Op/Phase II
vancomycin (VANCOCIN) intraVENOUS
[800084]
15 mg/kg, Intravenous, EVERY 12 HOURS For 1
Doses, Post-Op/Phase II
Patients who are 160 kg or greater [240856]
ciprofloxacin (CIPRO) intraVENOUS [800031] 800 mg, Intravenous, EVERY 12 HOURS For 1
Doses, Post-Op/Phase II
vancomycin (VANCOCIN) intraVENOUS
[800084]
15 mg/kg, Intravenous, EVERY 12 HOURS For 1
Doses, Post-Op/Phase II
Medications
Analgesics [87696]
HYDROmorphone PF (DILAUDID) injection
RANGE [750050]
0.2-0.8 mg, Intravenous, EVERY 1 HOUR PRN For 24
Hours, pain
See Pain Management Algorithm for the Selection of
As-Needed Analgesics
for 3 Minutes, Post-Op/Phase II
acetaMINOPHEN (TYLENOL) tab [34150] 1,000 mg, Oral, 4 X DAILY For 5 Days, Post-
Op/Phase II
acetaMINOPHEN (TYLENOL) suppository
[34153]
650 mg, Rectal, EVERY 4 HOURS PRN, pain
See Pain Management Algorithm for the Selection of
As-Needed Analgesics
No more than 4 grams acetaminophen per 24 hours
for adults or 15mg/kg per dose for peds <40kg.
If unable to tolerate oral medications
Post-Op/Phase II
oxycodone tab RANGE [750032] 5-15 mg, Oral, EVERY 3 HOURS PRN For 5 Days,
pain
See Pain Management Algorithm for the Selection of
As-Needed Analgesics
Post-Op/Phase II
Analgesics [181405]
HYDROmorphone PF (DILAUDID) injection
RANGE [750050]
0.2-0.5 mg, Intravenous, EVERY 1 HOUR PRN For 24
Hours, pain
See Pain Management Algorithm for the Selection of
As-Needed Analgesics
for 3 Minutes, Post-Op/Phase II
acetaMINOPHEN (TYLENOL) tab [34150] 1,000 mg, Oral, 4 X DAILY For 5 Days, Post-
Op/Phase II
oxycodone tab RANGE [750032] 5-10 mg, Oral, EVERY 3 HOURS PRN For 5 Days,
pain
See Pain Management Algorithm for the Selection of
As-Needed Analgesics
Post-Op/Phase II
Anti-emetics [87697]
Adult - Standard - Anti-emetics [242468]
ondansetron (ZOFRAN ODT) disintegrating tab
[64224]
4 mg, Oral, EVERY 6 HOURS PRN,
nausea/vomiting
Use first line
Post-Op/Phase II
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ondansetron (ZOFRAN) injection [800202] 4 mg, Intravenous, EVERY 6 HOURS PRN,
nausea/vomiting
Use first line if unable to take medications by mouth
or enteral tube OR if immediate effect is needed.
Post-Op/Phase II
prochlorperazine (COMPAZINE) tab [41372] 10 mg, Oral, EVERY 6 HOURS PRN,
nausea/vomiting
Use second line if there is inadequate response to
first line anti-emetic within 30 minutes. If there is no
response to second line therapy within 30 minutes,
notify provider
Post-Op/Phase II
prochlorperazine (COMPAZINE) injection [41369] 10 mg, Intravenous, EVERY 6 HOURS PRN,
nausea/vomiting
Use second line. Use if there is inadequate
response to first line anti-emetic within 30 minutes
and if unable to take medications by mouth or
enteral tube OR if immediate effect is needed. If
there is no response to second line therapy within 30
minutes, notify provider
Post-Op/Phase II
Bowel Management [87698]
bisacodyl (DULCOLAX) rectal suppository -
NOTE: Give on POD#2 [35231]
10 mg, Rectal, ONCE Starting 12/17/17 at 8:00 AM
For 1 Doses
Hold for loose stools, NOTE: Order on postoperative
day 2
Post-Op/Phase II
senna-docusate (SENOKOT S) 8.6-50 MG per
tab [60530]
2 tab, Oral, 2 X DAILY Starting tomorrow
Hold for loose stool or suspected obstruction. Use
rescue therapy after first 48hrs if inadequate response
to scheduled bowel management.
