Regular (Outpatient) RMT - Revision history

JenniferH: /* Pediatric Dental Pre-op Travel Clearance RMTs */

2020-10-30T12:05:08Z

Pediatric Dental Pre-op Travel Clearance RMTs

← Older revision		Revision as of 12:05, 30 October 2020
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	[[:Category: Radio Medical Traffic (RMT)\|Radio Medical Traffic (RMT) Main Page]]		[[:Category: Radio Medical Traffic (RMT)\|Radio Medical Traffic (RMT) Main Page]]
	[[:Category: Outpatient\|Outpatient Main Page]]		<br/>[[:Category: Outpatient\|Outpatient Main Page]]

2020-10-30T12:04:33Z

Pediatric Dental Pre-op Travel Clearance RMTs

← Older revision		Revision as of 12:04, 30 October 2020
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	*must be forwarded to CPP RMT		*must be forwarded to CPP RMT

	[[:Category: Radio Medical Traffic (RMT)]]
			[[:Category: Radio Medical Traffic (RMT)\|Radio Medical Traffic (RMT) Main Page]]
			[[:Category: Outpatient\|Outpatient Main Page]]

2020-09-26T10:01:46Z

UTI

← Older revision		Revision as of 10:01, 26 September 2020
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	*Provide bleach bath education for recurrent MRSA / multiple boils (available in Patient Education Custom Templates)		*Provide bleach bath education for recurrent MRSA / multiple boils (available in Patient Education Custom Templates)

	==UTI==		==UTI [[UTI – Children 3 Months–5 Years\|(Peds)]] or [[UTI – Adult\|(Adults)]]==
	[[media:UTI_peds.pdf\|See UTI guidelines in children]]		[[media:UTI_peds.pdf\|See UTI guidelines in children]]
	*Adults: request cx. Use best clinical judgment to decide on empiric antibiotic		*Adults: request cx. Use best clinical judgment to decide on empiric antibiotic

2020-09-26T10:00:48Z

Boils/cellulitis

← Older revision		Revision as of 10:00, 26 September 2020
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	*REMEMBER, fever and dehydration can affect respiratory rate and O2 sat, so treat these before deciding on disposition		*REMEMBER, fever and dehydration can affect respiratory rate and O2 sat, so treat these before deciding on disposition

	==Boils/cellulitis==		==[[Skin and Soft Tissue Infection\|Boils/cellulitis]]==
	[[media:SSTI.pdf\|see Skin and Soft Tissue guideline]]		[[media:SSTI.pdf\|see Skin and Soft Tissue guideline]]
	*REMEMBER I&D is 1st line tx→many CHAs will perform I&Ds		*REMEMBER I&D is 1st line tx→many CHAs will perform I&Ds

2020-09-26T10:00:20Z

Community Acquired Pneumonia

← Older revision		Revision as of 10:00, 26 September 2020
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	*For adults try to avoid antibiotics for at least 2.5 weeks. Use routine supportive measures; the villages have nasal saline, Sudafed, and Benadryl.		*For adults try to avoid antibiotics for at least 2.5 weeks. Use routine supportive measures; the villages have nasal saline, Sudafed, and Benadryl.

	==Community Acquired Pneumonia==		==Community Acquired Pneumonia [[Pneumonia – Pediatric More Than 3 Months\|(Peds)]] or [[Pneumonia – Adult\|(Adults)]]==
	*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		*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
	*look at problem list and have a lower threshold of using antibiotics in someone w/ recurrent CAP.		*look at problem list and have a lower threshold of using antibiotics in someone w/ recurrent CAP.

2020-09-26T09:59:14Z

Sinusitis

← Older revision		Revision as of 09:59, 26 September 2020
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	*see ENT guidelines for recurrent AOM / perforation for PE tubes and tympanoplasty are covered in the referral orders for these on RAVEN		*see ENT guidelines for recurrent AOM / perforation for PE tubes and tympanoplasty are covered in the referral orders for these on RAVEN

	==Sinusitis==		==[[Sinusitis More Than 5 Years\|Sinusitis]]==
	*[[media:Sinusitis_peds.pdf\|see peds sinusitis YKHC Guideline]] (usually requires Pediatric consult)		*[[media:Sinusitis_peds.pdf\|see peds sinusitis YKHC Guideline]] (usually requires Pediatric consult)
	*For adults try to avoid antibiotics for at least 2.5 weeks. Use routine supportive measures; the villages have nasal saline, Sudafed, and Benadryl.		*For adults try to avoid antibiotics for at least 2.5 weeks. Use routine supportive measures; the villages have nasal saline, Sudafed, and Benadryl.

2020-09-26T09:58:52Z

AOM

← Older revision		Revision as of 09:58, 26 September 2020
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	*see ENT referral guidelines for recurrent GAS (Jane, I have these and will bring them next time for inclusion as a link)		*see ENT referral guidelines for recurrent GAS (Jane, I have these and will bring them next time for inclusion as a link)

	==~~AOM~~==		==[[Otitis Media 3 months–12 years\|Acute Otitis Media]]==
	[[media:AOM_peds.pdf\|See peds OM guideline]]		[[media:AOM_peds.pdf\|See peds OM guideline]]
	*recheck ears in children only if not improving or worse		*recheck ears in children only if not improving or worse

2020-09-26T09:58:09Z

Group A Strep pharyngitis

← Older revision		Revision as of 09:58, 26 September 2020
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	*tx options are magic mouth wash, aggressive hydration with a sippy cup or syringe, cold fluids, Tylenol, Motrin and frequent reassessment for dehydration		*tx options are magic mouth wash, aggressive hydration with a sippy cup or syringe, cold fluids, Tylenol, Motrin and frequent reassessment for dehydration
	*to Bethel or SRC if significant concerns. Usually worsens over 3 days and then gradually improves.		*to Bethel or SRC if significant concerns. Usually worsens over 3 days and then gradually improves.
	==Group A Strep pharyngitis==		==[[Pharyngitis\|Group A Strep pharyngitis]]==
	Children under 3 do not suffer the adverse sequelae of GAS so don’t test / treat		Children under 3 do not suffer the adverse sequelae of GAS so don’t test / treat
	*Rapid strep may remain + for up to 1 month of tx		*Rapid strep may remain + for up to 1 month of tx
	* consider GAS eradication w/ Clindamycin or Augmentin for carriers w/ recurrent symptoms		* consider GAS eradication w/ Clindamycin or Augmentin for carriers w/ recurrent symptoms
	*see ENT referral guidelines for recurrent GAS (Jane, I have these and will bring them next time for inclusion as a link)		*see ENT referral guidelines for recurrent GAS (Jane, I have these and will bring them next time for inclusion as a link)

	==AOM==		==AOM==
	[[media:AOM_peds.pdf\|See peds OM guideline]]		[[media:AOM_peds.pdf\|See peds OM guideline]]

2020-09-26T09:57:26Z

Fever - Infants 0-90 days

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	==[[Fever - Infants 0-90 days]]==		==[[Fever – Infants 0-90 days]]==
	See guideline [[media:Fever_less_than_90_days.pdf\|Fever less than 90 days]]		See guideline [[media:Fever_less_than_90_days.pdf\|Fever less than 90 days]]

2020-09-26T09:57:04Z

Fever - Infants 0-90 days

← Older revision		Revision as of 09:57, 26 September 2020
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	==Fever - Infants 0-90 days==		==[[Fever - Infants 0-90 days]]==
	See guideline [[media:Fever_less_than_90_days.pdf\|Fever less than 90 days]]		See guideline [[media:Fever_less_than_90_days.pdf\|Fever less than 90 days]]