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Standing Medical Orders - Oncology / Infusions
Standing Medical Orders - Pediatric Oncology
Blank Order Form
Blank Order Form
COVID-19
COVID-19 General Plan
SARS-CoV-2 (Sofia or PCR) Test Plan EKM
Anesthesia Orders
Adult Anesthesia Post-Op PACU (Low Dose) Plan
Adult Anesthesia Post-Op PACU Plan
Adult Anesthesia Post-Op Outpatient Surgery Plan
Anesthesiology 24 Hour Post-Op Analgesia Plan After Intrathecal-Epidural Opioids
Anesthesiology Continuous Epidural Plan
Anesthesia Pre-Op and OR Holding Plan
Pediatric Anesthesia Post-Op PACU Plan
Pediatric Anesthesia Post-Op Outpatient Surgery Plan
Apheresis Plans
Apheresis Plasma Exchange Plan
Apheresis Platelet Depletion Plan
Apheresis RBC Exchange Plan
Apheresis WBC Depletion Plan
Bariatric Orders
Bariatric Surgery Pre-Op Plan
Bariatric Surgery Post-Op Plan
BICU Orders
Adult Burn Wound Pain and Anxiolysis Plan
Beta Blocker Therapy for Burn Metabolism Plan
BICU Post-Tramatic Stress Disorder Med Plan
BICU Smoke Inhalation HFOV Protocol Plan
Burn Fluid Resuscitation Plan
Geriatric Burn Wound Pain and Anxiolysis Plan
Pediatric Beta Blocker Therapy for Burn Metabolism Plan
Cardiac Outpatient Surgery
Cardio Discharge Cardiovascular Procedure Plan
Cardio Post Catheter Lysis Plan
Cardio Post Cardiac Peripheral Cath Plan
Cardio Post EP Implantable Device Plan
Cardio Post EP Study Ablation Plan
Cardio Post Transcatheter Aortic Valve Replacement (TAVR) Plan
Cardio Pre Cardiac Peripheral Cath Plan
Cardio Pre Post Transesophageal Echo (TEE) Plan
Cardio Pre Transcatheter Aortic Valve Replacement (TAVR) Plan/a>
Cardio Pre EP Implantable Device Plan
Cardio Pre EP Study Ablation Plan.pdf
Cardio Pre Hybrid OR Plan
Cardio Pre-Post EP Direct Current Cardioversion (DCCV) Plan
Cardio Protocol Dobutamine Echo for Aortic Stenosis
Cardio Protocol Dobutamine Echo
Cardio Protocol Tilt Table Test
Cardiac Orders
Card Open Heart Immediate Post-Op Plan
CV Surgery Insulin Plan
Card Open Heart POD1 - POD3 Plan
Open Heart Pre-Op Plan
Thoracotomy Post -Op Plan
Thoracotomy Pre-Op Plan
Chest Pain Plan
Heart Failure Plan
Post Op Open Heart Ventilator Protocol Plan Discern
Targeted Temperature Management
Dialysis Orders
Continuous Ambulatory Peritoneal Dialysis Plan (CAPD)
Continuous Cycling Peritoneal Dialysis (CCPD) Plan
Continuous Renal Replacement Therapy Plan (CRRT)
Dianeal 2.5 with cefepime 1g Nightly
Dianeal 2.5 with cefepime 1g Nightly + vancomycin 1g every 4th Night
Dianeal 2.5 with cefTAZidime 1g Nightly
Dianeal 2.5 with cefTAZidime 1g Nightly + vancomycin 1g every 4th Night
Dianeal 2.5 with vancomycin 1g every 4th Night
Dianeal Alternating Solution Regimen
Hemodialysis Exchange Plan
Hemodialysis Plan
Discharge Orders
Adult Discharge Plan
Pediatric Discharge Plan
ECMO/Mechanical Heart Orders
ECMO Post Cannulation Plan
Emergency Dept Orders
EC Pediatric Asthma Plan Greater than or Equal to 20 kg, Score 1-2
