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IP – Cardioversion – Adult – Postprocedure [904]

IP – Cardioversion – Adult – Postprocedure [904] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Cardiology/CT Surgery


IP - Cardioversion - Adult - Postprocedure [904]
Patient Care Orders
Vital Signs [9689]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today with First Occurrence As
Scheduled, 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 1 hour times 4, then every 8 hours.
Activity [9690]
Bed Rest Until Awake [NURACT0008] CONTINUOUS, Starting today, Routine
AD LIB:
AMBULATE:
CHAIR:
DANGLE:
BEDREST: other (comment)
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Nutrition [9691]
General Diet [NUT0001] EFFECTIVE NOW, Starting today, Routine
General Diet: GENERAL;
Diabetic Diet:
NPO (If patient receiving tube feeding see question 25):
Liquids & Modified Consistency (If Dysphagia Protocol see
questions 21-24):
Fiber:
Renal & Dialysis Multi-Nutrient Restriction:
Lactose Restricted:
Protein:
Fat:
Sodium:
Potassium:
Phosphorus:
Other Minerals:
Calories:
Fluid Restriction: Total mLs/24 hours (IV & PO):
Research:
Metabolic:
Other Modifiers:
Infant Nutrition (Select product and calories per ounce):
Infant Formula (Calories per Ounce):
Dysphagia Protocol:
Dysphagia Protocol-Modified Consistency (Also select
Dysphagia Protocol Liquid Consistency and Dysphagia
Protocol-Supervision):
Dysphagia Protocol-Liquid Consistency:
Dysphagia Protocol-Supervision:
Tube Feeding (Use Tube Feeding Order Set to indicate order
detail):
Tube Feeding Management:
Room Service Class:
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Pr i nt ed by LIND, JANNA S [JSL237] at 4/9/2015 2:48:25 PM
Copyright © 2015 University of Wisconsin Hospital and Clinics Authority


When patient meets phase II Modified Aldrete Scoring
System.
Low Fat/Low Cholesterol/No Added Salt Diet [NUT0001] EFFECTIVE NOW, Starting today, Routine
General Diet:
Diabetic Diet:
NPO (If patient receiving tube feeding see question 25):
Liquids & Modified Consistency (If Dysphagia Protocol see
questions 21-24):
Fiber:
Renal & Dialysis Multi-Nutrient Restriction:
Lactose Restricted:
Protein:
Fat: LOW FAT/CHOLESTEROL;
Sodium: NO ADDED SALT;
Potassium:
Phosphorus:
Other Minerals:
Calories:
Fluid Restriction: Total mLs/24 hours (IV & PO):
Research:
Metabolic:
Other Modifiers:
Infant Nutrition (Select product and calories per ounce):
Infant Formula (Calories per Ounce):
Dysphagia Protocol:
Dysphagia Protocol-Modified Consistency (Also select
Dysphagia Protocol Liquid Consistency and Dysphagia
Protocol-Supervision):
Dysphagia Protocol-Liquid Consistency:
Dysphagia Protocol-Supervision:
Tube Feeding (Use Tube Feeding Order Set to indicate order
detail):
Room Service Class:
When patient meets Phase II Modified Aldrete Scoring
System.
Patient Monitoring [9694]
Cardiac Rhythm Monitoring - Adult [NURMON0010] CONTINUOUS, Starting today, Routine
Notify Provider: Symptomatic Change in Rhythm,Serious
Arrhythmia
Functional Cardiac Defibrillator Present:
Diagnostic Tests and Imaging
Diagnostic Tests and Imaging [9692]
ECG - 12 Lead [EKG0008] ONCE, Starting today For 1 Occurrences, Routine
Reason for exam: OTHER (COMMENT)
Non-Categorized Orders
Non-Categorized Orders [9695]
May transfer patient when patient meets Phase II
Modified Aldrete Scoring System [NURCOM0022]
ONCE, Starting today For 1 Occurrences
Page 2 of 2
Pr i nt ed by LIND, JANNA S [JSL237] at 4/9/2015 2:48:25 PM
Copyright © 2015 University of Wisconsin Hospital and Clinics Authority