CAGT- ALLO DAILY ORDERS		version 1/29/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	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	
	☐	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		

Labs 	

	
	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		
	☐	Magnesium level	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		
	☐	Cytomegalovirus antigen	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Cytomegalovirus by PCR	Every visit	S	 treatments	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	FK506 Tacrolimus level, trough	Every visit	S	 treatments	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Toxoplasma gondii qPCR - Viracor	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Miscellaneous referral test	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Human Herpes Virus 6		
	☐	Respiratory pathogen panel with COVID-19 RT-PCR	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE, Nasopharyngeal		
	☐	BK virus by PCR	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Specimen Source: Urine
	Urine		
	☐	BK virus by PCR	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE
	Specimen Source: Plasma		
	☐	HLA Typing- Collect Specimens	Every visit	S	Until discont'd	
		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}		
	☐	Type and screen	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	CD 4/8 subset	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Epstein-Barr virus (EBV), quantitative PCR	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Immunoglobulin G	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Immunoglobulin M	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Immunoglobulin A	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect, HMH DEPARTMENT OF PATHOLOGY AND GENOMIC MEDICINE		
	☐	Hepatitis B virus (HBV), quantitative PCR	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		

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		

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