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All Order Sets Number Section Name 38852 Other Abiomed Impella circulatory support system Physician Order 33323 Cardiology Acute Coronary Syndrome Admission Orders 39216 Other Addendum to Preadmission Form 17019 PM&R (Rehab) ‎ Admission Rehabilitation Program 36723 Critical Care Adult Critical Care Severe Sepsis Septic Shock 35199 Other Adult Long Term Venous Access Device Flushing Protocol 31711 Other Adult Parenteral Nutrition Routine 38281 Inpt Med ‎(Inpatient Medicine) Alcohol Withdrawal Orders for Hospitalized Adult Patients 19921 Neurology Alteplase (t-PA) Stroke Thrombolytic Therapy 35788 Pathology Amniotic Fluid Laboratory Order Sheet 36082 Heme/Onc Anemia management orders for inpatient care 29543 Anesthesia Anesthesia for Labor and Delivery Epidural Patients 11519 Anesthesia Anesthesia Perioperative for Adult Patients 38642 Anesthesia Anesthesia Perioperative for Pediatric Patients 32739 OB Antepartum Admission 38636 ED (Emergency Department) Anticoagulation Clinic Physician Enrollment 38934 Other Antimicrobial Therapy Monitoring Service Recommendations Order 38084 Nephrology Apheresis Therapeutic Procedure 38779 Other Application for Financial Assistance (Spanish) 16850 Interventional Radiology Arteriogram Orders 29141 Cardiac Surgery Atrial Fibrillation Treatment (New Onset) 34235 Other Authorization for Transfer 38347 Other Behavioral Restraint Seclusion Immobilization 37972 Behavioral Health BHS Addiction Medicine Outpatient Admit Orders 38909 Behavioral Health BHS Alcohol Opiate Withdrawal Orders for Pregnant Patients Only 38799 Behavioral Health BHS Alcohol Withdrawal Orders 38760 Behavioral Health BHS Opiate Withdrawal Order 39243 Other BHS Routine Medication Taper to Prevent Opiate and Alcohol Withdrawal Symptoms 36028 Interventional Radiology Biopsy (use for all except liver biopsies) 38416 Urology Bladder Management Post Indwelling Catheter 30246 Neonatology Blood Products for the NICU 38287 Heme/Onc Blood Products Order Form 16992 Pathology Body fluid Other than CSF Laboratory Order 31995 Other Bowel Care Orders 38158 GI Bowel Prep 29224 Other Breast Center Referral 31246 Pediatrics Bronchiolitis Pediatric 10718 Pulmonary Bronchoscopy 34283 Pulmonary Bronchoscopy Request 2774 Cardiac Surgery Cardiac Surgery Postop Orders - Acute Phase 2782 Cardiac Surgery Cardiac Surgery Post-Op Orders - Recovery Phase 39181 Other Cardiac Surgery Postop Orders-Ventricular Assist 33190 Cardiac Surgery Cardiac Surgery Post-Operative Bladder Management and Post-operative Urine Voiding Trial 34691 Electrophysiology Cardiology Electrophysiology Study and or Catheter Ablation 37182 Cardiology Cardiology Medication Pharmacy Dosing Protocol 2725 Interventional Cardiology Cardiovascular Interventional Orders Post-Procedural 2726 Cardiology Cardiovascular Interventional Pre-Procedure Orders 36996 Vascular Cerebral Vascular Post-procedural Orders Carotid Stent 13382 Pathology Cerebrospinal Fluid Laboratory Order Sheet 18786 Interventional Radiology Chemoembolization of Hepatic Malignancies 39455 Heme/Onc Chemotherapy 7 + 3 Dauno HD Orders 39456 Heme/Onc Chemotherapy 7 + 3 Dauno Orders 39457 Heme/Onc Chemotherapy 7 + 3 IDA Orders 18963 Heme/Onc Chemotherapy Antiemetic 39458 Heme/Onc Chemotherapy HDAC Orders 39459 Heme/Onc Chemotherapy HyperCVAD HD MTX Orders 39454 Heme/Onc Chemotherapy HyperCVAD Orders 36503 Cardiology Chest Pain Observation Admission Orders 38511 Other Chest Tube Admission Orders 38078 Other Chest Tube Insertion Orders and Equipment Checklist 2731 Heme/Onc Cisplatin Orders 34433 Inpt Med ‎(Inpatient Medicine) Comfort Care Orders 36523 ID ‎(Infectious Disease) Community Aquired Pneumonia Orders for Adults 21498 Nephrology Continuous Renal Replacement Therapy (CRRT) 28944 Other Cosyntropin (Cortrosyn) Administration Orders 38679 Critical Care Critical Care Admission Order 38812 Critical Care Critical Care Delirium Orders 38052 Critical Care Critical Care DKA