CAGT- COMMON ORDERS		version 1/23/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		
	☑	Nursing communication	Every visit	S	Until discont'd	
		Please continue to schedule subsequent infusion appointments manually as appropriate.		

Provider Communication 	

	
	Interval	Defer Until	Duration	
	☐	Please place procedure, imaging, and referral orders using your preference list. These orders must be placed outside of the therapy plan to be scheduled.	Every 1 day	S	Until discont'd	
		No details available for preview		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	CAGT Discussion/Results	Once	S	1 treatment	
		No details available for preview		
	☐	Insert Peripheral IV or Access Portacath	Every visit	S	Until discont'd	
		No details available for preview		
	☐	sodium chloride 0.9% flush 10 mL	Every visit	S	Until discont'd	
		10 mL, intravenous, PRN, line care, Starting when released, for 10 doses		
	☐	sodium chloride 0.9% infusion 250 mL	Every visit	S	Until discont'd	
		250 mL, intravenous, at 30 mL/hr, PRN, Flush bag, Starting when released, Until Discontinued		

Multiple Myeloma- 30 Day 	

	
	Interval	Defer Until	Duration	
	☐	CBC with platelet and differential	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Comprehensive metabolic panel	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	LDH	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Kappa lambda free light chain with ratio	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Serum electrophoresis	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Includes immunofixation		
	☐	Urine protein electrophoresis, 24 hour	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Includes immunofixation		

Multiple Myeloma- 100 Day 	

	
	Interval	Defer Until	Duration	
	☐	Please place appt requests, procedure, imaging, and referral orders using your preference list. These orders must be placed outside of the therapy plan to be scheduled.	Every visit	S	Until discont'd	
		No details available for preview		
	☐	CBC with platelet and differential	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Comprehensive metabolic panel	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	LDH	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Serum electrophoresis	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Includes immunofixation		
	☐	Kappa lambda free light chain with ratio	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Protein, urine, 24 hour	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Creatinine clearance, urine, 24 hour	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Urine protein electrophoresis, 24 hour	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Includes immunofixation		
	☐	CD 4/8 subset	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Immunoglobulin G	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Immunoglobulin A	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Immunoglobulin M	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		

Lymphoma- 100 Day 	

	
	Interval	Defer Until	Duration	
	☐	Please place appt requests, procedure, imaging, and referral orders using your preference list. These orders must be placed outside of the therapy plan to be scheduled.	Every visit	S	Until discont'd	
		No details available for preview		
	☐	CBC with platelet and differential	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Comprehensive metabolic panel	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	LDH	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	CD 4/8 subset	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Serum electrophoresis	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Includes immunofixation		

IV Fluids 	

	
	Interval	Defer Until	Duration	
	☐	sodium chloride 0.9 % bolus 1,000 mL	Every visit	S	Until discont'd	
		1,000 mL, intravenous, Administer over: 60 Minutes, once, Starting when released		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	foscarnet (FOSCAVIR) in sodium chloride 0.9% IVPB	Every visit	S	Until discont'd	
		intravenous, Administer over: 120 Minutes, Starting when released		
	☐	micafungin (MYCAMINE) 100 mg in sodium chloride 0.9% 100 mL IVPB (RESTRICTED)	Every visit	S	Until discont'd	
		100 mg, intravenous, Administer over: 1 Hours, Starting when released		
	☐	cidofovir (VISITIDE) 1 mg/kg in dextrose 5% 100 mL IVPB	Every visit	S	Until discont'd	
		1 mg/kg, intravenous, Administer over: 60 Minutes, Starting when released		
	☐	ceFEPime (MAXIPIME) IV 2 g	Every visit	S	Until discont'd	
		2 g, intravenous, Starting when released		
	☐	vancomycin (VANCOCIN) 1 g in sodium chloride 0.9% 500 mL IVPB	Every visit	S	Until discont'd	
		1 g, intravenous, Administer over: 90 Minutes, Starting when released		
	☐	piperacillin-tazobactam (ZOSYN) IV 3.75 mg	Every visit	S	Until discont'd	
		3.75 mg, intravenous, Starting when released
	PLEASE NOTE: Combined use of Piperacillin/Tazobactam and Vancomycin may be associated with an increased incidence of acute kidney injury		
	☐	aztreonam (AZACTAM) IV	Every visit	S	Until discont'd	
		intravenous, Starting when released		

