Unique Plan Description: Post Op UPPER Extremity Orthopaedics (FH) [EBM]
Plan Selection Display: Post Op UPPER Extremity Orthopaedics (FH) [EBM]
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2020-04-22 19:40:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:46:07
Available at all facilities: Yes

Post Op UPPER Extremity Orthopaedics (FH) [EBM]
Vital Signs
	Neuro Checks
		T;N
			Comment: UE  Per Post Op Protocol
Activity
	Weight Bearing
		T;N, Partial weight bearing
			Comment: Upper Extremity
		T;N, No weight bearing
			Comment: Upper Extremity
		T;N, Full weight bearing
			Comment: Upper Extremity
	Shoulder Precautions
		No Abduction, No Active ROM
		With prescribed weight bearing status as soon as possible
		Bedside Commode until able to ambulate to bathroom
		With Meals
	Ambulate
		
	Bathroom Privileges
		
	Up in Chair
		
Patient Care
	Elevate operative extremity (FH)
		Pillow under elbow to keep upper arm in midaxial plane
		with IV Pole & Stockingnette
		on sponge bohler frame
	Cold Therapy
		
	Shower
		Shower only after Physician changes dressing
		To Operative Site as Tolerated
		Shower after dressing changed by Nurse
		May shower with dressing covered
		Shower at home and report any drainage
		No shower
	Orthopedic device
		T;N, Remove for ROM Exercises, Instructions: Sling
		T;N, Keep clean, dry, intact until follow up appointment, Instructions: Splint
	Dressing Care
		Do not remove
			Comment: Until Followup appointment
		Reinforce, as desired
			Comment: as desired
		T+1;0600, Change, DAILY
			Comment: in 3 days, apply Ted Hose
		T;N, Remove
	Discontinue Wound Drain
		T;N
			Comment: MD to discontinue drain
		T;N
			Comment: Do Not Discontinue Drain
		T;N
			Comment: Discontinue Now
		T;N
			Comment: Discontinue Drain before Discharge
Therapies
	Consult Occupational Therapy, Evaluate and Treat
		
	Consult Physical Therapy, Evaluate and Treat
		Reason to See: Evaluate and Treat
			Comment: Outpatient Physical Therapy: Begin in 1 day. Assess gait training needs of patient. Fit with appropriate Ambulation Device and dispense device as needed. Progressive Gait training within WB Status
		Reason to See: Evaluate and Treat
			Comment: Outpatient Physical Therapy: Begin in 2 days. Assess gait training needs of patient. Fit with appropriate Ambulation Device and dispense device as needed. Progressive Gait training within WB Status
		Reason to See: Evaluate and Treat
			Comment: Outpatient Physical Therapy: Begin in 3 days. Assess gait training needs of patient. Fit with appropriate Ambulation Device and dispense device as needed. Progressive Gait training within WB Status
		Reason to See: Evaluate and Treat
			Comment: Outpatient Physical Therapy: Begin in 4 days. Assess gait training needs of patient. Fit with appropriate Ambulation Device and dispense device as needed. Progressive Gait training within WB Status
		Reason to See: Evaluate and Treat
			Comment: Outpatient Physical Therapy: Begin in 5 days. Assess gait training needs of patient. Fit with appropriate Ambulation Device and dispense device as needed. Progressive Gait training within WB Status
		T;N, Reason to See: Evaluate and Treat | Assessment of Upper Extremities
			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

*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