Post-Op/Phase II
magnesium hydroxide (MILK OF MAGNESIA)
susp [65443]
30 mL, Oral, ONCE Starting 12/17/17 at 8:00 AM For
1 Doses
Hold if patient
Adult - Bowel Management - As Needed
[242378]
polyethylene glycol (MIRALAX) oral packet
[61829]
17 g, Oral, 1 X DAILY PRN Starting 12/17/17 at
10:00 AM, constipation
First Line Therapy Hold for loose stool or suspected
obstruction. Use as first line rescue therapy if
inadequate response to scheduled bowel
management.
Post-Op/Phase II
magnesium hydroxide (MILK OF MAGNESIA)
susp [65443]
30 mL, Oral, 1 X DAILY PRN Starting 12/17/17 at
10:00 AM, constipation
Second line therapy, if no response to first line
therapy within 12 hours. Hold if patient is NPO
bisacodyl (DULCOLAX) rectal suppository
[35231]
10 mg, Rectal, 1 X DAILY PRN Starting 12/17/17 at
10:00 AM, constipation
If unable to take medications by mouth or enteral
tube OR if need immediate laxation OR if failure of
second line agent after 6 hours
Post-Op/Phase II
Potassium Supplementation (Single Response) [87702]
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potassium chloride 20 mEq/ 50 mL bag
CENTRAL LINE ONLY [46256]
20 mEq, Intravenous, PRN, Potassium
Supplementation
For potassium level between 3.8 - 4.0 mmol/L give 20
mEq x1
For potassium level between 3.5 - 3.7 mmol/L give 20
mEq x2
For potassium level between 3.2 - 3.4 mmol/L give 20
mEq x3
for 60 Minutes, Post-Op/Phase II
potassium chloride 10 mEq/100 mL bag - NOTE:
Order for patients with renal impairment (CrCl
less than 30 mL/min) [46253]
10 mEq, Intravenous, PRN - NOTIFY PHARMACY
WHEN NEEDED, potassium supplementation - See
Administration Instructions
For potassium level between 3.5 - 3.7 mmol/L give 10
mEq x1
For potassium level between 3.2 - 3.4 mmol/L give 10
mEq x2
Order for patients with renal impairment (CrCl less
than 30 mL/min)
for 60 Minutes, Post-Op/Phase II
Magnesium Supplementation (Single Response) [87703]
Magnesium Supplemental Scale [950039] PRN - NOTIFY PHARMACY WHEN NEEDED, PRN
comment: magnesium supplementation - See
Administration Instructions
Non-cardiac patients: For serum magnesium 1.6-1.8
mg/dL - do not replace
Cardiac patients: For serum magnesium 1.6-1.8
mg/dL give 0.05 g/kg IV x1
For serum magnesium 1.0-1.5 mg/dL give 0.1 g/kg IV
x1
For serum magnesium less than 1 mg/dL give 0.15
g/kg IV x1
Administer each 2 gram bag over 3 hours at a
frequency of one bag every 4 hours.
Maximum 6 grams per replacement dose
Reminder: Pharmacist to adjust per UWHC Renal
Dosing Protocol if applicable
Post-Op/Phase II
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Magnesium Supplemental Scale - NOTE: Order in
patients with RENAL impairment (CrCl <30
mL/min) [950039]
PRN - NOTIFY PHARMACY WHEN NEEDED, PRN
comment: magnesium supplementation - See
Administration Instructions
Non-cardiac patients: For serum magnesium 1.6-1.8
mg/dL - do not replace
Cardiac patients: For serum magnesium 1.6-1.8
mg/dL give 0.025 g/kg IV x1
For serum magnesium 1.0-1.5 mg/dL give 0.05 g/kg IV
x1
For serum magnesium less than 1 mg/dL give 0.075
g/kg IV x1
Administer each 2 gram bag over 3 hours at a
frequency of one bag every 4 hours.
Maximum 6 grams per replacement dose
Reminder: Pharmacist to adjust per UWHC Renal
Dosing Protocol if applicable
NOTE: Order in patients with RENAL impairment
(CrCl < 30 mL/min)
Post-Op/Phase II
Phosphate SODIUM (Single Response) [193032]
phosphate-potassium & sodium (PHOS-NAK) oral
packet - For normal renal function [112317]
2 packet, Oral, PRN, phosphate supplementation -
See Admin Instructions
For serum phosphate 1.6 - 2.4 mg/dL, give 2 packets
every 4 hours while awake x 3 doses;
For serum phosphate 1.0 - 1.5 mg/dL, give 2 packets
every 4 hours while awake x 4 doses
For serum phosphate less than 1.0 mg/dL, call
provider for IV dosing.