Protocol 36601 Cardiac Surgery Critical Care Regular Human Insulin IV Infusion 36604 Other Critical Care Sedation for Ventilated Patients 38804 Critical Care Critical Care Sedation Orders 31247 Pediatrics Croup Orders 32899 Pharmacy Deep Vein Thrombosis Prophylaxis 39586 Behavioral Health Delirium Management Orders, Adult Acute Care 39531 Neurology Determination of Brain Death - Physician Note 37218 Pediatrics Diabetic Ketoacidosis for Pediatric Patients 2744 Cardiology Diagnostic Hearth Cath Orders 39361 Neurology Dihydroergotamine Mesylate (DHE) Orders 38352 Pediatrics Discharge Instructions Newborn, Pediatrics 15239 PM&R (Rehab) ‎ Discharge Order Rehab 33952 Neonatology Discharge Planning in the NICU 34128 Neonatology Discharge Summary Instructions NICU 28538 Electrophysiology Dofetilde (Tikosyn™) 15241 PM&R (Rehab) ‎ Durable Medical Equipment Prescription 2736 Cardiac Surgery Elective Same Day Open Heart Admission Orders 38496 Critical Care End-of-Life Decision-Making Checklist 2740 GI Endoscopic Retrograde Cholangiopancreatography (ERCP) Post Procedure With Or Without Sphincterotomy Orders 37215 GI Endoscopy Pre-post 39517 General Surgery ENT Post Op Orders 2735 Anesthesia Epidural Intrathecal Perineural Narcotic Orders 39340 Other Erythropoietin Orders 2762 Neonatology Family Maternity Center Newborn 39116 Thoracic Fentanyl Patient Controlled Analgesia (PCA) 20058 Interventional Radiology Fistulagram Declot Orders 16983 Interventional Radiology Fluid Drainage Tube Placement 39214 Other Formulary Medication Substitution Pharmacy Orders 33814 Inpt Med ‎(Inpatient Medicine) General Admission Orders 39241 Other General Surgery Discharge Instructions 16990 Other General Surgery Post-Op for Adults 2752 GYN Gynecologic Major Surgery Post-Op 2743 GYN Gynecology PreOp Orders (Minor and Major Procedures) 26456 Cardiology Heart Failure (CHF) orders 31270 Nephrology Hemodialysis 37283 Neurosurgery Hemorrhagic Stroke Orders 39605 Heme/Onc HLA Platelet Order Set Checklist 33224 Pediatrics Home Apnea Monitor 36624 Inpt Med ‎(Inpatient Medicine) Hospitalist Discharge 2745 Inpt Med ‎(Inpatient Medicine) Hyperalimentation Orders (TPN) for Adults 39739 Other Hyperbaric Oxygen Therapy 39390 Neurology Hypercoagulable Workup 38944 Other Hypoglycemia Treatment Physicians Orders 35548 Cardiology Implantable Cardiac Device Post-Op 2768 Electrophysiology Implantable Cardiac Device Pre-Op 39282 Cardiology Implanted Cardioverter Defibrillator (ICD) Patient Pre Op Procedure Orders 39195 Other Individualized Overall Plan of Care 39279 Interventional Radiology Inferior Vena Cava Filter Order Set 38687 Other Influenza A (N1H1) Virus Testing 35284 Other Informed Consent for CAT Scan with Contrast 248100 Other Initial Physicians Orders 38783 Other Inpatient Hospice Orders 39193 Other Inpatient Rehab Facility IRF-PAI Attestation 2761 Neurosurgery Inpatient Spinal Surgery Post Op Orders 27878 Inpt Med ‎(Inpatient Medicine) Insulin IV for Adults 35203 Neonatology Intensive Phototherapy 16974 Interventional Radiology Intra Arterial and Venous Thrombolysis 38356 Heme/Onc Intrathecal Chemotherapy 36083 Heme/Onc Intravenous Iron 38641 Other Iron Dextran (Infed) Infusion Orders for Outpatients 38903 Other Iron Sucrose (Venofer) Infusion Orders for Outpatients 35984 OB Laboratory Tests for Pregnant Patients Presenting with no Prior Pregnancy Care 38206 Critical Care Lifecenter Donor Management 16987 Interventional Radiology Liver Biopsy Random or Mass 39219 Neurosurgery Lumbar Drain Orders 33551 Critical Care Lung Protective Ventilation Orders 17524 Critical Care Mechanical Ventilator 38494 ID ‎(Infectious Disease) Med Surg Acute Care Sepsis Protocol 38480 Other Medical Restraint Order 39577 Other Medication Adjustment Authorization 2753 GYN Minor Gynecologic Surgery 2756 Interventional Radiology Myelogram 38916 Other N-Acetylcysteine (NAC) Orders for Adult Acetaminophen Overdose 29861 Neonatology Neonatal Circumcision Orders 34458 Interventional Radiology