EC Pediatric Asthma Plan Greater than or Equal to 20 kg, Score 3-5
EC Pediatric Asthma Plan Greater than or Equal to 20 kg, Score 6-10
EC Pediatric Asthma Plan Greater than or Equal to 20 kg, Score 11-12
EC Pediatric Asthma Plan Less than 20 kg, Score 1-2
EC Pediatric Asthma Plan Less than 20 kg, Score 3-5
EC Pediatric Asthma Plan Less than 20 kg, Score 6-10
EC Pediatric Asthma Plan Less than 20 kg, Score 11-12
EC Pediatric Discomfort Plan
EC Pediatric Immunosuppressed Plan
EC Pediatric Seizure and Status Epilepticus Plan
SANE Standing Delegation Orders
Endoscopy Outpatient
Outpatient Endoscopy Procedure Plan
Outpatient Endoscopy (GI) Procedure Plan
Outpatient Endoscopy (Pulm) Procedure Plan
Outpatient Sedation Plan
ERAS Orders
ERAS Surgery Pre-Op Plan
ERAS Surgery Post-Op Plan
Fecal Microbiota Transplant (FMT)
FMT Colonoscopy Plan
FMT NasoDuodenal Plan
FMT Rectal Plan
Outpatient FMT Colonoscopy Plan
Inpatient Orders
Admit Inpatient GIP Hospice Plan
Admit Observation Plan EKM
Bridging Diabetic Ketoacidosis (DKA) Plan
Comfort Care Plan
Continue Insulin Pump Plan
COPD Plan
Discontinue Insulin Pump Plan
Electrolyte Med Plan - ICU Only
Endocrine Surgery Parathyroidectomy Plan
Endocrine Surgery Thyroidectomy Plan
ENT Thyroidectomy/Parathyroidectomy Post Op Plan
Gastric Tube Decompression Plan
Gastric Tube Enteral Feeding Plan
General Observation Plan
General Medicine Plan
General Surgery Inpatient Pre-Op Plan
General Surgery Plan
General Surgery Post-Op Plan
Geriatric Trauma Plan
GI Bleed Plan
Hip Fracture Protocol Plan
ICU Lab Plan
Inpatient Colonoscopy Preparation Plan
Inpatient Endoscopy Procedure Plan
Lysis of Adhesions Post-Op Plan
MICU Direct Admit Plan
Newborn General Plan
Newborn Nursery HSV Exposure Plan
Pneumonia Plan
Smoke Inhalation Injury Heparin Protocol Plan
Smoking Cessation and Tobacco Treatment Program Plan
Snakebite Plan
Sub-Anesthetic Ketamine Infusion for Palliative Care
Surgery Burn Plan
TB Testing Plan
Trauma and Surgical ICU Plan
Interventional Radiology
Inpatient Interventional Radiology Non-Sedation Plan
Inpatient Interventional Radiology Sedation Plan
Interventional Radiology Procedures Protocol Plan
IR Contrast Record
IR Invasive Procedure Consult Form
Morphine Injection in Hepatobiliary Scan without Ejection Fraction Protocol Plan
Outpatient Interventional Radiology Non-Sedation Plan
Outpatient Interventional Radiology Sedation Plan
Paracentesis Plan
Thoracentesis Plan
Thyrogen Injections with Thyroid Carcinoma I-131 Whole Body Scan Protocol Plan
LifeGift Orders
LifeGift Brain Death Plan
Pediatric LifeGift Brain Death Plan
Mammography
Ma Mammo Diagnostic (Bilat)
Ma Mammo Diagnostic (Left)
Ma Mammo Diagnostic (Right)
Ma Mammo Diagnostic w-o Tomo (Bilat)
Ma Mammo Diagnostic w-o Tomo (Left)
Ma Mammo Diagnostic w-o Tomo (Right)
Ma Mammo Screen (Bilat)
Ma Mammo Screen (Left)
Ma Mammo Screen (Right)
Ma Mammo Screen w-o Tomo (Bilat)
Ma Mammo Screen w-o Tomo (Left)
Ma Mammo Screen w-o Tomo (Right)