Post-Op/Phase II
phosphorus (K-PHOS NEUTRAL) tab - For renal
dysfunction [45503]
1 tab, Oral, PRN, phosphate supplementation - See
Admin Instructions
For serum phosphate 1.6 - 2.4 mg/dL give 1 tablet
every 4 h while awake x 3 doses
For serum phosphate 1.0 - 1.5 mg/dL give 1 tablet
every 4 h while awake x 4 doses
For serum phosphate less than 1.0 mg/dL, call
provider
Post-Op/Phase II
Anti-arrhythmics [87704]
amiodarone (CORDARONE) BOLUS [800123] 150 mg, Intravenous, ONCE For 1 Doses, Post-
Op/Phase II
amiodarone (CORDARONE) non- PVC infusion
[700135]
1 mg/min, Intravenous, CONTINUOUS For 6 Hours,
Post-Op/Phase II
amiodarone (CORDARONE) non- PVC infusion
[700135]
0.5 mg/min, Intravenous, CONTINUOUS For 18
Hours, Post-Op/Phase II
amiodarone (CORDARONE) tab [44131] 600 mg, Oral, 2 X DAILY Starting tomorrow For 5
Days with First Dose As Scheduled
Hold if 100% paced or on amiodarone infusion
Post-Op/Phase II
Gastric [87707]
famotidine (PEPCID) tab - Note: For patients less
than the age of 65 [45134]
20 mg, Oral, 2 X DAILY For 3 Days
Discontinue when patient extubated
Post-Op/Phase II
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pantoprazole (PROTONIX) susp - Note: For
patients age 65 or older [780113]
40 mg, Oral, 1 X DAILY Starting today For 3 Days
Discontinue when patient extubated
Post-Op/Phase II
Vasoactive Agents [87710]
DOPamine (INTROPIN) 800 mg in dextrose 5%
250 mL infusion [50506]
2 mcg/kg/min, Intravenous, CONTINUOUS, Post-
Op/Phase II
epINEPHrine infusion [700197] Intravenous, CONTINUOUS, Post-Op/Phase II
norepinephrine (LEVOPHED) infusion [700247] Intravenous, CONTINUOUS, Post-Op/Phase II
DOBUTamine (DOBUTREX) 1000mg in dextrose
5% 250 mL infusion [51747]
Intravenous, CONTINUOUS, Post-Op/Phase II
vasopressin (PITRESSIN) 20 units in dextrose 5
% 100 mL infusion (SEPTIC SHOCK) [700977]
0.01-0.04 Units/min, Intravenous, CONTINUOUS
{Wean Y/N?:2000805}
Central line preferred, however,
peripheral/intraosseous access may be used when
benefit outweighs risks
Post-Op/Phase II
phenylEPHRINE (NEO-SYNEPHRINE) 20 mg in
dextrose 5 % 250 mL infusion [700258]
0.3-3 mcg/kg/min, Intravenous, CONTINUOUS, Post-
Op/Phase II
milrinone 20mg in dextrose 5% 100 mL
(PRIMACOR) infusion [175995]
Intravenous, CONTINUOUS, Post-Op/Phase II
Antihypertensives [242380]
nicardipine (CARDENE) 50 mg in 100 mL infusion
(CONCENTRATED) [700426]
2.5-15 mg/hr, Intravenous, CONTINUOUS, Post-
Op/Phase II
nitroprusside 50 mg/sodium thiosulfate 0.5 g
infusion [700503]
0.1-10 mcg/kg/min, Intravenous, CONTINUOUS, Post-
Op/Phase II
nitroglycerin 50 mg in dextrose 5% 250 mL
infusion [51611]
0.2-3 mcg/kg/min, Intravenous, CONTINUOUS, Post-
Op/Phase II
Non-categorized [87709]
artery bypass graft order aspirin rectal suppository, ONCE (starting in 4 hours) for coronary Only
(CABG) patients.
sodium chloride 0.9% flush 10 mL injection
[785055]
Flush, PRN, flush/line care
Flush per VAD guidelines
Post-Op/Phase II
sodium chloride 0.9% infusion [64367] at 4 mL/hr, Intravenous, CONTINUOUS
Per intraflow for arterial line, Swan-Ganz distal port,
and Central Venous Pressure port
Post-Op/Phase II
sodium chloride 0.9% BOLUS [730003] 250 mL, Intravenous, PRN For 7 Days
Give for SBP less than ***. May repeat x 3 doses.
