Unique Plan Description: UROGYN Vaginal Mesh Pre-Op
Plan Selection Display: UROGYN Vaginal Mesh Pre-Op
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-11-05 08:39:07
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 12:31:22
Available at all facilities: No

UROGYN Vaginal Mesh Pre-Op
Admit/Discharge/Transfer
	Admit to Observation Status
		T;N
Diet
	NPO
		After Midnight
Laboratory
	Type and Screen (No Product on hold)
		Stat, spec type = Blood
	Type and Crossmatch (Product Available)
		T;N, Stat, For Possible Transfusion
	Hemoglobin and Hematocrit
		T;N, Stat, spec type = Blood
			Comment: if Hgb & Hct not done in last 30 days.
	Pregnancy Test Urine
		Stat, Stat, spec type = Urine
			Comment: in childbearing age patient if not done in last 48 hours
Medications
	Ancef (JE)
		2,000 mg, Injection, IV Push, PREOP, Surgical prophylaxis
			Comment: OK to give if patient has penicillin allergy unless history of anaphylactic reaction.  Redose q3h during surgery
	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
		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, 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, 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:
		Sacrospinous Ligament Fixation
		Posterior Colporrhaphy with Mesh
		Anterior Colporrhaphy with Mesh
		Sling and Cystoscopy

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