Unique Plan Description: Bari Surg Enhanced Recovery Pre op (MH/WH)
Plan Selection Display: Bari Surg Enhanced Recovery Pre op (MH/WH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2016-05-25 12:44:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-09-21 09:37:25
Available at all facilities: Yes

Bari Surg Enhanced Recovery Pre op (MH/WH)
Admit/Discharge/Transfer
	Admit to Inpatient Status
		T;N, Anticipated LOS 2 midnight or more
Diet
	NPO
		T;N, except for 8oz apple juice 3 hours prior to scheduled OR time
Laboratory
	Type and Screen (No Product on hold)
		T;N, Stat, spec type = Blood
	Pregnancy Test Urine
		spec type = Urine
			Comment: pre op if less than 50 years of age and has not had surgical intervention including hysterectomy or tubal ligation.
	CBC with Diff
		T;N, Stat, spec type = Blood
	Comprehensive Metabolic Panel
		T;N, Stat, spec type = Blood
	Basic Metabolic Panel
		T;N, Stat, spec type = Blood
	INR - MH/WH/JE
		T;N, Stat, spec type = Blood
	PTT - MH/WH/JE
		T;N, Stat, spec type = Blood
	Type and Crossmatch (Product Available)
		T;N, Stat, For Possible Transfusion
Medications
	Mefoxin Syringe
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
	Levaquin IVPB
		750 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: Give with metronidazole. Give if allergic to cefazolin
	Flagyl IVPB (NMH/WH/FH)
		500 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis, 100 ml/hr
			Comment: Give with levofloxaxin if allergic to cephalosporins or history of anaphylactic reaction to penicillin
	gabapentin
		300 mg, Capsule, By Mouth, PREOP
			Comment:  administer 1-2 hr prior to surgery; contact Anesthesia if not given.
	meloxicam
		15 mg, Tab, By Mouth, PREOP
			Comment: administer 1-2hr prior to surgery; contact Anesthesia if not given
	magnesium sulfate IVPB
		2 gm, Injection-Premix, IVPB, Once
			Comment: per Anesthesia order; administer over 2hr intra-op
	ketamine 10 mg/mL injection
		20 mg, Injection, IV Push, Once, T;N
			Comment: administer dose intra-op
	acetaminophen 10 mg/mL intravenous solution
		1,000 mg, Solution-Injection, IVPB, Once, duration: 1 Dose(s)/Time(s)
			Comment: administer dose intra-op
	Decadron injectable
		8 mg, Injection, IV Push, Once, NOW
	HEParin 5000 units/mL SUBCUTANEOUS
		5,000 units, Injection, SUBCUTANEOUS, PREOP
			Comment: Do Not Give Heparin in abdomen
	Transderm-Scop 1 mg patch
		1 mg, Patch, TOPICAL, PREOP
			Comment: Place behind ear
	INVanz IVPB
		1,000 mg, IVPB, PREOP, Surgical prophylaxis
Patient Care
	Sequential Compression Device Pre Procedure
		T;N, Apply, Once
	Anti Embolism Stockings Pre Procedure
		T;N, Apply, Once
			Comment: ok to leave off if stockings do not fit
	Surgical Prep
		T;N
			Comment: please have patient void as close to going back to OR as possible
	Obtain Consent/Permit for:
		
Consults/Follow-up
	Consult Anesthesiologist
		Reason for Referral: Goal directed therapy.  Non-invasive cardiac output monitor

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase