Unique Plan Description: Subphase - Anesthesia Ventilator
Plan Selection Display: Subphase - Anesthesia Ventilator
PlanType: Subphase (Hidden)
Version: 1
Begin Effective Date: 12/31/2100 12:00 AM
End Effective Date: Current
Available at all facilities

Subphase - Anesthesia Ventilator     
Patient Care
   	Communication to Nurse
    Patient to be on vent settings as ordered. Anesthesia provider to manage ventilator settings in PACU
   	Obtain
    Obtain orders from surgeon/hospitalist/intensivist for continuing ventilator care on inpatient unit.
   	Restraints Non-Violent
    Wrist, soft, BILATERAL (2 pts)
Activity
   	HOB, Elevate
    greater/equal to 30 degrees
Radiology
   	CHEST 1 V
    NOW, Once, Dx: Respiratory Failure, check tube/line placement (DEF)*
    Routine, Once, Dx: Respiratory Failure, check tube/line placement
Laboratory
   	ABG
    Timed/Dated, T;N+30
 Comments: obtain ABG's 30 minutes after placing on ventilator in PACU
Therapies
   	Adult Ventilator
    Mode: SIMV, Rate: 10, Tidal Volume/PIP 10cc per kg, PEEP: 5, Press Support 10
Medications
   	Propofol Drip - TITRATE
    20 mcg/kg/min, up to a **Maximum Rate of 50 mcg/kg/min, Maintain RASS -2 to -3, TITRATE, IV, 100 mL, Routine
 Comments: May increase infusion rate by 5 mcg/kg/min q5min for RASS 0 to -1 or by 10 mcg/kg/min q5min prn for RASS +1 to +2.  May decrease infusion by 5 mcg/kg/min q5min prn for RASS -4 to -5.May bolus 20 mg q15min PRN for RASS -1, 0, +1, +2, +3 or +4 if current score represents a greater than one point change from the previous assessment.
   	Midazolam IVPush
    2.5 mg, IVPush, Inject, q2min, 2 dose/occurrence (DEF)*
 Comments: Second dose may be administered if requested by anesthesia provider.
    2 mg, IVPush, Inject, q2min, 2 dose/occurrence
 Comments: Second dose may be administered if requested by anesthesia provider.
   	Richmond Agitation Sedation Scale Reference

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase