Unique Plan Description: Cards Post op PA Pressure Sensor
Plan Selection Display: Cards Post op PA Pressure Sensor
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2020-03-02 13:21:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 09:47:05
Available at all facilities: Yes

Cards Post op PA Pressure Sensor
Admit/Discharge/Transfer
	Discharge Conditional
		Conditions to be met: after bedrest complete, venous site is stable with ambulation, and PA pressure sensor education has been completed. Make sure patient has been given 1 month rx for plavix 75mg and ASA 81 mg.
Vital Signs
	Vital Signs
		T;N, Routine post op, Incision/drain assessment and vascular assessment with each vital signs check.
Activity
	Bedrest
		T;N, 1, hr
			Comment: Keep right/left leg flat for 1 hr.
	Elevate head of bed
		T;N
			Comment: Continuously May elevate head of bed max 30 degrees
	Ambulate
		T;N
			Comment: after bedrest completed
	Discharge Activity
		Avoid lifting > 10 pounds and vigorous activity for 72 hours. No driving for 24hours. You may resume normal activities after 24hours.
Diet
	Cardiac Diet
		
	NPO
		
Diagnostic Tests
	ECG
		Stat, Indication: Post Cardiac Procedure
Medications
	aspirin
		81 mg, Tablet-Chew, By Mouth, DAILY, T;N
			Comment: start now
	Plavix
		75 mg, Tab, By Mouth, DAILY
			Comment: Start now, for 30 days
Patient Care
	Resuscitation Status
		Full Code
		No Code
	Wound Care
		T;N
			Comment: Remove stitches after bedrest complete
	Straight Catheter
		Insert, Acute urinary retention
	Notify MD
		if urine output less than 200 ml per 2 hours OR if site bleeding, decreased/absent distal pulses
	Bladder Scan
		unable to void
	Notify MD
		T;N, Cardiologist if affected extremity becomes cool, numb, excessive swelling or bleeding.
	Patient Education
		T;N, Instructions: Routine PA Pressure sensor education
	Cardiac Telemetry Monitoring
		Telemetry Indications: Cardiologist Recommendation
	Discharge Incisional, Wound, Stoma Care
		Shower daily. Do not take a tub bath, use a hot tub or swim until the skin at the insertion site is healed. Remove the dressing over insertion site in 24 hours if not already done. Gently cleanse insertion site with mild soap and water., Wound Care: Keep
	Discharge Instructions Other
		Instructions: Do not stop taking your Plavix or Aspirin without speaking to your cardiologist.
		Instructions: Keep informational ID card for the PA pressure sensor in your wallet or purse.
		Instructions: In the future should you need to come to the emergency department, have a planned surgical procedure, or be admitted to the hospital, please bring your PA pressure sensor pillow with you.
	Discharge Symptoms to Report
		Instructions: chest pain, pain swelling, redness, bleeding or drainage at insertion site. Severe pain, coldness, or a bluish color in leg where procedure was done. Blood in your urine, black or tarry stools or any other kind of bleeding. Fever over 100.4

*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