Order Entry Process for Antimicrobial Surgical Prophylaxis Order Form Operating Rooms Open Mon Fri South 0600 1730 North 0600 1600 Order comes to OR pharmacist

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Order Entry Process for Antimicrobial Surgical Prophylaxis Order Form Operating Rooms Open Mon Fri South 0600 1730 North 0600 1600 Order comes to OR pharmacist Powered By Docstoc
					 Order Entry Process for Antimicrobial Surgical Prophylaxis
                        Order Form
Operating Rooms Open (Mon-Fri, South 0600-1730, North 0600-1600)
     Order comes to OR pharmacist
          The OR pharmacist enters the entire order (pre-op and post-op
           antibiotics), timed according to the patient-specific case, and types
           “SURGICAL PROPHY” in the text field.
          All the labels will print in the OR, but only the 1st dose will be made in the
           OR.
          When the patient goes to the floor, the floor pharmacist will see the
           antibiotic with “SURGICAL PROPHY” in the text field on the profile.
           The pharmacist will then confirm that the time entered for the next
           antibiotic dose is correct. If the times are correct, use the “P” function to
           print the labels in the IV room. If the times have changed, modify the order
           to provide the adjusted times and generate labels in the IV room. If the
           order is modified, please remember that the doses that were not given
           need to be returned to stock, in order to prevent extra charges to the
           patient.
     Order comes to floor pharmacist
          The floor pharmacist calls the OR pharmacist and gives them the order for
           pre-op and post-op antibiotics (as is currently done now for pre-op orders).
          From here on, the OR pharmacist and floor pharmacist follow the same
           procedure as detailed above.

Operating Rooms Closed
     Order comes to central pharmacy
          The pharmacist keeps the forms (does not enter them) and gives them to
           the OR pharmacist in the morning (put in OR bin in the fridge).
          The process for “Order comes to OR pharmacist”, detailed above, is
           followed once the OR pharmacist gets the orders.
     Emergent After Hours Cases
          Typically, the order is called to the IV room pharmacist. Thus, no form will
           be received.
          IV room pharmacist will fill out form and file it in the OR order file in unit
           dose.

Important Notes
    This form is part of the clinical protocols in the System Policies and Procedures
      and must be used for antibiotics for surgical prophylaxis, with the exception of
      pediatric cases and solid organ transplants. The form will be available in the pre-
      op packets for The Nebraska Medical Center and on all the floors.
          o Extras will be kept in the OR pharmacies and on the rolling shelves in UD.
    The pharmacist can automatically make the weight and renal function
      adjustments. Renal function adjustments should be recorded in the medical
      record by the pharmacist.
          o The renal dosage guidelines will be posted on the intranet.
    If the physician orders an agent to which they have also documented a true
      allergy (at the top of the form), the pharmacist can automatically order the
      “allergy” option without having to call the physician.

				
DOCUMENT INFO
Description: Out Patient Surgical Center Physician Order Form document sample