clinical pathway transurethral resection of prostate
clinical pathway transurethral resection of prostate
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