1. Request from pharmacy:
-alteplase start time for both frequencies updated to T;N+2hours. Remove priority "NOW" as changing to q24h/q12h drops a now dose. the +2hr offset is to allow time for preparation & delivery of dose
-dornase start for both frequencies updated to T;N+4hours. Remove priority "NOW" as changing to q24h/q12h drops a now dose. the +4hr offset is to allow time for preparation & delivery of alteplase, then will time it for 2 hours AFTER alteplase task as the alteplase has to dwellx1hr, drainx1hr, then admin dornase.
ON the alteplase 10mg doses that are currently ordered as 2 x5mg syringes. We now have authorization to send instead 1 - 10mg/50mL syringe. so, the 10mg section only needs 2 orders total, 1 for leur lock and 1 for catheter tip syringe. Remove the red bars & duplicated order sentences. Change the verbiage on the 10 mg dose gray bar to "For a single 10 mg dose please select ONE of the following based on syringe type needed:" Reach out with any questions.
2. Also linked the current policy in Alteplase Intra-Pleural Policy to this plan for reference.
