Authorized by Ballard Michael R Frequency Q2H 1600 Until Specified

Authorized by: Ballard, Michael R. Frequency: Q2H 1600 - Until Specified Electronically signed by: Ballard, Michael R. 1106 Released by: Weissert, Molly K. 1517 Discontinued by: Auto Discontinue, At Discharge 1714 [Discharge] Comments: Every 2 hours for 24 hours, then every 4 hours. INTAKE AND OUTPUT [39070694] Discontinued Ordering user: Ballard, Michael R. 1106 Ordering provider: Ballard, Michael R. Authorized by: Ballard, Michael R. Frequency: As Specified 1530 - Until Specified Electronically signed by: Ballard, Michael R. 1106 Released by: Weissert, Molly K. 1517 Discontinued by: Auto Discontinue, At Discharge 1714 (MR # Printed by [103311] at 10/11/13 10:09 AM Page 41

IP Encounter Report MRN: DOB: Sex: M Adm: D/C: All Orders ( - (continued) INTAKE AND OUTPUT [39070694] (continued) Discontinued [Discharge] Comments: Every 4 hours for 24 hours then every 8 hours. CATHETER [39070698] Discontinued Ordering user: Ballard, Michael R. 1106 Ordering provider: Ballard, Michael R. Authorized by: Ballard, Michael R. Frequency: . 1530 - Until Specified Electronically signed by: Ballard, Michael R. 1106 Released by: Weissert, Molly K. 1517 Discontinued by: Auto Discontinue, At Discharge 1714 [Discharge] Questions: Care: TO GRAVITY Catheter: FOLEY Intake and Output: Frequency OTHER (ENTER IN COMMENTS) Comments: Empty measure and record every 4 hours x 24 hours, then every 8 hours until discontinued. DISCONTINUE CATHETER: when patient is able to ambulate to the bathroom (post-op day 2 or 3). TEMPERATURE THERAPY [39070699] Discontinued Ordering user: Ballard, Michael R. 1106 Ordering provider: Ballard, Michael R. Authorized by: Ballard, Michael R. Frequency: . 1530 - Until Specified Electronically signed by: Ballard, Michael R. 1106 Released by: Weissert, Molly K. 1517 Discontinued by: Auto Discontinue, At Discharge 1714 [Discharge] Questions: Temperature Therapy COLD THERAPY (INSTRUCTIONS IN COMMENTS) Comments: Cold therapy to incision prn. Patient to take cold therapy home upon discharge. COMMUNICATION TO NURSING [39070700] Discontinued Ordering user: Ballard, Michael R. 1106 Ordering provider: Ballard, Michael R. Authorized by: Ballard, Michael R. Frequency: . 1530 - Until Specified Electronically signed by: Ballard, Michael R. 1106 Released by: Weissert, Molly K. 1517 Discontinued by: Auto Discontinue, At Discharge 1714 [Discharge] Comments: Start PO Pain Meds when tolerating orals OXYGEN [39070702] Discontinued Ordering user: Ballard, Michael R. 1106 Ordering provider: Ballard, Michael R. Authorized by: Ballard, Michael R. Frequency: . 1530 - Until Specified Electronically signed by: Ballard, Michael R. 1106 Released by: Weissert, Molly K. 1517 Discontinued by: Auto Discontinue, At Discharge 1714 [Discharge] Questions: Titration Instructions: Titrate per clinical respiratory assessment and SpO2 (if applicable) Delivery Nasal Cannula Maintain SpO2 at: Other (enter in comments) Comment - 92% or greater INCENTIVE SPIROMETRY [39070703] Discontinued Ordering user: Ballard, Michael R. 1106 Ordering provider: Ballard, Michael R.