Unique Plan Description: Cards Pacemaker Implanted Device, Pre Op
Plan Selection Display: Cards Pacemaker Implanted Device, Pre Op
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 11:59:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-03-06 14:59:01
Available at all facilities: Yes

Cards Pacemaker Implanted Device, Pre Op
Admit/Discharge/Transfer
	Admit to Inpatient Status
		T;N, Anticipated LOS 2 midnight or more
	Admit to Observation Status
		T;N
Diet
	NPO
		T;N, NPO Except for: Medications
			Comment: may have clear liquids until 8am day of procedure only
Laboratory
	INR - MH/WH/JE
		T;N, Stat, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N, Stat, spec type = Diagnostic Blood
		T;N, Stat, spec type = Therapeutic Blood
	PTT - MH/WH/JE
		T;N, Stat, spec type = Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N, Stat, spec type = Diagnostic Blood
	CBC with Diff
		T;N, Stat, spec type = Blood
	Magnesium Level
		T;N, Stat, spec type = Blood
	Basic Metabolic Panel
		T;N, Stat, spec type = Blood
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	Beta-HCG Quantitative - Pregnancy
		T;N, Stat, spec type = Blood
			Comment: for females 55 years of age or under
Diagnostic Tests
	ECG
		T;N, Stat, Indication: Arrhythmia
IV Solutions
	Dextrose 5% with 0.45% NaCl
		1,000 mL, IV, 50 ml/hr
Medications
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
	Ancef (JE)
		2,000 mg, Injection, IV Push, PREOP, Surgical prophylaxis
	Ancef (FH)
		2,000 mg, INT, IVPB, PREOP, Surgical prophylaxis
	vancomycin IVPB
		1,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: To be started 1 hour prior to procedure; coordinate with Cath Lab
	vancomycin IVPB (FH)
		1,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: To be started 1 hour prior to procedure; coordinate with Cath Lab
	Valium
		10 mg, Tab, By Mouth, PREOP
Patient Care
	Cardiac Telemetry Monitoring
		T;N, Telemetry Indications: Cardiologist Recommendation
	Obtain Consent/Permit for:
		T;N, Diagnostic electrophysiology study with possible ablation of arrhythmia focus
		T;N, Permanent pacemaker implantation
		T;N, Revision of permanent pacemaker
		T;N, Implanted cardioverter defibrillator
		T;N, Non invasive electrophysiology study
		T;N, Diagnostic electrophysiology study
		T;N, Biventricular implanted cardioverter defibrillator insertion
		T;N, Biventricular pacemaker insertion
		T;N, Atrioventricular node ablation
		T;N, Cardiac loop recorder implant
		T;N, Permanent pacemaker implantation with moderate sedation
		T;N, Revision of permanent pacemaker with moderate sedation
		T;N, Implanted cardioverter defibrillator with moderate sedation
		T;N, Biventricular implanted cardioverter defibrillator insertion with moderate sedation
		T;N, Biventricular pacemaker insertion with moderate sedation
		T;N, Cardiac loop recorder implant with moderate sedation
	Foley Catheter
		T;N, Insert
	Peripheral Lock-Insert
		T;N, left arm

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