Medication/Pharmacy
ACTH Testing Procedure Plan
Adult Bowel Program Plan
Adult Splenectomy Vaccine Plan
Albumin Plan
Alcohol Withdrawal Syndrome Plan
Alteplase INTRA-PLEURAL Plan
Amphotericin B Plan
Anticoagulation Reversal Plan
Argatroban for HIT Guidelines
Concentrated Infusions Med Plan
Contrast Allergy Premedication Protocol Plan
Dalbavancin Infusion Med Plan
Diabetic Ketoacidosis (DKA) Plan
Discomfort Med Plan
Dofetilide (Tikosyn) Initiation Orders
Geriatric Discomfort Med Plan
Heparin Infusion Med Plan
Hyperkalemia Multiphase Plan
Hypoglycemia Guidelines Plan
ICU Epoetin ALFA (Procrit) Plan
ICU Paralytic Plan
ICU Sedation and Pain Med Plan
Immune Globulin (IVIG) Plan
Insulin Drip Plan Non DKA
Methylprednisolone (Solu-Medrol) for Spinal Cord Injury Plan
Pain Management - Alternating Scheduled Meds
Parenteral Nutrition Plan
PCA Med Plan
Pharmacy Clinic Referral Plan
Post Aneurysm Heparin Infusion Plan
Potassium Chloride Replacement Plan
Sliding Scale Insulin Aspart Plan
Sliding Scale Insulin Regular Plan
VTE Prophylaxis Plan
NICU Orders
NICU LBK Less than 26 Weeks Plan
NICU LBK 26 to 29 Weeks Plan
NICU Greater Than 29 Weeks Plan
NICU ASP Therapy for Urinary Tract Infection
NICU Bedside Sedation Plan
NICU Cholestasis Plan
NICU Continuous Infusion Med Plan
NICU Dart Plan
NICU Delivery Plan
NICU Discharge Plan
NICU Discharge Social Services Plan
NICU Home Health Plan
NICU HSV Infection Plan
NICU Intubation for Procedure Plan
NICU Necrotizing Enterocolitis Plan
NICU Parenteral Nutrition Plan
NICU Post-Op Plan
NICU Pre-Op Plan
NICU Procedure Plan
NICU Rapid Sequence Intubation Plan
NICU Respiratory Plan
NICU ROP Exam Plan SDO - Dr. K. Mitchell
NICU ROP Post Treatment Plan
NICU Sedation and Pain Med Plan
NICU Seizure Plan
NICU Sepsis Evaluation Plan
NICU Syphilis Plan
NICU Transport Plan
NICU Vaccine Plan
Neuro Orders
External Ventricular Drain Plan
Neurointervention Plan
Neuro 3% Hypertonic Saline Plan
Neurosurgery Plan EKM
Normothermia Neuro ICU Plan
Post Neurointervention Plan
Stroke Neurointervention Plan
OB/GYN Orders
GYN General Plan
GYN ONC Post-Op Plan
Labor and Delivery Discomfort Med Plan
OB GYN Antepartum Plan
OB GYN Cesarean Pre-Op Plan
OB GYN Cesarean Post-Op Discomfort Plan - Analgesics Sedatives Antiemetics Antihistamines
OB GYN Cesearean Section Post-Op Plan
OB GYN General Post Op Plan
OB GYN General Pre-Op Op Plan
OB GYN High Dose Oxytocin Administration Plan.pdf
OB GYN Intrapartum Insulin Infusion Plan
OB GYN Intrapartum Plan
OB GYN Magnesium Sulfate Administration Plan
OB GYN Postpartum Vaginal Delivery Plan
OB GYN Cesarean Post-Op Discomfort Plan - NonAnalgesics NonSedating Only
OB GYN Labor and Delivery Epidural Post Op Plan
OB GYN Labor and Delivery Epidural Plan
OB GYN Provider Triage Plan
OB Hypertension Protocol - Hydralazine
OB Hypertension Protocol- Labetalol
OB Hypertension Protocol- Nifedipine
Outpatient Surgery Orders
Adult Outpatient Ophthalmology Plan
