Unique Plan Description: Neurosurg Transphenoidal Resection Pre Op
Plan Selection Display: Neurosurg Transphenoidal Resection Pre Op
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-11-04 19:35:14
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 09:27:56
Available at all facilities: Yes

Neurosurg Transphenoidal Resection Pre Op
Admit/Discharge/Transfer
	Admit to Inpatient Status
		T;N, Anticipated LOS 2 midnight or more
Diet
	NPO
		After Midnight, NPO Except for: Medications
Laboratory
	Type and Crossmatch (Product Available)
		T;N, Stat, For Possible Transfusion
Medications
	Ancef (JE)
		2,000 mg, Injection, IV Push, PREOP, Surgical prophylaxis
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
		If allergic to cephalosporins or if anaphylactic reaction or breathing problems with penicillins:(NOTE)*
	Cleocin IVPB
		900 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
		If patient allergic to cefazolin, PCN and clindamycin (Cleocin):(NOTE)*
	vancomycin IVPB
		1,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
Patient Care
	Obtain Consent/Permit for:
		
	Pre-op bath/shower
		T;N
			Comment: Patient to shower with hibiclens (do not use ChloraPrep) shampoo the night before and the morning of

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