WMHS Physician Order Sets

FORMS
FORMS
0000 - Order Set Committee Request Form
MARS
MARS
0001 - Chest Pain MAR
0002 - Patient Controlled Analgesia (PCA) MAR
0003 - Total Joint - Day of Surgery MAR
0004 - Continuous Epidural Infusion (CADD) MAR
0005 - Bolus Epidural Morphine (Duramorph®) MAR
0006 - Single Shot Subarachnoid Morphine (Duramorph®) MAR
0007 - Orthopedic Routine Postop - Day of Surgery MAR
0008 - Haidar - Post -Partum Vaginal Delivery MAR
0009 - Haidar - Post-op C-Section MAR
0010 - Khachan - Post-Partum Vaginal Delivery MAR
0011 - Khachan - Post-op C-Section MAR
0014 - Wolford - Post-Partum Vaginal Delivery MAR
0015 - Wolford - Post-op C-Section MAR
0016 - Harrison - Post-Partum Vaginal Delivery MAR
0017 - Harrison - Post-op C-Section MAR
0018 - OB Labor Epidural MAR
0019 - Nursery Medication Sheet
0050 - Blank MAR
GENERAL/ADMISSION
1.0 GENERAL
1.0-001 - Blank Physician Order Form
NEW HOSPITAL TRANSFERS
1.0-002 - Transfer Orders from BHC to WMRMC
1.0-003 - Discharge Orders from MHC with Admission to WMRMC
1.1 ADMISSION ORDERS
1.1-001 - Calkins / Qaisrani / Osei Admission
1.1-002 - Emergency Dept Admission
1.1-003 - CIRU Admission
1.1-004 - Figueroa - Routine CIRU Admission
1.1-005 - Hospice: General Inpatient Admission
1.1-006 - Respite Care Standing Orders
1.1-007 - Behavioral Health Admission
1.1-008 - Routine CIRU Stroke Admission Orders
1.1-009 - Nursing Protocol for Testing for Clostridium Difficile Toxin
TRAUMA
1.1-008-1 - Trauma Admission Pathway
1.1-008-2 - Emergency Dept Trauma
1.2 ANAPHYLAXIS
1.2-001 - Anaphylaxis Precaution
1.3 ANTICOAGULATION THERAPY
1.3-002 - Eminase
1.3-003 - Argatroban-Heparin Induced Thromboctyopenia
1.3-004 - Ahmad Argatroban Protocol
1.3-005 - Lepirudin-Heparin Induced Thrombocytopenia
1.3-006 - Weight Based Heparin
1.3-007 - Anticoagulation: Laboratory Support Orders
1.4 CRITICAL CARE
1.4-001 - Vasopressor Infiltrate Protocol
1.4-002 - Sepsis Protocol
1.4-003 - Organ Donor Workup
1.4-004 - Glycemic Management (BC ICU)
1.4-005 - Insulin Infusion Protocol - MHC
1.4-006 - Therapeutic Hypothermia Protocol after Cardiac Arrest
1.4-007 - MET Protocol
1.4-008 - PET Protocol
1.5 CONSTIPATION MANAGEMENT
1.5-001 - Constipation Mgmt
1.5-002 - CIRU Bowel Program
1.6 DETOXIFICATION
1.6-001 - Alcohol Withdrawal (Routine)
1.7 RESTRAINTS
1.7-001 - Behavioral Health Restraint and Seclusion
1.7-002 - Med-Surg Restraint Orders
1.8 DURABLE MEDICAL EQUIPMENT
1.8-001 - Durable Medical Equipment
