Unique Plan Description: Test Prep MRI
Plan Selection Display: Test Prep MRI
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-05-11 07:27:17
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 12:21:52
Available at all facilities: Yes

Test Prep MRI
Diagnostic Tests
	Clear Liquid Diet
		T;N
			Comment: For 4 hours prior to MRI medications may be taken with a sip of water
		T;N, After Midnight
			Comment: Medication may be taken with a sip of water
	Complete MRI Documentation Criteria
		T;N, Once
		MRI Test Prep with contrast(NOTE)*
	NPO
		After Midnight
		T;N
	MRI Test Prep
		T;N
			Comment: Patient is scheduled for MRI exam. Patient must have patent peripheral IV with minimum 22 guage catherter, a power PICC or power port. Place extravasation device appropriately onto the arm. If no IV access minimum 20 gauge catheter in right antecubital. Notify MRI department if patient has had iondinated contract in past 24 hours.
	Breeza
		500 mL, By Mouth, Q15MIN, 3 Dose(s)/Time(s)
			Comment: To be given 60 minutes prior to exam. Clamp NG tube if applicable. Breeza is located in MRI and will be delivered to the nursing unit.
	Clear Liquid Diet
		T;N
	Creatinine
		T;N, Stat, spec type = Blood
		MRI Test Prep without contrast(NOTE)*
	NPO
		T;N
	Creatinine
		Stat, spec type = Blood

*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