Additional Orders- Labs 	

	
	Interval	Defer Until	Duration	
	☐	Epstein-Barr virus antibody panel	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Cytomegalovirus Ab, IgG	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Cytomegalovirus Ab, IgM	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Cytomegalovirus by PCR	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	CD34 enumeration	Once	S	1 treatment	
		STAT, Normal, EXTERNAL LAB NON-INTERFACED
	External- send out; Page April STAT for pick-up		
	☐	Adenovirus antigen	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Urinalysis, automated with microscopy	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Urinalysis screen and microscopy, with reflex to culture	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Specimen Source: Urine
	Specimen Site: Clean catch		
	☐	Clostridioides difficile toxin gene (Qualitative Real-Time PCR)	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Stool		
	☐	Stool culture	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Stool		
	☐	Ova & parasites, concentrated examination	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Stool		
	☐	Ova & parasites, direct examination	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Stool		
	☐	Fecal leukocytes smear	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Stool		
	☐	CD 4 subset	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	CD 4/8 subset	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Kappa lambda free light chain with ratio	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Serum electrophoresis	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Includes immunofixation		
	☐	Protein, urine, 24 hour	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Creatinine clearance, urine, 24 hour	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	CK-MB	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Troponin	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Toxoplasma gondii qPCR - Viracor	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Respiratory pathogen panel with COVID-19 RT-PCR	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Nasopharyngeal		
	☐	Mycoplasma pneumoniae Ab, IgG	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Mycoplasma pneumoniae Ab, IgM	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Mycoplasma pneumoniae by PCR	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Occult blood, stool	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Stool		
	☐	Urine protein electrophoresis, 24 hour	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Includes immunofixation		
	☐	Creatine kinase, total (CPK)	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	HLA Typing- Collect Specimens	Once	S	1 treatment	
		Collect specimen and complete paper form. 
	Charge to (select one): { :11558515}
	
	Potential (circle one): { :11558516}
	
	Recipient HLA Laboratory Tests:
	{ :11558517}
	
	Donor HLA Laboratory Tests:
	{ :11558519}		
	☐	Epstein-Barr virus antibody test	Once	S	1 treatment	
		STAT, Normal, EXTERNAL LAB NON-INTERFACED
	EBV DNA
	External send out- to Dr. Heslop at TCH		
	☐	Blood culture, aerobic	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Blood		
	☐	Blood culture, aerobic & anaerobic	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Blood culture, anaerobic	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Blood		
	☐	Blood culture, fungus	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Blood		
	☐	Gulf Coast serology test	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Magnesium level	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Immunoglobulin G	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Immunoglobulin M	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Immunoglobulin A	Once	S	1 treatment	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Miscellaneous referral test	Once	S	1 treatment	
		STAT, Normal, Clinic Collect
	Chlamydia pneumoniae		

Electrolyte Replacement 	

	
	Interval	Defer Until	Duration	
	☐	magnesium sulfate IV 4 g	Every visit	S	Until discont'd	
		4 g, intravenous, once, Starting when released		
	☐	potassium chloride IVPB 10 mEq	Every visit	S	Until discont'd	
		10 mEq, intravenous, Administer over: 60 Minutes, once, Starting when released
	http://www.tmh.tmc.edu/dept/pharmacy/physorders/rx230.pdf
	Rate of administration should be adjusted according to patient tolerance.		
	☐	potassium chloride IVPB 20 mEq	Every visit	S	Until discont'd	
		20 mEq, intravenous, Administer over: 60 Minutes, once, Starting when released
	http://www.tmh.tmc.edu/dept/pharmacy/physorders/rx230.pdf		

Discharge Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Discontinue IV	Every visit	S	Until discont'd	
		No details available for preview