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10/28/24 Critical IV Fluid Backorder: Powerplan Updates for ORTHO/ANES/PAIN Powerplans

October 28, 2024

Due to the ongoing critical IV Fluid Backorder, we have applied the following update to specific Surgery/Periop Powerplans:

1. On ORTHO Periop Powerplans that default LR currently [Powerplans listed below]
2. Added a defaulted (pre-checked) NS drip order at 30 mL/hr (no comment).  On the current LR order, which would remains pre-selected, added a comment of “Due to critical IV Fluid backorder, only use LR if NS is unavailable.”
3.       Note: This means the patient would have 2 active fluid orders in PreOp phase, but it would accommodate future situations where LR and NS supply may be variable in different areas, with a preference for the NS product.
4. On ANES Anesthesia Orders Phased Powerplan-Post Op Anesthesia Orders Phase
5. Un-select LR order that is currently pre-selected
6. PAIN Center Powerplans: Procedure Orders/PAIN Implantation PeriOp Phased
7. PAIN Procedure Orders: Added pre-selected NS drip, NS bolus with comment “If LR unavailable…”
8. PAIN Implantation PeriOp Phased: Added pre-selected NS drip with comment “If LR unavailable…”

Impacted ORTHO Powerplans:

ORTHO General MAJOR PeriOp Hospital Phased

ORTHO General PeriOp Hospital Phased

ORTHO Spine PeriOp Hospital Phased

ORTHO Steroid Injection PeriOp Phased

ORTHO Total Joint PeriOp phased Orders

Please let us know if you run into any issues with this update. Thank you.

Aaron B. Atkins, Pharm.D., BCPS
Clinical Pharmacist, Informatics Lead
Huntsville Hospital
(256)265-3276