1.9 HOSPITALISTS/PILOT ONLY
1.9-001 - Low-Dose Subcutaneous Insulin Sliding Scale
1.9-002 - Middle-Dose Subcutaneous Insulin Sliding Scale
1.9-003 - High-dose Subcutaneous Insulin Sliding Scale
1.9-004 - DVT / PE Prophylaxis Protocol
1.11 PAIN MANAGEMENT
1.11-001 - CADD Continuous Epidural Infusion
1.11-002 - Duramorph Epidural
1.11-003 - Patient Controlled Analgesia (PCA)
1.11-003-1 - Ashker - Morphine Patient Controlled Analgesia (PCA)
1.11-003-2 - Ashker - Demerol Patient Controlled Analgesia (PCA)
1.11-004 - Single Shot Subarachnoid Duramorph
1.11-005 - Intraop Pain Clinic
1.12 THROMBOLYTIC THERAPY - STROKE/MYOCARDIAL INFARCTION
STROKE
1.12-001-1 - New Stroke-TIA
1.12-001-2 - Stroke-Alteplase-Post Alteplase
1.12-001-3 - Stroke-TIA-No Alteplase
1.12-002 -    Hemorrhagic Stroke
MYOCARDIAL INFARCTION
1.12-003-1 - Retaplase for MI
1.12-003-2 - Streptokinase for MI
1.12-003-3 - Tenecteplase (TNK) Protocol for MI
1.12-003-4 - TPA Protocol for MI
1.13 TOTAL PARENTERAL NUTRITION
1.13-001 - Total Parenteral Nutrition (TPN)
1.14 TRANSPORT
1.14-001 - Transport Orders
1.15 TUBE FEEDING PROTOCOL
1.15-001 - Tube Feeding Protocol
CARDIOLOGY
2.1 DIAGNOSIS SPECIFIC
2.1-001 - Acute Coronary Syndrome
2.1-002 - Diagnostic Chest Pain
2.1-003 - Heart Failure
2.2 NELSON / DEB
2.2-001 - Nelson Postop Carotid Endarterectomy
2.2-002 - Nelson / Deb CV and Thoracic Preop
2.2-004 - Nelson Postop Lobectomy
2.2-006 - CVU Open Heart Surgery Postop - Nelson / Deb
2.2-007 - Post-op Thoracic - Dr. Deb
2.2-008 - On-Q / I-flow Pain Pump Protocol
2.2-009 - Abiomed VAD Post-op Orders
2.3 CARDIOVERSION
2.3-001 - Electrical Cardioversion
2.4 CARDIAC CATHETERIZATION
2.4-001 - Pre Diagnostic Cardiac Cath
2.4-002 - Post Diagnostic Cardiac Cath
2.4-004 - Sodium Bicarb Renal Protection
2.4-005 - Pre-Medication for Pts with History of IV Contrast Reaction
2.5 MAHAL/KULKARNI
2.5-001 - Mahal-Kulkarni Fenoldopam (Corlopam®)
2.6 OPEN HEART
2.6-001 - CVU Open Heart Surgery Preop
2.7 PTCI
2.7-001 - Pre PTCI
2.7-002 - Post PTCI
2.8 ELECTROPHYSIOLOGY
2.8-001 - Pre Electrophysiology - Dr. Fananapazir
2.8-002 - Post Electrophysiology
2.8-003 - Post Fem-O-Stop
2.8-004 - Pre Electrophysiology - Dr. Ahmed
2.9 STRESS TEST
2.9-001 - Pharmocological Stress Test
2.10 ECHOCARDIOGRAM
2.10-001 - Transesophageal Echocardiogram
2.10-02 - Dobutamine Stress Echocardiogram
MATERNAL/CHILD
3.2 BEHNAM
3.2-001 - Behnam Postop Orders
3.2-002 - Behnam Postop Colposcopy-Cervical Bx Discharge Inst
