Unique Plan Description: NICU Avastin Treatment (WH)
Plan Selection Display: NICU Avastin Treatment (WH)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-11-20 08:43:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 11:12:41
Available at all facilities: No

NICU Avastin Treatment (WH)
Medications
	proparacaine 0.5% ophthalmic solution
		1 gtt, Solution, Eye, Both, Once
			Comment: Place at bedside
	B.S.S. Balanced Salt Solution ophthalmic
		15 mL, Solution, Eye, Both, Once
			Comment: on-call to bedside for MD
	Avastin injection
		30 mcg, Injection, Eye, Left, Once
			Comment: dispense 300 mcg/0.3mL on-call for MD use
		30 mcg, Injection, Eye, Right, Once
			Comment: dispense 300 mcg/0.3mL on-call for MD use
Patient Care
	Obtain supplies/equipment
		T;N, Eye exam tray
Consults/Follow-up
	Consult Ophthalmologist
		Reason for Referral: Anatomic Anomaly, Refer to/Consult with: Dr. Robert Troia or Sebastian Troia
		Reason for Referral: Retinopathy Of Prematurity, Refer to/Consult with: Dr. Thomas Hejkal

*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