Clinic Appointments/Encounters - Revision history

JenniferH: /* Orthopedics */

2021-07-21T17:27:49Z

Orthopedics

← Older revision		Revision as of 17:27, 21 July 2021
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	See the [[Radiology#Teleradiology\|Teleradiology section]] on the Imaging Services page for more details about how to send a Telerad.		See the [[Radiology#Teleradiology\|Teleradiology section]] on the Imaging Services page for more details about how to send a Telerad.

			When a patient is scheduled for orthopedic surgery, the ANMC orthopedic case management team should forward the ortho note to the provider who is scheduled to complete a pre-op exam. Pre-op physicals prior to orthopedic procedures are good for 6 months.

	==Preoperative Exams Adult==		==Preoperative Exams Adult==

JenniferH: /* Pediatrics */

2020-11-19T06:30:10Z

Pediatrics

← Older revision		Revision as of 06:30, 19 November 2020
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	See the YKHC Pediatric Clinical Guidelines.		See the YKHC Pediatric Clinical Guidelines.

	See the [[:category:YKHC ~~Guidelines#Pediatrics~~ Guidelines\|YKHC ~~Pediatric~~ Clinical Guidelines]] for greater detail concerning common pediatric problems and recommendations for management at YKHC.		See the [[:category:YKHC Guidelines\|YKHC Clinical Guidelines]] for greater detail concerning common pediatric problems and recommendations for management at YKHC.

	[[:category:Pediatrics#Definition of Chronic Peds Patient\|Chronic Pediatric Patients]] are pediatric patients that have complex medical problems or require significant care coordination. These patients are usually scheduled with a pediatrician; however, they occasionally are scheduled with family medicine providers. If you are seeing a chronic pediatric patient or a child that you think should be chronic peds, please discuss [[:Category:Consults#Internal (Bethel) Consult Services\|management with a pediatrician]].		[[:category:Pediatrics#Definition of Chronic Peds Patient\|Chronic Pediatric Patients]] are pediatric patients that have complex medical problems or require significant care coordination. These patients are usually scheduled with a pediatrician; however, they occasionally are scheduled with family medicine providers. If you are seeing a chronic pediatric patient or a child that you think should be chronic peds, please discuss [[:Category:Consults#Internal (Bethel) Consult Services\|management with a pediatrician]].

JenniferH: /* Women's Health */

2020-11-19T06:29:31Z

Women's Health

← Older revision		Revision as of 06:29, 19 November 2020
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	==[[Prenatal Information\|Prenatal Care Information]]==		==[[Prenatal Information\|Prenatal Care Information]]==

	==[[:category:Women's Health\|Women's Health]]==		==Women's Health==
			See the [[:category:Women's Health\|Women's Health Main Page]] for more details

	All family medicine provider can do Women’s Health Care, but we also have dedicated Women’s Health Providers. A Nurse Practitioner or Physician Assistant must have special training and proctoring to insert and/or remove IUDs and Nexplanon. There are several Women’s Health case managers.		All family medicine provider can do Women’s Health Care, but we also have dedicated Women’s Health Providers. A Nurse Practitioner or Physician Assistant must have special training and proctoring to insert and/or remove IUDs and Nexplanon. There are several Women’s Health case managers.

JenniferH: /* Otitis Media, Acute */

2020-11-19T06:28:17Z

Otitis Media, Acute

← Older revision		Revision as of 06:28, 19 November 2020
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	If patient needs to stay an additional night in Bethel please provide them with a note for travel.		If patient needs to stay an additional night in Bethel please provide them with a note for travel.
	===Otitis Media, Acute===		===Otitis Media, Acute===
	* Review the [[Otitis Media 3 months–12 years\|Otitis Media wiki page]] and [[media:AOM_peds.pdf\|Otitis Media, Acute (3 months to 12 years) YKHC Clinical Guideline]] for more details.		* Review the [[Otitis Media 3 months–12 years\|Otitis Media YKHC wiki page]] and [[media:AOM_peds.pdf\|Otitis Media, Acute (3 months to 12 years) YKHC Clinical Guideline]] for more details.

	===[[Sexually Transmitted Infections]]===		===[[Sexually Transmitted Infections]]===

JenniferH: /* Head Injury/Concussions */

2020-11-19T06:28:00Z

Head Injury/Concussions

← Older revision		Revision as of 06:28, 19 November 2020
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	===Head Injury/Concussions===		===Head Injury/Concussions===
	[[ASAA Healthcare Provider Release and Return to Play Protocol]]		[[ASAA Healthcare Provider Release and Return to Play Protocol]]
	*see the [[Head Injury / Concussion Under 18 Years\|Head Injury/Concussions Wiki Page]] and [[media:Head_injury_peds.pdf\|Head Injury/Concussion (<18 years) YKHC Clinical Guideline]] for more details		*see the [[Head Injury / Concussion Under 18 Years\|Head Injury/Concussions YKHC Wiki Page]] and [[media:Head_injury_peds.pdf\|Head Injury/Concussion (<18 years) YKHC Clinical Guideline]] for more details