After 3 doses call cardiothoracic ICU attending.
aspirin rectal suppository [34799] 300 mg, Rectal, ONCE Starting H+4 Hours For 1
Doses
Give 4 hours postoperatively to Coronary Artery
Bypass Patients (CABG) only. Hold if chest tube
drainage is more than 50ml/hr. Give rectally. Do not
change to oral route.
Post-Op/Phase II
aspirin rectal suppository [34799] 300 mg, Rectal, 1 X DAILY Starting tomorrow
Administer only if unable to tolerate oral aspirin.
Discontinue when tolerating oral meds
Post-Op/Phase II
aspirin chew tab [720014] 81 mg, Oral, 1 X DAILY
Administer only when able to tolerate oral
medications. Do not give at same time as rectal
aspirin.
Post-Op/Phase II
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lidocaine (XYLOCAINE-CARDIAC) 20 mg/mL
injection [39041]
75 mg, Intravenous, ONCE PRN For 1 Doses,
Symptomatic ventricular arrhythmias associated with
hypotension, shortness of breath, decreased level of
consciousness, or chest pain; or ventricular
tachycardia lasting greater than 30 seconds.
Notify provider if given
Post-Op/Phase II
hydrALAZINE (APRESOLINE) injection RANGE
[750049]
Intravenous, EVERY 2 HOURS PRN, hypertension
Administer to keep systolic blood pressure below 140
mm Hg. Do NOT give while on a continuous infusion
of an antihypertensive unless the continuous infusion
is at maximum dose and/or provider is notified.
Post-Op/Phase II
propofol (DIPRIVAN) 10 mg/mL infusion [800260] 5-50 mcg/kg/min, Intravenous, CONTINUOUS
Initiate at 10 mcg/kg/min or current rate. Titrate in 5-10
mcg/kg/min increments every 5 minutes to achieve
Richmond Agitation-Sedation Score (RASS) of 0.
Post-Op/Phase II
meperidine (DEMEROL) injection [800195] 25 mg, Intravenous, ONCE PRN For 1 Doses, rigors,
Post-Op/Phase II
multivitamin with mineral tab [800240] 1 tab, Oral, 1 X DAILY, Post-Op/Phase II
Glucose Management
Glucose Management [119808]
Subcutaneous Correction Insulin [193143]
Glucose, POC [IPGLUCOSE] EVERY 6 HRS IF NPO/ CONT. TUBE FEEDING/
OR TPN, Starting tomorrow For Until specified,
Routine, Glucose, POC should always be ordered in
conjunction with orders for hypoglycemia
management and monitoring as indicated in the
Hypoglycemia Management (Adult) panel.
If Conditional, What Condition?
Post-Op/Phase II
Glucose, POC [IPGLUCOSE] EVERY 2 HOURS, Starting today For 24 Hours,
Routine, Glucose, POC should always be ordered in
conjunction with orders for hypoglycemia
management and monitoring as indicated in the
Hypoglycemia Management (Adult) panel.
If Conditional, What Condition? Draw until patient
begins on clear liquids
Draw until patient begins on clear liquids, Post-
Op/Phase II
Glucose, POC [IPGLUCOSE] BEFORE MEALS AND BEDTIME, Starting
tomorrow, Routine, Glucose, POC should always be
ordered in conjunction with orders for hypoglycemia
management and monitoring as indicated in the
Hypoglycemia Management (Adult) panel.
If Conditional, What Condition? If patient eating or
drinking
If patient eating or drinking, Post-Op/Phase II
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Glucose, POC [IPGLUCOSE] AS NEEDED FOR SIGNS AND SYMPTOMS OF
HYPOGLYCEMIA, Routine, Glucose, POC should
always be ordered in conjunction with orders for
hypoglycemia management and monitoring as
indicated in the Hypoglycemia Management (Adult)
panel.
If Conditional, What Condition?
Post-Op/Phase II
Glucose, POC [IPGLUCOSE] AFTER PROVIDING HYPOGLYCEMIA
TREATMENT, Routine, Glucose, POC should
always be ordered in conjunction with orders for
hypoglycemia management and monitoring as
indicated in the Hypoglycemia Management (Adult)
panel.