3.2-003 - Behnam Postop Hysterectomy-D&C Discharge Inst
3.4 CONROY / HARTSUCH
3.4-001 - Conroy-Hartsuch Preop GYN Abdominal
3.4-002 - Conroy-Hartsuch Minor Postop GYN Discharge
3.4-004 - Conroy-Hartsuch Major Postop
3.4-005 - Conroy-Hartsuch Minor Postop-SDS
3.5 HARRISON
3.5-001 - Harrison Post C-Section
3.5-002 - Harrison Post D&C Discharge
3.5-003 - Harrison Intrapartum
3.5-004 - Harrison Laproscopy Discharge Inst
3.5-005 - Harrison Postop Major Surgery
3.5-006 - Harrison Standing Orders
3.6 KHACHAN
3.6-001 - Khachan Intrapartum
3.6-002 - Khachan Post C-Section
3.6-003 - Khachan ALL Preop Orders
3.6-004 - Khachan Postop Orders
3.7 LABOR & DELIVERY
3.7-001 - Betamethasone
3.7-002 - Terbutaline(Brethine) for Tocolysis
3.7-003 - Cytotec
3.7-004 - Cytotec IUFD
3.7-005 - Group B Strep Protocol L&D
3.7-006 - Magnesium Sulfate for Pre-Eclampsia
3.7-007 - Magnesium Sulfate for Tocolysis
3.7-008 - Oxtyocin (Pitocin®)Drip
3.7-009 - Prepidil - Cervidil® Prostaglandin Ripening
3.7-010 - Prostin E2 Supp Fetal Demise
3.7-011 - Pregnant Vaginal Bleeding
3.7-012 - Gestational Diabetes for L&D
3.7-013 - Non-Stress Testing
3.7-014 - Zidovudine (Retrovir®) Infusion
3.7-015 - L&D Emergency Panel
3.7-016 - Routine Orders for Scheduled C-Section
3.7-017 - Admission Orders for No Prenatal Care
3.8 OB
3.8-001 - MVP Protocol for Obstetrics
3.8-002 - OB Labor Epidural Orders
3.8-003 - Post Partum Vaginal Delivery Pathway
3.9 NURSERY
3.9-001 - Routine Regular Nursery
3.9-002 - Group B Strep Protocol - Nursery
3.9-003 - Routine Pre-Term
3.9-004 - Special Care Nursery
3.9-005 - Total Parenteral Nutrition Special Care Nursery
3.10 PEDIATRICS
3.10-001 - Villanueva Postop T&A
3.10-002 - Bronchiolitis-RSV Pathway
3.10-003 - Gastroenteritis With Dehydration
3.10-004 - Post T&A Pathway
3.10-005 - Stasko Post Pyloromyotomy Feeding Schedule
3.11 WOLFORD
3.11-001 - Wolford Admission L&D
3.11-002 - Wolford Post C-Section
3.11-003 - Wolford Labetolol(Normodyne®) for Hypertension
3.11-004 - Wolford Trial of Labor After Previous C-Section
3.11-005 - Wolford - Nausea/Vomitting Protocol
3.12 HAIDAR
3.12-001 - Haidar L&D Admission
3.12-002 - Haidar Post C-Section
3.12-003 - Haidar Preop
3.12-004 - Haidar - Post-Op Orders
3.13 BAQAI
3.13-001 - Baqai L&D Admission
BEHAVIORAL HEALTH
4.1 DETOXIFICATION
4.1-001 - Alcohol Withdrawal (Routine) (Same as 1.6-001)
4.1-002 - Detox Comfort Meds (Behav. Health Specific)
4.2 ELECTROCONVULSIVE THERAPY
