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/clinical/cckm-tools/content/order-sets/inpatient/transplant/name-97914-en.cckm

201606175

page

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UWHC,UWMF,

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

IP - Lung Transplant - Adult - Discharge [4849]

IP - Lung Transplant - Adult - Discharge [4849] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Transplant


IP - Lung Transplant - Adult - Discharge [4849]
Skilled Nursing Facility Orders
This Patient is going to a skilled nursing facilty, directly below is a group of orders commonly associated with this patient
population. Please review the orders below and select the appropriate ones for this patient. If this patient is not going to a
SNF, contact Case Management to update the discharge plan. Updating the discharge plan will remove this set of SNF
orders from the order set.
Skilled Nursing Facility Certification Statement [114940]
Facility Certification Statement [NURCOM0069] Routine
Skilled Nursing Facility Certification Statement [118260]
Facility Certification Statement [NURCOM0069] Routine
Skilled Nursing Facility Admit Order [114941]
Admit to Skilled Nursing Facility [ADT0015] Routine
Skilled Nursing Facility Admit Order [118261]
Admit to Skilled Nursing Facility [ADT0015] Routine
Skilled Nursing Facility Patient Care Orders [111713]
For dyspnea, Oxygen at 2 L/minute per nasal canula; If
this is an acute change for the patient call PCP with
assessment ASAP after oxygen is started. Suction PRN
to clear airways. [NURCOM0022]
Routine
DME - Home Oxygen [1009468] Patient's O2 Requirements Assessed and Meets Criteria for
Home O2:
Delivery Device:
Equipment Needed:
Continuous (liters/min):
Continuous (FiO2):
With Activity (liters/min):
With Activity (FiO2):
With Sleep (liters/min):
With Sleep (FiO2):
Length of Need:
Vendor:
DME - CPAP [1009443] Formal Sleep Study Completed:
Diagnosis:
CPAP Pressure (cmH2O):
Oxygen Bleed-In (Liters/min):
Oxygen Bleed-In (FiO2):
If New Prescription for Oxygen Bleed-In, Patient's O2
Requirements Assessd and Meets Criteria for Home O2:
Vendor:
Vendor City:
Vendor Phone:
Vendor Fax:
DME - BiPAP (S) [1009441] Patient Has Been Assessed and Meets Criteria for Home
BiPAP (S):
Diagnosis:
BiPAP Pressure - IPAP - Inspiratory Pressure (cmH2O):
BiPAP Pressure - EPAP - Expiratory Pressure (cmH2O):
Oxygen Bleed-In (Liters/min):
Oxygen Bleed-In (FiO2):
If New Prescription for Oxygen Bleed-In, Patient's O2
Requirements Assessd and Meets Criteria for Home O2:
Vendor:
Vendor City:
Vendor Phone:
Vendor Fax:
DME - BiPAP (S/T) [1009442] Patient Has Been Assessed and Meets Criteria for Home
BiPAP (S/T):
Diagnosis:
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
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Respiratory Rate:
BiPAP Pressure - IPAP - Inspiratory Pressure (cmH2O):
BiPAP Pressure - EPAP - Expiratory Pressure (cmH2O):
Oxygen Bleed-In (Liters/min):
Oxygen Bleed-In (FiO2):
If New Prescription for Oxygen Bleed-In, Patient's O2
Requirements Assessd and Meets Criteria for Home O2:
Vendor:
Vendor City:
Vendor Phone:
Vendor Fax:
Patient may self administer medication per RN
assessment [NURCOM0022]
Routine
Patient medications (per Skilled Nursing Facility policy)
may be left at bedside [NURCOM0022]
Routine
Facility Therapy Needs [113391]
Physical Therapy to Evaluate and Treat at Next Facility
[NURCOM0022]
Routine
Occupational Therapy to Evaluate and Treat at Next
Facility [NURCOM0022]
Routine
Speech Therapy to Evaluate and Treat at Next Facility
[NURCOM0022]
Routine
Communicable Diseases [111717]