If Conditional, What Condition?
Per hypoglycemia treatment algorithm: Recheck
glucose 15 minutes after providing treatment until
glucose is greater than or equal to 70 mg/dL. If
patient has been critically low (i.e., glucose less than
40 mg/dL), recheck glucose after 1 hour to ensure
glucose remains greater than or equal to 70mg/dL.
After resolution of mild hypoglycemia (i.e., glucose
40-69 mg/dL), consider rechecking after 1 hour if
patient has signs/symptoms of hypoglycemia or is at
risk for a subsequent hypoglycemic event (e.g.,
previously administered insulin still active, altered
renal status, altered mental status, NPO or
interrupted nutrition, or any other condition that
increases hypoglycemia risk)., Post-Op/Phase II
insulin lispro (human) 100 UNIT/ML injection -
NOTE: CORRECTION insulin POD#0-1 [53264]
2-10 units, Subcutaneous, EVERY 4 HOURS PRN
For 1 Days, POD#0-1 Hyperglycemia - See
Administration Instructions
For blood glucose 151-200 mg/dL give 2 units; For
blood glucose 201-250 mg/dL give 4 units; For blood
glucose 251-300 mg/dL give 6 units; For blood
glucose 301-350 mg/dL give 8 units; For blood
glucose 351-400 mg/dL give 10 units; Give even if
NPO or meals skipped. Do NOT give more often
than 4 hours when NPO
Post-Op/Phase II
insulin lispro (human) 100 UNIT/ML injection -
CORRECTION Insulin POD#2 [53264]
2-10 units, Subcutaneous, 3 X DAILY PRN Starting
tomorrow, Starting POD#2 Hyperglycemia - See
Administration Instructions
Daytime hyperglycemia dosing
For blood glucose 151-200 mg/dL give 2 units;
For blood glucose 201-250 mg/dL give 4 units;
For blood glucose 251-300 mg/dL give 6 units;
For blood glucose 301-350 mg/dL give 8 units;
For blood glucose 351-400 mg/dL give 10 units;
Give even if NPO or meals skipped. Do NOT give
more often than 4 hours when NPO.
Post-Op/Phase II
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insulin lispro (human) 100 UNIT/ML injection -
BEDTIME 1-4 UNITS [53264]
1-4 units, Subcutaneous, 1 X DAILY (HS) PRN
Starting tomorrow, Starting POD#2 Hyperglycemia -
See Administration Instructions
For blood glucose 201-250 mg/dL give 1 units;
For blood glucose 251-300 mg/dL give 2 units;
For blood glucose 301-350 mg/dL give 3 units;
For blood glucose 351-400 mg/dL give 4 units;
Give even if NPO
Post-Op/Phase II
Hypoglycemia Treatment for blood glucose less
than 40 mg/dL and patient able to eat/swallow
safely [NURCOM0022]
CONDITIONAL
If Conditional, What Condition? If blood glucose less
than 40mg/dL and patient able to eat/swallow safely.
Give 30 grams of carbohydrate (8 oz. of fruit juice).
Repeat treatment until glucose is 70 mg/dL or
greater., Post-Op/Phase II
Hypoglycemia Treatment for blood glucose
between 40 to 69 mg/dL and patient able to
eat/swallow safely [NURCOM0022]
CONDITIONAL
If Conditional, What Condition? If glucose is 40-69
mg/dL and patient able to eat/swallow safely
Give 15 grams of carbohydrate (4 oz of fruit juice).
Repeat treatment until glucose is 70 mg/dL or
greater., Post-Op/Phase II
glucose-vitamin C chew tab [50690] 16 g, Oral, EVERY 15 MINUTES PRN,
hypoglycemia, For blood glucose 40-69 mg/dL
Use in patients able to safely eat/swallow but unable
to tolerate volume of fruit juice or per patient
preference. Repeat every 15 minutes until blood
glucose is 70 mg/dL or greater
Post-Op/Phase II
glucose-vitamin C chew tab [50690] 32 g, Oral, EVERY 15 MINUTES PRN,
hypoglycemia, For blood glucose less than 40 mg/dL
Use in patients able to safely eat/swallow but unable
to tolerate volume of fruit juice or per patient
preference. Repeat every 15 minutes until blood
glucose is 70 mg/dL or greater
Post-Op/Phase II
dextrose injection [800233] 12.5 g, Intravenous, PRN, For blood glucose 40-69
mg/dL and patient unable to eat/swallow safely AND
has IV access
Repeat every 15 minutes until blood glucose is 70
mg/dL or greater. See Adult Hypoglycemia Algorithm
Post-Op/Phase II
dextrose injection [800233] 25 g, Intravenous, PRN, For blood glucose less than
40 mg/dL and patient unable to eat/swallow safely
AND has IV access
Repeat every 15 minutes until blood glucose is 70
mg/dL or greater. See Adult Hypoglycemia Algorithm
Post-Op/Phase II
Laboratory
Draw Upon Arrival to ICU [87712]
CBC WITHOUT DIFFERENTIAL [HEMO] STAT, 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?