Adult Outpatient Surgery Plan
Adult Outpatient Surgery Post-Op Discomfort Med Plan
EC OR Adult Outpatient Surgery Plan
EC OR Pediatric Outpatient Surgery Plan
GYN ONC Outpatient Surgery Plan
Outpatient BB Type and Screen
Outpatient Radiology with Sedation Plan
Outpatient Radiology with General Anesthesia Plan
Outpatient Transfusion Plan
Outpatient Ultrasound Guided Oocyte Retrieval Plan
PACU Post-Op Diagnostic Tests
Pediatric Outpatient Surgery Plan
Pediatric Outpatient Surgery Post-Op Med Discomfort Plan
Pediatric Outpatient Ophthalmology Plan
Orthopedics Orders
General Ortho Plan
Orthopedics Consult Pre-Op
Orthopedics General Post-Op Plan
Ortho Post-Op Medication for Patients Less than 40 kg
Ortho Post-Op Medication Plan for Patients 40 kg or Greater
Orthopedics Replantation/Flap Post-Op Plan
Ortho Spine and Other Post-Op Plan
Orthopedics Total Hip Replacement Post-Op Plan
Orthopedics Total Knee Replacement Post-Op Plan
Orthopedics Trauma Post-Op Plan
Pediatrics/PICU Orders
Pediatric Alteplase Injection for CVL Plan
Pediatric Anticoagulant Plan
Pediatric Arginine Clonidine Stimulation Test Plan
Pediatric ASP Therapy for Cellulitis Skin and Soft Tissue Infection
Pediatric ASP Therapy for CAP
Pediatric ASP Therapy for Osteomylelitis Plan
Pediatric ASP Therapy for Urinary Tract Infection
Pediatric Bronchiolitis Plan
Pediatric Burn Plan
Pediatric Burn Wound Pain and Anxiolysis Plan
Pediatric Central IV Flush SDO- Dr. B. Payne
Pediatric Craniotomy Post-Op Plan
Pediatric Cystic Fibrosis Plan
Pediatric Diabetes Plan
Pediatric Discomfort Med Plan
Pediatric Endoscopic Third Ventriculostomy Post-Op Plan
Pediatric Facial Plastic Post Op Plan
Pediatric General Plan
Pediatric Insulin Dosing Plan
Pediatric Laminectomy Post-Op Plan
Pediatric MRI Plan
Pediatric Neurosurgery Pre-Op Plan
Pediatric Neurosurgery Spine Post-Op Plan
Pediatric Opiate Wean Plan
Pediatric PICC Insertion Plan
Pediatric PICU Asthma Plan EKM
Pediatric Shunt Placement Revision Post Op Plan
Pediatric Surgery Post-Op Plan
Pediatric Surgery Pre-Op Plan
Pediatric Tonsillectomy & Adenoidectomy Post-Op Plan
PICU Continuous Med Infusion Plan
PICU DKA Plan
PICU General Plan
PICU Mechanical Ventilation And Neuromuscular Blockade Plan
PICU Respiratory Failure Plan
PICU Sedation and Pain Med Plan
PICU Therapeutic Normothermia Post Cardiac Arrest
Pediatrics/PICU Trauma Orders
Child Abuse NAT Plan
Pediatric Liver and Spleen Injury Plan
Pediatric PICU Trauma Plan EKM
Pediatric Traumatic Splenectomy Vaccine Plan (Less than 15 Years of Age)
Pediatric VTE Prophylaxis Plan
PICU Traumatic Brain Injury (TBI) Plan
Rehab Plans
Occupational Therapy Evaluation and Treatment Plan
Physical Therapy Evaluation and Treatment Plan
Respiratory Orders
Acetylcysteine and Albuterol Plan
Adult Intubation Med Plan
Mechanical Ventilation Plan
Post Extubation Plan
Short Term Oxygen Therapy Plan
SICU Adult HFOV Protocol Plan.pdf
Respiratory Care Plan Protocol
Sedation Orders