State Law requires at least one of the following statements be checked for your patient. May check both if applicable
DHS 132.52 URL: http://docs.legis.wisconsin.gov/code/admin_code/dhs/110/132/V/52
Patient has been screened for TB within the last 90 days
prior to admission and does not have any other clinically
apparent communicable diseases. [NURCOM0022]
Routine
Patient has been found to have a communicable
disease, procedures to treat and limit the spread of the
disease have been ordered. [NURCOM0022]
Routine
Communicable Diseases [118262]
State Law requires at least one of the following statements be checked for your patient. May check both if applicable
DHS 132.52 URL: http://docs.legis.wisconsin.gov/code/admin_code/dhs/110/132/V/52
Patient has been screened for TB within the last 90 days
prior to admission and does not have any other clinically
apparent communicable diseases. [NURCOM0022]
Routine
Patient has been found to have a communicable
disease, procedures to treat and limit the spread of the
disease have been ordered. [NURCOM0022]
Routine
Analgesics [111708]
acetaMINOPHEN (TYLENOL) tab [34149] 650 mg, 1 tab, 1, starting 6/10/16, No Print
acetaMINOPHEN (TYLENOL) suppository [34153] 650 mg, 1 suppository, 1, starting 6/10/16, No Print
Blood Glucose Management [111710]
glucagon 1 mg injection kit [107799] 1 mg, 1 each, 1, starting 6/10/16, No Print
Glucose 40 % oral gel [118089] 10 g, 1 Tube, 1, starting 6/10/16, No Print
Nursing Communication [NURCOM0022] Routine, Notify {Notify for Blood Glucose:3004146} if blood
glucose is greater than 400 mg/dL or less than 40 mg/dL
Diabetes Care Instructions [NURCOM0112] Routine, - Patient's blood glucose goal range before meals is
*** mg/dL.
- Monitor patient's blood glucose {Glucose Monitoring
Frequency:24400}.
- If your patient's blood glucoses are uncontrolled contact
provider.
- "Uncontrolled" blood glucoses mean:
* Blood glucose above 150 mg/dL more than half the time
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during a week.
* Blood glucose over *** mg/dL.
* Blood glucose less than 70 mg/dL two or more times per
week (or if having signs/symptoms of low blood glucose such
as shaking, sweating, or light-headedness).
Bowel Management [111709]
bisacodyl (DULCOLAX) rectal suppository [35231] 10 mg, 1 suppository, 1, starting 6/10/16, No Print
Senna-Docusate Sodium 8.6-50 MG per tab [70181] 1-2 tab, 1 tab, 1, starting 6/10/16, No Print
magnesium hydroxide (MILK OF MAGNESIA) susp
[65443]
30 mL, 1 Bottle, 1, starting 6/10/16, No Print
polyethylene glycol (MIRALAX) oral powder [61353] 17 g, 1 Bottle, 1, starting 6/10/16, No Print
Non-categorized Medications [111711]
guaifenesin-dextroMETHORPHAN (ROBITUSSIN DM)
syrup [51568]
10 mL, 1 Bottle, 1, starting 6/10/16, No Print
carbamide peroxide (DEBROX) 6.5% otic soln [35545] 3 drop, 1 Bottle, 1, starting 6/10/16 until 6/15/16, No Print
alum-mag-simeth (MYLANTA ES) susp [44073] 30 mL, 1 Bottle, 1, starting 6/10/16, No Print
Patient Care Orders
Reason For Hospitalization [130312]
Why You Were Hospitalized [NURCOM0073] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine
Activity [130313]
Activity [NURACT0008] Routine
Discharge Activity: See Instructions
- Do not lift more than 10 lbs for 4 weeks or until cleared for
additional weight lifting
- Do not drive for 6 weeks or while on narcotics
Nutrition [130314]
Diet [NUT8888] Routine
General:
Diet Modifications:
Other Diet Modifications:
Respiratory [130315]
DME - Home Oxygen [142943]
Both of the following orders MUST be completed in order for this DME to be delivered to the patient.
