Guidelines Medical Center
**Please be advised the Guidelines Medication Administration webpage has been modified. MC and CH guidelines are on different tabs
Approval and Review of Policies and Other Guiding Documents A-2 Policy and Flowchart
Medication Administration Guidelines/Date Updated
- Admission Screening for c.Diff – Nursing - 11/2018
- Alcohol Withdrawal Syndrome - Adult Inpatient - 04/2024
- Anticoagulation
- Argatroban - Adult Inpatient - 07/2022
- Coagulopathy Reversal - Adult - 04/2024
- Dabigatran - Adult Inpatient - 01/2023
- Enoxaparin Inpatient - MC - 03/2023
- Fondaparinux - Adult Inpatient - 11/2022
- Heparin Inpatient - MC - 07/2022
- Neuraxial Procedure - 03/2023
- PERT - Thrombolysis Anticoagulation Flowchart - 10/2021
- PERT - Direct Oral Anticoagulants (DOACs) - 10/2021
- PERT - Anticoagulation for Venous Thromboembolic Event - 10/2021
- PERT - Alteplase (t-PA) - 10/2021
- Pharmacist-Managed Outpatient Anticoagulation Service - Adult - MC - 09/2023
- Pharmacist-Management Outpatient Anticoagulation - 05/2023
- Rivaroxaban - Adult Inpatient - 12/2021
- Vitamin K Guidelines for Non-Emergent Warfarin Reversal - Adult – MC - 03/2023
- Warfarin - Adult Inpatient - MC - 03/2023
- Antimicrobial
- Aminoglycoside Dosing Guidance Adult – MC - 01/2023
- Antibiogram for Adults - 10/2023
- Antibiogram for Adults Urine - 10/2023
- Antimicrobial Dosing and Administration for Surgical Prophylaxis – MC - 07/2023
- Antimicrobial Renal Dose Adjustment – MC - 05/2023
- Antiretroviral Formulary (ART)- MC - 11/2023
- Cellulitis – Clinical Pathway – MC - 05/2023
- Chronic Sacral Decubitus Ulcers – Clinical Pathway – MC - 05/2023
- Clinical Pathway for Diagnosis & Empiric Management of Urinary Tract Infections in an Adult Patient - 11/2023
- Clinical Pathway for the Treatment of Clostridioides difficile Infection - Adult - 5/2/22
- Coronavirus (COVID-19) Pathways
- Diagnosis and Management of Community Acquired Pneumonia in Adults - MC - 07/2023
- Penicillin Allergy Questionnaire and Clinical Pathway - 05/2023
- Penicillin Desensitization - 11/2021
- Probiotic Use Guidelines - 11/2022
- Restricted Antimicrobial Procedure - MC - 11/2023
- Restricted Antimicrobial Use Guidelines - MC - 11/2023
- Severe Malaria Response - 09/2023
- Triazole Antifungal Therapeutic Drug Monitoring - 10/2023
- Verigene - Adult - 01/2024
- Vancomycin Dosing Protocol - Adult - 05/2022
- Aspirin Desensitization - 03/2023
- Bowel Regimen for Adult ICU Patients - 01/2024
- Bronchiolitis Guidelines - ED - MC - 05/2019
- Cardiac Progressive Care Unit Guidelines – MC - 09/2023
- Cardiogenic Shock Unit 9A Diuretic Treatment - 09/2022
- Cardiogenic shock Unit 9A Inotrope and Vasopressor Treatment - 09/2022
- Chest Pain
- Clinical Pathway for Radical Cystectomy - Adult - 05/2024
- Commonly Used Medical and Diagnostic Dyes in the OR - 03/2022
- Criteria for calling the Obstetrics Rapid Response Team - MC - 07/2021
- Critical Care Electrolyte Replacement - MC - 11/2017
- Dexmedatomidine for Moderate Sedation in Non-Intubated Patients – Adult – MC - 11/2021
- Diabetic Ketoacidosis in Pregnancy - 05/2023
