Preprinted Orders
Sutter Medical Center, Sacramento

Number Title Specialty
00040 Newborn Nursery Doctor's Treatment/Order Sheet Nursery
00145 Induction of Labor Obstetrics
00167 Pneumonia Orders - Adult Pulmonary
00194 Postpartum Orders Obstetrics
00255 Heart Transplant Telemetry Orders Adult Cardiac
00264 Heart Transplant Steroid Taper Orders Adult Heart Transplant
00269 Heart Transplant Pre Op Orders Adult Heart Transplant
00303 Renal with Pancreas or Solitary Pancreas Transplant- Adult Pre Op Orders Renal Transplant
00304 Renal with Pancreas or Solitary Pancreas Transplant - Adult Post Op Orders Renal Transplant
00312 - A Renal Transplant (only) Post Op Orders- Adult Cadaveric Donor or Living Donor with Less than 3 Antigen Match Renal Transplant
00312 - B Renal Transplant Post Op Orders, Adult Living Donor with 3-5 Antigen Match Renal Renal Transplant
00312 - C Renal Transplant Post Op Orders, Adult Living Donor with Identical HLA Match Renal Renal Transplant
00364 Heart Transplant Pre-Endomyocardial Biopsy Orders Heart Transplant
00419 Comfort Care : H&P Progress Notes and Disch. Sum.; Orders Non-Viable Live Birth Obstetrics
00495 Tocolysis for Preterm Labor Obstetrics
00583 Post-Anesthesia Treatment and Drug Orders (Phase I) Anesthesia
00670 High Dose Cyclophosphamide Orders Bone Marrow Transplant
00672 Stem Cell Infusion Bone Marrow Transplant
00674 Fever Order Sheet for BMT Patient Bone Marrow Transplant
00678 BMT Patient, Admission Orders (pp.1-2) Bone Marrow Transplant
00750 Epilepsy Monitoring Unit Admitting (Adult) Neuro
00826 Post-EP Study-Ablation Device Heart Cath
00831 Stroke Orders Acute, pgs. 1-2 Stroke
01025 Heart Transplant Post-Endomyocardial Biopsy Orders Heart Transplant
01028 Heart Cath, Post Orders Heart Cath
01084 GYN/Urogynecology (Post Op) Gyn
01118 TPN Order Form Adult TPN
01189 Percutaneous Coronary Intervention (Orders for) Heart Cath
01247 Percutaneous Cardiac Intervention Orders Post-PCI Heart Cath
01296 Pediatric, Daily Orders Parenteral Nutrition TPN & Pediatrics
01331 Caesarean Section for Admission Orders Obstetrics
01412 Status Epilepticus Protocol Neuro
01440 Chemotherapy Adult Order Form Oncology
01442 Pain Management Orders Acute Anesthesia
01471 Operative Pediatric Anesthesia Orders Anesthesia
01548 Outpatient Referral - Children's Center Order Pediatrics
01600 PUBS (More than 25 weeks) Obstetrics
01732 Heart Catherization Pre Op Orders Heart Cath
02113 Pediatric Urology Post-Op Orders - Dr. Shapiro Post Op
02134 Heparin Drip Protocol Maintenance Orders Protocols
02457 Anesthesia Pre-Operative Anesthesia
02503 Endoscopy Physician Record Surgery
02629 SCN (NICU) Doctor's Treatment Sheet SCN/NICU
02659 Therapeutic Apheresis Orders Oncology
02724 PUBS - Lab Orders Obstetrics
02766 ACL reconstruction without Patellar Tendon Bone Graft - Post Op Post Op
02767 Shoulder Replacement/Shoulder Repair Post OP Orders Post Op
02768 Hip Total Hip Replacement (Post Op) Post Op
02769 Knee Total Knee Replacement (Post Op) Post Op
02778 Cesarean Section Post-Op Orders Obstetrics
02809 HPC-A Human Hematopoietic Progenitor Cell Aphersis Collection Orders Bone Marrow Transplant
02884 Epilepsy Monitoring Unit Admit (Pediatric) Neuro
02927 Pediatric Emergency Procedure pp. 1-2 Hard Copy Only
05030 Pulmonary Admission Orders - Interactive PMA
05030 - 01 PMA/ICU - ICU Admission Orders PMA
05030 - 02 PMA/ICU Intensive Insulin Treatment Protocol PMA
05030 - 04 PMA/ICU Acute Respiratory Failure Orders PMA
05030 - 05 PMA/ICU ARDS Orders PMA
05030 - 07 PMA/ICU Acute Cardiac Orders PMA
05030 - 08 PMA/ICU Hypertension Control Orders IV PMA
05030 - 09 PMA/SVT Rapid Atrial Fib and Tachycardia, Related to Acute Coronary Syndrome PMA