New reimbursement requirements in 2013 require that a physician, PA, NP, or CNS has a face-to-face encounter with a
patient prior to ordering certain durable medical equipment (DME). It also requires that the DME supplier be provided with
the documentation of the face-to-face encounter and a signed order prior to delivery of the DME.
National Coverage Determination for Home Use of
Oxygen (See section D for qualifying diagnoses)
URL: http://www.cms.gov/medicare-coverage-
database/details/ncd-details.aspx?
NCDId=169&ncdver=1&bc=AgAAQAAAAAAAAA%3d%
3d&
DME - Home Oxygen [1009468] Patient's O2 Requirements Assessed and Meets Criteria
for Home O2:
Delivery Device:
Equipment Needed:
Continuous (liters/min):
Continuous (FiO2):
With Activity (liters/min):
With Activity (FiO2):
With Sleep (liters/min):
With Sleep (FiO2):
Length of Need:
Vendor:
DME - Home Oxygen Justification [1009463] Details
Schedule Appointment With Sleep Lab [NURCOM0026] Reason for Appointment: To determine if patient has sleep
apnea that needs to be treated with night CPAP
When do you want appointment:
Which Clinic or Specialty: Sleep Lab
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2016CCKM@uwhealth.org

Which Provider (Optional):
Wound Care [130316]
Wound Care [NURWND0015] Routine, - Keep incision clean and dry.
- Wash incision daily with soap and water and change
dressing daily.
- May leave incision open to air once drainage has stopped.
- Do not immerse incision in water (pool, spa, bath) until skin
has completely healed.
- May take shower 48hours after last chest tube removed.
Bladder Care [130317]
Bladder Care [NURELM0067] Routine
Bowel Care [130318]
Bowel Care [NURELM0068] Routine
Other Patient Care Instructions [130319]
Other Discharge Patient Care Instructions
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine,
- Continue to monitor vitals and spirometry twice daily.
- Remember to wear duckbill mask in the appropriate
locations including: medical facilities, construction sites,
working in the garden, doing yard work or any location where
you suspect exposure to dust or dirt in the air
- Plan to follow up in lung transplant clinic in ***. Should have
PFTs, 6 min walk, labs and CXR prior to visit.
When to Call Your Doctor [130320]
When to Call Your Doctor [NURCOM0079] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan.
You should include specific instructions on when and who to
call.
You should include actual provider names (i.e. not 'PCP').
You should NOT include the discharging unit as a contact.,
Routine, Call your transplant coordinator at 608-262-8915
with any questions, concerns, worsening or new symptoms or
if you have any of the following symptoms:
- Increased pain, not relieved by medication
- Increased pain and redness around your incision
- Fever over 100.5 degrees for 24 hours
- Increased shortness of breath
- Weight gain as directed
Heart Failure Recommended Care
These order groups are showing because either your patient has an EF < 40% documented or has Heart Failure on their
problem list.
UW Health HF guideline URL: https://uconnect.wisc.edu/clinical/cckm-
tools/content/cpg/cardiovascular/name-97485-en.cckm
Heart Failure Discharge Instructions [190359]
Weigh yourself daily or as directed [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine
When to Call Your Doctor [NURCOM0079] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan.
You should include specific instructions on when and who to
call.
You should include actual provider names (i.e. not 'PCP').
You should NOT include the discharging unit as a contact.,
Routine, Call your doctor if you have any of these symptoms
as they may indicate worsening Heart Failure:
- Increased shortness of breath
- Cough or chest congestion
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
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- Swelling in your abdomen or legs
- Any increase or decrease in weight of more than 3 pounds
in a day or 5 pounds total
If you do not have a scheduled return appointment,
please schedule an appointment with your primary
physician [NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine
Core Measure Documentation - ACE Inhibitor/ARB (Single Response) [150651]
Core Measures - This Does NOT Generate A Medication Order (Use Med Reconciliation To Prescribe Medications)
ACE Inhibitor/ARB Reason Not Ordered [COR0001] ONCE, Starting today For 1 Occurrences, Routine
Reason Not Ordered:
ACE Inhibitor/ARB Already Ordered [COR0001] ONCE, Starting today For 1 Occurrences, Routine
Reason Not Ordered: Other (Comments required for not
ordering BOTH an ACEI and an ARB)
Medications
Bisphosphonates - Prescriptions [206389]
If patient has osteoporosis, alendronate 70mg every week
If patient has normal bone density or osteopenia, alendronate 35mg every week.
