/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/psychiatry/,

/clinical/cckm-tools/content/order-sets/inpatient/psychiatry/name-98039-en.cckm

20180126

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100

UWHC,UWMF,

Tools,

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

IP - Clozapine Administration - Adult - Supplemental [1021]

IP - Clozapine Administration - Adult - Supplemental [1021] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Psychiatry


IP - Clozapine Administration - Adult - Supplemental [1021]
for Adult Patients OnlyIntended
Patient Care Orders
Vitals [118726]
Orthostatic Vital Signs [NURMON0007] 1X DAILY, Routine
Medications
Medications [12961]
clozapine (CLOZARIL) tab [720041] Oral
Note: Psychotropic Consent Has Been Completed
[950018]
ONCE
Laboratory
Laboratory [15871]
WHITE CELL COUNT AND DIFFERENTIAL
[WBCD]
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?
WHITE CELL COUNT AND DIFFERENTIAL
[WBCD]
NEXT AM, Starting 1/30/18 For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw in Morning [19822]
AST/SGOT [AST] NEXT AM 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 [GLU] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
LIPID PANEL [LIPID] NEXT AM For 1 Occurrences, Routine, Test includes
Cholesterol, Total; HDL Cholesterol; Triglyceride; LDL
cholesterol, calculated; and non-HDL cholesterol.
Patient must fast for a minimum of 10 hours and be
heparin free for 48 hours prior to specimen collection.
The patient can only have water during the fasting
period.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
GGT [GGT] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
ALT/SGPT [ALT] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Diagnostic Test and Imaging
Studies [19823]
Page 1 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 1/23/2018 9:22:02 AM
Copyright © 2018 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 01/2018CCKM@uwhealth.org

ECG - 12 Lead Without Rhythm [EKG0008] ONCE, Starting today For 1 Occurrences, Routine
Reason for exam: Other (enter comments)
Comment: Initiation of Clozapine
Disclaimer for University Hospital Only: A Stat status
for an ECG is in reference to the timing of the ECG.
The goal is to perform a STAT ECG within 10 minutes
of the order being placed. It is the responsibility of the
ordering provider to review the STAT ECGs. All ECGs
(stat or routine) will be formally reviewed within one
business day.
Page 2 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 1/23/2018 9:22:02 AM
Copyright © 2018 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 01/2018CCKM@uwhealth.org