Unique Plan Description: Neuro Lumbar Puncture, Pre Op
Plan Selection Display: Neuro Lumbar Puncture, Pre Op
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2015-08-05 08:35:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-02-04 09:10:46
Available at all facilities: Yes

Neuro Lumbar Puncture, Pre Op
Laboratory
	Protein CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
	Glucose CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
	Cell Count and Diff CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
			Comment: Perform manual RBC count
	Culture Routine
		T;N, Stat, Body Fluid, spec type = Cerebrospinal Fluid
			Comment: Comments: Gram Stain, Bacterial Culture and Sensitivity, CSF
	Oligoclonal Band Profile
		T;N, Routine, spec type = Blood/CSF
			Comment: Comments: Blood and CSF
	Enterovirus by PCR
		T;N, Stat, spec type = Cerebrospinal Fluid
	Culture Fungus
		T;N, Stat, spec type = Cerebrospinal Fluid
	Cryptococcal Antigen CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
	VDRL CSF Reflex to titer
		T;N, Stat, spec type = Cerebrospinal Fluid
	West Nile Virus Ab Panel CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
	Toxoplasma Gondii by PCR
		T;N, Stat, spec type = Cerebrospinal Fluid
	JC Virus PCR
		T;N, Stat, spec type = Cerebrospinal Fluid
	ACE CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
	Epstein Bar Virus DNA PCR Body Fluid
		T;N, Stat, spec type = Cerebrospinal Fluid
	Flow Cytometry
		T;N, Stat, spec type = Body Fluid
	Varicella Zoster DNA Detection other than blood
		T;N, Stat, spec type = Cerebrospinal Fluid
	Herpes Simplex Virus (HSV-1/HSV-2) Subtype by PCR (disseminated infection only)
		T;N, Routine, spec type = Blood
	Herpes Simplex Virus 1/2 PCR. Other than blood
		Routine, spec type = Cerebrospinal Fluid
	Non Gyn Cytology Request
		T;N, Stat, Cytology, CSF, Stat
	Aquaporin-4 Receptor (NMO) Antibody, IgG With Rflx to Titer
		T;N, Stat, spec type = Blood
	Unlisted Laboratory Procedure
		T;N, Stat, spec type = Cerebrospinal Fluid
			Comment: Aquaporin-4 Receptor Ab ARUP 2011699
		T;N, Stat, spec type = Cerebrospinal Fluid
			Comment: LYME PCR
		T;N, Stat, spec type = Cerebrospinal Fluid
			Comment: HTLV I/II Antibody Western Blot
		T;N, Stat, spec type = Cerebrospinal Fluid
			Comment: Neuron specific Enolase
		T;N, Stat, spec type = Cerebrospinal Fluid
			Comment: paraneoplastic autoab
	CBC with Diff
		Stat, spec type = Blood
	Glucose Level
		Nurse Collect, T;N, Stat, spec type = Blood
	Protein 14-3-3 (CJD)
		Stat, spec type = Cerebrospinal Fluid
			Comment: Immediately call infection control and the lab when this test is ordered, page via hospital operator if necessary.  Specimens must be hand delivered to the lab immediately. Do not send specimens via pneumatic tube system.
	Syphilis Total Antibodies
		T;N, Routine, spec type = Blood
	Angiotensin Converting Enzyme
		T;N, Routine, spec type = Blood
Patient Care
	Obtain Consent/Permit for:
		T;N, Lumbar puncture
	Obtain supplies/equipment
		T;N, Have at bedside: lumbar puncture tray, betadine, sterile gloves 7 ½ & 8 at bedside
	Discontinue Medication
		Anticoagulants
	Activity-Position
		Flat, 1, hr
			Comment: Then discharge to home
	Discharge
		to: Home
			Comment: After flat x 1 hr post 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