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/clinical/cckm-tools/content/order-sets/inpatient/neonatal/name-98134-en.cckm

201606170

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UWHC,UWMF,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Neonatal

IP – Neonatal – Supplemental [3500]

IP – Neonatal – Supplemental [3500] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Neonatal


SmartSet: IP - NEONATAL - SUPPLEMENTAL (ID:3500)
General Information
Display name: IP - Neonatal New Born Care - Supplemental
Type: General
Merge priority: 0
Version comment:
Content source:
Synonyms: 1. NEONATE
2. HEART
3. CAR SEAT
4. NEWBORN
5. .OTHER
6. .SUPPLEMENTAL
7. .NICU
8. .NEONATE
SmartSet notes:
Description:
Web information: Title URL
1.
Questionnaire:
Configuration
Patient Care Orders
Vital Signs
Measure Blood Pressure SEE COMMENTS, Routine
BP Source:
BP Location: All Four Extremities
BP Position:
BP Restrictions:
Once upon admission.
Medications
Immunizations - For infants born to mothers who are HBsAg NEGATIVE - NOTE: Do NOT order if patient
received initial dose at birth
hepatitis B vaccine (ENGERIX-B PEDS) 10 mcg/0.5 10 mcg, Intramuscular, ONCE For 1 Doses
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Copyright © 2016 University of Wisconsin Hospitals and Clinics Authority
 

mL vial SUSP
Immunizations - For infants born to mothers who are HBsAg POSITIVE - NOTE: Do NOT order if patient
received initial dose at birth
hepatitis B vaccine (ENGERIX-B PEDS) 10 mcg/0.5
mL vial SUSP
10 mcg, Intramuscular, ONCE For 1 Doses
hepatitis B immune globulin injection 0.5 mL, Intramuscular, ONCE For 1 Doses
Immunizations - For infants born to mothers of UNKNOWN HBsAg status - NOTE: Do NOT order if patient
received initial dose at birth
hepatitis B vaccine (ENGERIX-B PEDS) 10 mcg/0.5
mL vial SUSP
10 mcg, Intramuscular, ONCE For 1 Doses
Sucrose for Oral Analgesia
sucrose (SWEET-EASE) 24% buccal soln Oral, PRN, pain, mild pain or potentially painful procedures.
See Admin Instructions
Routine Birth Medications
erythromycin (ROMYCIN) ophthalmic ointment Eyes (Each), ONCE For 1 Doses
Apply a thin layer to inside of lower lid
phytonadione (VITAMIN K1) injection 1 mg, Intramuscular, ONCE For 1 Doses
Laboratory
Laboratory
NEONATAL SCREEN NEXT DRAW For 1 Occurrences, Routine, This test is to be
used for a complete Wisconsin State Newborn Screen. Do
not use to order other testing to be collected using dried blood
spots.
Last patient weight? (will auto pull in value and date in
comment):
Has pt EVER been transfused? (If YES enter date of last
transufsion below):
Date of Last Transfusion:
Date of last newborn screen:
Timing of Collection (See WSLH Collection Info reference link
below):
Diagnostic Tests and Imaging
Diagnostic Tests and Imaging
Newborn Hearing Screen ONCE, Routine, Notify Care Team Leader to perform hearing
screen.
Complete order when screen has been performed.
Notify Provider if patient refers twice on Newborn Hearing
Screen. Provider to order Outpatient Audiology Screening.
Consults
Consults
Consult Child Passenger Safety Program (Inpatient) ONCE, Starting S For 1 Occurrences, Routine, Contact Child
Passenger Safety Coordinator @ 890-8078 to alert the
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Copyright © 2016 University of Wisconsin Hospitals and Clinics Authority
 

coordinator of this consult request.
Reason for Consult: Angle Tolerance Test
Expected Date of Evaluation:
Consult Social Work (Inpatient) ONCE, Routine
Reason for Consult: OTHER (Birth to 3)
Financial and Birth to 3 Consults
Consult Case Management (Inpatient) ONCE, Routine
Reason for Consult: OTHER (CPR Community Resource)
Consult Lactation Consultant ONCE, Routine, Patient's assigned RN is to arrange for the
Lactation Consultant or designee to complete the consult.
Reason for Consult:
Criteria
Suggestions:
Filter: UWIP ORDER SET RESTRICTION - HOSPITAL ENCOUNTERS EXCEPT ED - NOT IP DC
[3000400]
Restrict SmartSet:
Settings
Discontinue action:
Deselect sections for
Pended/Held orders:
Pended/Held orders display:
Release date: Use System Definitions Setting
Disallow user override:
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Printed by STRAKA, KEVIN F [KFS1] at 3/21/2016 3:13:48 PM
Copyright © 2016 University of Wisconsin Hospitals and Clinics Authority