Ortho-Preferred

PreOp Evaluation


- Frx - Menu (See: Post Op Orders) 
- Axial Skeleton 
- C-spine 
- Spine 
- Pelvis 
- Upper Extremity 
- Shoulder 
- Humerus 
- Elbow 
- Wrist 
- Hand 
- Lower Extremity 
- Hip 
- Femur 
- Knee 
- Tibia 
- Ankle 
- Foot 
- Systems 
- Neuro 
- Cranio-Maxillo-Facial 
- Spine 
- Cardiac 
- Pulmonary 
- Renal 
- Vascular 
- Compartments 
- Hepatic / GI tract 
- Coag 
- Checklist 
- Anesthesia 
- request GEA if compartment syndrome is possible 
- Cardiology 
- Blood & Cell Saver 
- X-rays and Template 
- Implant Selection 
- Consent 
- ATB 
- Posting 
- DVT prophylaxis 
- Positioning 
- Table type and Flouro 
- Incision 
- Bone Graft 
- Initial Orders: (Post Op Orders) 
- NPO p Midnight x Meds 
- IVF D5W 1/2 NS c 20 KCL at 100 ml/hr 
- 2 large bore IV 
- Foley 
- Type & Cross 2-4 units pRBC and/or FFP 
- Meds (Trade Names) 
- Insulin (1/2 NPH dose) + S.S. 
- Accu Check in AM and on call 
- ATB: 
- Heparin 5000 units SQ q8 hrs 
- Zantac 
- Morphine 
- PreOp Labs: 
- Musculoskeletal Labs 
- EKG 
- CXR 
- Urinalysis 
- Buck's Traction 
- Egg Crate / Pillow and turn 20 deg q2hr; 
- Hiboclens Shower and Bactroban to nares q12 hrs until OR 
- Cleocin solution 300 mg per 100 ml NS q6hr as mouth wash; 
- Pneumovax and Influenza A vaccines: if appropriate



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, December 11, 2012 1:21 pm