	===ER Rechecks===		===ER Rechecks===

JenniferH: /* Strep Pharyngitis */

2020-11-19T06:27:40Z

Strep Pharyngitis

← Older revision		Revision as of 06:27, 19 November 2020
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	* We do not screen children < 3 y/o routinely.		* We do not screen children < 3 y/o routinely.
	* see the [[media:GAS_Guideline.pdf\|Pharyngitis (Adults and Pediatrics) (Group A Strep) YKHC Clinical Guideline]] for more details		* see the [[media:GAS_Guideline.pdf\|Pharyngitis (Adults and Pediatrics) (Group A Strep) YKHC Clinical Guideline]] for more details
	* Review chart for recurrent RST. If patient meets Diagnostic Criteria and parent desires, refer to ENT for tonsillectomy. (see the [[Pharyngitis\|Strep Pharyngitis Wiki Page]] for more details)		* Review chart for recurrent RST. If patient meets Diagnostic Criteria and parent desires, refer to ENT for tonsillectomy. (see the [[Pharyngitis\|Strep Pharyngitis YKHC Wiki Page]] for more details)

	===Bronchiolitis/Wheezing===		===Bronchiolitis/Wheezing===

JenniferH: /* Bronchiolitis/Wheezing */

2020-11-19T06:27:19Z

Bronchiolitis/Wheezing

← Older revision		Revision as of 06:27, 19 November 2020
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	===Bronchiolitis/Wheezing===		===Bronchiolitis/Wheezing===
	* see the [[Bronchiolitis / Wheezing – 3-24 Months\|Bronchiolitis/Wheezing Wiki Page]] and [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing (3-24 months) YKHC Clinical Guideline]] for more details		* see the [[Bronchiolitis / Wheezing – 3-24 Months\|Bronchiolitis/Wheezing YKHC Wiki Page]] and [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing (3-24 months) YKHC Clinical Guideline]] for more details
	* Review oxygen saturations with the nurse as well as respiratory status.		* Review oxygen saturations with the nurse as well as respiratory status.
	* Administer albuterol / ipratropium nebs as indicated. Monitor vitals more frequently.		* Administer albuterol / ipratropium nebs as indicated. Monitor vitals more frequently.

JenniferH: /* Chronic Pain Visits */

2020-11-19T06:26:55Z

Chronic Pain Visits

← Older revision		Revision as of 06:26, 19 November 2020
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	* If you require further information, please contact the respective facility.		* If you require further information, please contact the respective facility.

	==~~[[:category:Chronic Pain\|~~Chronic Pain Visits]]==		==Chronic Pain Visits==
	We do have some chronic pain patients, but not as many as other facilities. An interdisciplinary team, including providers with extra training in chronic pain management and pharmacists, has been developed to help manage the care of these patients. For more details about the care of these patients in Bethel, please follow the link above.		We do have some chronic pain patients, but not as many as other facilities. An interdisciplinary team, including providers with extra training in chronic pain management and pharmacists, has been developed to help manage the care of these patients. For more details about the care of these patients in Bethel, please follow the link above.
			*see the [[:category:Chronic Pain\|Chronic Pain YKHC Wiki Page]] and [[media:chronic_pain.pdf\|Chronic Pain YKHC Clinical Protocol]] for more details.

	==Hospital Discharge Follow up==		==Hospital Discharge Follow up==

JenniferH: /* Wheezing */

2020-11-19T06:25:13Z

Wheezing

← Older revision		Revision as of 06:25, 19 November 2020
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	* Review chart for recurrent RST. If patient meets Diagnostic Criteria and parent desires, refer to ENT for tonsillectomy. (see the [[Pharyngitis\|Strep Pharyngitis Wiki Page]] for more details)		* Review chart for recurrent RST. If patient meets Diagnostic Criteria and parent desires, refer to ENT for tonsillectomy. (see the [[Pharyngitis\|Strep Pharyngitis Wiki Page]] for more details)

	===[[Bronchiolitis / Wheezing – 3-24 Months\|Wheezing]]~~===~~		===Bronchiolitis/Wheezing===
	* see the [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing (3-24 months) YKHC Clinical Guideline]] for more details ~~about management~~		* see the [[Bronchiolitis / Wheezing – 3-24 Months\|Bronchiolitis/Wheezing Wiki Page]] and [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing (3-24 months) YKHC Clinical Guideline]] for more details
	* Review oxygen saturations with the nurse as well as respiratory status.		* Review oxygen saturations with the nurse as well as respiratory status.
	* Administer albuterol / ipratropium nebs as indicated. Monitor vitals more frequently.		* Administer albuterol / ipratropium nebs as indicated. Monitor vitals more frequently.

JenniferH: /* Concussion */

2020-11-19T06:24:08Z

Concussion

← Older revision		Revision as of 06:24, 19 November 2020
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	Many programs require a PPD to be placed and reported before patient can start school. Please make sure this is documented in RAVEN.		Many programs require a PPD to be placed and reported before patient can start school. Please make sure this is documented in RAVEN.
	==Sick Visits==		==Sick Visits==
	===[[Head Injury / ~~Concussion Under 18 Years\|Concussion]]~~===		===Head Injury/Concussions===
	[[ASAA Healthcare Provider Release and Return to Play Protocol]]		[[ASAA Healthcare Provider Release and Return to Play Protocol]]
	*see the [[media:Head_injury_peds.pdf\|Head Injury/Concussion (<18 years) YKHC Clinical Guideline]] for more details		*see the [[Head Injury / Concussion Under 18 Years\|Head Injury/Concussions Wiki Page]] and [[media:Head_injury_peds.pdf\|Head Injury/Concussion (<18 years) YKHC Clinical Guideline]] for more details

	===ER Rechecks===		===ER Rechecks===