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 Physician's Orders - Asthma Emergency Management (Paediatric) Multi-Part, Double Sided form
00002 Physician's Orders - Renal Colic Emergency Management Multi-Part, Double Sided form
00003 Physician's Orders - Acute Ischemic Stroke - TPA (Activase) Multi-Part, Double Sided form
00004 Physician's Orders - Low Molecular Weight Heparin Venous Thrombosis Outpatient Management (Adult) Multi-Part, Double Sided form
00005 Physician's Orders - Alcohol Withdrawl Emergency Management Multi-Part, Double Sided form
00006 Physician's Orders - Low Risk Chest Pain Emergency Management
00007 Physician's Orders - Asthma Emergency Management (Adult) Multi-Part, Double Sided form
00008 Physician's Orders - Blood Borne Disease Exposure (Adult) Multi-Part, Double Sided form
00009 Physician's Orders - Severe Sepsis Bundle - Emergency Management (Adult) Multi-Part, Double Sided form
00010 Physician's Orders - Deep Venous Thrombosis (suspected first event) (Adult)
00011 Physician's Orders - Pulmonary Embolus (suspected) (Adult)
10000 Physician's Orders - Febrile Neutropenia Inpatient Mangement (Adult)
10005 Physician's Orders - Radiation Therapy Planning (Adult)
20000 Physician's Orders - Liver, Pancreas, Abdominal Mass Biopsy
20001 Physician's Orders - Metformin Post IV Radiopaque Contrast Media (RCM) Multi-Part, Double Sided form
20002 Physician's Orders - Renal Scan With or Without Diuretic (Paediatric)
40000 Physician's Orders - Total Knee Replacement Postoperative Care
40001 Physician's 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 Postoperative Care
40011 Physician's Orders - Retinal Laser Preparation
40012 Physician's Orders - Venous Thromboembolism Prophylaxis (Adult)
40013 Physician's Orders - Neuraxial Analgesia Acute Pain Service (APS) Multi-Part, Double Sided form
40016 Physician's Orders - Transurethral Resection of the Prostate (Adult)
40017 Physician's Orders - Preoperative
40018 Physician's Orders - Thoracotomy -Lung Resection Postoperative
40019 Physician's Orders - Esophageal Resection Postoperative
40022 Physician's Orders - Temporomandibular Joint (TMJ) Surgery Postoperative Multi-Part, Double Sided form
40023 Physician's Orders - Oral and Maxillofacial Surgery - Postoperative Multi-Part, Double Sided form
40024 Physician's Orders - Repair of Fractured Hip Preoperative (Adult)
40025 Physician's Orders - Repair of Fractured Hip Postoperative (Adult)
40026 Physician's 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)
50000 Physician's Orders - Gestational Diabetes Postpartum Management
50001 Physician's Orders - Cesarean Section Preoperative Preparation
50002 Physician's Orders - rho(d) Immune Globulin Prenatal
50003 Physician's Orders - Gestational Diabetes (Labour & Delivery)
50004 Physician's Orders - Second Trimester Induction of Labour (Adult)
50005 Physician's Orders - Epidural/Intrathecal Morphine for Post-op Caesarean Section (Adult) Multi-Part, Double Sided form
50006 Physician's Orders - Cesarean Section Postpartum (Adult)
50007 Physician's Orders - Maternal Child Services Referral
50008 Physician's Orders - Oxytocin Induction 
50009 Physician's Orders - Dioprostone Induction
50010 Physician's Orders - Vaginal Delivery Postpartum (Adult)
50011 Physician's Orders - Hypertension in Pregrancy Acute Management (Adult)
50012 Physician's Orders - Consultation Epidural Analgesia Labour & Delivery (Adult)
50013 Physician's Orders - HIV in Pregnancy Intrapartum/Postpartum Management (Adult)
60002 Physician's Orders - Administration of Blood & Blood Products Multi-Part, Double Sided form
60003 Physician's Orders - Enteral Nutrition, Medical/Surgical Units (Adult) Multi-Part, Double Sided form
60008 Physician's Orders - Trachestomy Admission Orders
60009 Physician's Orders - Critical Care: Medical/Surgical Admission Orders (Adult) Multi-Part, Double Sided form
