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clinical pathway transurethral resection of prostate

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Patient<br />

Outcomes<br />

Teaching<br />

Discharge<br />

Planning<br />

Criteria<br />

Pathway Reviewed with<br />

Patient/Family (Initial):<br />

Patient/Family Satisfied<br />

with Progress?<br />

Signatures:<br />

CLINICAL PATHWAY<br />

TRANSURETHRAL RESECTION<br />

OF PROSTATE (TURP)<br />

Phase: O.R. / PACU<br />

Date:<br />

OR:<br />

Patient will have any concerns<br />

addressed<br />

Consents/ID confirmed<br />

Clinical Pathways are not considered a substitute for pr<strong>of</strong>essional judgement.<br />

Patient and family informed <strong>of</strong> condition<br />

Free <strong>of</strong> infection<br />

Postop day <strong>of</strong> Surgery<br />

/ / hrs / / hrs<br />

PACU:<br />

Patient will be stabilized &<br />

discharged to post-op unit when<br />

criteria met.<br />

Patient will verbalize pain control<br />

CBI running freely<br />

OR:<br />

Review procedure with patient<br />

and preparedness <strong>of</strong> patient<br />

Orient patient to OR procedures,<br />

and treatments<br />

(for example, IV & catheter)<br />

PACU:<br />

Pain control, initial DB&C,<br />

Catheter care.<br />

Family to be informed <strong>of</strong><br />

patient condition.<br />

OR:<br />

PACU:<br />

Patient able to move as per<br />

PACU policy for discharge<br />

Clinical Indicator #1: I.V. antibiotics used?<br />

(RN to complete)<br />

Yes No<br />

Verbalizes pain control<br />

CBI running freely<br />

Up and walking<br />

Orientation to room and nursing unit: _______<br />

Reinforce DB&C: _______<br />

Review IV and catheter: _______<br />

Reinforce pain management; patient to request<br />

analgesia: _______<br />

_______ Yes _______ No<br />

if NO, see progress notes<br />

_______________________________________ ________<br />

_______________________________________ ________<br />

_______________________________________ ________<br />

_______________________________________ ________<br />

TRANSURETHRAL RESECTION OF PROSTATE (TURP)<br />

YES NO<br />

Initials<br />

CLINICAL PATHWAY<br />

40503 D HR (March/2012) Page 3 <strong>of</strong> 6

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