Post-Op/Phase II
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CALCIUM [CA] STAT, 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?
Post-Op/Phase II
PROTHROMBIN TIME/INR [PT] STAT, 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?
Post-Op/Phase II
PTT [PTT] STAT, 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?
Post-Op/Phase II
MAGNESIUM [MAG] STAT, 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?
Post-Op/Phase II
PHOSPHATE [PHOS] STAT, 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?
Post-Op/Phase II
BLOOD GASES AND O2 SATURATION
[HCBGASOS]
STAT, Starting today For 1 Occurrences, STAT
Indicate FIO2:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Post-Op/Phase II
ELECTROLYTES [LYTE] STAT, 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?
Post-Op/Phase II
GLUCOSE [GLU] STAT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Post-Op/Phase II
BUN [BUN] STAT, 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?
Post-Op/Phase II
CREATININE [CRET] STAT, 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?
Creatinine, Post-Op/Phase II
Draw Postoperative Day 1 [87714]
Page 20 of 26
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Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

CALCIUM [CA] SPECIFIC TIME, Starting tomorrow at 5:00 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?
Post-Op/Phase II
GLUCOSE [GLU] SPECIFIC TIME, Starting tomorrow at 5:00 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?
Post-Op/Phase II
PHOSPHATE [PHOS] SPECIFIC TIME For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Post-Op/Phase II
Draw Postoperative Day 2 [97373]
GLUCOSE [GLU] NEXT AM, Starting 12/17/17 at 6:00 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?
Post-Op/Phase II
Draw Daily [154079]
BUN [BUN] NEXT AM, Starting tomorrow For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
CBC WITHOUT DIFFERENTIAL [HEMO] NEXT AM, Starting tomorrow For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
CREATININE [CRET] NEXT AM, Starting tomorrow For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
ELECTROLYTES [LYTE] NEXT AM, Starting tomorrow For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
MAGNESIUM [MAG] NEXT AM, Starting tomorrow For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
BUN [BUN] NEXT AM, Starting 12/23/17 For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
Page 21 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

CBC WITHOUT DIFFERENTIAL [HEMO] NEXT AM, Starting 12/23/17 For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
CREATININE [CRET] NEXT AM, Starting 12/23/17 For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
ELECTROLYTES [LYTE] NEXT AM, Starting 12/23/17 For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
MAGNESIUM [MAG] NEXT AM, Starting 12/23/17 For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw daily while on ICU status, Post-Op/Phase II
Conditional Labs [87721]
CALCIUM [CA] CONDITIONAL, Starting today For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? 1 hour after IV
supplementation
Post-Op/Phase II
MAGNESIUM [MAG] CONDITIONAL For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? 1 hour after IV
supplementation,4 hours after oral
supplementation,Daily while patient on diuretics,If
patient experiences arrhythmias
Post-Op/Phase II
POTASSIUM [K] CONDITIONAL For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw postoperative
hour 6,1 hour after IV supplementation,4 hours after
oral supplementation,Daily while patient on diuretics,If
patient experiences arrhythmias
Post-Op/Phase II
PROTHROMBIN TIME/INR [PT] CONDITIONAL For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? 1 hour after plasma
infusion,Daily while patient on warfarin,If chest tube
output is greater than 150 mL/hour
Post-Op/Phase II
HEMATOCRIT [HCT] CONDITIONAL For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw postoperative
hour 6,1 hour after red blood cell transfusion,If chest
tube output is greater than 150 mL/hour
Post-Op/Phase II
Page 22 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

PTT [PTT] CONDITIONAL For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? If chest tube output is
greater than 150 mL/hour,1 hour after plasma infusion
Post-Op/Phase II
PHOSPHATE [PHOS] CONDITIONAL For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? 1 hour after IV
supplementation,4 hours after oral
supplementation,Draw daily if patient is on diuretics
and experiences arrhythmias
Post-Op/Phase II
BLOOD GASES AND O2 SATURATION
[HCBGASOS]
CONDITIONAL For 7 Days, STAT
Indicate FIO2:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? SpO2 < 90%, change
in mental status, increased respiratory drive
Post-Op/Phase II
VENOUS BLOOD GASES AND O2
SATURATION [HCBGASOS]
CONDITIONAL For 7 Days, STAT
If Conditional, What Condition? Cardiac index less
than 2.0
Post-Op/Phase II
LACTATE [GM2255] CONDITIONAL, Starting today For 48 Hours, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? For pH less than 7.3.
Post-Op/Phase II
GLUCOSE, WHOLE BLOOD [HCWBGLU] CONDITIONAL, Starting today For 7 Days, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw if blood glucose
is less than 40 mg/dL or greater than 400 mg/dL.
Post-Op/Phase II
GLUCOSE, WHOLE BLOOD [HCWBGLU] CONDITIONAL, Starting 12/22/17 For 7 Days, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw if blood glucose
is less than 40 mg/dL or greater than 400 mg/dL.
Post-Op/Phase II
PLATELET COUNT [PLT] CONDITIONAL For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? If chest tube output is
greater than 150 mL per hour.
Post-Op/Phase II
Obtain If Not Done Within Last 90 Days [192473]
HEMOGLOBIN A1C [HA1C] 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?
Post-Op/Phase II
Diagnostic Tests and Imaging
Diagnostic Tests and Imaging [87730]
Page 23 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

ECG - 12 Lead [EKG0008] ONCE, Starting today For 1 Occurrences, Routine
Reason for exam: Other (enter comments)
Comment: Postoperative rhythm
Disclaimer for University Hospital Only: A Stat status
for an ECG is in reference to the timing of the ECG.
The goal is to perform a STAT ECG within 10 minutes
of the order being placed. It is the responsibility of the
ordering provider to review the STAT ECGs. All ECGs
(stat or routine) will be formally reviewed within one
business day.
Obtain unless patient is paced.
Obtain upon arrival to ICU., Post-Op/Phase II
X-RAY CHEST AP VIEW - Upon Arrival to ICU
[R71010]
ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms? Postoperative cardiac
surgery
What specific question(s) would you like answered by
this exam? Evaluate ET tube placement and line
placement
Relevant recent/past history? Postoperative cardiac
surgery
Is patient pregnant?
If being performed remotely, where? Bedside
Last patient weight? (will auto pull in value and date in
comment):
Transport Method: Floor Determined/Entered
Post-Op/Phase II
X-RAY CHEST AP VIEW - Postoperative Day 1
[R71010]
ONCE-ON SPECIFIC DATE, Starting tomorrow For 1
Occurrences, Routine
Current signs and symptoms? Postoperative cardiac
surgery
What specific question(s) would you like answered by
this exam? Evaluate for pneumothorax and pleural
effusion
Relevant recent/past history? Postoperative cardiac
surgery
Is patient pregnant?
If being performed remotely, where? Bedside
Last patient weight? (will auto pull in value and date in
comment):
Transport Method: Floor Determined/Entered
Post-Op/Phase II
ECG - 12 Lead [EKG0008] ONCE, Starting 12/18/17 For 1 Occurrences, Routine
Reason for exam: Other (enter comments)
Comment: Postoperative rhythm
Disclaimer for University Hospital Only: A Stat status
for an ECG is in reference to the timing of the ECG.
The goal is to perform a STAT ECG within 10 minutes
of the order being placed. It is the responsibility of the
ordering provider to review the STAT ECGs. All ECGs
(stat or routine) will be formally reviewed within one
business day.
Post-Op/Phase II
Consults
Consults [87732]
Page 24 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Physical Therapy if the patient lives alone, uses assistive device, needs Order
obesity.more than 1 person assist, has cognitive changes, or morbid
Consult Cardiac Rehab/Preventive Cardiology
(Inpatient) [CON0010]
ONCE, Starting today For 1 Occurrences, Routine
Reason for consult: Other (Comment)
Indication: Provide teaching and exercise/ambulation
as indicated., Post-Op/Phase II
Consult Cardiothoracic ICU (Inpatient) [CON0210] ONCE
Intent: Consult and Recommend (Write Orders)
Concern or Specific Question or Task to be Addressed
(Symptom, Sign, or Diagnosis): Postoperatve ICU
Management
Post-Op/Phase II
Consult Nutrition (Inpatient) [CON0043] ONCE, Starting today For 1 Occurrences, Routine
Reason for Consult: Nutrition Assessment w/
Recommendations
Post-Op/Phase II
Consult Social Work (Inpatient) [CON0076] ONCE, Starting today For 1 Occurrences, Routine
Reason for Consult:
Is this a STAT consult?
Can this consult be done via video?
Post-Op/Phase II
Consult Occupational Therapy (Inpatient) Eval
and Treat [CON0046]
ONCE, Starting today For 1 Occurrences, Routine
Reason for Occupational Therapy Consult:
Post-Op/Phase II
Consult Physical Therapy (Inpatient) Eval and
Treat [CON0061]
ONCE, Starting today For 1 Occurrences, Routine
Reason for Physical Therapy Consult:
Post-Op/Phase II
Diabetes Consult Order Panel (Adult) [188497]
Diabetes Management Service : Will provide management or treatment recommendations for
patients with hyperglycemia and/or those who report outpatient use of insulin or other diabetes
medications. Patients should be expected to remain inpatient > 24 hrs from time of consult.
Consult is required for patients with insulin pumps or who use U-500 insulin. Consult Endocrine
for any non-diabetes-related endocrine questions.
Learning Center - Diabetes Education (Adult): Diabetes Education (Adult): Diabetes education
(meter/insulin skills/other diabetes survival skills) for patients/families with knowledge deficits
and/or need for diabetes knowledge assessment. Recommended for all new diagnoses or
patients with A1C > 9.
Diabetes Education – Nutrition : Diabetes nutrition therapy including nutrition assessment,
carbohydrate education (consistent carbohydrate meals, use of insulin-to-carbohydrate ratio),
and/or individualized, nutritious meal planning for carbohydrates, portions, or considering other
comorbidities. Recommended for all new diagnoses or patients with A1C > 9
Consult Diabetes Management Service (DMS)
(Inpatient) [CON0022]
ONCE
Can this consult be done via video?
Call back number:
Intent: Consult and Recommend (Write Orders)
Concern or Specific Question or Task to be
Addressed (Symptom, Sign, or Diagnosis):
Post-Op/Phase II
Page 25 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Consult Learning Center - Diabetes Education
(Adult) [CON0021]
ONCE, Routine, - If patient is newly diagnosed or is
new to insulin, provide 24 hours notice to allow
adequate time for education,
- Indicate diabetes medication/treatment plan if
known.
- Consults requested after 1600 on Fridays may not
be seen until following Monday. Learning Center
available Mon-Sat 0800-1630 (only 1 RN available
on Saturday for CSC and AFCH).
- Staff may be contacted by Pager 7927 on
weekdays and Pager 3276 on weekends.
- Learning Center staff are not available on holidays.
Type of Education: Diabetes Self-Management
Education
Reason For Consult:
Expected Discharge Date:
Diabetes management / treatment plan:
Can this consult be done via video?
Post-Op/Phase II
Consult Diabetes Education - Nutrition (Inpatient)
[CON0126]
ONCE, Routine, · If your patient is newly diagnosed
and/or is new to insulin therapy, provide 24 hours
notice to allow adequate time for nutrition education.
· Indicate diabetes medication/treatment plan if
known.
· Consults requested after 1300 on Friday may not
be completed until the following Monday.
· If you are placing a consult on a weekend day for a
patient who will be discharging that weekend, please
have the Paging Center contact the on-call dietitian
to help you facilitate the diabetes nutrition education
session prior to the patient's discharge.
Type of Education: Diabetes Self-Management
Education
Reason For Consult:
Expected Discharge Date:
Diabetes management / treatment plan:
Can this consult be done via video?
Post-Op/Phase II
BestPractice
No Hospital Problems have yet been identified [107363]
Specify Hospital Problem(s) [COR0018] You will be prompted to specify a hospital problem on
signing., Post-Op/Phase II
Page 26 of 26
Printed by BENNETT, SARA J [SJB008] at 12/15/2017 7:11:06 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org