clinical pathway transurethral resection of prostate

Assessments
Consults
Tests
Treatments
Medications
Nutrition
Pain
Management
CLINICAL PATHWAY
TRANSURETHRAL RESECTION
OF PROSTATE (TURP)
Phase:
Date:
Physician's Office
Pre-Admission Clinic
Pre Surgery Clinic/
Day of Surgery
/ / hrs / / hrs / / hrs
History and Physical
As needed:
Internist
Medicine
Cardiology
Review medications
Consult with prescribing
physician regarding
discontinuation of
warfarin (Coumadin) 4 days
prior to surgery and
ASA, ticlopidine (Ticlid),
clopidogrel, (Plavix) & herbal
medications 7-8 days prior
to surgery
Clinical Pathways are not considered a substitute for professional judgement.
INTERVENTIONS:
Routine pre-op blood work
as per guideline
+/- coagulation studies
pre-op
Database completed
Review consents signed
Preop Anaesthesia consult as
indicated according to:
Level of risk, anxiety,
lack of knowledge.
CBC. lytes, creatinine, urea
Chest x-ray, ECG
Group and reserve
Urine C&S
Nursing to review:
Previously prescribed meds,
discontinuation of
anticoagulants and current
usage of herbal medications.
Anaesthesia consult service
as needed, will advise
medication to be taken on
morning of surgery.
NPO after midnight.
INTERVENTIONS: INTERVENTIONS:
TRANSURETHRAL RESECTION OF PROSTATE (TURP)
Reconfirm consents and
database
Vital signs
Complete pre-op checklist
MRSA results/yellow bracelet
if pending
Capillary blood glucose prn
PT, PTT, INR prn on pts. who
have anticoagulants stopped
Identify meds taken am of surgery
Ciprofloxacin 500 mg po with
sips 1 hour pre-op
Reconfirm and reinforce NPO
CLINICAL PATHWAY
40503 D HR (March/2012) Page 2 of 6