Credit Valley Hospital

Professional Resources

Pre-Printed Physician Orders (PPOs)

 

A preprinted physician order is a tool to assist the practitioner in choosing the most appropriate care for the medical management of a patient. A PPO often accompanies a Clinical Pathway or a Clinical Practice Guideline. The use of PPOs is recommended in the literature to minimize communication system errors.

PPOs are available through the Print Shop by ordering the form number on the bottom right hand corner of the form. The PPOs found in this electronic cabinet are for reference only.

Click on name to open PDF

Pre-Printed Physician Orders
Form #
Name
00001 Pre-Printed Orders - Asthma Emergency Management (Paediatric) Outpatient
00002 Pre-Printed Orders - Renal Colic Management in Emergency Department Outpatient (Adult)
00003 Pre-Printed Orders - Acute Ischemic Stroke - Tissue Plasminogen Activator (TPA, Activase) (Adult) Outpatient
00004 Pre-Printed Orders - Low Molecular Weight Heparin Venous Thromboembolism (VTE) Outpatient Management (Adult)
00005 Pre-Printed Orders - Alcohol Withdrawal Management In Emergency Department (Adult) Outpatient
00006 Pre-Printed Orders - Low Risk Chest Pain Management in Emergency Department (Adult) Outpatient
00007 Pre-Printed Orders - Asthma Management in Emergency Department (Adult) Outpatient
00008 Pre-Printed Orders - Blood Borne Disease Exposure (Adult) Outpatient
00009 Pre-Printed Orders - Severe Sepsis Bundle - Emergency Management (Adult)
00010 Pre-Printed Orders - Deep Venous Thrombosis (Suspected 1st event) Outpatient Management (Adult)
00011 Pre-Printed Orders - Pulmonary Embolus (Suspected) Outpatient Management (Adult)
00012 Pre-Printed Orders - Sickle Cell Pain Management in Emergency Department (Adult) Outpatient
00013 Pre-Printed Orders - Hypothermia Induction Post Cardiac Arrest In Emergency Department (Adult) Outpatient
00014 Pre-Printed Orders - Hyperkalemia Management in Emergency Department (Adult) Outpatient
00015 Pre-Printed Orders - Code STEMI in Emergency Department Outpatient (Adult)
00016 Pre-Printed Orders - Diabetes Management In Emergency Department (Paediatric)
00017 Pre-Printed Orders - Abnormal Uterine Bleeding Management in Emergency Department Outpatient
10000 Physician's Orders - Febrile Neutropenia Inpatient Mangement (Adult)
10005 Physician's Orders - Radiation Therapy Planning (Adult)
11000 Pre-Printed Orders - Admission (Inpatient) Eating Disorders Program
11001 Pre-Printed Orders - New Consultation / Reassessment (Outpatient) Eating Disorders Program
20000 Physician's Orders - Liver, Pancreas, Abdominal Mass Biopsy
20001 Physician's Orders - Metformin Post IV Radiopaque Contrast Media (RCM)
20002 Physician's Orders - Renal Scan With or Without Diuretic (Paediatric)
30000 Physician's Orders - Ranitidine IV to PO Conversion (Adult)
30001 Physician's Orders - Antimicrobial IV to PO Conversion (Adult)
30002 Physician's Orders - Pantoprazole IV to PO Conversion (Adult)
40000 Physician's Orders - Total Knee Replacement Postoperative Care
40001 Pre-Printed Orders - Patient Controlled Analgesia Acute Pain Service (APS)(Adult)
40002 Physician's Orders - Tonsillectomy and Adenoidectomy Postoperative Care (Paediatric)
40003 Physician's Orders - Cataract Extraction & Implant Post-op
40004 Physician's Orders - Strambismus Repair
40005 Physician's Orders - Bowel Resection/Ostomy - Postoperative
40007 Physician's Orders - Thyroidectomy Discharge
40008 Physician's Orders - Thyroidectomy Postoperative Care (Adult)
40009 Physician's Orders - Radical Retropubic Prostatectomy (Adult)
40011 Physician's Orders - Retinal Laser Preparation
40012 Physician's Orders - Orthopedic Venous Thromboembolism Prophylaxis (Adult)
40013 Pre-Printed Orders - Neuraxial Analgesia Acute Pain Service (APS)
40016 Physician's Orders - Transurethral Resection of the Prostate (Adult)
40017 Pre-Printed Orders - Preoperative
40018 Pre-Printed Orders - Thoracotomy -Lung Resection Postoperative
40019 Physician's Orders - Esophageal Resection Postoperative
40022 Physician's Orders - Temporomandibular Joint (TMJ) Surgery Postoperative (Adult)
40023 Physician's Orders - Oral and Maxillofacial Surgery - Postoperative (Adult)
40024 Physician's Orders - Repair of Fractured Hip Admission Preoperative (Adult)
40025 Orders - Repair of Fractured Hip Admission Post Operative (Adult)
40026 Pre-Printed Orders - Admission PACU Anaesthesiology (Adult)
40027 Physician's Orders - Transobturator Tape Postoperative Orders (Adult)
40028 Physician's Orders - Transobturator Tape Preoperative Orders (Adult)
40029 Physician's Orders - Total Hip Replacement Postoperative Care (Adult)
40030 Physician's Orders - Post-Operative Orders, General Surgery Surgical Day Care (Adult)
40031 Physician's Orders - Iron Sucrose IV Infusion - Non-Renal (Adult)
40034 Pre-Printed Orders - Surgery Admission Post Operative (Adult)
40035 Pre-Printed Orders - Surgery Admission Via Emergency Department (Adult)
40036 Pre-Printed Orders - Sedation & Analgesia Administration by Anaesthesia Assistants
50000 Physician's Orders - Gestational Diabetes Postpartum Management
50001 Pre-Printed Orders - Caesarean Birth Preoperative Preparation (Adult)
50002 Physician's Orders - rho(d) Immune Globulin Prenatal
50003 Physician's Orders - Gestational Diabetes Birthing Suites
50004 Pre-Printed Orders - Second Trimester Induction of Labour (Adult)
50005 Physician's Orders - Epidural/Intrathecal Morphine for Post-op Caesarean Section (Adult)
