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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: Postop Day 1<br />

Date:<br />

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

Vital signs remain stable<br />

Tolerates increase in diet<br />

Tolerates increase in activity<br />

Participates in ADL's<br />

Patient will verbalize pain control<br />

CBI to be light pink to clear with no clots<br />

Review:<br />

- Activity<br />

- Diet<br />

- Pain management<br />

- Catheter care<br />

___________________________ ________<br />

___________________________ ________<br />

___________________________ ________<br />

___________________________ ________<br />

Initials<br />

TRANSURETHRAL RESECTION OF PROSTATE (TURP)<br />

Postop Day 2<br />

/ / hrs / / hrs<br />

Prepare patient and family for implementation<br />

<strong>of</strong> discharge planning.<br />

_______ Yes _______ No<br />

if NO, see progress notes<br />

Vital signs stable<br />

Ambulates independently<br />

Pass voiding trial<br />

Reinforce what to expect post-operatively<br />

Review patient education material and booklet<br />

Reinforce that the following are normal up to 8 weeks<br />

- Urgency<br />

- Frequency upon voiding<br />

- Hematuria<br />

Remind patient <strong>of</strong> post operative appointment<br />

with surgeon<br />

Discharge home with instruction<br />

To arrange follow-up appointment with surgeon<br />

_______ Yes _______ No<br />

YES NO YES NO<br />

if NO, see progress notes<br />

___________________________ ________<br />

___________________________ ________<br />

___________________________ ________<br />

___________________________ ________<br />

Initials<br />

CLINICAL PATHWAY<br />

40503 D HR (March/2012) Page 5 <strong>of</strong> 6

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