Unique Plan Description: IR Local Procedure Pre Op
Plan Selection Display: IR Local Procedure Pre Op
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2020-01-22 11:09:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-08-01 09:31:32
Available at all facilities: Yes

IR Local Procedure Pre Op
Diet
	NPO
		Except for Medications | Except for Sips of Water
		After Midnight
			Comment: including tube feedings
Laboratory
	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
	PTT - MH/WH/JE
		Stat, spec type = Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N, Stat, spec type = Diagnostic Blood
	CBC with Diff
		Stat, spec type = Blood
	Basic Metabolic Panel
		Stat, spec type = Blood
	BUN
		Stat, spec type = Blood
	Creatinine
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Pregnancy Test Urine
		T;N, Stat, Stat, spec type = Urine
	Glucose POC - RN
		T;N, Once, NOW
Patient Care
	Obtain Consent/Permit for:
		Arthrogram
		Myelogram
		Paracentesis
		Lumbar puncture
		Lumbar puncture with instillation of chemotherapy
		Therapeutic Injection
		Thoracentesis
	Patient Education
		T;N, Instructions: If IDDM take half dose of AM insulin on day of interventional procedure
		T;N, Instructions: Do not take anticoagulation, antiplatelet, or ASA  as follows: SC/IV heparin 6hr, enoxaparin prophylaxis 12hr/treatment 24hr, fondaparinux 72hr, apixaban/rivaroxaban/dabigatran 48hr, clopidogrel/ticagrelor/aspirin 5d, prasugrel 7d prior
	No Anticoagulants/antiplatelets/thrombolytics
		T;N

*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