- Dobutamine Cardiac Stress Test with Cardiac Magnetic Resonance Imaging (MRI) – MC - 07/2024
- ECMO
- Adult ECMO Circuit Medication Administration - 11/2021
- Bivalirudin Titration – ECMO – MC - 05/2024
- ECMO – Adult - 02-2021
- ECMO Activation Process – Adult – MC - 05/2024
- ECMO Capacity for COVID 19 – Adult – MC - 05/2021
- ECMO COVID-19 Activation Process – Adult – MC - 05/2024
- ED Sepsis Adult Activation Algorithm - 11/2023
- Electrolyte Replacement Guidelines - MC - 07/2021
- Emergency General Surgery DVT Prophylaxis Inpatient Guideline (EGS) - 01/2023
- Emergency – Resuscitation Dosage Guidelines - 01/2024
- Enhanced Recovery After Surgery (ERAS)
- ERAS Breast Pathway for Mastectomy - 11/2022
- ERAS Colorectal Pathway - 09/2022
- ERAS Pancreas Pathway - 11/2022
- Pre-Surgery Nutrition Plan - 05/2023
- Extravasation Guidelines Combined – MC - 05/2023
- Eye Disorders
- Central Retinal Artery Occlusion (CRAO) Protocol - 09/2021
- Corneal Ulcer Treatment - 07/2022
- Globe Rupture - 01/2024
- Globe Trauma Protocol - MC - 09/2021
- Management of Glaucoma Crisis - MC - 09/2021
- Non-Traumatic Red Eye - MC - 07/2024
- Optic Neuritis Protocol – MC - 03/2023
- Fecal Microbiota Transplant – MC - 05/2023
- Filter Requirements for IV Administration - 05/2023
- Fluid Restrictions – MC - 04/2024
- GI Endoscopy Antibiotic Prophylaxis - 09/2022
- GI Stress Ulcer Prophylaxis - 01/2022
- Glucose, Insulin, and Potassium (GIK) Protocol - 11/2021
- Glucose Management in OR Algorithm - 06/2020
- Heart Failure Level of Care - Adult - 11/2021
- Heart Failure Medical Milestone - Adult - 07/2022
- Hepatitis B and C - 11/2017
- High Sensitivity Troponin Algorithm – Adult – MC - 08/2021
- House Menu Nutrient Analysis - Adult - MC - 11/2022
- Hypothermia Post Cardiac Arrest - 06/2020
- Hyperkalemia – MC - 01/2024
- Hypertonic Saline IV 23.4% - Adults - 01/2023
- ICP Pressure Monitoring and Management – MC - 07/204
- Insulin Infusion - Adult – MC - 05/2022
- Intranasal Midazolam Guidelines – ED/Advanced Urgent Care, Adult and Pediatric – MC - 03/2021
- Intravenous Medication Guidelines - MC - 05/2024
- IPAD and IFON for Mechanically Ventilated Adults in the ICU - 07/2021
- IV Push Dilution - 11/2021
- Lidocaine Infusion for Pain – MC - 09/2022
- Ketamine Continuous Infusion for Sedation - 11/2022
- Ketamine Guidelines - IM Sedation - Adult/Peds - MC - 05/2024
- Ketamine Infusion for Treatment-Resistant Depression – MC - 01/2023
- Ketamine IV for Procedural Sedation – Adult – MC - 06/2023
- Ketamine Low Dose Infusion - MC - 04/2024
- Malignant Hyperthermia Cart Updates - 10/2019
- Malignant Hyperthermia Algorithm - MC - 07/2021
- Malnutrition Guidelines Adult - 11/2023
- Management for Patients on Peritoneal Dialysis - 07/2017
- Management of Febrile Neutropenia - MC - 04/2024
- Managing Mesenteric Ischemia - 12/2017
- Managing Arterial Mesenteric Ischemia - MC - 07/2021
- Massive Transfusion - 06/2020
- Maternal Sepsis Algorithm – MC - 03/2021
- Medication Lists
- AcuDose Overrideable Medication List - MC - 07/2024
- Adult High Sensitivity Troponin Algorithm – MC - 06/2024
- Adult Oral Formulary Automatic Substitution list – MC - 06/2024
- Automatic Hard Stop Medication - MC - 07/2024
