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201706177

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IP - IR - Post Chest Tube Placement - Adult - Postprocedure [1118]

IP - IR - Post Chest Tube Placement - Adult - Postprocedure [1118] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - IR - Post Chest Tube Placement - Adult - Postprocedure [1118]
Patient Care Orders
Vital Signs [213198]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today For Until specified,
Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every 15 minutes times 4, then every 30 minutes
times 2, then every hour times 2, then return to
baseline order.
Activity [183458]
Activity - Post IR Procedure [NURACT0011] SEE COMMENTS, Bedrest for *** hours. Resume
previous activity orders after designated bedrest.
Nutrition [14227]
NPO Postprocedure - Hold Diet [DIE0007] CONTINUOUS NPO, Routine
NPO For Which Procedure? IR Post Procedure
Modifiers: NPO EXCEPT MEDICATIONS
Intake and Output [14244]
Measure Chest Tube Output [NURTAD0013] EVERY 8 HOURS, Starting today, Routine
Drain/Tube Care [14245]
Maintain Chest Tube [NURTAD0001] CONTINUOUS, Starting today, Routine
Location:
Position:
Drainage Options:
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: SEE COMMENTS (Every 48 hours
and as needed for wet or soiled dressing)
Wash With: CHG (Hibiclens)
Primary Dressing: Gauze (2 x 2)
Secondary Dressing: Transparent Dressing
(TEGADERM)
Contingency Parameters [14246]
Page 1 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 6/23/2017 3:42:31 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org

Notify Interventional Radiology Resident On Call
[NURCOM0001]
Provider to Notify: Other (Comment)
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg): 100 during first
24 hours after procedure
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C): 38.5 during first 24 hours after
procedure
If temperature < (C):
If heart rate > (bpm): 120 during first 24 hours after
procedure
If heart rate < (bpm):
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%):
If urine output < (mL):
Other: New Chest Pain,Shortness of Breath,Frank
blood output from chest tube
Intravenous Therapy
IV Fluids (Single Response) [14688]
dextrose 5%-NaCl 0.45% infusion [51613] Intravenous, CONTINUOUS
sodium chloride 0.9 % infusion [64367] Intravenous, CONTINUOUS
Diagnostic Tests
Imaging [14247]
X-RAY CHEST PA & LAT VIEWS [R71020] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Radiology Specialty Area: GENERAL IMAGING
Current signs and symptoms?
What specific question(s) would you like answered by
this exam? Evaluate response to chest tube
placement
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where?
Transport Method: Floor Determined/Entered
X-RAY CHEST PA & LAT VIEWS [R71020] ONCE-RAD NEXT AVAILABLE, Starting tomorrow
For 1 Occurrences, Routine
Radiology Specialty Area: GENERAL IMAGING
Current signs and symptoms?
What specific question(s) would you like answered by
this exam? Evaluate response to chest tube
placement
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where?
Transport Method: Floor Determined/Entered
Page 2 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 6/23/2017 3:42:31 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
06/2017CCKM@uwhealth.org

X-RAY CHEST PA & LAT VIEWS [R71020] ONCE-RAD NEXT AVAILABLE, Starting 6/25/17 For
1 Occurrences, Routine
Radiology Specialty Area: GENERAL IMAGING
Current signs and symptoms?
What specific question(s) would you like answered by
this exam? Evaluate response to chest tube
placement
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where?
Transport Method: Floor Determined/Entered
Page 3 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 6/23/2017 3:42:31 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
06/2017CCKM@uwhealth.org