Unique Plan Description: GI Small Bowel Capsule Orders EKM
Plan Selection Display: GI Small Bowel Capsule Orders
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-12-22 14:46:47
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-14 09:03:00
Available at all facilities: No

Pre Op
Medications
	Reglan
		10 mg, Tab, BY MOUTH, Once
Patient Care
	Obtain Consent/Permit for:
		T;N, Capsule endoscopy

Post Op
Admit/Discharge/Transfer
	Discharge Conditional
		Conditions to be met: When ok with anesthesia, T;N
		Conditions to be met: To nursing unit or previous level of care with spontaneous and unassisted aldrete of 7 or greater or returns to pre procedure aldrete status, T;N
	Discharge
		to: Home
			Comment: when discharge conditions met.
Diet
	NPO
		T;N
			Comment: 4-6 hours until :
	Diet as ordered prior to procedure/transfer
		Ok to take oral meds starting in 2 hours
	Clear Liquid Diet, with no red, purple or blue Jello or Fluids
		T;N
			Comment: Ok to take oral meds starting in 2 hours
Patient Care
	Notify MD
		T;N, STAT if patient experiences nausea/vomiting, abdominal pain or increase in temperature.
	VTE Advisor
		General surgery
	Small Bowel Capsule Inpatient Order
		T;N, no MRI until patient has knowingly excreted capsule through visualization or abdominal xray.
		T;N, contact GI Lab at 44585, if any questions.
		T;N, GI nurse will return at  _______ to scan abdomen for Agile capsule.
		T;N, Check blue strobing light on data box every 15 minutes. If it slows or stops call GI Lab at 4585.
			Comment: Check blue strobing light on data box every 1 hour. If it slows or stops call GI Lab at 4585, or on call nurse @ _________________
	Discharge Instructions Other
		T;N, to be driven home by responsible adult.  May resume activities in the morning.  Ok to take oral meds starting in 2 hours.

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

GI Inpatient Bowel Prep
Diet
	Clear Liquid Diet, with no red, purple or blue Jello or Fluids
		T;N
	NPO
		T;N, After Midnight
Medications
		Nulytely/GoLytely Prep(NOTE)*
	NuLYTELY
		4,000 mL, Powder-Reconstitution, By Mouth, Once, T;1600
	GoLYTELY
		4,000 mL, Powder-Reconstitution, By Mouth, Once, T;1600
		Nulytely/GoLytely Split Prep(NOTE)*
	NuLYTELY
		2,000 mL, Powder-Reconstitution, By Mouth, Q12H, T;1600, 2 Dose(s)/Time(s)
	GoLYTELY
		2,000 mL, Powder-Reconstitution, By Mouth, Once, T;1600, duration: 2 Dose(s)/Time(s)
		 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, PREOP
			Comment: 300 mL = 1 bottle.
	Dulcolax
		20 mg, Tablet-Enteric-Coated, BY MOUTH, Once, NOW
		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, constipation
			Comment: Give 2 hours prior to start of Miralax prep.
	MiraLax oral powder for reconstitution
		238 gm, Powder, BY MOUTH, Once
			Comment: Mix with 64 oz clear cold gatorade. If patient diabetic, change to 64 oz Crystal Light. (DO NOT USE red or purple). Patient to drink 8 oz every 20 minutes.
	Dulcolax
		10 mg, Tablet-Enteric-Coated, BY MOUTH, Once
			Comment: Give 2 hours after completion of Miralax Prep.
		Neomycin Sulfate plus Erythromycin(NOTE)*
	erythromycin base
		1,000 mg, Tab, By Mouth, Once, Prophylaxis, T;1300
		1,000 mg, Tab, By Mouth, Once, Prophylaxis, T;1400
		1,000 mg, Tab, By Mouth, Once, Prophylaxis, T;2300
	erythromycin 250 mg oral delayed release capsule
		1,000 mg, Capsule, By Mouth, Once, Prophylaxis, T;1300
		1,000 mg, Capsule, By Mouth, Once, Prophylaxis, T;1400
		1,000 mg, Capsule, By Mouth, Once, Prophylaxis, T;2300
	neomycin
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;1300
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;1400
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;2300
		Neomycin Sulfate plus Metronidazole(NOTE)*
	metroNIDAZOLE
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;1300
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;1400
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;2300
	neomycin
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;1300
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;1400
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;2300
		Late Night Neomycin Sulfate plus Metronidazole(NOTE)*
	metroNIDAZOLE
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;0230
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;0300
		500 mg, Tab, By Mouth, Once, Other- type in, Prophylaxis, T;0330
	neomycin
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;0230
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;0300
		1,000 mg, Tab, BY MOUTH, Once, Other- type in, Prophylaxis, T;0330
Patient Care
	Enema-Administer
		T;N, Tap water
			Comment:  Stat, Tap water, up to 6 enemas for Nu-lytely prep, if any solid stool is present 3 hours before procedure.  To be done am of procedure.
		T+1;0400, Tap water
			Comment: T+1;0400, Tap water, up to 6 enemas for Nu-lytely prep, if any solid stool is present 3 hours before procedure.  To be done am of procedure.

*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