Category:YKHC Guidelines: Difference between revisions

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YKHC Clinical Guidelines

Emergency Department Guidelines

• Skin and Soft Tissue Infection
• Medevac Activation—Bethel to Anchorage
• Medevac Activation – Village to Bethel
• Intubation – Adult
• Sepsis – Adult
• Sepsis – Adult Medications
• Pneumonia – Adult
• Active Pulmonary TB for Patients ≥14 Years
• Ischemic Stroke – Acute
• Atrial Fibrillation / Atrial Flutter
• Myocardial Infarction – Acute
• Title 47 Hold
• Acetaminophen Overdose
• Rabies
• Intoxicated ER Patient
• Frostbite
• First Trimester Vaginal Bleeding: Ectopic Pregnancy Diagnosis & Treatment of Non-Viable Early Pregnancy

Emergency Dept. Protocols

• Use of Consultants at YKHC

Pediatrics Guidelines

Pediatric Emergency Guidelines

(For Pediatric Critical Care Weight-Based Guide, see Pediatric Critical Care Guide)

• Critical Care and Medevac Guide – Pediatric
• Intubation – Pediatric
• High-Flow Nasal Cannula (HFNC) — Pediatric
• Sepsis – Pediatric
• Seizure Evaluation – Pediatric
• Seizure Treatment – Pediatric
• Fever – Infants 0-90 days
• Croup/Stridor: Evaluation & Treatment
• Bronchiolitis / Wheezing – 3-24 Months
• Pneumonia – Pediatric More Than 3 Months
• Head Injury in Children Less Than 5 Years
• Head Injury/Concussion 5-18 Years

Pediatric Outpatient Guidelines

• UTI – Children 3 Months–5 Years
• Otitis Media 3 months–12 years
• Sinusitis More Than 5 Years
• Attention Deficit Hyperactivity Disorder in Children
• TB Evaluation & Treatment – Pediatric
• Suspected Prepubescent Child Sexual Abuse Procedure
• Seizure Evaluation – Pediatric
• Chronic Cough/Bronchiectasis – Pediatrics
• Lead Evaluation – Pediatrics
• Acute Cervical Lymphadenitis Evaluation & Treatment – Pediatrics

Pediatric Neonatal Guidelines

• Neonatal Resuscitation Summary
• Newborn GBS & Infection Evaluation and Treatment
• Jaundice – Neonatal Evaluation & Treatment

Pediatric Protocols/Reference

• Pediatric Induced Sputum Collection
• Pediatric Hip Exam and Surveillance Protocol
• Acute Concussion Evaluation (Ace) ED Version
• Acute Concussion Evaluation (ACE) OP Version
• ASAA Healthcare Provider Release and Return to Play Protocol
• Use of Consultants at YKHC

OB Guidelines

• First Trimester Vaginal Bleeding: Ectopic Pregnancy Diagnosis & Treatment of Non-Viable Early Pregnancy
• Ectopic Pregnancy – Treatment
• Labor Patient – Village
• Preterm Labor – Screening and Prevention
• Preterm Labor – Evaluation
• Preterm Labor – Treatment
• Gestational Diabetes
• Group B Streptococcus (GBS) – Maternal
• Molar Pregnancy
• Anemia in Pregnancy
• IV Iron
• Anti-D Immune Globulin
• Intrauterine Growth Restriction (IUGR)
• Oligohydramnios
• Post Dates Pregnancy
• Induction of Labor
• Intrahepatic Cholestatis of Pregnancy (IHCP)
• Chronic Hypertension in Pregnancy
• Gestational Hypertension

OB Protocols

• OB Ultrasound Referral – High Risk
• 2nd and 3rd Stage of Labor
• Antepartum Patient
• Vaginal Birth After Cesarean (VBAC)
• Prenatal Care Guidelines
• Use of Consultants at YKHC

Outpatient Guidelines

• Skin and Soft Tissue Infection
• Aspirin
• Type 2 Diabetes
• Congestive Heart Failure
• Dyspepsia – H. Pylori
• Hypertension
• Myocardial Infarction (AMI) – Post Discharge Care
• Breast Cancer Screening
• IV Iron
• Latent Tuberculosis Bacterial Infection (LTBI)

Outpatient Protocols

• Use of Consultants at YKHC
• Colon Cancer Screening
• Contraception – Quick Start
• Chronic Pain – Narcotic Treatment Eligibility
• Chronic Pain – Non Narcotics Treatment
• Chronic Pain – Reassessment & Follow-Up
• Cervical Cancer Screening Protocol
• Pre-Anesthesia Testing