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Baker University School of NursingNU385L Surgical Patient Management Clinical PracticeSim Lab.

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Baker University School of NursingNU385L Surgical Patient Management Clinical PracticeSim Lab.

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Baker University School of Nursing
NU385L: Nursing of Adult I Clinical Practice
Sim Lab #3 Order Sets
Diet Activity Code Status
 NPO  Bedrest  Full code
 NPO x meds  Bathroom privileges  Partial code
 Clear liquids  Activity as tolerated  Do not resuscitate
 Full liquids  Log roll
 Regular  Up in chair for all meals
 Carbohydrate Controlled  Up in chair
 Cardiac  Up with assistance
 Renal  Ambulate patient 6 or more
walks daily


Vital Signs Notify Provider Isolation
 VS 15 mins x 4, 30 mins x  Heart rate greater than 120  Airborne
2, Q1H x 10, Q2H x 12 bpm or less than 40 bpm,  Contact
 or VS Q6H starting in 24 systolic BP greater than 180  Droplet




m
hours mmHg or less than 90  Neutropenic




er as
 Pulse oximetry with VS mmHg Consults




co
 Respiratory rate with VS  Temperature greater than
Diabetes Management




eH w

 Continuous pulse oximetry 102 °F (38.9 °C),
 Case Management
 Continuous End tidal CO2  Urinary output less than




o.
 Social Work
120 mL/6 hours,
rs e  Patient complaints of
 Enterostomal Therapy
ou urc
 Dietitian
severe nausea or vomiting
 General Surgery
unrelieved by antiemetic,
 Urology
emesis greater than 2 times,
 Gastrointestinal
o

 Inability to wean
 Orthopedics
supplemental oxygen off by
aC s


 Neurology
24 hours post-op
vi y re


 Infectious Disease


Labs Imaging Other Tests/Procedures
ed d




 CBC & differential  XR, chest  EKG 12 Lead
Point of care glucose CT, abdomen with or Tele monitoring
ar stu




  
 Basic metabolic panel without IV contrast  Venous Doppler Study
 Urinalysis with microscopic  CT, abdomen & pelvis  EGD
 Urine culture with or without IV  Bladder Scan
is




 Blood culture contrast
 Type & Cross  CT, chest with or
Th




 Arterial blood gas without IV contrast
 D-dimer  US, abdomen complete
 C-reactive protein  US, gallbladder
 Protime-INR
sh




 APTT




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