Unique Plan Description: Ortho Spine Pre op (MH)
Plan Selection Display: Ortho Spine Pre op (MH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-11-05 08:56:09
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:33:00
Available at all facilities: Yes

Ortho Spine Pre op (MH)
Admit/Discharge/Transfer
	Admit to Inpatient Status
		T;N, Anticipated LOS 2 midnight or more
Diet
	NPO
		After Midnight
Laboratory
	Type and Crossmatch (Product Available)
		T;N, Stat, For Possible Transfusion
		T;N, Routine, For Possible Transfusion
Diagnostic Tests
	ECG
		T;N, Routine, Indication: Pre-op Release
Medications
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
	vancomycin IVPB
		1,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis, 250 ml/hr
			Comment: Give if allergic to penicillin or cephalosporins
Patient Care
	Obtain Consent/Permit for:
		
	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
	Surgical Prep
		T;2000
			Comment: Scrub skin with Hibiclens for 15 minutes, evening before and morning of surgery
		T+1;0500
			Comment: Scrub skin with Hibiclens for 15 minutes, evening before and morning of surgery
	Notify MD
		T;N, If pregnancy test positive, contact surgeon immediately

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