/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-97982-en.cckm

201707191

page

100

UWHC,UWMF,

Tools,

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

IP - IR - Post PICC Placement - Adult - Postprocedure [1130]

IP - IR - Post PICC Placement - Adult - Postprocedure [1130] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - IR - Post PICC Placement - Adult - Postprocedure [1130]
Patient Care Orders
Catheter Care [14384]
Replace All IV Tubing Before Connecting To
New PICC [NURVAD0053]
ONCE, Starting today For 1 Occurrences
Maintain PICC [NURVAD0050] CONTINUOUS, Starting today, Routine
Device Status: Ready For Use
Site:
PICC Secured With:
Flush With(Must also enter separate medication
order to obtain drug):
Site Assessment Frequency: EVERY 8 HOURS
Initiate "Preparing and Caring for Your Midline
or PICC Catheter" Protocol HFFY #5093
[NURVAD0053]
ONCE, Starting today For 1 Occurrences
Contingency Parameters [14385]
Notify Interventional Radiology Resident On
Call [NURCOM0001]
Provider to Notify: Other (Comment)
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg):
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C):
If temperature < (C):
If heart rate > (bpm):
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: Sutures are loose or broken,Catheter
Dislodgement,Questions with PICC line
Medications
Flushes - General [16743]
heparin lock flush 10 units/mL 5 mL injection
[75031]
1-150 units, Flush, PRN, flush/line care
Lock per VAD guidelines
Flushes - Heparin Allergy [16744]
sodium chloride 0.9% flush 10 mL injection
 [785055]
Flush, PRN, flush/line care
Flush per VAD guidelines
Page 1 of 1
Printed by O'BRIEN, RYLEY P [RPO249] at 7/7/2017 8:05:28 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 07/2017CCKM@uwhealth.org