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IP - IR - Post Subcutaneous Venous Access Port - Adult - Postprocedure [1297]

IP - IR - Post Subcutaneous Venous Access Port - Adult - Postprocedure [1297] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - IR - Post Subcutaneous Venous Access Port - Adult - Postprocedure [1297]
Patient Care Orders
Vital Signs [16982]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today with First
Occurrence As Scheduled, 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.
Patient Monitoring [16983]
Monitor Site for Hematoma, New Bleeding,
Swelling or Discharge [NURWND0018]
SEE COMMENTS, Starting today For Until specified,
Monitor entry site for hematoma or new bleeding every
15 minutes times 4, then every 30 mintutes times 2.
Site: ***
Location: {right/left/bilaterally:4001510}
Activity [16984]
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
Wound Care [16987]
Procedure Site Care [NURWND0015] CONTINUOUS, Starting today For Until specified,
Routine
Wound Type:
Wound Site:
Wound Location:
Assess Frequency: SEE COMMENTS
Care Frequency:
Wash With: Other (Comment)
Irrigate/Rinse With:
Apply (Must also enter separate medication order to
obtain drug):
Primary Dressing:
Secondary Dressing:
Procedure Site Care: Leave dressing intact for 3 days.
Remove dressing on day 4 and leave open to air. Do
not remove adhesive skin closures (Steri-strips).
Keep port site dry (do not scrub, soak, or submerge in
water or apply ointments) until port is re-evaluated in
IR Clinic 7-10 days post placement. When showering,
cover with clear plastic wrap (saran wrap) and tape or
2x2 gauze and tegaderm
Non-Categorized Patient Care Orders [153873]
Give Patient HFFY: Port Placement -
Interventional Radiology [NURCOM0025]
ONCE, Routine, Give patient HFFY #5958: Port
Placement - Interventional Radiology
Give Patient HFFY: Moderate Sedation - For
Adult and Pediatric Patients [NURCOM0025]
ONCE, Routine, Give patient HFFY #5821: Moderate
Sedation - For Adult and Pediatric Patients
Contingency Parameters [16985]
Page 1 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 6/30/2017 1:29:09 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
[NURCOM0001]
Provider to Notify: Provider
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg): 100 mmHg
during first 24 hours after procedure
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): 120 beats/minute 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: Shortness of breath,Chest pain,Neck
pain,Hematoma or persistent bleeding
Intravenous Therapy
IV Fluids [17180]
dextrose 5%-NaCl 0.45% infusion [51613] Intravenous, CONTINUOUS
sodium chloride 0.9 % infusion [64367] Intravenous, CONTINUOUS
Discontinue intravenous fluids and cap peripheral
line when patient is tolerating oral fluids
[NURCOM0022]
CONTINUOUS
Medications
Analgesics - Acetaminophen - PRN [17181]
acetaMINOPHEN (TYLENOL) tab [34149] 650 mg, Oral, EVERY 4 HOURS PRN, pain,
Administer for mild to moderate pain.
Flush [17182]
sodium chloride 0.9% flush 10 mL injection
[785055]
Flush, PRN, flush/line care
Flush per VAD guidelines
heparin 100 UNIT/ML lock flush injection [64978] 100 units, Flush, ONCE For 1 Doses
Administer immediately prior to removal of access
needle.
Follow-up
Follow-up [16986]
Follow Up [NURCOM0019] Follow-up Port Site Check 7-10 days post placement.
Indication: incision site check
Page 2 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 6/30/2017 1:29:09 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org