Unique Plan Description: Neurosurg Baclofen/Morphine Pump Pre-Op
Plan Selection Display: Neurosurg Baclofen/Morphine Pump Pre-Op
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-11-02 14:54:29
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 11:20:50
Available at all facilities: Yes

Neurosurg Baclofen/Morphine Pump Pre-Op
Diet
	NPO
		After Midnight
Medications
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
	Cleocin IVPB
		600 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: If patient weighs < 70kg and if allergic to cephalosporins or if anaphylactic reaction or breathing problems with penicillins.
		900 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: If patient weighs > 70kg and if allergic to cephalosporins or if anaphylactic reaction or breathing problems with penicillins.
	vancomycin IVPB
		1,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: If patient allergic to cefazolin and clindamycin (Cleocin)
Patient Care
	Pre-op bath/shower
		T;2000
			Comment:  Patient to shower with chlorhexadine gluconate evening before surgery
		T+1;0500
			Comment: Patient to shower with chlorhexadine gluconate morning of surgery

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

*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