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IP - IR - Post Peritoneal Catheter Placement - Adult - Postprocedure [1129]

IP - IR - Post Peritoneal Catheter Placement - Adult - Postprocedure [1129] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - IR - Post Peritoneal Catheter Placement - Adult - Postprocedure [1129]
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
Catheter Care [14377]
Maintain Peritoneal Catheter [NURVAD0025] CONTINUOUS, Starting today, Routine
Site: Abdomen
Location:
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: SEE COMMENTS (Every 3 days
and as needed for wet or soiled dressing)
Wash With: CHG (Hibiclens)
Primary Dressing: Gauze (2 x 2)
Secondary Dressing: Transparent Dressing
(TEGADERM)
No tub baths but may shower if insertion site covered
with waterproof covering
Drainage Volume Orders [14378]
Draining instructions [NURTAD0046] ONCE, Starting today For 1 Occurrences, Drain no
more than an additional *** milliliters today
Draining Instructions Day After Procedure
[NURTAD0046]
SEE COMMENTS, Starting tomorrow, Drain no more
than 2,000 mL/day starting postprocedure day 1
Non-Categorized Patient Care Orders [183693]
Give Patient HFFY: Placement and Care of your
Aspira Drainage Catheter (Interventional
Radiology) [NURCOM0025]
ONCE, Routine, Give patient HFFY #7651:
Placement and Care of your Aspira Drainage
Catheter (Interventional Radiology)
Contingency Parameters [14379]
Page 1 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 6/23/2017 2:36:50 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 Abdominal Pain,New Chest
Pain,Shortness of Breath,Excessive drainage or
erythema at the procedure site
Intravenous Therapy
IV Fluids (Single Response) [14688]
dextrose 5%-NaCl 0.45% infusion [51613] Intravenous, CONTINUOUS
sodium chloride 0.9 % infusion [64367] Intravenous, CONTINUOUS
Follow-up
Follow-up [14380]
Schedule Appointment Follow-up Puncture Site
Stitch Removal [NURCOM0026]
Reason for Hospital Follow Up Appointment: Stitch
removal, Status Post Catheter placement
Which Provider: Other Provider or Specialist
When do you want appointment: Other (Enter
comments)
Which Clinic or Specialty:
Page 2 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 6/23/2017 2:36:50 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
06/2017CCKM@uwhealth.org