- Chest Pain - ED Risk Stratification Algorithm – MC - 06/2024
- Hazardous Medication List - MC - 04/2024
- Look-Alike/Sound-Alike Medication List - MC - 07/2024
- Trauma Low velocity geriatric trauma – MC - 06/2024
- Menu Marking Guide for Room Service – MC - 01/2024
- Menu Marking Nutrient Restrict Allowance – MC - 11/2022
- MRI Adult Glucagon Protocol – MC - 08/2023
- MRI Pediatric Glucagon Protocol – MC - 08/2023
- MRI Adult Furosemide Protocol – MC - 08/2023
- MRI Pediatric Furosemide Protocol – MC - 08/2023
- Myeloid Growth Factor - Adult - 2023
- Naloxone Infusion Guidelines - 05/2023
- Neuro Progressive Care Unit Criteria - 08-20210
- Orthopaedic Trauma - 07/2023
- Parenteral Nutrition - Adult - 11/2018
- Patient Evaluation Algorithm for Adult Patients Attempting to Leave the Hospital - 03/2022
- PD Peritonitis protocol – EC and AUC - 05/2021
- Pediatric Activation Guideline for Rapid Response Team - MC - 07/2021
- Pelvic Fracture - 07/2018
- Periop Glucose Management – MC - 07/2023
- Pharmacist-initiated I.V. to Enteral Medication Conversion - 09/2022
- Post Cardiac Arrest – MC - 11/2023
- Pre-Cardiac CT Scan Using Siemens 126 Scanned for Nurses - 01/2022
- Premedication Guideline for Patients with KNOWN CT Contrast Allergy - 09/2022
- Promethazine Post-Op IM Guideline – MC - 06/2023
- Propofol for Moderate Sedation in Non-Intubated Patients – CCST – Adult - 06/2023
- QTc Interval Monitoring - 01/2024
- Radiology Contrast Protocols – CT, MRI - 06/2020
- Robot-Assisted Laparoscopic Prostatectomy – RALP – MC - 05/2024
- Sedation
- Sepsis Fluid Algorithm - 11/2021
- Sickle Cell disease PCA to Oral - 07/2022
- Sickle Cell Medical Milestones - Adult - 03/2022
- Sickle Cell Opioid to PCA - 07/2022
- Sickle Cell Pain Management Algorithm - Adult - 07/2022
- SMOF Lipid Test Dose Clinical Guideline – MC - 11/2023
- Spontaneous Awakening Trial (SAT) – Spontaneous Breathing Trial (SBT) - 09/2023
- Standard Infusion Concentrations - Adult - 09/2022
- Standard Titration for Intravenous Infusions - MC - 11/2021
- Stroke Guidelines
- Trauma Traumatic Brain Injury ICP Management - MC - 09/2023
- Trauma - Intracranial Pressure Management - 03/2023
- Trauma Orthopedic Inpatient Skeletal Traction Protocol - 07/2023
- TRAUMA Partial REBOA (pREBOA) - 11/2023
- Trauma - Rib Fracture-MC - 03/2023
- Trauma - Severe Head Trauma - MC - 09/2023
- Urinary Catheter Assessment/Care - 04/2016
- Use of Fecal Microbiota Transplant (FMT) to treat patients with Recurrent Clostridium Difficile Infection (CDI) - 10/2017
- Utilization of Universal Pain Post-Op Order Set - MC - 07/2024
- Uvadex in Apheresis - 05/2024
- Vascular Access Planning Guidelines - 05/2023
- Voiding Trial for Pelvic Reconstruction Surgery Patients – SH - 10/2020
- Withdrawal of Life Support – Adult ICU and Comfort Care - 05/2023
- Withdrawal of Life Support – Medication Algorithm - 05/2023
- Withdrawal of Life-Sustaining Measures at the End of Live - 05/2023
Miscellaneous/Date Updated
For changes to Guidelines on this page, please contact
Adult Hospital, Judy Teng, (x15719) and Huy Le, PharmD (x83885)
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