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ST. DOMINICJACKSON MEMORIAL HOSPITAL JACKSON, MISSISSIPPI Date & Time Post Cervical Spine Orders Page 1 of 3 Pharmacy Mnemonic: CSPINEP1 Inpatient Outpatient 1. Admit to Dr. Observation 2. Diagnosis:
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How to fill out post-op cervical spine orders

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How to fill out post-op cervical spine orders:

01
Start by reviewing the patient's medical history and surgical notes to understand the specific post-operative requirements for their cervical spine surgery.
02
Gather the necessary forms and documents, such as the post-operative orders template or electronic medical record system.
03
Begin by documenting the patient's vital signs, including blood pressure, heart rate, respiratory rate, and temperature. Record these measurements accurately.
04
Specify the type and dosage of analgesics or pain medications required for the patient's post-operative pain management. This may include non-opioid medications, opioids, or epidural anesthesia.
05
Outline the required frequency and type of wound care for the surgical incision site. This may involve cleaning and dressing the wound, monitoring for signs of infection, and providing appropriate wound care instructions.
06
Indicate any restrictions on the patient's activities, such as limitations on lifting heavy objects, driving, or participating in strenuous physical activities. Clearly communicate these restrictions to the patient and their caregivers.
07
Specify any necessary imaging or diagnostic tests post-operatively, including X-rays or CT scans, to monitor the surgical site and ensure proper healing.
08
Include any specific dietary considerations, such as restrictions on certain foods or nutritional supplements that may aid in the healing process.
09
Outline the recommended physical therapy or rehabilitation program, if applicable, including exercises, range of motion techniques, and mobilization schedules.
10
Clearly communicate any follow-up appointments or clinic visits required for the patient's post-operative care.
11
Finally, ensure that the orders are signed and dated by the responsible healthcare provider, and make a copy for the patient's medical record.

Who needs post-op cervical spine orders?

01
Patients who have undergone cervical spine surgery, such as cervical fusion, discectomy, or laminectomy, require post-operative cervical spine orders.
02
Individuals with traumatic cervical spine injuries, such as fractures or dislocations, may also need post-operative orders to guide their recovery.
03
Post-operative cervical spine orders may be necessary for patients of varying ages, from adolescents to older adults, depending on their specific condition and surgical needs.
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Post-op cervical spine orders are the set of instructions and guidelines given to a patient following a cervical spine surgery.
The surgeon who performed the cervical spine surgery is typically responsible for filing the post-op cervical spine orders.
Post-op cervical spine orders are usually filled out by the medical team or the surgeon, it includes medication instructions, activity restrictions, follow-up appointments, and any special care needed for recovery.
The purpose of post-op cervical spine orders is to ensure the patient receives proper care and follows the necessary steps for a successful recovery after surgery.
Post-op cervical spine orders should include details on medications, activity restrictions, wound care instructions, follow-up appointments, and emergency contact information.
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