Unique Plan Description: CARDS Generator Exchange Pre Op
Plan Selection Display: CARDS Generator Exchange Pre Op
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 22:10:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-03-06 14:37:06
Available at all facilities: No

CARDS Generator Exchange Pre Op
Admit/Discharge/Transfer
	Admit to Observation Status
		
Diet
	NPO
		T;N, After Midnight, NPO Except for: Medications
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	Basic Metabolic Panel
		Stat, spec type = Blood
	INR - MH/WH/JE
		Stat, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N, Stat, spec type = Diagnostic Blood
		T;N, Stat, spec type = Therapeutic Blood
IV Solutions
	Dextrose 5% with 0.45% NaCl
		1,000 mL, IV, 50 ml/hr
			Comment: Insert; left arm
Medications
	Ancef (JE)
		2,000 mg, Injection, IV Push, PREOP, Surgical prophylaxis
			Comment: Give within 30 minutes of surgical incision.  If patient allergic to Ancef, Cephalosporins, or Penicillin, OR has been hospitalized within the last year, OR spent time in a nursing home or any type of extended care facility OR previous MRSA, enter order for vancomycin 1 gm IV preop
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
			Comment: Give within 30 minutes of surgical incision. If patient allergic to Ancef, Cephalosporins, or Penicillin, OR has been hospitalized within the last year, OR spent time in a nursing home or any type of extended care facility OR previous MRSA, enter order for vancomycin 1 gm IV preop
	Ancef (FH)
		2,000 mg, INT, IVPB, PREOP, Surgical prophylaxis
			Comment: Give within 30 minutes of surgical incision. If patient allergic to Ancef, Cephalosporins, or Penicillin, OR has been hospitalized within the last year, OR spent time in a nursing home or any type of extended care facility OR previous MRSA, enter order for vancomycin 1 gm IV preop
		If patient allergic to Ancef, Cephalosporins, or Penicillin, OR has been hospitalized within the last year, OR spent time in a nursing home or any type of extended care facility OR previous MRSA, enter order for vancomycin 1 gm IV preop(NOTE)*
	vancomycin IVPB
		1,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
	vancomycin IVPB (FH)
		1,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
Patient Care
	Obtain Consent/Permit for:
		T;N, Biventricular Implanted Cardioverter Defibrillator Generator Exchange
		T;N, Implanted Cardioverter Defibrillator Generator Exchange
		T;N, Permanent Pacemaker Generator Exchange
		T;N, Biventricular Pacemaker Generator Exchange
		T;N, Biventricular Implanted Cardioverter Defibrillator Generator Exchange with moderate sedation
		T;N, Implanted Cardioverter Defibrillator Generator Exchange with moderate sedation Exchange with moderate sedation
		T;N, Permanent Pacemaker Generator Exchange with moderate sedation
		T;N, Biventricular Pacemaker Generator Exchange with moderate sedation

VTE Prophylaxis Pre Op
Medications
	HEParin 5000 units/mL SUBCUTANEOUS
		5,000 units, Injection, SUBCUTANEOUS, PREOP, T;N
	Lovenox
		40 mg, Syringe, SUBCUTANEOUS, PREOP, T;N
		30 mg, Syringe, SUBCUTANEOUS, PREOP, T;N
Patient Care
	Sequential Compression Device Pre Procedure
		T;N, Apply, Once
			Comment: knee high
	Anti Embolism Stockings Pre Procedure
		T;N, Apply, Once
			Comment: knee high

*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