MediaWiki API result

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            "*": "Subscribe to the mediawiki-api-announce mailing list at <https://lists.wikimedia.org/postorius/lists/mediawiki-api-announce.lists.wikimedia.org/> for notice of API deprecations and breaking changes."
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        "pages": {
            "776": {
                "pageid": 776,
                "ns": 0,
                "title": "Regional Guidelines for CHA/Ps",
                "revisions": [
                    {
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                        "*": "'''Give Flu Shots without Standing Orders or RMT:''' CHAs without standing orders may give flu vaccines without RMT. Full documentation in RAVEN is required. The patient\u2019s vital signs and screening questionnaire must be normal. Call Immunization at 543-6121 if there is a question or concern.\n\n'''Use of Albuterol before RMT''': \nCHAs may give one bullet of Albuterol neb for patients with wheezing, shortness of breath, SPO2 of 93% or less, or respiratory distress (cyanosis, fast respiratory rate, retractions, nasal flaring, grunting,). Document the patient\u2019s lung exam and vital signs before and after treatment (the SPO2 is repeated 15 minutes after neb treatment) and state if the nebulizer treatment helped or not. These patients must be reported urgently. DO NOT let any patient in respiratory distress leave the clinic until approved by RMT provider. \n\n'''Use of Acetaminophen or Ibuprofen before RMT''': CHAs may give one dose of Acetaminophen (per CHAM dosing charts) to patients greater than 3 months of age, or one dose of Ibuprofen to patients greater than 6 months of age, FOR a rectal temperature of 100.4 F or more (or oral temperature of 99.5 F or more in older children and adults), or a pain scale /FLAAC of 7 or more. In 30 minutes, get another temperature and state if the patient is better or not.\n \n'''WIC Visits without RMT''': CHAs may do WIC exams without RMT. If any concerns or abnormal vital signs/hemoglobin, evaluate the problem using CHAM/RMT, or treat using Standing Orders. Give nutrition education at all WIC visits, such as \u201cGeneral Guidelines for Wellness\u201d, \u201cNutrition\u201d, \u201cBasic Guidelines for a Healthy Diet\u201d, \u201cNutrition for Breastfeeding Women\u201d, or \u201cGood Resources of Key Nutrients. \n\n'''Abscess Recheck Visits without RMT''': CHAs may do abscess care re-check care without RMT as long as the patient is better and there are no concerns. RMT if the abscess is staying the same or getting worse.\n\n'''Giving Expedited Partner Therapy to Partner(s) of Patients with positive GC or CT without Standing Orders or RMT''': CHAs may give Expedited Partner Therapy (EPT) to partner(s) of patients with positive Gonorrhea or Chlamydia infections without RMT. Document in the chart of the patient with the infection: \u201cEPT #___ dose(s) given to patient for partner(s).\u201d Document the medicine and dosage and CN #. Do not document name(s) of patient getting EPT. \n\n'''Obtain Pediatric Lipid Screening without Standing Orders or RMT''': CHAs may order lipid panel (fasting or non-fasting) for patients 9 years old to 11 years old who have never had a pediatric lipid screening without RMT. Use health maintenance during visit to determine if the patient has or has not had a pediatric lipid screening in the past.  Full documentation of lab draw in RAVEN is required. Please order the lipid panel under the village clinic\u2019s primary care provider\u2019s name.\n\n'''Give Fluoride Varnish without Standing Orders or RMT''': CHAs may apply fluoride varnish to patients\u2019 teeth every 3 months without RMT. Give patient education after/during fluoride varnish treatment for \u201cbrushing your teeth\u201d and \u201cflossing your teeth\u201d for patients greater than 2 years; give patient education for \u201cearly childhood cavities\u201d for patients less than 2 years. Full documentation in RAVEN is required.\n\n\n[[:Category:Radio Medical Traffic (RMT)|Radio Medical Traffic (RMT) Main Page]]"
                    }
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            },
            "846": {
                "pageid": 846,
                "ns": 0,
                "title": "Regular (Outpatient) RMT",
                "revisions": [
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                        "*": "==[[Fever \u2013 Infants 0-90 days]]==\nSee guideline [[media:Fever_less_than_90_days.pdf|Fever less than 90 days]]\n\n==Fever of Unknown Origin==\nchildren <5 should be sent to SRC or Bethel for UA\n\n==Viral URI==\nsupportive care w/ reevaluation in ~ 2 days or sooner if any concerns\n==Stomatitis==\n*tx options are magic mouth wash, aggressive hydration with a sippy cup or syringe, cold fluids, Tylenol, Motrin and frequent reassessment for dehydration\n*to Bethel or SRC if significant concerns.  Usually worsens over 3 days and then gradually improves.  \n==[[Pharyngitis|Group A Strep pharyngitis]]==\nChildren under 3 do not suffer the adverse sequelae of GAS so don\u2019t test / treat\n*Rapid strep may remain + for up to 1 month of tx\n* consider GAS eradication w/ Clindamycin or Augmentin for carriers w/ recurrent   symptoms\n*see ENT referral guidelines for recurrent GAS (Jane, I have these and will bring them next time for inclusion as a link)\n\n==[[Otitis Media 3 months\u201312 years|Acute Otitis Media]]==\n[[media:AOM_peds.pdf|See peds OM guideline]]\n*recheck ears in children only if not improving or worse\n*see ENT guidelines for recurrent AOM / perforation for PE tubes and tympanoplasty are covered in the referral orders for these on RAVEN\n\n==[[Sinusitis More Than 5 Years|Sinusitis]]==\n*[[media:Sinusitis_peds.pdf|see peds sinusitis YKHC Guideline]] (usually requires Pediatric consult)\n*For adults try to avoid antibiotics for at least 2.5 weeks.  Use routine supportive measures; the villages have nasal saline, Sudafed, and Benadryl.\n\n==Community Acquired Pneumonia [[Pneumonia \u2013 Pediatric More Than 3 Months|(Peds)]] or [[Pneumonia \u2013 Adult|(Adults)]]==\n*Use routine clinical judgment in deciding to tx or not (i.e. fever, productive cough, pleuritic pain, duration of sxs) remembering that there is a large number of patients w/ bronchiectasis from recurrent respiratory infection\n*look at problem list and have a lower threshold of using antibiotics in someone w/ recurrent CAP.  \n*Adults\u2014Doxycycline, Augmentin, and Ceftriaxone are all available in the village\n*Peds\u2014[[media:Pneumonia_peds.pdf|see peds guideline]].  If abnormal respiratory exam, see recommendations as above.  \n*REMEMBER, fever and dehydration can affect respiratory rate and O2 sat, so treat these before deciding on disposition\n\n==[[Skin and Soft Tissue Infection|Boils/cellulitis]]==\n[[media:SSTI.pdf|see Skin and Soft Tissue guideline]]\n*REMEMBER I&D is 1st line tx\u2192many CHAs will perform I&Ds\n*No running water in many villages so suprainfection is a common complication of many skin conditions (bug bites, scabies, eczema)\u2192MRSA colonization is common so need to cover for MRSA\n*Provide bleach bath education for recurrent MRSA / multiple boils (available in Patient Education Custom Templates)\n\n==UTI [[UTI \u2013 Children 3 Months\u20135 Years|(Peds)]] or [[UTI \u2013 Adult|(Adults)]]==\n[[media:UTI_peds.pdf|See UTI guidelines in children]]\n*Adults: request cx.  Use best clinical judgment to decide on empiric antibiotic\n*Pregnant and suspected pyelonephritis\u2192to Bethel for evaluation\n\n==Viral Gastroenteritis==\n*routine instructions.  \n*Close follow up for evaluation of dehydration\n==Abdominal pain==\nif nothing about exam or vitals is concerning, try empiric GERD / constipation tx w/ careful warning signs and next day recheck vs commercial flight for evaluation if dx is unclear and clinical concern\n==STD checks==\n*CHAs have standing orders for labs and medications\n*tx if clinical concern warrants it; or wait for studies\n\n==Lacerations==\n*Some CHAs are comfortable placing sutures\n*Hair tying and steri strips are other options for wound closure\n\n==Pregnancy Test==\n*Start PNVs, calcium, and iron\n*have CHA schedule 1st Prenatal appt\n==Medication Refills==\nIf the health aide requests that a patient needs med refills please do the following.\n#Review the documentation in the past few visits, problems, and the past labs that have been done.\n#If the patient needs labs drawn- please select those from the Future Lab order folder- in the Regular Lab folder on your home page.\n#If you feel comfortable giving the patient the refills -then go to the Medication tab- place the cursor on the med you want to refill and right click.  You will get a variety of options. You can select one month with 1- refills or 1 month with no refills if they need labs done \n#Sign orders\n#If they need a new med refilled- do not add it to the Village Powerplan.  Go to the Blue plus sign on the left hand side of the orders screen and select it- then ideally pick the Med out of the Med order folders in your home page and complete the order in the usual fashion.\n==Prenatals==\n==WCCs==\n*Review RMT closely to make sure all safety, developmental screening, anticipatory guidance, fluoride varnish and immunizations are updated\n*Also check growth curves for HC, weight and length and make sure CHAs know do this as well.\n*Referral to dental, optometry and peds should be made as necessary. \n==Pediatric Dental Pre-op Travel Clearance RMTs==\n*must be forwarded to CPP RMT\n\n\n[[:Category: Radio Medical Traffic (RMT)|Radio Medical Traffic (RMT) Main Page]]\n<br/>[[:Category: Outpatient|Outpatient Main Page]]"
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