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Operative Checklist

 


Clickable Image Map:
- Trauma Systems: Neuro (see Glasgow) Cranio-Maxillo-Facial Cardiac Respiratory Renal Vascular Compartments Hepatic Coag X-rays and Template Planned Incision Consent Bone Graft Open vs Closed Reduction Anesthesia & Cardiology Consults Prophylactic ATB DVT prophylaxis Posting Blood & Cell Saver Implant Selection Positioning Table type and Flouro

- Initial Orders:

- NPO p Midnight x Meds 
- IVF D5W LR at 100 ml/hr (in stable patients use D5W 1/2 NS w/ 20 KCl)
- 2 large bore IV
- Foley
- Monitoring;
- EKG and/or Continuous Cardiac Monitoring;
- Continuous Pulse Ox monitoring;
- PreOp Labs:
- Type & Cross 2-4 units pRBC and/or FFP
- Musculoskeletal Labs:
- Urinalysis - Meds (Trade Names)
- Prophylactic ATB
- DVT prophylaxis 
- Steroids:
- for neurological deficits
- for FES prophylaxis
- Heparin 5000 units SQ q8 hrs
- Insulin (1/2 NPH dose) + S.S.
- Accu Check in AM and on call
- Zantac
- Morphine
- Tetanus or Pneumovax if appropriate;
- Traction: (Buck's vs. Skeletal)
- Decubiti Prophylaxis: 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