/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/hospital-wide/,

/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/name-98271-en.cckm

20180112

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Hospital-wide

IP - Pneumonia, Healthcare-Associated (HCAP) - Adult - Supplemental [2124]

IP - Pneumonia, Healthcare-Associated (HCAP) - Adult - Supplemental [2124] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide


IP - Pneumonia, Healthcare-Associated (HCAP) - Adult - Supplemental [2124]
for Adult Patients OnlyIntended
Patient Care Orders
Respiratory [151741]
Respiratory Care for Healthcare Associated Pneumonia
[151742]
Respiratory Therapy per Protocol [RT0035] Routine
Protocol Type:
Incentive Spirometry [NURTRT0018] EVERY 2 HOURS, Routine, While awake.
Cough And Deep Breathe [NURTRT0019] EVERY 2 HOURS, Routine, While awake.
Medications - Anti-infectives
American
Thoracic
Society
Guidelines:
Am J Respir
Crit Care Med
2005;171:858-
873
URL: http://workspaces.uconnect.wisc.edu/download/attachments/10327345/HAP+Guidelines+-+IDSA+and+ATS%
2C+2005.pdf?version=1&modificationDate=1297119505697
UWHC
Nosocomial
Pneumonia
Algorithm
URL: http://workspaces.uconnect.wisc.edu/download/attachments/10327345/Nosocomial+Pneumonia+Algorithm.pdf?
version=1&modificationDate=1297275105217
UWHC Health Care Acquired
Pneumonia In Non-Intubated
Patients
URL: http://workspaces.uconnect.wisc.edu/download/attachments/10327345/HCAP+In+Non-
Inbated+Patient+Algorithm.pdf?version=1&modificationDate=1297275046357
Anti-Infectives for Patients with suspected MRSA (Single Response) [152423]
Treatment of Patients with Reported Allergies to Beta-
Lactam Antibiotics - Adult - Inpatient - Clinical Practice
Guidelin
URL: https://uconnect.wisc.edu/clinical/cckm-
tools/content/cpg/infection-and-isolation/name-97535-
en.cckm
Cefepime - Vancomycin Note (Maximum Dose 2000 mg)
[238672]
cefepime (MAXIPIME) intraVENOUS [800016] 2 g, Intravenous, EVERY 8 HOURS
Do NOT delay administration of 1st dose pending sputum
collection. Give first dose NOW if not done in ED.
Note: Vancomycin Dosing Per Pharmacy [950027] CONTINUOUS
Maximum Dose of Vancomycin is 2 grams
For Severely Ill patients (ADD-ON) (Single Response) [208476]
tobramycin (NEBCIN) intraVENOUS [800081] 5 mg/kg, Intravenous, EVERY 24 HOURS
Do NOT delay administration of 1st dose pending sputum
collection. Give first dose NOW if not done in ED. NOTE: After
first dose, Pharmacy to adjust subsequent doses.
Probiotic [200227]
spectrum -therapeutic broadconsider the use of probiotics in immunocompetent patients receiving Please
lactamase -lactam/beta-4th generation cephalosporins, betaantibiotics, such as fluoroquinolones, 3rd and
diarrhea clindamycin to prevent antibiotic associated inhibitors, and
lactobacillus rhamnosus GG (CULTURELLE) cap
[152674]
1 cap, Oral, 1 X DAILY
Laboratory
Best Practices for Blood Culturing URL: https://uconnect.wisc.edu/clinical/references/laboratory-
services/blood/
Draw STAT (If Not Done in ER - Both Must be Ordered Together) [34163]
Page 1 of 3
Printed by WILLIAMS, HEATHER R [HRS0] at 1/8/2018 9:51:27 AM
Copyright © 2018 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 01/2018CCKM@uwhealth.org

CULTURE, BLOOD, BACTERIA AND YEAST [GM4045] STAT, 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? if patient febrile and
temperature >38.2C
Draw before antibiotics are administered.
CULTURE, BLOOD, BACTERIA AND YEAST [GM4045] STAT, 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? if patient febrile and
temperature >38.2C
Draw before antibiotics are administered.
Obtain STAT (if NOT done in ER - Both must be ordered together) [188623]
MRSA BY PCR - Nose [HCMRSA] ONCE For 1 Occurrences, Routine, There is no need to obtain
repeated surveillance tests to clear patients from MRSA
isolation. Once a patient is flagged as MRSA positive it will
remain in the HealthLink header indefinitely.
For NICU patients: left and right nares only.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
MRSA BY PCR - Throat [HCMRSA] ONCE For 1 Occurrences, Routine, There is no need to obtain
repeated surveillance tests to clear patients from MRSA
isolation. Once a patient is flagged as MRSA positive it will
remain in the HealthLink header indefinitely.
For NICU patients: left and right nares only.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Draw Now (If not done in ER) [153069]
C REACTIVE PROTEIN [CRPN] NEXT DRAW, 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, SPUTUM WITH GRAM STAIN [HCSPUCS] ONCE For 1 Occurrences, Routine, For patients with an ET
tube or tracheostomy, quantitative mini-BAL by RT or
bronchoscopic BAL are the preferred methods of specimen
collection.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
LEGIONELLA URINARY AG [GM4910] 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?
STREP PNEUMONIAE AG, URINE [GM4545] 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?
Influenza Testing (Seasonal Testing: October - March) [9017]
Page 2 of 3
Printed by WILLIAMS, HEATHER R [HRS0] at 1/8/2018 9:51:27 AM
Copyright © 2018 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 01/2018CCKM@uwhealth.org

RESPIRATORY VIRUS DETECTION [HCVIRUSD] ONCE, Starting today For 1 Occurrences, Routine, Includes
Influenza A and B by PCR, RSV by PCR, and Parainfluenza
1,2, 3 by PCR. May also include rapid antigen tests during
season.
UWHC: Collect Nasopharyngeal Minitip swab (flocked swab)
and place in UTM. BAL is also acceptable. Room temperature
M4 (M4RT) is not acceptable.
UWMF: Collect Nasopharyngeal (flocked swab) and place in
refrigerated M4 viral media. BAL is also acceptable. Room
temperature M4 (M4RT) is not acceptable.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Page 3 of 3
Printed by WILLIAMS, HEATHER R [HRS0] at 1/8/2018 9:51:27 AM
Copyright © 2018 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 01/2018CCKM@uwhealth.org