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IP – Sepsis – Neonatal – Supplemental [5190]

IP – Sepsis – Neonatal – Supplemental [5190] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Neonatal


SmartSet: IP - SEPSIS - NEONATAL - SUPPLEMENTAL (ID:5190)
General Information
Display name: IP - Sepsis - Neonatal - Supplemental
Type: General
Merge priority:
Version comment:
Content source:
Synonyms: 1. NICU
2. .NICU
3. .NEONATE
SmartSet notes:
Description:
Web information: Title URL
1.
Questionnaire:
Configuration
Medications
Anti-infectives
ampicillin (OMNIPEN) intraVENOUS 100 mg/kg, Intravenous
cefotaxime (CLAFORAN) intraVENOUS 50 mg/kg, Intravenous
fluconazole (DIFLUCAN) intraVENOUS Intravenous
vancomycin (VANCOCIN) intraVENOUS Intravenous, ONCE For 1 Doses
gentamicin (GARAMYCIN) intraVENOUS Intravenous, ONCE For 1 Doses
acyclovir (ZOVIRAX) intraVENOUS 20 mg/kg, Intravenous, EVERY 8 HOURS
Laboratory
Laboratory
CULTURE, BLOOD, BACTERIA/YEAST (2 SITES)
This order equals 2 sites (4 bottles). See link below for Best Practices for Blood Culturing.
Best Practices for Blood Culturing URL: https://uconnect.wisc.edu/clinical/references/clinical-
laboratories/blood/
Lab Test Directory URL: https://uconnect.wisc.edu/clinical/tools-resources/lab-
test-directory/microbiology/name-67798-en.labtest
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CULTURE, BLOOD, BACTERIA AND YEAST NEXT DRAW 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?
CULTURE, BLOOD, BACTERIA AND YEAST NEXT DRAW 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?
CULTURE, SPUTUM WITH GRAM STAIN NEXT AM 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?
CULTURE, URINE WITH GRAM STAIN NEXT AM For 1 Occurrences, Routine
Indication:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CELL COUNT, CSF STAT - RN COLLECT 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?
CULTURE, CSF, AER WITH GRAM STAIN STAT - RN COLLECT 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 STAT - RN COLLECT 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 STAT - RN COLLECT 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 STAT - RN COLLECT 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?
CBC WITH DIFFERENTIAL NEXT DRAW For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
C REACTIVE PROTEIN NEXT DRAW For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
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Diagnostic Tests and Imaging
Diagnostic Tests and Imaging
X-RAY CHEST AP VIEW ONCE-RAD NEXT AVAILABLE For 1 Occurrences, Routine
Current signs and symptoms?
What specific question(s) would you like answered by this
exam?
Relevant recent/past history?
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
X-RAY ABDOMEN AP VIEW (KUB) ONCE-RAD NEXT AVAILABLE For 1 Occurrences, Routine
Radiology Specialty Area: GENERAL IMAGING
Current signs and symptoms?
What specific question(s) would you like answered by this
exam?
Relevant recent/past history?
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
X-RAY BABYGRAM (PEDS CHEST/ABD COMBINED-
LESS THAN 2 YEARS)
ONCE-RAD NEXT AVAILABLE For 1 Occurrences, Routine
Radiology Specialty Area:
Current signs and symptoms?
What specific question(s) would you like answered by this
exam?
Relevant recent/past history?
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
Criteria
Suggestions: UWIP C LOGIN DEPT IPPED NEONATAL INTENSIVE CARE[3001764]
Filter: UWIP ORDER SET RESTRICTOR - IP AND PEDS - NOT IP DC[3000404]
Restrict SmartSet:
Settings
Discontinue action:
Deselect sections for
Pended/Held orders:
Pended/Held orders display:
Release date: Use System Definitions Setting
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Disallow user override:
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Copyright © 2016 University of Wisconsin Hospitals and Clinics Authority