4.2-001 - Pre Electroconvulsive Therapy
4.3 BEHAVIORAL HEALTH
4.3-001 - Outpatient Behavioral Health Orders for Medical Clearance
NEPHROLOGY
5.1 WELIK
5.1-002 - Welik Admission
5.1-005 - Welik Insulin Sliding Scale
5.1-006 - Welik IV Iron Protocol
5.1-007 - Welik Peritoneal Dialysis
5.1-008 - Welik Potassium Orders
5.1-009 - Welik Precath Mannitol
5.2 GENERAL NEPHROLOGY
5.2-001 - CAPD-Peritonitis
5.2-002 - Citrate Anticoagulation Protocol-CRRT
5.2-003 - Continuous Renal Replacement-CRRT
5.2-004 - Epogen Standing Orders
5.2-005 - Acute Inpt and Outpt Hemodialysis
5.2-006 - Sodium Bicarb Renal Protection
5.2-007 - Darbepoetin (Aranesp®) Iron-Dialysis
5.2-008 - Chronic Outpatient Hemodialysis
5.2-009 - Phosphate Binder Therapy Control
5.3 RANJITHAN
5.3-001 - Outpatient CAPD/CCPD
5.3-002 - Outpatient CAPD/CCPD Peritonitis
NEUROLOGY
6.1 ASHKER
6.1-001 - Ashker Post Carotid Endarterectomy
6.1-002 - Ashker Carotid Endarterectomy Discharge
6.1-003 - Ashker ALL Pre-Op Orders
6.1-006 - Ashker Post Craniotomy
6.1-007 - Ashker Insulin Coverage
6.1-009 - Ashker Postop Laminectomy
6.1-010 - Ashker Laminectomy Discharge
6.1-011 - Ashker Pre-Post Myelogram
6.2 FIGUEROA
6.2-002 - Figueroa Preop Laminectomy
6.2-003 - Figueroa Postop Laminectomy
6.2-004 - Figueroa Pre-Post Myelogram
6.2-005 - Figueroa Post Myelogram Instructions
6.2-006 - Figueroa Post Decomp Median Nerve-Ulnar Nerve Trans
6.2-007 - Figueroa Laminectomy Discharge Orders
6.3 JANJUA
6.3-001 - Janjua Lumbar Puncture
6.4 GENERAL NEUROLOGY
6.4-001 - ICU-Solumedrol Infusion Spinal Cord Injury
ONCOLOGY
7.3 GENERAL
7.3-001 - Alimta + Paraplatin Protocol
7.3-002 - Alimta + Cisplatin Protocol
7.3-003 - Alimta Single Agent Protocol
7.3-004 - Anaphylaxis Cancer Center
7.3-005-1 - Avastin IN BREAST CANCER-Dolasetron
7.3-005-2 - Avastin IN BREAST CANCER-Ondansetron
7.3-005-3 - Avastin IN BREAST CANCER-Palonosetron
7.3-005-4 - Avastin + Folox IN COLON CANCER
7.3-005-5 - Avastin IN LUNG CANCER
7.3-005-6 - Avastin IN OVARIAN CANCER
7.3-005-7 - Avastin + Taxotere IN PROSTATE CANCER
7.3-005-10 - Avastin + Erlotinib IN RENAL CELL CANCER
7.3-006 - Alemtuzumab (Campath) Protocol
7.3-008 - Cisplatin Protocol Zaman
7.3-009 - Cisplatin Every 3 Weeks
7.3-010 - Erbitux + Irinotecan Protocol
7.3-011 - Erbitux SINGLE AGENT PROTOCOL
7.3-016 - Outpatient Folfiri Protocol
7.3-016-1 - Inpatient Folfiri Protocol
7.3-017 - Folfox 4 Oxaliplatin (Day 1)
7.3-018 - Folfox 4 Oxaliplatin Protocol (Day 2)
