Unique Plan Description: UROGYN Post Op Voiding Trial
Plan Selection Display: UROGYN Post Op Voiding Trial
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-12-13 14:10:09
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 12:30:21
Available at all facilities: Yes

UROGYN Post Op Voiding Trial
Patient Care
	Bladder Scan
		T+1;0600, see comment
			Comment: After each voiding for a minimum of 4 hours.   Discontinue bladder scan when residual <150 ml/bladder
	Straight Catheter
		T+1;0001, Straight, Insert, Q4H, if PVR > ...
			Comment: PRN
	Foley Catheter
		T+1;0000, Foley, Insert, Pt. undergoing abdominal/pelvic surgery, PRN, unable to void, If foley catheter needed, enter order for foley catheter insert, once, and select the appropriate criteria for insertion and then insert the foley catheter.
	Patient Education
		T;N+1440, Regarding: Self catheterization, Instructions: Teach patient to perform self-catheterization  if more than 3 straight catheterizations required, see comment
		T;N, Instructions: Teach patient to perform self-cath if voiding trial failed.
	Voiding Trial
		T;N, Fill bladder retrograde with 300ml sterile H2O/NACL.  Remove catheter.  Have patient void over next 5-10 minutes.  Measure output and perform post void residual via straight cath.  If void is >/=150ml with <150ml on PVR, trial is passed.
			Comment: If > 150ml on PVR, trial is failed
	Notify MD
		T;N, Notify MD with results of voiding trial.
		Note: Outpatient Voiding Trial(NOTE)*
	Patient Education
		T;N, Regarding: Self catheterization, Instructions: Teach patient to perform self-cath if voiding trial failed x 2
	Voiding Trial
		T;N, Allow pt to void when feeling the urge. Measure output and perform post void residual via bladder scan.  If > 150ml on PVR, trial is failed. Attempt x 2.
	Notify MD
		T;N, Notify MD with results of voiding trial.

*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