ORTHOPAEDIC CARE PATH

MARSHALL ORTHOPAEDICS

GOOD SHEPHERD MEDICAL CENTER / MARSHALL

DAY ZERO – DAY OF SURGERY

 

[circle the ones you want – put lines through the ones you don’t—add others]

 

1.  Consult HOSPITALIST regarding:________________________

 

2.  6TH FLOOR REHAB CONSULT

 

3.  Turn q2h postop

 

4.  Consult case manager / discharge planner for home care as below

5. O.T. CONSULT / ADAPTIVE EQUIPMENT

 

6. OK TO RENEW ORDERS FOR MEDS WHEN PHARMACY NOTIFIES 

 

7. REINFUSE BLOOD FROM DRAIN AS PER REINFUSION PROTOCOL.

 

8. _____________________________________________

 

____________             ________________________________

date / time                      D. Waldman, MD


GOOD SHEPHERD MEDICAL CENTER / MARSHALL

MARSHALL, TEXAS

ORTHOPAEDIC CARE PATH

 

POST-OP DAY ONE [1]

 

[circle the ones you want – put lines through the ones you don’t—add others]

1.  Stop IV antibiotics at 24 hours post-operative

 

2.  Remove drain[s]

 

3.  Up in chair for meals

 

4.  Turn q4h

 

5.  Start Lovenox 30 mg sub-cutaneous bid, unless epidural is in [for knees]

 

6.  Start Lovenox 40 mg sub-cutaneous daily, unless epidural is in [for hips]

 

7.   6TH FLOOR REHAB CONSULT

 

8.  O.T. CONSULT - ADAPTIVE EQUIPMENT

 

9. OK TO RENEW ORDERS FOR MEDS WHEN PHARMACY NOTIFIES 

 

10. Consult HOSPITALIST regarding:______________________________

 

11. Platelet count 2 days from now, and then every 2 days thereafter

 

__________                      ________________________________

date / time                                      D. Waldman, MD


GOOD SHEPHERD MEDICAL CENTER / MARSHALL

MARSHALL, TEXAS

ORTHOPAEDIC CARE PATH

POSTOP DAY TWO [2]

 

[circle the ones you want – put lines through the ones you don’t—add others]

 

1.  Discontinue PCA

 

2.  Stop epidural

 

3.  Stop hot ice

 

4.  Stop use of abduction pillow, except at night

 

5.  Urinalysis, if patient still has foley catheter in

 

6.  Change dressing on wound [use medipore bandage]

 

7.  BRP or bedside commode with help

 

8.  CBC tomorrow

 

9.  6TH FLOOR REHAB CONSULT

 

10. O.T. CONSULT - ADAPTIVE EQUIPMENT

 

11. Remove femoral nerve catheter [if present]

 

12. OK TO RENEW ORDERS FOR MEDS WHEN PHARMACY NOTIFIES 

 

13. Consult HOSPITALIST regarding:___________________________

 

___________                    ________________________________

date / time                              o D. Waldman, MD


GOOD SHEPHERD MEDICAL CENTER / MARSHALL

MARSHALL, TEXAS

ORTHOPAEDIC CARE PATH

 

POSTOP DAY THREE [3]

[circle the ones you want – put lines through the ones you don’t—add others]

 

1.  Discharge to  o 6th floor rehab        o home           o Marshall Manor Rehab     __ SNF

 

2.   Remove foley

 

3.  Lovenox 30 mg sub-cutaneous bid for 30 doses at home [for knees]

 

4.  Lovenox 40 mg sub-cutaneous daily for 15 doses at home [for hips]

 

5.  Appointment to my office ____________________  week[s]

 

6.  Notify patient’s internist of discharge

 

7. _________________________________________________

 

8. _________________________________________________

 

9. _________________________________________________

 

10. ________________________________________________

 

____________                        ________________________________

date / time                                            o D. Waldman, MD