05030 - 10 PMA/ICU GI Bleed -Anemia Orders PMA
05030 - 11 PMA/ICU Alchohol Withdrawal Orders PMA
06153 Magnesium Sulfate Obstetrics
09075 Fetal Death/ Stillborn Examination Obstetrics
09204 Angio Post-Angio Orders Diagnostic Imaging
09306 Hemodialysis, Outpatient Orders pp. 1-2 Hemodialysis
09332 Open Heart Surgery (Adult) Cardiac
09345 Restraint: Physician Order Hard Copy Only
09348 SNF Transfer Summary Hard Copy Only
09364 Cervical Discectomy Fusion (Post Op) Post Op
09365 Spinal Infusion +/- Instrumentation-SGH Post Op Orders pp. 1-2 Post Op
09366 Lumbar Discectomy/Laminectomy Post Op
09372 Preterm Labor/Preterm PROM Obstetrics
09414 Parental Nutrition Order Form Daily Neonatal/Infant PP. 1-2 TPN
09572 Induction of Labor Mid-Trimester Obstetrics
09697 SCN Vitamin/Mineral Protocol Orders for Infants Under 2kg SCN/NICU
09724 Pre-EP/Device Orders Heart Cath
09760 Chest Pain ACS/AMI Orders (Emergency) Chest Pain
09850 Emergency Procedures for Monitored and Non-Monitored Areas Hard Copy Only
09912 Heart Failure Admission Orders Cardiac
09939 Ventriculo - Peritoneal Shunt Placement/Revision Post Op
09940 Neuro Post Op Orders General Sutter Neuroscience Institute Post Op
09941 Craniotomy Sutter Neuroscience Institute Post Op pp. 1-2 Post Op
09942 Laminectomy for Spinal Cord Tumor Sutter Neuroscience Institute Post Op Post Op
09943 Transsphenoidal Sutter Neuroscience Institute Post Op Resection of Tumor/Cyst Post Op
09944 Sutter Neuroscience Institute Post Op Orders Multiple Suture Synostosis Pediatric Patients Post Op
09945 PO Laminectormy for Tethered Cord Post Op
10053 Adult Heart Transplant Immediate Post Operative Orders Heart Transplant
10066 Steroid and Antibiotic order for Preterm Labor/Preterm PROM Obstetrics
20001 SCN - Physician Admitting SCN/NICU
20018 D & C Orders, Pre Op Obstetrics
20020 Immunization Childhood Immunization
20021 tPA - Intravenous Thrombolytic Therapy for Acute Stroke Stroke
20037 Transfer - Acute Inpatient Summary Admission
20053 Comfort Care Orders Medical
20192 Spine Surgery (Post Op) Post Op
20196 Neurointerventional Post Procedure Orders Diagnostic Imaging
20279 Heart-Cath Post Op Orders - Pediatric Heart Cath
20437 HCFW - Labor and Delivery Adm. Orders Obstetrics
20438 HCFW - Postpartum Orders Obstetrics
20439 HCFW - Post-Op C/Section Orders Obstetrics
20478 L & D OB Admission Orders Obstetrics
20495 Chemoembolization MIX instructions for Pharmacy Diagnostic Imaging
20496 Chemoembolization Pre Op DIRO Orders Diagnostic Imaging
20497 Uterine Artery Embolization - Post Procedure Orders Diagnostic Imaging
20498 Chemoembolization DIRO - Post Procedure Orders Diagnostic Imaging
20499 Uterine Artery Embolization Admission DIRO Diagnostic Imaging
20553 Lumbar Fusion Pre Op - Dr. L. Anderson Spine
20648 Outpatient Oncology (Pediatrics) Oncology & Pediatrics
20662 PICC Protocol Orders - Adult & Pediatric Protocols
20663 Chest Pain Rule Out Acute Coronary Syndrome Cardiac
20667 Ventilator Management Initial Physician Orders Ventilator
20718 Stroke Discharge Orders/Instructions and Prescription Stroke
20724 Gastric Bypass Surgery Post-Op Orders Bariatrics
20737 Anderson & Lemons, Pre Op Orders Spine
20758 Ventilator Discontinuation Ventilator
20759 Non Ambulance Order Form Hard Copy Only
20760 Ambulance Order Form Hard Copy Only
20763 Therapeutic Plasma Exchange - Apherisis Oncology
20792 Smoking Cessation Protocol Orders Protocols
20793 Pulmonary Infiltrates in ICU Adult Pulmonary
21034 Heart Failure Discharge Orders Cardiac
21044 Pediatric Heart Surgery Level 1 Immediate Post Op Orders pp. 1-3 Cardiac & Pediatrics