50006 Pre-Printed Orders - Caesarean Birth Postpartum (Adult)
50007 Physician's Orders - Maternal Child Services Referral
50008 Physician's Orders - Oxytocin Induction
50009 Physician's Orders - Dioprostone Induction
50010 Pre-Printed Orders - Vaginal Birth Postpartum (Adult)
50011 Physician's Orders - Hypertension in Pregrancy Acute Management (Adult)
50012 Pre-Printed Orders - Consultation Epidural Analgesia Birthing Suites (Adult)
50013 Physician's Orders - HIV in Pregnancy Intrapartum/Postpartum Management (Adult)
50014 Physician's Orders Post-Operative Orders Gynecology Surgery (Adult)
50015 Physician's Orders - Antenatal Preeclampsia (Adult)
50016 Physician's Orders - Antenatal Bleed (Adult)
50017 Physician's Orders - Preterm Labour
50018 Physician's Orders - Preterm Prelabour Rupture Of Membranes (Pprom) (Adult)
50020 Pre-Printed Orders - Intrapartum Midwife to Obstetrician Consultation (Adult)
50021 Pre-Printed Orders - Postpartum Midwife to Obstetrician Consultation (Adult)
50022 Pre-Printed Orders - Midwifery Postpartum Vaginal Birth (Adult)
50023 Pre-Printed Orders - Induction of Labour for Stillbirth Greater Than 26 Weeks Gestation
50024 Pre-Printed Orders - Vaginal Delivery Postpartum for Stillbirth / Second Trimester Induction of Labour
60002 Pre-Printed Orders - Administration of Blood & Blood Products (Adult & Paediatric)
60003 Physician's Orders - Enteral Nutrition, Medical/Surgical Units (Adult)
60009 Pre-Printed Orders - Critical Care: Medical/Surgical Admission Orders (Adult)
60011 Physician's Orders - ST Elevation MI: Tenecteplase (TNK) - Anticoagulant (Adult)
60012 Pre-Printed Orders - Elective Cardioversion in CCU
60013 Physician's Orders - Peripheral Occlusive Disease Intra-Arterial TPA (Activase)
60014 Physician's Orders - Bowel Management of Opioid Induced Constipation (Adult)
60015 Physician's Orders - Acute Coronary Syndromes (non st elevation) Fondaparinux, ASA and Clopidogrel (Adult)
60016 Pre-Printed Orders - Asthma Admission (Adult)
60019 Physician's Orders - Stroke: Rehabilitation Admission
60020 Pre-Printed Orders - COPD Exacerbation Non Critical Care Admission (Adult)
60021 Pre-Printed Orders - Community Acquired Pneumonia Admission Orders (Adult)
60022 Pre-Printed Orders - Critical Care Cardiology, Admission Orders (Adult)
60023 Pre-Printed Orders - Stroke, Acute Admission (Adult)
60024 Physician's Orders - New Onset Uncomplicated Adult Type 1 Diabetes Emergency Management
60025 Pre-Printed Orders - 3b Cardiology Admission Orders
60026 Physician's Orders - Nitroglycerin IV Infusion
60028 Physician's Orders - Total Parenteral Nutrition (TPN)
60029 Pre-Printed Orders – Enteral Nutrition Critical Care
60030 Physician's Orders - Glucose Control Critical Care (Adult)
60031 Physician's Orders - Permanent Pacemaker Insertion Procedure (Adult)
60033 Physician's Orders - Methanol & Ethylene Glycol Poisoning, Medical Management (Adult)
60034 Physician's Orders - Low Molecular Weight Heparin Venous Thrombosis Inpatient Management (Adult)
60035 Pre-Printed Orders - Hypothermia Induction Post Cardiac Arrest (Critical Care) (Adult)
60036 Physician's Orders - Cardiac Catheterization Procedure (Adult)
60039 Physician's Orders - Insulin Subcutaneous Therapy (Adult)
60041 Physician's Orders - Continuous Renal Replacement Therapy (CRRT) with Citrate
60042 Physician's Orders - Standard Dose Heparin IV Infusion (Adult)
60043 Physician's Orders - Conservative Dose Heparin IV Infusion (Adult)
60044 Physician's Orders - Influenza Outbreak Prophylaxis (Adult)
60046 Physician's Orders - Morphine or Hydromorphone IV Infusion via Volumetric Pump (Adult)
60047 Physician's Orders - Morphine or Hydromorphone Infusion via Continuous Ambulatory Drug Delivery (CADD) Pump (Adult)
60048 Pre-Printed Orders - General Medicine Admission (Adult)
60049 Physician's Orders - Intrapericardial Sclerotherapy for Malignant Pericardial Effusion (Adult)
60050 Physician's Orders - Influenza Admission Orders (Adult)
60054 Physician's Orders - Sickle Cell Disease Admission (Adult)
60055 Physician's Orders - Admission Medication Reconciliation
60056 Physician's Orders - Adult Organ Donation
60057 Physician's Orders - Tracheostomy Weaning And Decannulation (Adult)
60058 Pre-Printed Orders - HIGH DOSE Insulin Intravenous Therapy (Adult)
60059 Pre-Printed Orders - LOW DOSE Insulin Intravenous Therapy (Adult)
70000 Pre-Printed Orders - Diabetic Admission (Paediatric)
70001 Pre-Printed Orders - Immune Globulin Infusion (Paediatric)
70002 Physician's Orders Haematology/Oncology And Bone Marrow Transplant with Fever Management (Paediatric)
70004 Physician's Orders - Sepsis (Neonate)
70005 Physician's Orders - Continuous Morphine Infusion (Paediatric)
70007 Physician's Orders - Total Parenteral Nutrition (TPN) (Neonate)
70008 Physician's Orders - Eye Exams (Paediatric)
70009 Physician's Orders - Sickle Cell Disease (Paediatric)
70010 Physician's Orders - Respiratory Syncytial Virus (RSV) Prophylaxis Inpatient (Paediatric)
70011 Physician's Orders - Respiratory Syncytial Virus (RSV) Prophylaxis Outpatient (Paediatric)
70012 Physician's Orders - IV Sedation for Diagnostic Imaging Procedures (Paediatric)
70015 Physician's Orders - Total Parenteral Nutrition (TPN) (Paediatric)
70016 Physician's Orders - HIV in Neonates Acute Management (Neonate)
70017 Phisician'S Orders - Antenatal Paediatric or Genetic Consults (Adult)
70018 Physician's Orders Asthma Admission (Paediatric)
70019

