/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/radiology/,

/clinical/cckm-tools/content/order-sets/inpatient/radiology/name-97960-en.cckm

201708233

page

100

UWHC,UWMF,

Tools,

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

IP - IR - Home Care - Adult - Supplemental [1119]

IP - IR - Home Care - Adult - Supplemental [1119] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - IR - Home Care - Adult - Supplemental [1119]
Drain Type
Drain Type [14253]
Maintain Gastrostomy Tube For Alimentation
[NURTAD0035]
Routine
Drainage Options: Low Intermittent Wall
Flush With: Water
Irrigant Volume (mL): 30
Flush Frequency: SEE COMMENTS
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: SEE COMMENTS
Wash With: Other (Comment)
Primary Dressing: Other (Comment)
Secondary Dressing: None
Maintain Gastrostomy Tube For Decompression
[NURTAD0007]
Routine
Drainage Options: Low Intermittent Wall
Flush With: Water
Flush Volume (mL): 30 mL
Flush Frequency: EVERY 8 HOURS
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: DAILY
Wash With: Other (Comment)
Primary Dressing: Other (Comment)
Secondary Dressing: None
Maintain Gastrostomy Jejunostomy Tube
[NURTAD0008]
Routine
Gastrostomy Port Drainage:
Jejunostomy Port Drainage:
Flush Gastrostomy and Jejunostomy Port With: Water
Flush Volume (mL):
Flush Frequency:
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: SEE COMMENTS
Wash With: Other (Comment)
Primary Dressing: Other (Comment)
Secondary Dressing: None
Maintain Abscess Drain [NURTAD0034] Routine
Drain Site:
Location:
Drainage Options:
Flush With(Must also enter seperate medication order
to obtain drug):
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: SEE COMMENTS
Wash With: Other (Comment)
Primary Dressing: Gauze
Secondary Dressing: Transparent Dressing
(TEGADERM)
Page 1 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 8/21/2017 1:37:31 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2017CCKM@uwhealth.org

Maintain Nephrostomy Tube [NURTAD0025] Routine
Location:
Drainage Options:
Flush With(Must also enter seperate medication order
to obtain drug):
Site Assessment Frequency:
Care Frequency: EVERY 3 DAYS
Wash With: Other (Comment)
Primary Dressing: Gauze
Secondary Dressing: Transparent Dressing
(TEGADERM)
Maintain Biliary/Gall Bladder Tube
[NURTAD0033]
Routine
Drain Site:
Location:
Drainage Options:
Flush With(Must also enter seperate medication order
to obtain drug):
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: SEE COMMENTS
Wash With: Other (Comment)
Primary Dressing: Gauze
Secondary Dressing: Transparent Dressing
(TEGADERM)
Other - Procedure [183707]
Home Care - Non-Drain [NURTAD0046] Routine, Procedure Performed: ***
Home Care Instructions: ***
Patient Care Orders
Drainage [14254]
Drain to Bag By Gravity [NURTAD0046] CONTINUOUS, Starting today
Cap Drain [NURTAD0046] ONCE, Starting today For 1 Occurrences
Home Supplies [16624]
Home Dressing Supplies for 3 Dressing Changes
[NURCOM0022]
ONCE, Starting today For 1 Occurrences
Personal Hygiene [16625]
Do Not Shower [NURCOM0022] Routine
Do Not Shower - May Sponge Bath
[NURCOM0022]
Routine
May Shower - Keep Drain Tube Clean and Dry
[NURCOM0022]
Routine
May Shower - Clean Site with Soap and Warm
Water [NURCOM0022]
Routine
Non-Categorized Patient Care Orders [16626]
Provide Patient Education - Health Facts for You
(HFFY) [NURCOM0025]
ONCE, Starting today For 1 Occurrences, Routine,
Health Facts for You (HFFY) # ***
Prescriptions
Flushes [16548]
sodium chloride 0.9% INJ SOLN [42188] starting 8/21/17, Normal
Follow-Up
Follow-Up [16627]
Schedule Appointment Follow Up Tube Check:
Call Interventional Radiology prior to Discharge
[NURCOM0026]
Reason for Hospital Follow Up Appointment: Evaluate
function and patency from drain placement
Which Provider: Patient's Specific PCP/Care Team
When do you want appointment:
Which Clinic or Specialty:
Page 2 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 8/21/2017 1:37:31 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

Schedule Appointment Follow-up Tube Change:
Call Interventional Radiology prior to discharge
[NURCOM0026]
Reason for Hospital Follow Up Appointment: Maintain
Patency
Which Provider: Patient's Specific PCP/Care Team
When do you want appointment:
Which Clinic or Specialty:
Page 3 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 8/21/2017 1:37:31 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org