Unique Plan Description: Enhanced Recovery Inpatient Surgery Prep
Plan Selection Display: Enhanced Recovery Inpatient Surgery Prep
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 21:21:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-14 09:01:43
Available at all facilities: No

Neomycin plus Erythromycin
Medications
	erythromycin base
		1,000 mg, Tab, By Mouth, Once, T;1300
		1,000 mg, Tab, By Mouth, Once, T;1400
		1,000 mg, Tab, By Mouth, Once, T;2300
	erythromycin 250 mg oral delayed release capsule
		1,000 mg, Capsule, By Mouth, Once, T;1300
		1,000 mg, Capsule, By Mouth, Once, T;1400
		1,000 mg, Capsule, By Mouth, Once, T;2300
	neomycin
		1,000 mg, Tab, BY MOUTH, Once, T;1300
		1,000 mg, Tab, BY MOUTH, Once, T;1400
		1,000 mg, Tab, BY MOUTH, Once, T;2300

Neomycin plus Metronidazole
	metroNIDAZOLE
		500 mg, Tab, By Mouth, Once, T;1300
		500 mg, Tab, By Mouth, Once, T;1400
		500 mg, Tab, By Mouth, Once, T;2300
	neomycin
		1,000 mg, Tab, BY MOUTH, Once, T;1300
		1,000 mg, Tab, BY MOUTH, Once, T;1400
		1,000 mg, Tab, BY MOUTH, Once, T;2300

Mechanical Bowel Prep
		Pick one of the 3 options below.  If late night prep needed, modify order start times(NOTE)*
	NuLYTELY
		4,000 mL, Powder-Reconstitution, By Mouth, Once, T;1400
	GoLYTELY
		4,000 mL, Powder-Reconstitution, By Mouth, Once, T;1400
		If patient unable to tolerate Nulytely Prep and no evidence of impaired renal function (creatinine < 2.0, GFR >25-30) use the following prep:(NOTE)*
	magnesium citrate
		300 mL, Liquid, By Mouth, Once, T;1400
			Comment: 300 mL = 1 bottle. On the day prior to surgery, drink one bottle at 1400; if ordered later than 1400 day prior to surgery, give as soon as possible; give entire bottle within 2hr.
	senna 8.6 mg oral tablet
		4 TAB, By Mouth, Once, T;1600
	Dulcolax
		20 mg, Tablet-Enteric-Coated, By Mouth, Once, T;1800
			Comment: Give at 1800 the day prior to surgery; if ordered later than 1800 the day prior to surgery, give 2hr after senna and 4hr after magnesium citrate given
		If patient unable to tolerate Nulytely Prep and evidence of impaired renal function (creatinine >2.0, GFR <25-30) use the following prep:(NOTE)*
		10 mg, Tablet-Enteric-Coated, By Mouth, Once, T;1200
			Comment: Give 2 hours prior to start of Miralax prep on day prior to surgery; if ordered later than	12noon day prior to surgery, give as soon as possible
		10 mg, Tablet-Enteric-Coated, By Mouth, Once, T;1900
			Comment: Give 2 hours after Miralax prep finished on day prior to surgery
	MiraLax oral powder for reconstitution
		238 gm, Powder, BY MOUTH, Once, T;1400
			Comment: Mix with 64 oz clear cold gatorade. If patient diabetic, change to 64 oz Crystal Light. (DO NOT USE red or purple). On day prior to surgery, patient to drink 240ml (8 oz) every 20 minutes until finished or rectal output clear.  If ordered later than 1400, give as soon as possible

*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