Unique Plan Description: Peds Hyperbilirubinemia Readmission (JE/FH)
Plan Selection Display: Peds Hyperbilirubinemia Readmission (JE/FH)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 22:36:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:41:59
Available at all facilities: No

Peds Hyperbilirubinemia Readmission (JE/FH)
Admit/Discharge/Transfer
	Admit to Observation Status
		T;N
	Admit to Inpatient Status
		T;N, Anticipated LOS 2 midnight or more
Vital Signs
	Vital Signs
		Q4H
		Q6H
		Q8H
		Q12H-Sch
		Q4HAWAKE
Diet
	Breast Milk
		Feed Base: Mother Breast Milk, Special Instructions: Supplement with formula
		Feed Base: Mother Breast Milk, Special Instructions: No supplementation
	Formula
		Base Caloric Density: 20
	breast milk (maternal)
		Q3H, PRN for see comment
			Comment: per feeding protocol
	Infant Feeding
		
Laboratory
Today's Lab
	CBC with Diff
		T;N, Stat, spec type = Blood
	Bilirubin Total
		T;N, Stat, spec type = Blood
	Bilirubin Direct
		T;N, Stat, spec type = Blood
	Bilirubin Total and Direct
		T;N, Stat, spec type = Blood
	Direct Coombs
		T;N, Stat, spec type = Blood
	Indirect Coombs
		T;N, Stat, spec type = Blood
	ABORh Patient Type
		T;N, Stat, spec type = Blood
	Bilirubin Total and Direct
		T;N+360, Routine, spec type = Blood
Tomorrow's Lab
	CBC with Diff
		T;N+720, Routine, spec type = Blood
		T+1;N, Routine, spec type = Blood
	Bilirubin Total
		T+1;N, Routine, spec type = Blood
IV Solutions

	Dextrose 10% in Water
		1,000 mL, IV, 3.3 mL/kg/hr
	Dextrose 5% with 0.225% NaCl w/KCl 10 mEq/1000 mL
		1,000 mL, IV, Routine, T;N, 3.33 mL/kg/hr
		10 mEq, EVERY BAG
	Dextrose 5% with 0.45% NaCl w/KCl 10 mEq
		1,000 mL, IV, 3.33 mL/kg/hr
Medications
	glycerin pediatric suppository
		1 supp, Suppository, RECTALLY, BID, PRN, constipation
Patient Care
	Resuscitation Status
		T;N, Full Code
	Phototherapy
		T;N, Phototherapy Bank Double
		T;N, Bili Blanket
	Notify MD of Lab results
		T;N, Call all Lab results.
	Intake and Output
		T;N
			Comment: Routine

*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