60011 Physician's Orders - ST Elevation MI: Tenecteplase (TNK) - Anticoagulant (Adult) Multi-Part, Double Sided form
60012 Physician's Orders - Elective Cardioversion in CCU
60013 Physician's Orders - Peripheral Occlusive Disease Intra-Arterial TPA (Activase) Multi-Part, Double Sided form
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) Multi-Part, Double Sided form
60016 Physician's Orders - Asthma Admission (Adult)
60019 Physician's Orders - Stroke: Rehabilitation Admission
60020 Physician's Orders - COPD Exacerbation Non ICU Admission (Adult) Multi-Part, Double Sided form
60021 Physician's Orders - Community Acquired Pneumonia Admission Orders (Adult)
60022 Physician's Orders - Critical Care – Cardiology, Admission Orders (Adult)
60023 Physician's Orders - Acute Stroke: Admission (Adult) Multi-Part, Double Sided form
60024 Physician's Orders - New Onset Uncomplicated Adult Type 1 Diabetes Emergency Management Multi-Part, Double Sided form
60025 Physician's Orders - 3b Cardiology Admission Orders
60026 Physician's Orders - Nitroglycerin IV Infusion
60028 Physician's Orders - Total Parenteral Nutrition (TPN)  Multi-Part, Double Sided form
60029 Physician's Orders - Enteral Nutrition ICU Multi-Part, Double Sided form
60030 Physician's Orders - Glucose Control Critical Care (Adult) Multi-Part, Double Sided form
60031 Physician's Orders - Permanent Pacemaker Insertion
60033 Physician's Orders - Methanol & Ethylene Glycol Poisoning, Medical Management (Adult)
60034 Physician's Orders - Low Molecular Weight Heparin Venous Thrombosis Inpatient Management (Adult) Multi-Part, Double Sided form
60035 Physician's Orders - Hypothermia Induction Post Cardiac Arrest (ICU/CCU) (Adult) Multi-Part, Double Sided form
60036 Physician's Orders - Cardiac Catheterization (Adult)
60038 Medication History Clarification & Additions Physician's Orders
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 Physician's Orders - General Medicine Admission Orders (Adult)
60049 Physician's Orders - Intrapericardial Sclerotherapy for Malignant Pericardial Effusion (Adult)
60050 Physician's Orders - Influenza Admission Orders (Adult)
70000 Physician's Orders - Diabetes Newly Diagnosed (Paediatric)
70001 Physician's Orders - Paediatric Immune Globulin Infusion
70002 Physician's Orders - Haematology/Oncology and Bone Marrow Transplant with Fever (Paediatric) Multi-Part, Double Sided form
70003 Physician's Orders - Diabetic Ketoacidosis (Paediatric) Multi-Part, Double Sided form
70004 Physician's Orders - Sepsis (Neonate) Multi-Part, Double Sided form
70005 Physician's Orders - Continuous Morphine Infusion (Paediatric) Multi-Part, Double Sided form
70006 Physician's Orders - Airway Inflammation & Bronchospasm (Paediatric)
70007 Physician's Orders - Total Parenteral Nutrition (TPN) (Neonate) Multi-Part, Double Sided form
70008 Physician's Orders - Eye Exams (Paediatric)
70009 Physician's Orders - Sickle Cell Disease (Paediatric) Multi-Part, Double Sided form
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) Multi-Part, Double Sided form
70015 Physician's Orders - Total Parenteral Nutrition (TPN) (Paediatric) Multi-Part, Double Sided form
70016 Physician's Orders - HIV in Neonates Acute Management (Neonate)
70017 Phisician'S Orders - Antenatal Paediatric or Genetic Consults (Adult)
90000 Physician's 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 Physician's Orders - Peritoneal Dialysis Catheter Inplantation
90005 Physician's Orders - Peritoneal Dialysis Outpatient /Inpatient
90006 Physician's Orders - Progressive Renal Insufficiency (PRI) Clinic
90007 Physician's Orders - Consultation Vascular Access Radiological Intervention (Adult) Multi-Part, Double Sided form
90009 Physician's Orders - Hemodialysis Patient  Multi-Part, Double Sided form
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)

 


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