Nephrotoxicity Prophylaxis Orders for Radiocontrast Media Administration 38431 Neurosurgery Neurosurgery Craniotomy 31668 Neurosurgery Neurosurgical Discharge Orders 10724 Neurosurgery Neurosurgical Preop Orders 38917 Heme/Onc Neutropenic Fever Order 15125 Neonatology Newborn Intensive Care Admission 39422 Neonatology NICU Hyperglycemia Treatment Orders 39556 Neonatology NICU Tranport Respiratory Therapy Orders 39578 Neonatology NICU Transport Complex Care Orders 39557 Neonatology NICU Transport Order Treatment of Hyperglycemia 39558 Neonatology NICU Transport Team General Stabilization Orders 39559 Neonatology NICU Transport Team Urgent Emergent Management Orders 39399 Pathology Non-Fluid Laboratory Order Sheet 38777 OB Obstetric Amnioinfusion 38105 OB Obstetric Magnesium Sulfate 39197 OB Obstetrics Fetal Loss Admission and Delivery order 34064 OB Obstetrics Labor and Induction Admission and Delivery Orders 38819 Anesthesia Obstetrics Post Operative Epidural Intrathecal Orders 2775 OB Obstetrics Post Partum 16851 OB Obstetrics Post-Operative Cesarean Section 38758 OB Obstetrics Pre-Op C Section Orders 38902 Other Oncology Preliminary Admission 17473 Heme/Onc Oncology Stomatits Protocol 38807 Other Operative Report Procedure Note CVL 17001 Other Opioid Continuous Infusion Protocol 38357 Inpt Med ‎(Inpatient Medicine) Opioid IV Infusion for Adult Hospice or End of Life Comfort Care Patients 38358 Pharmacy Opioid Subcutaneous Infusion for Adult Hospice or End of Life Comfort Care Patients 29903 Heme/Onc Order Chemotherapy 31638 GI Order Enteral Feeding 31474 ID ‎(Infectious Disease) Order Home IV Antibiotics 31475 Pulmonary Order Home Nebulizer Therapy 39225 Orthopedics Ortho Hip Fx Admit 39226 Orthopedics Ortho Hip Fx Postop 38922 Orthopedics Orthopedic Fast Track Post-Op Orders 18799 Orthopedics Orthopedic Surgery discharge-Hip FractureTotal Joint 28583 Other Outpatient Anticoagulation Clinic Referral 38818 Other Outpatient Serum Bilirubin 39281 Cardiac Surgery Pacemaker Patient Pre Op Procedure Orders 34590 Interventional Radiology Paracentesis Therapeutic Large Volume 36838 Pediatrics Parenatal Nutrition Pediatric (1 year and Older) 26958 Neonatology Parenteral Nutrition Infant 38683 General Surgery Patient Controlled Analgesia (PCA) for Adults 38695 Pediatrics Patient Controlled Analgesia (PCA) for Pediatric Patients 25451 Other Patient Progress Notes 1797 Other Patient Transfer Summary 39806 Critical Care Patient Transfer Summary 32390 Pediatrics Pediatric Analgesic Orders 38120 Pediatrics Pediatric Asthma Discharge Orders 22822 Pediatrics Pediatric Asthma RAD Initial Intervention 38053 Pediatrics Pediatric Hospice 38541 Pediatrics Pediatric Parenteral Nutrition Routine 23487 Pediatrics Pediatric Procedural Sedation 17025 Urology Pelvic Lymph Node Dissection Retropubic Radical Prostatectomy 16975 GI Percutaneous Endoscopic Gastrostomy (PEG) Percutaneous Endoscopic Jejunostomy (PEJ) 16828 Interventional Radiology Percutaneous Gastrostomy Gastro Jejunostomy Tube Placement (IR) 16982 Interventional Radiology Percutaneous Nephrostomy or Ureteral Stent Placement/Check/Change 16977 Interventional Radiology Percutaneous Transhepatic Cholangiogram/Tube/Stent 38618 Other PETCT Ordering Form 12660 Pharmacy Pharmacy Anticoagulation Protocol Orders 38610 Pediatrics Phototherapy 39421 Other Physician Discharge Orders and Instructions 30955 Other Physician Prescription For Outpatient Therapy 33788 Other Physician Procedural Verification Checklist 36035 Cardiology Physician’s Orders Cardiac Stress Testing 2719 Cardiac Surgery Physician’s Orders Cardiac Surgery Admission 250122 Other Physicians Orders 2767 Other PICC Catheter Insertion Follow-up 33259 Neonatology PICC Insertion NICU 38941 Other Placement of Tandem and Ovoid Applicator Order 39729 Critical Care Pneumococcal and Influenza Vaccine Nursing Protocol 39376 Anesthesia Post Anesthesia Evaluation Note 2754 Other Post Minor Procedure 2783 OB Post Partum Tubal Ligation 39346 Other