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IP - Tracheotomy - Adult - Supplemental [2233]

IP - Tracheotomy - Adult - Supplemental [2233] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, ENT


IP - Tracheotomy - Adult - Supplemental [2233]
Intended for Adult Patients Only
Patient Care Orders
Vital Signs [31240]
Vital Signs [NURMON0013] EVERY 1 HOUR, Starting today For 4 Occurrences, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Activity [31242]
Elevate Head Of Bed [NURACT0002] Equal to (degrees): 30
Greater than (degrees):
Less than (degrees):
Other options:
Routine, CONTINUOUS, Starting today
Respiratory [31243]
Apply Heated Trach Mask [117145]
Apply Heated Trach Mask [RT0044] CONTINUOUS, Routine
Titrate oxygen to maintain O2 sat at (%): 92
FiO2 (%):
Apply heated, humidified trach mask
Provide Manual Resuscitator at Bedside [RT0039] CONTINUOUS, Routine
Cough And Deep Breathe [NURTRT0019] EVERY 2 HOURS, Starting today, Routine
Tracheotomy Care Orders [31244]
Trach Care [NURWND0015] CONTINUOUS, Starting today, Routine
Wound Type: Closed - Incision
Wound Site: Head/Neck
Wound Location: Anterior
Assess Frequency: EVERY 8 HOURS (And as needed)
Care Frequency: EVERY 8 HOURS (And as needed)
Wash With:
Irrigate/Rinse With: sodium chloride 0.9%
Apply (Must also enter separate medication order to obtain
drug):
Primary Dressing: Other (Comment)
Secondary Dressing:
Primary Dressing: Drain sponge placed around the tube and
change as needed.
Suction Airway (Tracheal Suction) [NURTAD0017] PRN, Starting today, Routine
Location: Tracheal
Obturator and Additional Tracheotomy Tube at Bedside
[RT0073]
CONTINUOUS, Starting today, Routine
Check Airway Cuff Pressure [RT0014] RT PRN, Starting today, Routine, Respiratory Therapy to
check cuff pressure and adjust accordingly.
Do Not Move/Manipulate/Cut Trach Ties or Sutures Until
Tracheostomy Tube Change [NURWND0018]
CONTINUOUS, Starting today
Assess Skin on Neck for Breakdown [NURWND0018] SEE COMMENTS, Starting today, Every 8 hours.
Irrigate Airway with 5 mL Normal Saline [RT0073] SEE COMMENTS, Starting today For Until specified, Routine,
Irrigate airway with 5 mL Normal Saline and suction every 8
hours and as needed. Remove inner cannula and clean or
replace with each irrigation.
Provide Health Facts For You on Tracheostomy Care
#5340 [NURCOM0022]
ONCE
Begin trach education on Postop Day #1, or as
appropriate, including family if available [NURCOM0022]
ONCE
Deflate cuff on Postop Day #1 on patients not requiring ONCE
Page 1 of 2
Printed by LIND, JANNA S [JSL237] at 5/26/2016 1:11:37 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
05/2016CCKM@uwhealth.org

positive pressure ventilation [NURCOM0022]
Diagnostic Tests and Imaging
Diagnostic Tests and Imaging [31245]
X-RAY CHEST AP VIEW [R71010] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms? Status post tracheotomy
What specific question(s) would you like answered by this
exam? Verify trach tube position
Relevant recent/past history? Status post tracheotomy
Is patient pregnant?
If being performed remotely, where? Bedside
Transport Method: Floor Determined/Entered
In PACU
Consults
Consults [113210]
Consult Case Management (Inpatient) [CON0013] ONCE, Starting today For 1 Occurrences, Routine
Reason for Consult: DURABLE MEDICAL EQUIPMENT
Home humidification if patient goes home with new
tracheotomy (or stoma).
Consult Social Work (Inpatient) [CON0076] ONCE, Routine
Reason for Consult: DISCHARGE PLANNING
Page 2 of 2
Printed by LIND, JANNA S [JSL237] at 5/26/2016 1:11:37 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
05/2016CCKM@uwhealth.org