7.3-020 - Modified Folfox 6 Oxaliplatin Protocol
7.3-021 - Inpatient Modified Folfox 6
7.3-022 - Infliximab (Remicade) Protocol
7.3-023 - Rituximab Protocol
7.3-025 - Paclitazel (Taxol®) Protocol - Cancer Center
7.3-026 - Bortezomib (Velcade) Protocol
7.3-027 - Bortezomib (Velcade) + Dexamethasone Protocol
7.3-028 - Bortezomib + Melphalan Protocol
7.3-029 - Vidaza Protocol
7.3-030 - Xelox Regimen
7.3-031 - Darbepoetin Protocol
ORTHOPEDIC
8.1 CENDO
8.1-002 - Cendo Preop Standing
8.2 GHOBRIAL
8.2-001 - Ghobrial Preop- All cases except hands
8.2-004 - Ghobrial Outpatient Surgery
8.2-007 - Ghobrial/Wolff Total Knee Discharge
8.3 CARLS
8.3-001 - SDS - All Patients - Pre-Op - Dr. Carls
8.3-002 - Post-op Outpt - Dr. Carls
8.5 WOLFF
8.5-003 - Wolff Outpatient Surgery
8.5-005 - Standing Pre-op Joint Orders - Dr. Wolff
8.5-007 - Ghobrial/Wolff Total Knee Discharge
8.6 GENERAL ORTHOPEDIC
8.6-001 - Total Joint/Fx. Hip/Femur Pathway
8.6-002 - Routine Post-op
8.6-003 - Orthopedic Admission
8.6-004 - Coumadin Sliding Scale
8.6-005 - Total Knee Discharge
8.6-006 - Total Hip Discharge
8.6-007 - Orthopedic Fractured Hip/Femur Discharge
PODIATRY
9.1 BRIELOFF
9.1-001 - Brieloff Bone Cases
9.2 MELODY
9.2-001 - Melody Standing Preop Bone Cases
PULMONARY
10.1 COPD
10.1-001 - COPD Admission
10.2 VENTILATOR
10.2-001 - Standard Ventilator
10.3 DIPRIVAN
10.3-001 - Diprivan Protocol
10.4 PNEUMONIA
10.4-001 - Pneumonia
RADIOLOGY
11.1 GENERAL
11.1-001 - Radiology- Admit Post Proc AAA Stent Grafts
11.1-002 - Radiology- Admit Post Arteriogram / Stent Replacement
11.1-004 - Radiology- Post Procedure Central Venous Access
11.1-005 - Radiology- Protocol Contrast Reaction Treatment
11.1-006 - Radiology- Post Procedure Drainage Catheters
11.1-007 - Radiology- Post Procedure Gastrostomy Tube
11.1-008 - Radiology- Post Procedure Hepatic Arterial Chemo Embolization
11.1-009 - Radiology- Post Procedure IVC Filter
11.1-010 - Radiology- Pre-procedure
11.1-011 - Radiology- Pre Needle Biopsy
11.1-012 - Radiology- Post Needle Biopsy
11.1-013 - Radiology- Admit & Post Procedure Peripheral Thrombolysis
11.1-014 - Radiology- Post Procedure TIPS
11.1-015 - Radiology- Admit-Post Proc Uterine Artery Embolization
11.1-016 - Radiology- Post Vertebroplasty
11.1-017 - Pre-Medication for Pts with History of IV Contrast Reaction
11.1-018 - Radiology - Routine Pre-Arteriography
11.1-019 - Radiology - Post-Arteriography
11.1-020 - Captopril Renal Scan
11.1-021 - Radiology - Pre Gold Marker Implants for Prostate Planning
11.1-022 - Post Myelogram / Lumbar Puncture Orders
11.2 RADIOLOGY PREPS
11.2-001 - Barium Enema 18-hour Prep for Inpatients
SURGERY
12.1 ARRISUENO
12.1-001 - Arrisueno- Preop Sequentials
12.3 BIELEC
12.3-001 - Bielec- Postop General Surgery
12.3-002 - Bielec- Discharge General Surgery
12.4 CARPENTER
12.4-001 - Carpenter- ALL Preop Standing Orders SDS