Physician's Orders - Admission to Nicu

80000 Physician's Orders No Cardiopulmonary Resuscitation (No CPR) And Other Treatment Limitations
80001 Physician's Orders Rescind No Cardiopulmonary Resuscitation (No CPR) And Other Treatment Limitations
90000 Pre-Printed Orders - Iron Sucrose IV Infusion Renal Programme (Adult)
90001 Physician's Orders - Home Dialysis, Initial and Annual Management (Adult)
90002 Physician's Orders - Renal Transplant Workup
90003 Physician's Orders - Renal Biopsy
90004 Pre-Printed Orders - Catheter Implantation Peritoneal Dialysis (Pd) (Adult)
90005 Physician's Orders - Peritoneal Dialysis Outpatient /Inpatient
90006 Physician's Orders - Progressive Renal Insufficiency (PRI) Clinic
90007 Physician's Orders - Consultation Dialysis Access Radiological Intervention (Adult)
90009 Physician's Orders - Hemodialysis Patient
90010 Physician's Orders - Peritoneal Dialysis Peritonitis Management
90012 Physician's Orders - Acute Hemodialysis Record
90013 Physician's Orders - Therapeutic Plasma Exchange
90014 Physician's Orders - Renal Patient Blood Borne Pathogen Testing
90015 Physician's Orders - Transplant Patients Annual Orders
90016 Physician's Orders - Methanol and Ethylene Glycol Poisoning, Hemodialysis Management (Adult)
90017 Physician's Orders - Therapeutic Plasma Exchange (Adult)

 


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