Adult Bedside Moderate Sedation Plan
Adult Bedside Deep Sedation Plan
Pediatric Bedside Moderate Sedation Plan.pdf
Pediatric Bedside Deep Sedation Plan
Nursing Sedation Medication Documentation Plan
Sepsis
ASP Empiric Therapy for Necrotizing Infection
ASP Therapy for Cellulitis-Wound Infection
ASP Therapy for Cellulitis Wound Infection as Sepsis Source
ASP Therapy for Clostridioides Difficile Infection (CDI)
ASP Therapy for Community Acquired Pneumonia
ASP Therapy for Diabetic Foot Infections
ASP Therapy for Febrile Neutropenia
ASP Therapy for Intra-Abdominal Infection as Sepsis Source
ASP Therapy for Line Related Infection as Sepsis Source
ASP Therapy for Meningitis
ASP Therapy for Nosocomial Pneumonia
ASP Therapy for Ostemyelitis Plan
ASP Therapy for Unknown Sepsis Source
ASP Therapy for Urinary Tract Infection
ASP Therapy for UTI as Sepsis Source
Sepsis Plan
Standing Delegation Orders (SDO)
Adult Urinary Catheter Removal SDO - Dr. A. Haynes
Anesthesia Pre-op Screen SDO - Dr. R. Johnston
EC Pediatric Ouchless Plan SDO- Dr. Brian Payne
Emergency Center POC Pediatric Swab SDO by Dr. Brian Payne
Endoscopy Anesthesia Pre-Op Screen SDO - Dr. R. Banister
Newborn Nursery SDO - Dr. K. Robinson
OB-GYN Triage SDO - Dr. E. Yeomans
Pediatric All Better Care SDO-Dr. B. Payne MD
Pediatric Urinary Cath Removal SDO - Dr. A. Haynes
Physical Therapy Burn-Wound & Skin Care Topical SDO - Dr. J. Griswold
Rapid Response SDO - Dr. A. Yepes-Hurtado
Stress Test
Chemical Stress Echocardiogram
Chemical Stress NM
Exercise Stress Echocardiogram
Exercise Stress EKG
Exercise Stress NM
Stroke Orders
Hemorrhagic Stroke Plan
Ischemic Stroke/TIA Plan
Stroke New Onset Plan
Thrombolytic Therapy for ischemic Stroke Plan
Transfusion Services
BB Cord Blood Workup
BB Transfuse Blood Product for Pts 25 KG or Greater
BB Transfuse Blood Product for Pts Less than 25 KG
BB Type and Screen
OR BB Transfuse Blood Products for Pts 25 kg or Greater
OR BB Transfuse Blood Products for Pts LESS than 25 kg
Urology Orders
General Urology Plan
Vascular Orders
Open AAA Abdominal Post-Op Plan
Major Vascular Post-Op Plan
Thrombolytic Therapy for Peripheral Occlusion
Wound/Skin Care Orders
Deep Tissue Pressure Injury (DTPI) Wound Care SDO- Dr. J. Griswold
Denuded Skin Folds and or Fungal Yeast Infection Wound Care SDO - Dr. J. Griswold
Incontinence Associated Dermatitis (IAD) SDO - Dr. J. Griswold MD
Mucosal Pressure Injury Wound Care SDO-Dr. Griswold MD
Skin Tear Wound Care SDO - Dr. J. Griswold MD
Stage 1 Wound Care SDO - Dr. J. Griswold MD
Stage 2 Wound Care SDO - Dr. J. Griswold MD
Stage 3 or 4 Wound Care SDO - Dr. J. Griswold MD
Unstageable with Slough-Necrosis Wound Care SDO - Dr. J. Griswold
Wound Care Standing Delegation Orders
Protocol Reference Text
Adult Enteral Nutrition Guidelines
Alcohol Withdrawal Management Protocol
Allergan (Dalvance) Patient Assistance Program Application
Arginine Clonidine Stimulation Test Guidelines