12.5 CHISHOLM
12.5-001 - Chisholm- ALL Preop Orders
12.6 MARK
12.6-001 - Mark- Pre Peg Tube Insertion
12.7 PALIN
12.7-001 - Palin- Postop Discharge Intructions- SDS
12.7-002 - Palin - Post-op Instr. For Finger/Hand Surgery
12.8 PILLAI
12.8-001 - Pillai-Chest Tube
12.9 ROCK
12.9-001 - Rock- ALL Preop Orders
12.10 SCHROEDER
12.10-001 - Schroeder- Postop Discharge Instructions-SDS
12.10-002 - Schroeder-ALL Preop Orders
12.11 STASKO, M.
12.11-001 - M.Stasko- Postop Orders
12.11-002 - Stasko-Post Pyloromyotomy Feeding Schedule
12.13 FAILING
12.13-001 - Failing-Pre-Post Cataract
12.13-002 - Failing- Post Cataract Discharge Instructions
12.13-003 - Failing- Pre-Post Secondary Implants
12.13-004 - Failing- Pre-Post Trabeculectomy
12.15 POMPILIO
12.15-001 - Pompilio- Pre-Post Cataract Extractions
12.16 VANBRAKLE
12.16-001 - VanBrakle- Pre-Post Cataract
12.16-002 - VanBrakle- Yag Laser
12.17 GI
12.17-001 - GI Endoscopy
12.18 INTRA OP
12.18-001 - Intraop Urology-Cysto
12.18-002 - Intraop ENT
12.18-003 - Intraop GYN
12.18-004 - Intraop Neuro
12.18-005 - Intraop Failing Opthalmic
12.18-006 - Intraop Pompilio-Vanbrakle Opthalmic
12.18-007 - Intraop Orthopedics
12.18-009 - Intraop Plastics
12.18-010 - Intraop General-Podiatry
12.18-011 - Intraop Vascular
12.18-012 - Intraop Pacemaker/ICD/BIV
12.18-013 - Cardio-Thoracic Intraop
12.19 PACU
12.19-001 - PACU Routine Orders
12.20 SDS
12.20-003 - SDS Postop Ear Discharge Instructions
12.20-004 - SDS Fiberoptic Bronchoscopy Discharge Instructions
12.20-005 - SDS Postop Hernia Repair Discharge Instructions
12.20-006 - SDS Post Spinal Discharge Instructions
12.20-007 - SDS Preop Prostate Seed Implantation
12.20-008 - Preop - Dr. Villanueva
12.20-009 - All Nasal Surgeries - Dr. Hasslinger
12.21 BECKER
12.21-001 - Becker- Preop Bladder Neck Suspension
12.21-002 - Becker- Intermittent Catherization
12.21-007 - Becker- Post TURP
12.21-008 - Becker-TURP Discharge Instructions
12.21-009 - Becker-Ureterolithiasis
12.23 PAROUSIS
12.23-001 - Parousis ALL Preop
12.24 OUTPATIENT DEPT
12.24-002 - OPD- Pre Procedure
12.25 FANANAPAZIR
12.25-001 - Fananapazir- Preop Pacemaker - ICD
12.25-002 - Fananapazir- Post Pacemaker - ICD - Loop Recorder
12.25-003 - Fananapazir- AICD Discharge Instructions
12.25-004 - Ahmed - Preop Pacemaker-ICD-BIV-Loop Recorder
12.25-005 - Ahmed - Postop Pacemaker-ICD-BIV-Loop Recorder
12.27 LITMAN
12.27-001 - Litman- Preop Bilateral Myringotomy Tube Placement
12.27-002 - Litman- Postop Myringotomy Tube Discharge Inst
12.27-003 - Litman- Preop Tonsillectomies-Adenoidectomies
12.27-004 - Litman- Postop Tonsillectomies-Adenoidectomies
12.27-005 - Litman- Preop Sinus Surgery-Septoplasty
12.27-006 - Litman- Preop Thyroid Surgery
12.27-007 - Litman- Preop Parotid Surgery
12.27-008 - Litman- Preop Open Head and Neck Proc
12.27-009 - Litman- Preop Planned Awake Fiberoptic Intub