21045 Cardiovascular Intensive Care Unit - Adult Open Heart Surgery Immediate Postoperative Period Cardiac
21048 Adult Ketoacidosis & Hyperosmolar Non Ketotic Syndrome Diabetes
21052 Epilepsy Monitoring Unit - Post Op Phase II Craniotomy for Grid, Strip & Electrode Placement pp. 1-2 Neuro
21055 Craniotomy Post Op Dr's. Cobb, Robbins, Yen pp. 1-2 Neuro
21061 Cardiovascular Intensive Care Unit - Adult Open Heart Surgery Transfer Cardiac
21064 Acute Coronary Syndrome/Acute MI Admission Orders pp. 1-2 Cardiac
21065 Acute Coronary Syndrome Discharge Summary pp. 1-2 Cardiac
21069 Endoscopy Pre Procedure H&P Surgery
21075 Heated Intraperitoneal Chemotherapy Orders Sugarbaker Oncology
21078 Insulin Drip Non-Pregnant Adult (Physician Order) Diabetes
21092 Stroke Post Alteplase (t-PA) Acute Ischemic Orders pp. 1-2 Stroke
21133 Thoracotomy Post Op for Sacramento Cardiovascular Surgeons pp. 1-2 Pulmonary
21153 Renal and/or Pancreas Transplant Outpatient OKT3 Orders Muromonab-CD3 (Orthoclone OKT3) Adult Renal Transplant
21155 Renal / Pancreas Transplant Biopsy Admission Orders Adult Renal Transplant
21156 Renal Morning of Surgery Living Related/Unrelated Donor Renal Transplant Adult Pre Op Orders for Donor Renal Transplant
21157 Renal Morning of Surgery Living Related/Unrelated Donor Renal Transplant Adult Pre Op Orders for Recipient Renal Transplant
21158 Renal Outpatient Pre-Surgery Living Related/Unrelated Donor Renal Transplant Adult Outpatient Pre-Surg Orders for Donor Renal Transplant
21159 Renal Outpatient Pre-Surgery Living Related/Unrelated Donor Renal Transplant Adult Outpatient Pre-Surg Orders for Recipient Renal Transplant
21160 Renal Adult Transplant Protocol Orders for Living Donor Evaluation Renal Transplant
21180 HPC-A Continue or Stop Collection Orders for Human Hematopoietic Progenitor Cells Aphersis Collections Bone Marrow Transplant
21182 Renal Transplant (only)-Adult Pre Op Orders Renal Transplant
21186 Renal Transplant (Living Donor) Nephrectomy Post Op Renal Transplant
21187 Atrial Fibrillation Orders New Onset Post Op Dr. Arthur Cardiac
21208 Carotid Endarterectomy Sacramento Cardiovascular Surgeon's Perioperative Cardiac
21211 Wound and Skin Care Protocol Protocols
21218 OrthoPAT Orders Orthopedics
21241 Transcutaneous Pacemaker Orders Pediatric Cardiac & Pediatrics
21253 OB Anesthesia Orders Phase 1 Post Anesthesia
21258 Perioperative II Post Op Outpatient Surgery
21259 Surgery Admission Status Admission
21260 Gynecology/Urogynecology Patients Standard Admission Orders Gyn
21272 Cardiac Catheterization Laboratory Carotid Post Op Orders Heart Cath
21286 Chest Pain Evaluation Unit Cardiac
21301 Weaning Insulin Drip Pediatric Diabetes & Pediatrics
21302 Subcutaneous Insulin Pediatric Patient Diabetes & Pediatrics
21303 Insulin Drip Pediatric Diabetic Patient Diabetes & Pediatrics
21304 Diabetic Ketoacidosis Admission Orders Pediatric Diabetes & Pediatrics
21322 OB anesthesia Acute Pain Management Anesthesia
21324 Admission Orders- Adult Non -Surgical Admission
21327 WOCN Outpatient Orders Medical
21345 Pediatric CV Surgery PO Orders Level 2/Complex Pediatric Pediatrics
21346 PICU Post-op Heart Surgery Orders Level- 2 Pediatrics
21352 SCN Discharge Planning SCN/NICU
21358 EP Lab - Dr Kim's Post Procedure Orders Heart Cath
21359 Pediatric Continuous Renal Replacement Orders Pediatrics
21369 Total Joint Replacement Orthopedics
21390 Pneumococcal/Influenza Immunization Protocol (Please see Hospital Forms) Immunization
21395 Medication Reconciliation and Order Form Hard Copy Only
21405 Pre-Eclampsia Orders Obstetrics
21438 Hemodialysis Orders (adult) Dialysis
21487 Laparoscopic Gastric Band Surgery Post-Op Orders Bariatrics
21490 Bariatric Patient Discharge Orders and Prescription Bariatrics