Alteplase or Other Thrombolytic Agent Reversal Guidelines
APRV Protocol
ARDSNet Protocol
Argatroban Nomogram
BICU Smoke Inhalation HFOV Protocol.pdf
CDC Pneumococcal Vaccination Recommendations
CDU Abdominal Pain Inclusion Exclusion
CDU Asthma, COPD, CHF Inclusion Exclusion
CDU Chest Pain Inclusion Exclusion
CDU Toxicology Inclusion Exclusion
CDU Traumatic Injury Inclusion Exclusion Criteria
CV Surgery Insulin Protocol
CRRT Sliding Scale for ACDA and Calcium Infusion
Covid-19 Oxygen Weaning Protocol
DKA Insulin Infusion Protocol
Dobutamine Echo for Aortic Stenosis Reference Text
Dobutamine ECHO Reference Text
Dobutamine Echo Stress Test Target Heart Rate
Dofetilide (Tikosyn) Monitoring Guidelines
EC Therapeutic Hypothermia Guidelines
EC Therapeutic Hypothermia Inclusion Exclusion Criteria
Ethanol Lock for Central IV Cath Guidelines
Factor Xa Inhibitors Reversal Guidelines
Heparin Infusion Nomogram
Hypoglycemia Guidelines
Hypothermia Guidelines Post Cardiac Arrest
ICU Pain Aggitation Delirium
ICU Progressive Mobility Guidelines
Indwelling Urinay Catheter Guidelines
Insulin Drip Protocol
Intermittent-Continuous Telemetry
Intrapartum Insulin Infusion Guidelines
IV Direct Thrombin Inhibitors (DTI) Reversal Guidelines
LifeGift Continuous Insulin Infusion Titration Protocol
Low Molecular Weight Heparin Guidelines
Low Molecular Weight Heparin Reversal Guidelines
Medically Indicated Breastfeeding Supplementation
MICU Ventilator Weaning Protocol
Neuromuscular Blocking Agent Guidelines
Newborn Discharge Requirements
Newborn Hypoglycemia Protocol
Ophthalmic Medication Administration Sequence
Oral Direct Thrombin Inhibitor Reversal Guidelines
Oxygen Therapy Protocol
Parenteral Nurtition Administration Guidelines
Parenteral Nutrition Formulation Form
Pediatric All Better Care Guidelines
Pediatric Alteplase Injection for CVL Guidelines
Pediatric Anticoagulant Nomogram Protocol
Pediatric DKA Two Bag IVF Alogrithm
Pediatric Insulin Dosing Reference Orders
Pediatric Isolated Liver and Spleen Injury Guidelines
Pediatric Neuromuscular Blocking Agent Guidelines
Pediatric Tonsillectomy - Adenoidectomy Pain Protocol
Peripheral Nerve Stimulator Protocol
PICU Enteral Nutrition Clinical Practice Protocol Guidelines
Post Op Open Heart Orders for Respiratory Ventilator Care Weaning
Premedication Regimen to Reduce Contrast Reactions
Pre-Operative Warming Orders
Radial Artery Compression Device Removal Guidelines
RCP Guidelines
SICU Adult High Frequency Oscillator Orders
Sliding Scale for Insulin Aspart Guidelines
Sliding Scale Insulin Regular Guidelines
Smoke Inhalation Injury Heparin Protocol
Snakebite Assessment Scale
Thrombolytic Therapy Guidelines for Ischemic Stroke
Tilt Table Reference Text
TSICU-BICU Routine Ventilator Management Protocol
Unfractionated Heparin Reversal Guidelines
Urinary Catheter Removal - SDO Adult Guidelines
Urinary Catheter Removal - SDO Pedi Guidelines
VAP Prevention Guidelines Pediatric
Warfarin Reversal Guidelines