/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/inpatient/,/clinical/cckm-tools/content/order-sets/inpatient/emergency-medicine/,

/clinical/cckm-tools/content/order-sets/inpatient/emergency-medicine/name-98371-en.cckm

201709272

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Emergency Medicine

ED - Procedures - Adult [2992]

ED - Procedures - Adult [2992] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Emergency Medicine


ED - Procedures - Adult [2992]
Lumbar Puncture
Laboratory [92367]
CULTURE, CSF, AER WITH GRAM STAIN -
Tube 2 [HCSFC]
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?
CULTURE, CSF, AER WITH GRAM STAIN -
Tube 3 [HCSFC]
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?
CELL COUNT, CSF - Tube 1 [HCCFCC] STAT, Starting today For 1 Occurrences, Routine,
Please indicate if specimen source is CSF, lumbar
puncture, or ventricular shunt fluid.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CELL COUNT, CSF - Tube 4 [HCCFCC] STAT, Starting today For 1 Occurrences, Routine,
Please indicate if specimen source is CSF, lumbar
puncture, or ventricular shunt fluid.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PROTEIN, CSF - Tube 2 [GM2745] 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?
PROTEIN, CSF - Tube 3 [GM2745] 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?
GLUCOSE, CSF - Tube 2 [GM2740] 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?
GLUCOSE, CSF - Tube 3 [GM2740] 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?
HERPES SIMPLEX VIRUS BY PCR
[HCHSVPCR]
STAT For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Premedication [107072]
lidocaine 4% (LMX) topical dressing kit - NOTE:
Order for patients 10 kg or less [66882]
Topical, ONCE For 1 Doses
Apply 20-30 minutes prior to needle insertion. For
patients 10 kg or less do NOT apply to area greater
than 100 square centimeters; for patients greater than
10 kg do NOT apply to area greater than 200 square
centimeters
For patients less than one year old do NOT leave on
longer than one hour; for patients one year or older do
NOT leave on longer than 2 hours
lidocaine 1 % vial [39034] 0.1-0.4 mL, Subcutaneous, ONCE For 1 Doses
Please bring vial to bedside.
Page 1 of 4
Printed by STRAKA, KEVIN F [KFS1] at 9/27/2017 9:57:49 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2017CCKM@uwhealth.org

Supplies [140301]
RN to Bring Lumbar Puncture Kit to Bedside
[NURCOM0022]
ONCE
Bring 22g Whitacre "Dull Tip" Needle to room
[NURCOM0022]
ONCE
Bring 22g Quincke "Cutting Tip" Needle to room
[NURCOM0022]
ONCE
Non-Categorized Patient Care Orders [198829]
Do not send CSF specimens to lab via tube
system but rather hand-deliver to lab
[NURCOM0022]
ONCE
Common Group Labs/Body Fluid
Peritoneal Fluid [190621]
CELL COUNT, PERITONEAL FLUID [HCPECC] STAT For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CULTURE, BODY FLUID, AER/ANA WITH
GRAM STAIN [HCWABF]
STAT For 1 Occurrences, Routine, UWHC Only: Use
blood culture bottles for peritoneal, pericardial, pleural,
synovial and dialysate fluids.
Indicate source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
LD, TOTAL, PERITONEAL FLUID [HCPELD] STAT For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PROTEIN, PERITONEAL FLUID [HCPEP] STAT For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
GLUCOSE, PERITONEAL FLUID [HCPEGLUC] STAT For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
AMYLASE, PERITONEAL FLUID [HCPEAMYL] STAT For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
ALBUMIN, PERITONEAL FLUID [HCPEALB] STAT For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Synovial Fluid [190623]
CELL COUNT, SYNOVIAL FLUID [HCSYCC] 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?
Page 2 of 4
Printed by STRAKA, KEVIN F [KFS1] at 9/27/2017 9:57:49 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2017CCKM@uwhealth.org

CRYSTALS, SYNOVIAL FLUID [FCR] 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?
CULTURE, BODY FLUID, AER/ANA WITH
GRAM STAIN [HCWABF]
STAT For 1 Occurrences, Routine, UWHC Only: Use
blood culture bottles for peritoneal, pericardial, pleural,
synovial and dialysate fluids.
Indicate source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Pleural Fluid [190624]
CELL COUNT, PLEURAL FLUID [HCPLCC] 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?
GLUCOSE, PLEURAL FLUID [HCPLGLUC] 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?
PROTEIN, PLEURAL FLUID [HCPLEUP] 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?
CULTURE, BODY FLUID, AER/ANA WITH
GRAM STAIN [HCWABF]
STAT For 1 Occurrences, Routine, UWHC Only: Use
blood culture bottles for peritoneal, pericardial, pleural,
synovial and dialysate fluids.
Indicate source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
LD, TOTAL, PLEURAL FLUID [HCPLLD] 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?
PH, PLEURAL FLUID [HCPLPH] 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?
Disseminated Intravascular Coagulation (DIC) [190627]
FIBRINOGEN [GM1320] 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?
PROTHROMBIN TIME/INR [PT] 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?
D-DIMER, QUANT [GM1332] 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?
Platelet Count - NOTE: Platelet count is included
in CBC [PLT]
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?
Page 3 of 4
Printed by STRAKA, KEVIN F [KFS1] at 9/27/2017 9:57:49 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2017CCKM@uwhealth.org

FIBRIN MONOMER [HCFIBMON] 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?
Page 4 of 4
Printed by STRAKA, KEVIN F [KFS1] at 9/27/2017 9:57:49 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2017CCKM@uwhealth.org