CHN4100 Orthopedic Surgery Pre Operative Orders.pdf - Carondelet
CHN4100 Orthopedic Surgery Pre Operative Orders.pdf - Carondelet
CHN4100 Orthopedic Surgery Pre Operative Orders.pdf - Carondelet
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USE BALL POINT PEN – PRESS FIRMLY<br />
CARONDELET HEALTH NETWORK<br />
HOSPITAL PROVIDED PRE-PRINTED PHYSICIAN’S ORDERS<br />
TREATMENT PROTOCOL – PRE OP ANESTHESIA (CSJ/CSM)<br />
WILL BE APPENDED TO THE FOLLOWING PREPRINTED ORDERS THAT REFERENCE “ANESTHESIA PROTOCOL”:<br />
SHOCK WAVE LITHOTRIPSY, GENERAL SURGERY PRE OPERATIVE ORDERS – CSJ / CSM, SLEEVE GASTRECTOMY PRE OPERATIVE ORDERS,VASCULAR SURGERY<br />
PRE-OP ORDERS, PERI-OPERATIVE EXCISION OF PTERYGIUM ORDERS, PRE OPERATIVE E.N.T ORDERS, PRE-OP ORTHOPEDIC SURGERY ORDERS, RETINA<br />
PERIOPERATIVE ORDERS – CSJ, TRABECULECTOMY PERI-OPERATIVE ORDERS,PODIATRY PERIOPERATIVE ORDERS, EAR/NOSE/THROAT (ENT) PERIOPERATIVE<br />
ORDERS –CSJ, OPHTHALMOLOGY PERIOPERATIVE ORDERS-CSJ, GYN PREOPERATIVE ORDERS – CSJ<br />
NPO Status Instructions to Patient Minimum Period<br />
Clear liquids (black coffee, apple juice, grape juice) Up to 4 hours pre-op 2 hours<br />
Breast milk Up to 4 hours pre-op 4 hours<br />
Infant formula Up to 6 hours pre-op 6 hours<br />
Light meal (Dry toast and clear liquids) None after midnight 6 hours<br />
Fried or fatty food and meat (includes milk products) None after midnight 8 hours<br />
Solids in high risk patients (e.g.: diabetes, pregnancy, obesity) None after midnight 8 hours<br />
PRE-OPERATIVE HGB/HCT and BLOOD BANK REQUIREMENTS<br />
<strong>Surgery</strong><br />
MAJOR ABDOMINAL:<br />
Whipple<br />
Splenectomy<br />
Gastrectomy<br />
Abdominal perineal resection<br />
Bleeding ulcer<br />
Adrenalectomy<br />
Esophagogastrectomy<br />
Hysterectomy<br />
Colectomy<br />
VASCULAR:<br />
AAA, open abdominal<br />
AAA, endovascular<br />
Any bypass case<br />
Any endarterectomy<br />
Aneurysmal repairs<br />
Repair/excision of infected grafts<br />
BKA/AKA<br />
CARDIOTHORACIC:<br />
Cardiac Surgeries<br />
Thoracic Surgeries<br />
ORTHOPAEDIC:<br />
Total Hip/Knee Arthroplasty<br />
Hip Fracture/Revision<br />
Spine surgery (2 or more levels)<br />
Other Total Joints<br />
UROLOGICAL:<br />
Nephrectomy<br />
Cystectomy<br />
Prostatectomy<br />
TURP<br />
NEUROLOGIC:<br />
Craniotomy<br />
Spine surgery (2 or more levels)<br />
Aneurysm repair/clipping<br />
PLASTICS:<br />
TRAM<br />
<strong>Pre</strong>ssure ulcers<br />
Type & Cross<br />
2 units PRBCs<br />
And HGB/HCT<br />
X<br />
X<br />
X<br />
Type & Screen<br />
And HGB/HCT<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
X<br />
HGB/HCT & Hold Clot<br />
(if HGB/HCT
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