Sign & Held
Pre Procedure orders
What to release the night before surgery?
Ancef Q 8 hours x 5 doses or Vancomycin Q 12 hours x 3 doses
What is antibiotics post Open Heart Surgery?
Surgical K+, Ionized Mg, Ionized Ca+
What is Labs done with Patients on Diuretics or Glucommander
Q 4 hours & PRN
What is performing Incentive Spirometer
Responsible for discontinuing orders or Cleaning up Duplicate orders.
Who is bedside nurse & Providers?
Patient arrives from CVOR
What to release Post op orders?
Skin Protocol or Pressure Injury Prevention & Wound management Nurse Panel
What is order in accordance with Braden Scale
What is Surgical Lab K+/Ion Mg/Ion Ca+/PTT& PT INR?Main Lab-> BMP/Phos
What are labs done immediately after post-Open Heart?
Q 15 minutes x 4; Q 30 minutes x 2; Q 1 Hour there after
When is Vital Signs charted immediate post op?
Volume (NS/LR/Albumin), Calcium Chloride, and Pressors
What is intervention for patients with hypotension
Admission orders
What is release upon admission from another facility
>200ml/h or 800 ml in first 6 hours after admission
When to notify provider for Chest tube drainage immediately post op
Chest X-ray & EKG
What is STAT Diagnostic test immediately post op?
Pacing wire D/Ced, Pt in bed/chair x2H, V/S Q15 minutes x 2H, Q 1H x 2 H
What is Tamponade Precaution?
Drips to treat low Cardiac Index and Cardiac Output
What is Inotropic gtts such as Milronone and Dobutamine
30 ml IV continuous PRN, NPO or continuous TF/TPM held
What is D10 Infusion
Hemoglobin 7 g/dl, CO < 2
When to notify provider
Perform daily-> utilize same equipment method each time
What is daily weight?
Stop Sedation gtt prior & SBT; 2-minute tolerance screen; 30-minute trial
What is Spontaneous Awakening Trial