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/clinical/cckm-tools/content/order-sets/inpatient/transplant/name-97934-en.cckm

20170496

page

100

UWHC,UWMF,

Tools,

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

IP - Renal/Pancreas/Liver Transplant - Biopsy - Adult - Preprocedure [3628]

IP - Renal/Pancreas/Liver Transplant - Biopsy - Adult - Preprocedure [3628] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Transplant


IP - Renal/Pancreas/Liver Transplant - Biopsy - Adult - Preprocedure [3628]
for Adult Patients OnlyIntended
Patient Care Orders
Non-Categorized Patient Care Orders [27177]
Notify Surgical Pathology of Time of Biopsy
[NURCOM0022]
ONCE, Starting today For 1 Occurrences
Send Biopsy Tray with Patient to Ultrasound
[NURCOM0022]
ONCE, Starting today For 1 Occurrences
Biopsy Today
Nutrition [27176]
Clear Liquid Diet [NUT9999] EFFECTIVE NOW, Starting today, Routine
Patient Type: Adult
Diet Type: Diet Modifications
Diet Modifications: Liquid
Liquid: Clear Liquid
No Red or Purple Dye:
Liquid Thickness: Thin
Bedside Meal Instructions:
Room Service Class:
Discontinue after breakfast. NPO except medications
after breakfast.
IV Fluids [13836]
Insert and Maintain Peripheral IV [NURVAD0013] CONTINUOUS, Starting today For Until specified,
Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
sodium chloride 0.9% infusion [64367] at 50 mL/hr, Intravenous, CONTINUOUS Starting
today For 4 Hours
Begin prior to biopsy
Medications [27201]
Management of Antithrombotic Therapy in the
Setting of Periprocedural, Regional Anesthesia
and/or Pain Procedures - Adult -
Inpatient/Ambulatory - Clinical Practice Guidelines
URL:
diazepam (VALIUM) tab - NOTE: Administer
today [36678]
10 mg, Oral, ONCE Starting today For 1 Doses
Give 1-2 hours prior to biopsy
Note: - Hold heparin or enoxaparin for patients
on DVT prophylaxis until after biopsy [950018]
ONCE Starting today For 1 Doses
Hold heparin or enoxaparin for patients on DVT
prophylaxis until after biopsy.
Note: Hold all antiplatelet medications until after
discussion with provider [950018]
ONCE Starting today For 1 Doses
Note: Hold all antiplatelet medications until after
discussion with provider
desmopressin (DDAVP) intraVENOUS - - NOTE:
Order for patients on dialysis, BUN greater than
100 mg/dL or renal transplant in acute tubular
necrosis [800183]
0.3 mcg/kg, Intravenous, ONCE Starting today For 1
Doses
Give 20 minutes prior to biopsy
NOTE: Order for patients on dialysis, BUN greater
than 100 mg/dL or renal transplant in acute tubular
necrosis
Laboratory [27178]
PROTHROMBIN TIME/INR [PT] STAT - RN COLLECT, Starting today For 1
Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Page 1 of 5
Printed by STRAKA, KEVIN F [KFS1] at 4/5/2017 4:05:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 04/2017CCKM@uwhealth.org

