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

IP - IR - Post Portal Vein Embolization - Adult - Postprocedure [3513]

IP - IR - Post Portal Vein Embolization - Adult - Postprocedure [3513] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - IR - Post Portal Vein Embolization - Adult - Postprocedure [3513]
Intended for Adult Patients Only
Admission Status
Level of Care (Single Response) [186484]
*An admit patient order has already been written, but the level of care at which the patient
should be placed still needs to be identified.
Place Patient on General Care [ADT0018] General Care, has already been signed. This order
will ensure that the patient is placed at the appropriate
level of care.
Place Patient on Intermediate Care (IMC)
[ADT0018]
Intermediate Care, has already been signed. This
order will ensure that the patient is placed at the
appropriate level of care.
Place Patient on Intensive Care (ICU) [ADT0018] Intensive Care, has already been signed. This order
will ensure that the patient is placed at the appropriate
level of care.
Admit to Inpatient (Single Response) [188296]
Admit To Inpatient [ADT0001] Attending:
Admitting Resident:
Requested Floor:
Service:
I certify that an inpatient stay is medically necessary
because of either an anticipated LOS >2 midnights,
complexity and/or severity of illness, an inpatient-
only surgery, or a previously-authorized inpatient
stay. Rationale listed below. Yes
C - CLEAR DIAGNOSIS:
E - EVALUATIONS PLANNED:
R - RESULTS EXPECTED:
T - TREATMENTS ORDERED:
Admit to Observation (Single Response)
[188297]
Admit To Observation [ADT0002] Attending:
Admitting Resident:
Requested Floor:
Service:
Admit to Outpatient Short Stay (Single
Response) [188298]
Admit To Outpatient Short Stay [ADT0003] Attending:
Admitting Resident:
Requested Floor:
Service:
Admission Status [154438]
Admit To Observation [ADT0002] Attending:
Admitting Resident:
Requested Floor:
Service:
Admission Status [154456]
Admit To Observation [ADT0002] Attending:
Admitting Resident:
Requested Floor:
Service:
Patient Care Orders
Vital Signs [103375]
Page 1 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 8/17/2017 12:49:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2017CCKM@uwhealth.org

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 4 then every hour times 3, then every shift
Patient Monitoring [103371]
Monitor Entry Site for Hematoma or New Bleeding
[NURMON0078]
SEE COMMENTS, Starting today For Until specified,
Routine
Site: Other (Comment Required) (Right Upper
Quadrant)
Location: Right
Remove dressing 24 hours after procedure
Activity [153588]
Activity - Post IR Procedure [NURACT0011] SEE COMMENTS, Patient may have bathroom
privileges. Bedrest for *** hours then up ad lib.
No lifting greater than 10 pounds for 24 hours
postprocedure [NURACT0011]
CONTINUOUS
Nutrition [14227]
NPO Postprocedure - Hold Diet [DIE0007] CONTINUOUS NPO, Routine
NPO For Which Procedure? IR Post Procedure
Modifiers: NPO EXCEPT MEDICATIONS
Contingency Parameters [103377]
Notify Interventional Radiology Resident
[NURCOM0001]
Provider to Notify: Other (Comment)
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg): 100
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C): 38.5 degrees Celsius during first
24 hours after procedure
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: Pain not controlled with ordered analgesics
Medications
Analgesics - Opioids - Intranvenous - PRN (Single Response) [103496]
HYDROmorphone PF (DILAUDID) injection
RANGE [750050]
0.2-0.4 mg, Intravenous, EVERY 1 HOUR PRN For 24
Hours, Administer for severe pain when unable to take
orally, for 3 Minutes
MORPHine PF injection RANGE [750057] 1-2 mg, Intravenous, EVERY 1 HOUR PRN, pain,
Administer for severe pain when unable to take orally,
for 4 Minutes
Anti-emetics [17173]
ondansetron (ZOFRAN) tab [45939] 4 mg, Oral, EVERY 24 HOURS PRN, nausea/vomiting
Administer as first line therapy.
Page 2 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 8/17/2017 12:49:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org

ondansetron (ZOFRAN) injection [800202] 4 mg, Intravenous, EVERY 24 HOURS PRN,
nausea/vomiting
Administer as first line therapy if unable to take orally.
prochlorperazine (COMPAZINE) tab [41372] 10 mg, Oral, EVERY 6 HOURS PRN, nausea/vomiting
Administer as second line therapy.
prochlorperazine (COMPAZINE) injection [41369] 10 mg, Intravenous, EVERY 6 HOURS PRN,
nausea/vomiting
Administer as second line therapy if unable to take
orally
If ordered IV: push rate 5 mg/minute.
Laboratory
Laboratory [103378]
HEMOGLOBIN [HGB] CONDITIONAL - RN COLLECT, Starting today,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw 1 hour post
procedure
HEMOGLOBIN [HGB] CONDITIONAL - RN COLLECT, Starting today,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw 3 hours post
procedure
Page 3 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 8/17/2017 12:49:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org