post procedure orders for the surgical patient template

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post procedure orders for the surgical patient template Powered By Docstoc
					PATIENT NAME                                                                    DATE OF BIRTH
PATIENT ALLERGIES                                                                           SURGEON

CONSENT:




                                                          PRE OPERATIVE ORDERS

Anesthesia                     General            MAC                 Local              Other ______________

           CBC                           PT / PTT                               HIV                          Pregnancy Test for Female
           EKG *                         Chest X-Ray                            Mammography                  Medical Clearance/H&P *
           Chemistry 7 *                 Implants______________                 Screws                       Other ______________

           ____________________________________                                          Today’s Date_________
                      MD Signature
* Required over age of 45, ANY medical condition or history of smoking

                                                         PRE ANESTHESIA ORDERS

           Establish IV Access

Intravenous Fluid                        0.9 NS                       LR                 Other ______________

Intravenous Antibiotics                  Ancef 1gm                    Other ______________

                                                POST ANESTHESIA RECOVERY ORDERS

1.    VS q 5-15 min. until stable, then q 30 minutes.
2.    Oxygen mask at 3L/min. Discontinue Oxygen when vitals stable.
3.    Discontinue IV when patient is on oral fluids.
4.    For respiratory rate < 10/Min. - NOTIFY ANESTHESIOLOGIST.
           a) For narcotic depression, stimulate patient, if no response may give Narcan as follows:
                       Adult - Narcan 0.1 mg (0.25 ml) IV every 3 min.x 4.
				
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posted:11/26/2010
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Description: a template that can be used to assess the post op surgical patient for the necessary pain meds post operatively. this template provides you with the basic outline of the portions you do not want to miss in details for the patient and for the patients care giver once they have been discharged to home.
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THE COMPLIANCE DOCTOR, LLC is a consulting firm that offers services to assist health care professionals at the task(s) of state licensing, National Accreditation, as well as Medicare Certifications in any outpatient, ambulatory type of business. We assist the client by providing them leadership and consultation along the labored process of the regulatory world in health care. There is never a job too small, nor too big, we can handle them all.