Unique Plan Description: NICU Sedation (WH)
Plan Selection Display: NICU Sedation (WH)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2022-04-05 12:53:19
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-04-05 12:57:50
Available at all facilities: No

NICU Sedation (WH)
IV Solutions
	fentaNYL  200 mcg/D5W 20 mL (NICU)
		20 mL, IV
			Comment: fentaNYL conc: 10 mcg/mL.  May bolus with 1 hour(s) worth of drug Q1H PRN pain/agitation.
		200 mcg, EVERY BAG, 1 mcg/kg/hr
	midazolam 10 mg/D5W 20 mL (NICU)
		20 mL, IV
			Comment: midazolam conc: 0.5 mg/mL.  May bolus with 1 hour(s) worth of drug Q1H PRN pain/agitation.
		10 mg, EVERY BAG, 0.5 mcg/kg/min
	morphine 10 mg/D5W 20 mL (NICU)
		20 mL, IV
			Comment: morphine conc: 0.5 mg/mL.  May bolus with 1 hour(s) worth of drug Q1H PRN pain/agitation.
		10 mg, EVERY BAG, 10 mcg/kg/hr
	dexmedetomidine 80 mcg/NS 20 mL (NICU)
		20 mL, IV
			Comment: dexmedetomidine conc: 4mcg/mL.  May bolus with 1 hour(s) worth of drug Q1H PRN.
		80 mcg, EVERY BAG, 0.1 mcg/kg/hr
Medications
	Tylenol
		25 mg/kg, Suppository, RECTALLY, Once
		15 mg/kg, Suppository, RECTALLY, Q6H, PRN, agitation
	Tylenol pediatric oral syringe
		15 mg/kg, Syringe, Oral, Gastric Tube, Once
		15 mg/kg, Syringe, Oral, Gastric Tube, Q6H, PRN, agitation
	Ativan Injection (NICU)
		0.1 mg/kg, Syringe, IV PUSH, Q1H, PRN, pain-mild
			Comment: and agitation
	fentanyl (NICU)
		1 mcg/kg, Syringe, IV Push, Q1H, PRN, pain-moderate
			Comment: and agitation.
	methadone
		0.1 mg/kg, Soln, Gastric Tube, Q12H-Sch
			Comment: 0.05 to 0.2 mg/kg per dose Q12H to Q24H BY MOUTH.
	midazolam
		0.25 mg/kg, Syrup, Gastric Tube, Q1H, PRN for agitation
	Versed 2mg/2ml
		0.1 mg/kg, Injection, IV PUSH, Q1H, PRN, agitation
		0.2 mg/kg, Injection, NASAL, Q1H, PRN, agitation
	morphine IV (NICU)
		0.1 mg/kg, Solution-Injection, IV Push, Q1H, PRN for pain-mild
			Comment: and agitation
Patient Care

NICU Saline Heparin Flush (WH)
Medications
		Peripheral Line(NOTE)*
	sodium chloride 0.45% flush injectable soln (NICU)
		1 mL, Syringe, IV PUSH, Q6H-Sch
		1 mL, Syringe, IV PUSH, Q1H, PRN, IV line flush
	sodium chloride 0.9% flush injectable soln (NICU)
		1 mL, Syringe, IV Push, Q6H-Sch
		1 mL, Syringe, IV Push, Q1H, PRN for IV line flush
		Arterial Line(NOTE)*
	sodium chloride 0.9% 10mL flush (NICU)
		1 mL, Syringe, IV Push, Q1H, PRN for IV line flush
		Central Line (PICC, Broviac, UVC)(NOTE)*
	heparin flush 1 units/mL intravenous solution
		1 units, Syringe, IV PUSH, DAILY
		1 units, Syringe, IV PUSH, Q1H, PRN, IV line flush
		2nd Lumen UVC(NOTE)*
		1 units, Syringe, IV PUSH, DAILY
			Comment: in 2nd lumen UVC.
		1 units, Syringe, IV PUSH, Q1H, PRN, IV line flush
			Comment: in 2nd lumen UVC.
Patient Care
	Peripheral Lock-Insert
		T;N, Once

*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