If creatinine clearance is less than 30ml/min, no bisphosphonate.
alendronate (FOSAMAX) tab [720002] 70 mg, Oral, EVERY 7 DAYS
alendronate (FOSAMAX) tab [720002] 35 mg, Oral, EVERY 7 DAYS
Follow-Up Referrals
Follow-Up Appointments - Cardiac Rehab (Single Response) [130321]
Outpatient Cardiac Rehab is recommended. Please select one of the following.
Referral Cardiac Rehab (Outpatient) [CON0174] All patients being discharged from UWHC IP CVM with the
following diagnoses should receive a referral to cardiac
rehab: Acute Myocardial Infarction (410.) (i.e. all STEMI or
NSTEMI patients), Stable Angina (413.9), Coronary Artery
Bypass Surgery (V45.81), Valve Surgery (repair or
replacement) (V42.2 or V42.3), Percutaneous Coronary
Angioplasty or Stenting (V45.82), or Heart Transplant (V42.1).
Typically, outpatient cardiac rehab follow-up appointments
occur 3-4 weeks post-hospitalization. Inpatient Preventive
Cardiology staff clinicians will refer and make arrangements
for the patient. If you have further questions, you may call
them at 263-6630.
Routine
Has this patient been seen by inpatient Cardiac
Rehab/Preventive Cardiology during this encounter?
Reason Cardiac Rehab Not Ordered [COR0027] Routine
Reason Not Ordered:
Follow-Up Appointments - Cardiac Rehab [130322]
Referral Cardiac Rehab (Outpatient) [CON0174] All patients being discharged from UWHC IP CVM with the
following diagnoses should receive a referral to cardiac
rehab: Acute Myocardial Infarction (410.) (i.e. all STEMI or
NSTEMI patients), Stable Angina (413.9), Coronary Artery
Bypass Surgery (V45.81), Valve Surgery (repair or
replacement) (V42.2 or V42.3), Percutaneous Coronary
Angioplasty or Stenting (V45.82), or Heart Transplant (V42.1).
Typically, outpatient cardiac rehab follow-up appointments
occur 3-4 weeks post-hospitalization. Inpatient Preventive
Cardiology staff clinicians will refer and make arrangements
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
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for the patient. If you have further questions, you may call
them at 263-6630.
Routine
Has this patient been seen by inpatient Cardiac
Rehab/Preventive Cardiology during this encounter?
Follow-Up Care
Follow-Up Apoointments [130323]
Schedule Appointment With Physical Therapy
[NURCOM0026]
Reason for Appointment:
When do you want appointment:
Which Clinic or Specialty: Physical Therapy
Which Provider (Optional):
Schedule Appointment With Occupational Therapy
[NURCOM0026]
Reason for Appointment:
When do you want appointment:
Which Clinic or Specialty: Occupational Therapy
Which Provider (Optional):
Schedule Appointment With Speech Therapy
[NURCOM0026]
Reason for Appointment:
When do you want appointment:
Which Clinic or Specialty: Speech Therapy
Which Provider (Optional):
Schedule Appointment [NURCOM0026] Reason for Appointment:
When do you want appointment:
Which Clinic or Specialty:
Which Provider (Optional):
Schedule Appointment [NURCOM0026] Reason for Appointment:
When do you want appointment:
Which Clinic or Specialty:
Which Provider (Optional):
Schedule Appointment [NURCOM0026] Reason for Appointment:
When do you want appointment:
Which Clinic or Specialty:
Which Provider (Optional):
Patient to Schedule Appointment [NURCOM0026] Reason for Appointment:
When do you want appointment:
Which Clinic or Specialty:
Which Provider (Optional):
Follow Up Appointments - Diabetes (Single Response) [148552]
*** RESPONSE REQUIRED *** This order facilitates documentation (only) about follow-up appointments for patients with
diabetes. Scheduling an appointment before discharge with a provider who will manage a patient’s diabetes care (e.g.,
primary care physician, endocrinologist, etc.) is a Joint Commission requirement. Exclusions are allowed based upon
patient situation (e.g., discharge to a skilled nursing facility, patient refusal, etc.). Only select “Appointment Scheduled” if
an appointment has already been scheduled, and use the Schedule Appointment order as needed to request assistance
in scheduling
No appointment: Patient does not have diabetes
[COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): No appointment: Patient does not
have diabetes
1. This order facilitates documentation (only) about follow-up
appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care (e.g.,
primary care physician, endocrinologist, etc.) is a Joint
Commission requirement. Exclusions are allowed based upon
patient situation (e.g., patient discharging to a skilled nursing
facility, patient refusal, etc.)
3. Only select "Appointment Scheduled" if an appointment
has already been scheduled with a provider who can manage
patient's diabetes.
4. Use the Schedule Appointment order as needed to request
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
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assistance in scheduling an appointment.
Appointment scheduled (with provider who can manage
diabetes) [COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Appointment scheduled (with
provider who can manage diabetes)
1. This order facilitates documentation (only) about follow-up
appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care (e.g.,
primary care physician, endocrinologist, etc.) is a Joint
Commission requirement. Exclusions are allowed based upon
patient situation (e.g., patient discharging to a skilled nursing
facility, patient refusal, etc.)
3. Only select "Appointment Scheduled" if an appointment
has already been scheduled with a provider who can manage
patient's diabetes.
4. Use the Schedule Appointment order as needed to request
assistance in scheduling an appointment.
Appointment scheduled per patient report (ENTER
DATE IN COMMENTS) [COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Appointment scheduled per patient
report (ENTER DATE IN COMMENTS)
1. This order facilitates documentation (only) about follow-up
appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care (e.g.,
primary care physician, endocrinologist, etc.) is a Joint
Commission requirement. Exclusions are allowed based upon
patient situation (e.g., patient discharging to a skilled nursing
facility, patient refusal, etc.)
3. Only select "Appointment Scheduled" if an appointment
has already been scheduled with a provider who can manage
patient's diabetes.
4. Use the Schedule Appointment order as needed to request
assistance in scheduling an appointment.
Appointment pending: patient discharged on weekend;
follow-up information provided [COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Appointment pending: patient
discharged on weekend; follow-up information provided
1. This order facilitates documentation (only) about follow-up
appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care (e.g.,
primary care physician, endocrinologist, etc.) is a Joint
Commission requirement. Exclusions are allowed based upon
patient situation (e.g., patient discharging to a skilled nursing
facility, patient refusal, etc.)
3. Only select "Appointment Scheduled" if an appointment
has already been scheduled with a provider who can manage
patient's diabetes.
4. Use the Schedule Appointment order as needed to request
assistance in scheduling an appointment.
Free clinic information provided [COR0064] ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Free clinic information provided
1. This order facilitates documentation (only) about follow-up
appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care (e.g.,
primary care physician, endocrinologist, etc.) is a Joint
Commission requirement. Exclusions are allowed based upon
patient situation (e.g., patient discharging to a skilled nursing
facility, patient refusal, etc.)
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
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3. Only select "Appointment Scheduled" if an appointment
has already been scheduled with a provider who can manage
patient's diabetes.
4. Use the Schedule Appointment order as needed to request
assistance in scheduling an appointment.
No appointment: Patient discharging to a facility (e.g.,
skilled nursing facility, correctional facility, etc.)
[COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): No appointment: Patient
discharging to a facility (e.g., skilled nursing facility,
correctional facility, etc.)
1. This order facilitates documentation (only) about follow-up
appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care (e.g.,
primary care physician, endocrinologist, etc.) is a Joint
Commission requirement. Exclusions are allowed based upon
patient situation (e.g., patient discharging to a skilled nursing
facility, patient refusal, etc.)
