Orders preceded by a checked box (☑) are in effect unless crossed out.
Orders preceded by a box (☐), require a check (✓) to initiate. Orders with blanks indicate
additional information is needed.
On Admisstion / Pre-Op
On Admission Labs to be done STAT
DVT Prophylaxis
Genitourinary
*Required Section*
SCIP Compliant Antibiotics for COLON SURGERY in patients NOT ALLERGIC to Beta-Lactams (Choose ONE option
only) Dosing by Pharmacy
SCIP Compliant Antibiotics for COLON SURGERY in patients ALLERGIC to Beta-Lactams (Choose ONE option only)
Dosing by Pharmacy
SCIP Compliant Antibiotics for HYSTERECTOMY in patients NOT ALLERGIC to Beta-Lactams (Choose ONE option
only)
Dosing by Pharmacy
SCIP Compliant Antibiotics for HYSTERECTOMY in patients ALLERGIC to Beta-Lactams (Choose ONE option only)
Dosing by Pharmacy
Antibiotic Options for All Other (NON-SCIP) Surgeries - Dosing by Pharmacy
Pain Management Pre-Operative Medications