Unique Plan Description: Rad Onc Tandem Ring
Plan Selection Display: Rad Onc Tandem Ring
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2024-11-19 10:13:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-04-09 15:51:51
Available at all facilities: No

Rad Onc Tandem Ring Preop
Admit/Discharge/Transfer
	Admit to Observation Status
		T;N
Diet
	NPO
		T;N
Laboratory
	Basic Metabolic Panel
		Stat, spec type = Blood
	CBC with Diff
		Stat, spec type = Blood
Diagnostic Tests
	ECG
		
	Intraoperative US
		T;N, Routine, Assist Surgical Procedure
Medications
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Indication: Surgical prophylaxis
	Levaquin IVPB
		750 mg, IVPB, PREOP, Indication: Surgical prophylaxis
			Comment: If penicillin allergic within 60 minutes of incision
	Omnipaque 350 mg/mL 50mL vial
		50 mL, Injection, Irrigation, Once
			Comment: Dilute with sterile water and instill into catheter; drain after procedure.
Patient Care
	Obtain Consent/Permit for:
		
	Enema-Administer
		Fleets
	Obtain Consent/Permit for:
		Exam under anesthesia.
		Placement of Tandem and Ring
		Cervical Sleeve

Rad Onc Tandem Ring Post Op
Admit/Discharge/Transfer
	Discharge Conditional
		T;N
Vital Signs
	Vital Signs
		T;N, Routine post op
Diet
	Advance Diet as Tolerated
		T;N
Diagnostic Tests
	MRI Pelvis - HDR Rad Planning
		T;N, Routine
Medications
	oxyCODONE
		5 mg, Tab, By Mouth, PRN pain-moderate
	acetaminophen
		1,000 mg, Tab, By Mouth, Once, T;N
	HYDROmorphone Injectable
		0.2 mg, Injection, IV Push, Q1H, PRN for pain-severe
		0.5 mg, Injection, IV Push, Q1H, PRN for pain-severe
Patient Care
	Notify MD
		T;N, Pulse > 130 or < 60, respirations >32 or <8, BP Systolic >180 or <90, hemoptysis >30ml, oxygen saturation <90%
		T;N, if FIO2 >50%
		T;N, PRN if unable to void
	Oxygen Therapy, Nurse to Administer
		Via Nasal Cannula, Titrate->Keep Sats>/= to 92

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