3. Only select "Appointment Scheduled" if an appointment
has already been scheduled with a provider who can manage
patient's diabetes.
4. Use the Schedule Appointment order as needed to request
assistance in scheduling an appointment.
No appointment: Patient refusal [COR0064] ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): No appointment: Patient refusal
1. This order facilitates documentation (only) about follow-up
appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care (e.g.,
primary care physician, endocrinologist, etc.) is a Joint
Commission requirement. Exclusions are allowed based upon
patient situation (e.g., patient discharging to a skilled nursing
facility, patient refusal, etc.)
3. Only select "Appointment Scheduled" if an appointment
has already been scheduled with a provider who can manage
patient's diabetes.
4. Use the Schedule Appointment order as needed to request
assistance in scheduling an appointment.
Facility Therapy Needs [130324]
Continue Physical Therapy at Next Facility
[NURCOM0022]
Routine
Continue Occupational Therapy at Next Facility
[NURCOM0022]
Routine
Continue Speech Therapy at Next Facility
[NURCOM0022]
Routine
Discharge Labs [134929]
Please use the table below to determine what type of order to use to place discharge lab orders.
Who is Responsible for the Result? Where Will Labs be Completed? What Order Should You Use?
Current Attending Provider UW Health Lab Specific lab orders (A)
Non-UW Health Lab Specific lab orders with order class changed to OUTSIDE (B)
Current Consulting Provider UW Health Lab Specific lab orders with AUTHORIZING PROVIDER CHANGED TO
CONSULTANT (A)
Non-UW Health Lab Specific lab orders with order class changed to OUTSIDE and AUTHORIZING PROVIDER
CHANGED TO CONSULTANT (B)
Another Provider UW Health Lab Recommended Discharge Labs (C)
Non-UW Health Lab Recommended Discharge Labs (C)
(A) SPECIFIC LAB ORDERS:
These orders should be used if the CURRENT ATTENDING OR CONSULTING PROVIDER will be responsible for the
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2016CCKM@uwhealth.org

result of the lab AND the patient will have the labs completed at a UW HEALTH LAB.
If a CONSULTING PROVIDER currently involved in the patient's care will be responsible for the result, you must change
the AUTHORIZING PROVIDER on the order to the CONSULTING PROVIDER before signing the order. To do this, click
the Providers button near the top of the Review, Sign & Hold tab of the discharge navigator. Update the authorizing
provider to the consulting provider.
(B) SPECIFIC LAB ORDER WITH ORDER CLASS CHANGED TO OUTSIDE:
These orders should be used if the CURRENT ATTENDING OR CONSULTING PROVIDER will be responsible for the
result of the lab AND the patient will have labs completed at a NON-UW HEALTH LAB.
If a CONSULTING PROVIDER currently involved in the patient’s care will be responsible for the result, you must change
the AUTHORIZING PROVIDER on the order to the CONSULTING PROVIDER before signing the order. To do this, click
the Providers button near the top of the Review, Sign & Hold tab of the discharge navigator. Update the authorizing
provider to the consulting provider.
The patient will receive a paper order to take to the lab.
(C) RECOMMENDED DISCHARGE LABS:
This order should be used to recommend to another provider labs that a patient should have completed after discharge.
The provider designated in the 'Send Recommendations To' field is responsible for PLACING the lab orders AND will be
responsible for the RESULTS of any ordered labs.
Discharge Labs Workflow URL: https://uconnect.wisc.edu/growth/training--
education/health-link/10-minutes/inpatient-discharge-
consult/resources/name-82993-en.file
Recommended Discharge Labs [NURCOM0075] Details
Imaging [130326]
X-RAY CHEST AP VIEW [R71010] Status: Future, Expires: 8/10/17, Normal, Routine
CT HEAD W & W/ O IV CONTRAST [R70470] Status: Future, Expires: 8/10/17, Normal, Routine
CT ABDOMEN PELVIS W & W/ O IV CONTRAST
[R07033]
Status: Future, Expires: 8/10/17, Normal, Routine
Page 9 of 9
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2016CCKM@uwhealth.org