Unique Plan Description: OB Cerclage Pre Op
Plan Selection Display: OB Cerclage Pre Op
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 22:13:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:16:27
Available at all facilities: No

OB Cerclage Pre Op
Admit/Discharge/Transfer
	Admit to Observation Status
		T;N
Diet
	NPO
		T;N
Laboratory
	Pregnancy Test Urine
		T;N, Stat, Stat, Urine Random, spec type = Urine
Medications
	Unasyn IVPB
		3,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: first dose preop
	Unasyn IVPB (FH)
		3,000 mg, INT, IVPB, PREOP, Surgical prophylaxis
			Comment: first dose preop
	Ancef (JE)
		2,000 mg, Injection, IV Push, PREOP, Surgical prophylaxis
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
	Ancef (FH)
		2,000 mg, Injection-Premix, IVPB, Once, Surgical prophylaxis
			Comment: 80-120kg.  Give 1 hr preop.  OK to give if pt allergic to penicillin unless history of anaphylactic reaction.  Redose every 3 hours during surgery.
		1,000 mg, INT, IVPB, Once, Surgical prophylaxis
			Comment: < 80kg.  Give 1 hr preop.  OK to give if pt allergic to penicillin unless history of anaphylactic reaction.  Redose every 3 hours during surgery.
		3,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: > 120kg.  give 1 hr Preop.  OK to give if pt allergic to penicillin unless history of anaphylactic reaction.  Redose every 3 hours during surgery.
	Flagyl IVPB
		500 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: Give first dose preop
		If Patient is Penicillin allergic, choose both Clindamycin and both Gentamicin orders below(NOTE)*
	Cleocin IVPB
		900 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
	gentamicin IVPB
		5 mg/kg, Injection, IVPB, PREOP, Surgical prophylaxis
			Comment: Dose based on Adjusted Body Weight; Give with Clindamycin Preop if patient has 		Cephalosporin allergy or anaphylactic penicillin allergy
	gentamicin IVPB (FH)
		5 mg/kg, INT, IVPB, PREOP, Surgical prophylaxis
			Comment: Dose based on Adjusted Body Weight; Give with Clindamycin Preop if patient has 		Cephalosporin allergy or anaphylactic penicillin allergy
	Pepcid
		20 mg, Injection, IV PUSH, PREOP
	Bicitra oral soln
		30 mL, Solution, By Mouth, PREOP
	Alka-Seltzer Gold
		2 TAB, Tablet-Effervescent, By Mouth, PREOP
	Indocin
		50 mg, Capsule, BY MOUTH, PREOP
			Comment: For under 32 weeks gestation
		25 mg, Capsule, BY MOUTH, PREOP
			Comment: For under 32 weeks gestation
Patient Care
	Obtain Consent/Permit for:
		T;N, Cervical Cerclage

*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