Unique Plan Description: UROGYN Minor Surgery, Pre Op
Plan Selection Display: UROGYN Minor Surgery, Pre Op
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-11-05 08:20:20
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 12:29:38
Available at all facilities: No

UROGYN Minor Surgery, Pre Op
Admit/Discharge/Transfer
	Admit to Observation Status
		T;N
Diet
	NPO
		
Laboratory
	Type and Screen (No Product on hold)
		Stat, spec type = Blood
	Hemoglobin and Hematocrit
		Stat, spec type = Blood
			Comment: If Hgb/Hct not done in last 30 days
	Pregnancy Test Urine
		Stat, Stat, spec type = Urine
Medications
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
			Comment: OK to give if patient has penicillin allergy unless history of anaphylactic reaction.  Redose q3h during surgery
	Ancef (JE)
		2,000 mg, Injection, IV Push, PREOP, Surgical prophylaxis
		For penicillin allergic patients choose either Quinolone and Flagyl, or Quinolone and Clindamycin(NOTE)*
		Quinolone and Flagyl(NOTE)*
	Levaquin IVPB
		500 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
	Flagyl IVPB
		500 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
		Quinolone and Clindamycin:(NOTE)*
	Levaquin IVPB
		500 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
	Cleocin IVPB (MH/WH/FH)
		900 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
	Cleocin IVPB (JE)
		900 mg, IVPB, PREOP, Surgical prophylaxis
		If Patient Beta Lactam AND Quinolone allergic, Give BOTH Azactam and Clindamycin.(NOTE)*
	Azactam IVPB
		1,000 mg, IVPB, PREOP, Surgical prophylaxis
			Comment: give with clindamycin (Cleocin) if beta lactam allergic
	Cleocin IVPB (JE)
		900 mg, IVPB, PREOP, Surgical prophylaxis
	Cleocin IVPB (MH/WH/FH)
		900 mg, IVPB, PREOP, Surgical prophylaxis
Patient Care
	Obtain Consent/Permit for:
		Dilation and Curettage and Hysteroscopy
		Revision/Excision of Vaginal Mesh Exposure
		Cystoscopy
		Periurethral Bulking with Cystoscopy
		Cystoscopy with Hydrodistension of the Bladder
		Sling Release and Cystoscopy
		Fulguration of Hunner's Ulcer(s)
		Vaginal Trigger Point Injections
		Cystoscopy with Botox Injections into the Bladder

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