Unique Plan Description: Post Op LOWER Extremity Orthopaedics (FH) [EBM]
Plan Selection Display: Post Op LOWER Extremity Orthopaedics (FH) [EBM]
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2020-04-20 23:30:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:45:57
Available at all facilities: Yes

Post Op LOWER Extremity Orthopaedics (FH) [EBM]
Vital Signs
	Neurological Assessment-Focused
		T;N
			Comment: Neuro Checks LE  Per Post Op Protocol
Activity
	Weight Bearing
		T;N, Full weight bearing
			Comment: as Tolerated with assistive device
		T;N, No weight bearing
			Comment: with assistive device
		T;N, Touch down weight bearing
			Comment: with assistive device
		T;N
			Comment: Flat Foot touch Weight Bearing
	Bathroom Privileges
		T;N
			Comment:  Bedside Commode until able to ambulate to bathroom
	Hip Dislocation Precautions
		No active abduction and no ROM exercises
		No external ROM. No maximum extension with external rotation. Flexing past 90 degrees is okay, but shouldn't be forced.
		Posterior Hip Precautions: No forward bending past 90 degrees, No crossing midline, No internal rotation.
	Up in Chair
		T;N
			Comment: With Meals
Patient Care
	Elevate operative extremity (FH)
		Operative Extremity on Pillows
		Affected extremity with IV Pole & Stockingnette
		Affected extremity on sponge bohler frame
	Cold Therapy
		T;N, Ice bag
			Comment: To Operative Site as Tolerated
	Shower
		Shower only after Physician changes dressing
		Shower after dressing changed by Nurse
		May shower with dressing covered
		Shower at home and report any drainage
		No shower
	Immobilizer, Knee - Apply
		To affected extremity to be worn at all times
		To affected extremity to be worn whenever out of bed
	Orthopedic device
		T;N, Instructions: Splint: Keep clean, dry, intact until follow up appointment
	Dressing Care
		Change, as desired
		Reinforce
	Wound Drain
		
	Remove Wound Drain
		T;N
			Comment: MD to discontinue drain
		T;N
			Comment: Discontinue drain before discharge
		T;N
			Comment: Do Not Discontinue Drain
		T;N
			Comment: Discontinue drain now
Therapies
	Consult Occupational Therapy, Evaluate and Treat
		Reason to See: Evaluate and Treat
	Consult Physical Therapy, Evaluate and Treat
		T;N
			Comment: Inpatient Physical Therapy: Assess gait training needs of patient. Fit with appropriate Ambulation Device and dispense device as needed. Progressive Gait training within WB Status
		T;N
			Comment: Outpatient Physical Therapy: Begin in 1 day
		T;N
			Comment: Outpatient Physical Therapy: Begin in 2 day
		T;N
			Comment: Outpatient Physical Therapy: Begin in 3 day
		T;N
			Comment: Outpatient Physical Therapy: Begin in 4 day
		T;N
			Comment: Outpatient Physical Therapy: Begin in 5 day

*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