Henry Ford Wyandotte Hospital Physician Orders HEPARIN ...

Henry FordWyandotte HospitalPhysician OrdersCheck hereif STAT[ AFFIX PATIENT ID LABEL ]NotedOrders preceded by a will be initiated only if checked. All bulleted orders will be initiated unless a line is drawn through theorder to indicate not applicable.ALLEGED ALLERGIES:HEPARIN PROTOCOL (INITIAL DOSING)• Discontinue enoxaparin (or Low Molecular weight Heparin) prior to initiation of Unfractionated Heparin.□ Obtain protime, PTT stat before starting heparin.(Do not wait for results)□ Obtain baseline CBC before starting heparin. (Do not wait for results.)If not previously administered, give units of heparin IV push now.Begin heparin drip immediately after bolus at units per hour ( ml/hour)Obtain PTT: □ eight hours after drip is started or□ at on .Obtain CBC every two days while on heparin protocol starting on .Discontinue any previous PTT’s not ordered by PharmacyThank youR.Ph.Warfarin – First dose protocol□ Obtain INR now if not done today. If patient is on warfarin at home, hold dose until results available.□ Give warfarin mg today at .Call physician for follow-up warfarin doses or pharmacy consult for warfarin dosing if positive for DeepVein Thrombosis or Pulmonary Embolism.□ Obtain INR every day times days.Initiation of warfarin protocol□ Obtain INR now if not done today. If patient is on warfarin at home, hold dose until results available.Obtain INR every day times 5 beginning .Obtain Hgb weekly while on warfarin beginning .Give warfarin mg today.Order of Date/Time Physician SignatureDate/TimeTaken and Read Back By; Verbal Phone Other31000 REV 6/09TP-837 (REV 7/09)Noted By:Medical Record CopyDate/TimeNotedPage ____ 1 of ________ 1W_47231_MOO06.indd 18/6/09 4:01:48 PM

Henry FordWyandotte HospitalPhysician OrdersCheck hereif STAT[ AFFIX PATIENT ID LABEL ]NotedOrders preceded by a will be initiated only if checked. All bulleted orders will be initiated unless a line is drawn through theorder to indicate not applicable.ALLEGED ALLERGIES:HEPARIN PROTOCOL (INITIAL DOSING)• Discontinue enoxaparin (or Low Molecular weight Heparin) prior to initiation of Unfractionated Heparin.□ Obtain protime, PTT stat before starting heparin.(Do not wait for results)□ Obtain baseline CBC before starting heparin. (Do not wait for results.)If not previously administered, give units of heparin IV push now.Begin heparin drip immediately after bolus at units per hour ( ml/hour)Obtain PTT: □ eight hours after drip is started or□ at on .Obtain CBC every two days while on heparin protocol starting on .Discontinue any previous PTT’s not ordered by PharmacyThank youR.Ph.Warfarin – First dose protocol□ Obtain INR now if not done today. If patient is on warfarin at home, hold dose until results available.□ Give warfarin mg today at .Call physician for follow-up warfarin doses or pharmacy consult for warfarin dosing if positive for DeepVein Thrombosis or Pulmonary Embolism.□ Obtain INR every day times days.Initiation of warfarin protocol□ Obtain INR now if not done today. If patient is on warfarin at home, hold dose until results available.Obtain INR every day times 5 beginning .Obtain Hgb weekly while on warfarin beginning .Give warfarin mg today.Order of Date/Time Physician SignatureDate/TimeTaken and Read Back By; Verbal Phone Other31000 REV 6/09TP-837 (REV 7/09)Noted By:Pharmacy CopyDate/TimeNotedPage ____ 1 of ________ 1W_47231_MOO06.indd 28/6/09 4:01:48 PM