203 PRE-OPERATIVE ORDERS - ADULT OR ADOLESCENT FOR POSTOP ADMISSION

Dr. Luis Cuadros 505-243-7670



Pt name: ________________________________________ DOB: _______________

CSN: _______________________________

Date: _______________________________

 

Date of Admission ________________________________

 

Dx: ________________________________

 

Consent(s):  

 

            ______________________________________________ 

 

            _______________________________________________ 

 

Diet: NPO

In Pre-op Holding Area:

Kefzol 1gm IV

Sequential TEDS if older than 18 years old

Baer Hugger

Start IV

Other orders