PTT [PTT] STAT - RN COLLECT, Starting today For 1
Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PLATELET COUNT [PLT] STAT - RN COLLECT, Starting today For 1
Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Studies - Today [18286]
BIOPSY ULTRASOUND GUIDED - KIDNEY
[R76942]
ONCE-ON SPECIFIC DATE, Starting today For 1
Occurrences, Routine
Site/ organ to biopsy? Kidney
Is this a Fine Needle Aspiration or Core Biopsy?
Radiology Specialty Area: ULTRASOUND
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
For scheduling purposes, does the patient require
general anesthesia, sedation or anxiolytics? Note:
ordering provider is responsible for prescribing oral
anxiolytics or arranging peds anesthesia / sedation
services. See reference link above.
For Scheduling purposes, is the patient
claustrophobic or require any form of sedation? Note:
ordering provider is responsible for prescribing oral
anxiolytic or ordering sedation services.
Is patient on anticoagulation therapy? If yes, specify
coagulation disorder and current medications in
comments box at bottom.
Transport Method: Floor Determined/Entered
BIOPSY ULTRASOUND GUIDED - LIVER
[R76942]
ONCE-ON SPECIFIC DATE, Starting today For 1
Occurrences, Routine
Site/ organ to biopsy? Liver
Is this a Fine Needle Aspiration or Core Biopsy?
Radiology Specialty Area: ULTRASOUND
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
For scheduling purposes, does the patient require
general anesthesia, sedation or anxiolytics? Note:
ordering provider is responsible for prescribing oral
anxiolytics or arranging peds anesthesia / sedation
services. See reference link above.
For Scheduling purposes, is the patient
claustrophobic or require any form of sedation? Note:
ordering provider is responsible for prescribing oral
anxiolytic or ordering sedation services.
Is patient on anticoagulation therapy? If yes, specify
coagulation disorder and current medications in
comments box at bottom.
Transport Method: Floor Determined/Entered
Page 2 of 5
Printed by STRAKA, KEVIN F [KFS1] at 4/5/2017 4:05:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
04/2017CCKM@uwhealth.org

BIOPSY ULTRASOUND GUIDED - PANCREAS
[R76942]
ONCE-ON SPECIFIC DATE, Starting today For 1
Occurrences, Routine
Site/ organ to biopsy? Pancreas
Is this a Fine Needle Aspiration or Core Biopsy?
Radiology Specialty Area: ULTRASOUND
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
For scheduling purposes, does the patient require
general anesthesia, sedation or anxiolytics? Note:
ordering provider is responsible for prescribing oral
anxiolytics or arranging peds anesthesia / sedation
services. See reference link above.
For Scheduling purposes, is the patient
claustrophobic or require any form of sedation? Note:
ordering provider is responsible for prescribing oral
anxiolytic or ordering sedation services.
Is patient on anticoagulation therapy? If yes, specify
coagulation disorder and current medications in
comments box at bottom.
Transport Method: Floor Determined/Entered
Biopsy Tomorrow
Nutrition [8004]
Clear Liquid Diet [NUT9999] EFFECTIVE _____, Starting tomorrow, Routine
Patient Type: Adult
Diet Type: Diet Modifications
Diet Modifications: Liquid
Liquid: Clear Liquid
No Red or Purple Dye:
Liquid Thickness: Thin
Bedside Meal Instructions:
Room Service Class:
Discontinue after breakfast. NPO except medications
after breakfast.
IV Fluids [105846]
Insert and Maintain Peripheral IV [NURVAD0013] CONTINUOUS, Starting tomorrow For Until specified,
Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
Prior to biopsy
sodium chloride 0.9% infusion [64367] at 50 mL/hr, Intravenous, CONTINUOUS Starting
tomorrow For 4 Hours
Begin prior to biopsy
Medications [27220]
Management of Antithrombotic Therapy in the
Setting of Periprocedural, Regional Anesthesia
and/or Pain Procedures - Adult -
Inpatient/Ambulatory - Clinical Practice Guidelines
URL: https://uconnect.wisc.edu/clinical/cckm-
tools/content/?path=/content/cpg/hematology-and-
coagulation/name-97522-en.cckm
diazepam (VALIUM) tab [36678] 10 mg, Oral, ON CALL Starting tomorrow For 1
Doses
Give 1-2 hours prior to biopsy
Note: Hold heparin or enoxaparin for patients on
DVT prophylaxis until after biopsy [950018]
ONCE Starting tomorrow For 1 Doses
Note: Hold heparin or enoxaparin for patients on DVT
prophylaxis until after biopsy
Page 3 of 5
Printed by STRAKA, KEVIN F [KFS1] at 4/5/2017 4:05:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
04/2017CCKM@uwhealth.org

Note: Hold all antiplatelet medications until after
discussion with provider [950018]
ONCE Starting tomorrow For 1 Doses
Note: Hold all antiplatelet medications until after
discussion with provider.
desmopressin (DDAVP) intraVENOUS - - NOTE:
Order for patients on dialysis, BUN greater than
100 mg/dL or renal transplant in acute tubular
necrosis [800183]
0.3 mcg/kg, Intravenous, ON CALL Starting tomorrow
For 1 Doses
Give 20 minutes prior to biopsy
NOTE: Order for patients on dialysis, BUN greater
than 100 mg/dL or renal transplant in acute tubular
necrosis
Laboratory [8006]
PROTHROMBIN TIME/INR [PT] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PTT [PTT] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PLATELET COUNT [PLT] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Studies [30578]
BIOPSY ULTRASOUND GUIDED - KIDNEY
[R76942]
ONCE-ON SPECIFIC DATE, Starting tomorrow For 1
Occurrences, Routine
Site/ organ to biopsy? Kidney
Is this a Fine Needle Aspiration or Core Biopsy?
Radiology Specialty Area: ULTRASOUND
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
For scheduling purposes, does the patient require
general anesthesia, sedation or anxiolytics? Note:
ordering provider is responsible for prescribing oral
anxiolytics or arranging peds anesthesia / sedation
services. See reference link above.
For Scheduling purposes, is the patient
claustrophobic or require any form of sedation? Note:
ordering provider is responsible for prescribing oral
anxiolytic or ordering sedation services.
Is patient on anticoagulation therapy? If yes, specify
coagulation disorder and current medications in
comments box at bottom.
Transport Method: Floor Determined/Entered
Page 4 of 5
Printed by STRAKA, KEVIN F [KFS1] at 4/5/2017 4:05:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
04/2017CCKM@uwhealth.org

BIOPSY ULTRASOUND GUIDED - LIVER
[R76942]
ONCE-ON SPECIFIC DATE, Starting tomorrow For 1
Occurrences, Routine
Site/ organ to biopsy? Liver
Is this a Fine Needle Aspiration or Core Biopsy?
Radiology Specialty Area: ULTRASOUND
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
For scheduling purposes, does the patient require
general anesthesia, sedation or anxiolytics? Note:
ordering provider is responsible for prescribing oral
anxiolytics or arranging peds anesthesia / sedation
services. See reference link above.
For Scheduling purposes, is the patient
claustrophobic or require any form of sedation? Note:
ordering provider is responsible for prescribing oral
anxiolytic or ordering sedation services.
Is patient on anticoagulation therapy? If yes, specify
coagulation disorder and current medications in
comments box at bottom.
Transport Method: Floor Determined/Entered
BIOPSY ULTRASOUND GUIDED - PANCREAS
[R76942]
ONCE-ON SPECIFIC DATE, Starting tomorrow For 1
Occurrences, Routine
Site/ organ to biopsy? Pancreas
Is this a Fine Needle Aspiration or Core Biopsy?
Radiology Specialty Area: ULTRASOUND
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
For scheduling purposes, does the patient require
general anesthesia, sedation or anxiolytics? Note:
ordering provider is responsible for prescribing oral
anxiolytics or arranging peds anesthesia / sedation
services. See reference link above.
For Scheduling purposes, is the patient
claustrophobic or require any form of sedation? Note:
ordering provider is responsible for prescribing oral
anxiolytic or ordering sedation services.
Is patient on anticoagulation therapy? If yes, specify
coagulation disorder and current medications in
comments box at bottom.
Transport Method: Floor Determined/Entered
Tests
Tests [212575]
TYPE AND SCREEN [HCTS] STAT - RN COLLECT, Starting today For 1
Occurrences, Routine, As good clinical practice and
for patient safety, the Transfusion Service will
automatically crossmatch 2 packed RBCs on all
patients with antibodies to ensure blood would be
available in the event it is needed. If you would like to
opt out of this automatic order for this patient please
contact the UWHC Blood Bank at (608) 263-8367 or
The American Center Lab at (608) 234-6600 as
appropriate., Pre-Op Day Of Procedure
Page 5 of 5
Printed by STRAKA, KEVIN F [KFS1] at 4/5/2017 4:05:38 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
04/2017CCKM@uwhealth.org