21502 Carotid Enderarterectomy, Post Op Orders Cardiac
21515 Asthma - Pediatric Orders Specialty Pediatrics
21526 General Surgery (Colon) Post-Op Inpatient Orders Post Op
21529 Antenatal Testing Unit Orders Obstetrics
21531 Admission orders - Dr Morkoc Admission
21533 Percutaneous Carotid/Cerebral Angiography/Carotid Intervention Orders Pre Procedure
21534 Antepartum Orders Obstetrics
21553 Hepatic Chemoembolization with LC Beads (drug eluding beads) Diagnostic Imaging
21555 CBV Swog Version Bone Marrow Transplant
21556 Rituximab - BEAM Bone Marrow Transplant
21557 HD Melphalan Myeloma Bone Marrow Transplant
21558 HD Melphalan Modified - Myeloma Bone Marrow Transplant
21559 Flu-TBI Bone Marrow Transplant
21560 Flu-Cy Bone Marrow Transplant
21561 EC TBI Bone Marrow Transplant
21562 Cy3TBI Bone Marrow Transplant
21563 Cy2TBI Bone Marrow Transplant
21564 Germ Cell - CEC Bone Marrow Transplant
21565 CBV Standard Bone Marrow Transplant
21566 Busulfan - Etoposide Bone Marrow Transplant
21567 Busulfan - Fudarabine ATG (anti-thymocyte globulin) Bone Marrow Transplant
21568 Busulfan - Fludarabine Bone Marrow Transplant
21569 BuCy2 Bone Marrow Transplant
21570 Standard BEAM Bone Marrow Transplant
21571 HD Melphalan - Amyloidosis Bone Marrow Transplant
21573 Renal and/or Pancreas Transplant Physical Evaluation Renal Transplant
21579 Sepsis Bundle Worksheet and Orders (Adult) Medical
21584 Central Venous Catheter (Non-PICC) Post Insertion Protocol Orders Protocols
21587 Pediatric Diabetic New Diagnosis Discharge Planning Orders Diabetes & Pediatrics
21604 Baratric Surgery Preoperative Orders Bariatrics
21608 Nephrologists Results and Orders Nephrology
21610 Pre-Kidney and/or Pre-Pancreas Transplant Evalution Orders Renal Transplant
21612 VAD - Admission Orders Cardiac Cardiac
21613 VAD - Pre Op Orders Cardiac Cardiac
21614 Bilirubin Surveillance/Management Specialty Special Care Nursery Nursery
21617 Analgesia / Sedation Orders for Ventilated Patients Critical Care - Adult, Ventilator
21619 VAD Transfer Orders Specialty Cardiac Cardiac & Pediatrics
21620 Cytoxin /Ara C Peds Oncology Oncology & Pediatrics
21621 Urgent Admission Orders Inpatient Pediatric Oncology Oncology & Pediatrics
21622 Inpatient Chemotherapy Admission Orders Pediatric Oncology Oncology & Pediatrics
21625 Insulin Orders Adult Diabetes
21630 Anesthesia Peripheral Nerve Block Orders Anesthesia
21632 Subarachnoid Hemorrhage/Aneurysm Admission Orders Stroke
21635 Radical Prostatectomy - post op orders SMG Post Op
21636 High Dose methotrexate (MTX) Inpatietn Orders-Pediatrics Oncology & Pediatrics
21648 Adult Renal Replacement Orders (SLED) with Regional Citrate Anticoagulation Dialysis
21649 Renal Replacement (Adult) SLED with Heparin Anticoagulation Dialysis
21650 Adult Continuous Renal Replacement Orders Dialysis
21652 Bed Assignment Orders Specialty Admission Admission
21653 PO Uro Gynecology OP Procedures/Bowen & Hilger Post Op
21654 Remicade administration Orders Pediatrics Pediatrics
21658 Adult CRRT Orders with Heparin Anticoagulation Dialysis
21661 Diode Laser Therapy Protocol Orders - SCN SCN/NICU
21662 Eye Exam Protocol orders - SCN SCN/NICU
21667 Labor and Delivery Triage Orders Obstetrics Obstetrics
21668 L&D Triage Orders-General Obstetrics
21687 Pressure Ulcer Supplemental Orders Medical
21688 Inactivated Influenza Immunization, Pediatric: Protocol, Info Sheet, Consent Pediatrics
21694 Adult Congenital Heart Surgery Immediate Post Op Orders Cardiac, Surgery
21704 Post Gastric Band Discharge Medication Order Bariatrics
21709 Peripheral Vascular Orders Post Op
21784 Rehab Service Intiation Protocol Orders Protocols