Post Procedure Recovery Record (1702 and 17149) 38753 GYN Post-Op Minimally Invasive Gynecologic Surgery 2777 Cardiac Surgery Pre Admission for Elective Same Day Open Heart Admission 38968 Other Preliminary Admission Order for Direct Admission 38107 ED (Emergency Department) Preliminary Admission Orders 38562 Inpt Med ‎(Inpatient Medicine) Problem List Physician Work Sheet 23317 Radiation Oncology Prostate Seed Implant Post Op 23316 Radiation Oncology Prostate Seed Implant Pre-Op 39198 Other Prothrombin Complex Concentrate (PCC) Administration Orders 35549 Endocrinology Radioiodine Therapy Admitting 32515 Interventional Radiology Renal Biopsy Medical (not for mass biopsy) 38193 Other Research Orders 30296 Neonatology Respiratory Support for NICU 38411 ED (Emergency Department) Septic Shock Orders Emergency Dept 39794 Critical Care Severe Traumatic Brain Injury Orders 26626 ED (Emergency Department) Sexual Assault Care 39280 Interventional Radiology Small Bore Chest Tube Admission 38640 Other Sodium Ferric Gluconate (Ferrlecit) Infusion Orders for Outpatients 39515 Critical Care Spine Clearance Orders 33314 Cardiology ST Elevated Myocardia Infarction (STEMI) 35942 Neurology Stroke Ischemic TIA Admission Orders 37869 ED (Emergency Department) Stroke t-PA Orders 38334 General Surgery Subcutaneous Insulin for Adults with PO Intake 38369 Inpt Med ‎(Inpatient Medicine) Subcutaneous Insulin Orders for Adult NPO Patients 39362 Neurology Supplemental Stroke Orders for Post Alteplase Infusion 37344 Vascular Surgery Admit for AV Fistula 39400 General Surgery Surgery Admit Orders - Retina Surgery 33631 General Surgery Surgery Post Op Discharge 35198 General Surgery Surgical Hemorrhagic Shock Protocol 35249 General Surgery Surgical Infection Prevention Antimicrobial Selection (Not Interactive until futher notice - Print and complete by hand) 39183 General Surgery Surgical Services Acute Appendecitis 39188 General Surgery Surgical Services Admit Orders 39185 General Surgery Surgical Services Diverticulitis Orders 38362 Other Surgical Services Non-Operative Admit Orders 39187 General Surgery Surgical Services Postoperative Admit Orders 33630 General Surgery Surgical Services Pre-Operative Admit Orders 39184 General Surgery Surgical Services PRN Orders 39401 Cardiology Syncope Orders 16973 Inpt Med ‎(Inpatient Medicine) Telemetry Orders 39364 Thoracic The Society of Thoracic Surgeons General Thoracic Surgery Database Data Collection Form Version 2.081 36395 Cardiology Therapeutic Hypothermia Management 26247 Thoracic Thoracic Surgery Admission Preoperative 39182 Other Thoracic surgery orders- Pleurodesis 26592 Thoracic Thoracic Surgery Post-op Acute Phase 38308 Thoracic Thoracic Surgery Post-op Recovery Phase 38773 General Surgery Thoracic Surgery Pre-Admission Orders 16826 Cardiology Thrombolytic Therapy for MI 39468 Pulmonary Tracheostomy Management Order Set 20726 Cardiology Transesophageal Echocardiogram 38670 Neurology Transient Ischemic Attack Observation Unit Admission (for CEU Admit only) 37864 OB Triage Orders FMC 35202 Neonatology Two Month Immunization 16961 Urology Urological Pre-Op 2784 Urology Urology Post-Op TURP Orders 38840 Other Urology Renal Stone Admission 22951 Interventional Radiology Uterine Artery Embolization 17026 Vascular Vascular Cerebrovascular Surgery-Post-op 32743 Vascular Vascular Pre surgery 39630 Critical Care Vascular Surgery Admission Orders 2718 Vascular Vascular Surgery Peripheral Post-Op Orders 25380 Vascular Vascular Surgery PRN Medications 16978 Interventional Radiology Venous Access Device Placement 37595 Interventional Radiology Vertebroplasty Kyphoplasty 39740 Other Wound Care 39419 Pediatrics Your Child's Home Instructions Edit in Browser /_layouts/images/icxddoc.gif /northwest-washington/medical-staff/ordersets/_layouts/formserver.aspx?XsnLocation={ItemUrl}&OpenIn=Browser 0x0 0x1 FileType xsn 255 Edit in Browser /_layouts/images/icxddoc.gif 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