Category:YKHC Guidelines

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YKHC Clinical Guidelines

Emergency Department Guidelines

• Severe Abscess/Cellulitis 3
• Bethel to Anchorage Medevac Activation
• Village to Bethel Medevac Activation
• Adult Rapid Sequence Intubation
• Pediatric Rapid Sequence Intubation
• Adult Sepsis
• Adult Community Acquired Pneumonia (CAP)
• Acute Ischemic Stroke
• Title 47 Hold
• Atrial Fibrillation / Atrial Flutter
• Acute Myocardial Infarction
• Spinal Cord Injury
• First Trimester Vaginal Bleeding
• Acetaminophen Overdose
• Acutely Intoxicated ER Patient

OB Guidelines

• First Trimester Vaginal Bleeding/ Ectopic Pregnancy Diagnosis/ Treatment of Non-Viable Early Pregnancy
• Treatment of Ectopic Pregnancy
• Labor Patient in a Village
• Fetal Fibronectin in PTL
• Gestational Diabetes
• Group B Streptococcus (GBS) – Maternal
• High-Resolution OB Ultrasound Referral
• C-section Perioperative Care
• 2nd and 3rd Stage of Labor
• Preterm Labor — Bethel
• Antepartum Patient
• Molar Pregnancy
• Anemia in Pregnancy
• Gestational Hypertension
• IV Iron
• Anti-D Immune Globulin
• Intrauterine Growth Restriction (IUGR)
• Oligohydramnios
• Post Dates Pregnancy
• Induction of Labor
• Intrahepatic Cholestatis of Pregnancy (ICP)
• Chronic Hypertension in Pregnancy
• Prevention of Pre-term Labor
• Vaginal Birth After Cesarean (VBAC)

Pediatrics Guidelines 51

• Fever ≥100.4F (38C) in Infants 0-90 days 52
• Febrile UTI In Infants and Children 53
• Acute Otitis Media 3 months –12 years 54
• Wheezing in 3–24 Month-old 55
• Pediatric CAP > 3mo.Evaluation & Treatment 56
• Pediatric Stridor 57
• First Non-Febrile Seizure ................................58
• First Febrile Seizure 59
• Neonatal Jaundice Evaluation & Treatment 60
• Sinusitis in Children > 5 Years Old 61
• Group B Streptococcal (GBS) — Newborn 62
• Infant Hip Exam Findings 63
• Child/Adolescent Sexual Assault Flow 64
• Pediatric Rapid Sequence Intubation 65
• Head Injury in Children < 5 Years Old 66
• Initiation of ADHD Medications 67
• Restarting ADHD Medications 68
• ADHD Medication Refills 68

Outpatient Guidelines 69

• Type 2 Diabetes 70
• Boils — Outpatient 71
• GERD 72
• Tuberculosis 73
• Hypertension 74
• Colorectal Cancer Screening 75
• Chronic Pain - p.1 76
• Chronic Pain - p.2 77
• Post Acute Myocardial Infarction (AMI) 78
• Breast Cancer Screening 79
• IV Iron 80
• Quick Start Guideline 81
• PAP Smear Screening Guidelines 82
• YKHC Abnormal Cytology Guideline 83
• Cervical Cancer Screening Guideline 84
• Pre-Anesthesia Testing 85
• Pre-Anesthesia Testing, Cont.86
• Latent Tuberculosis Bacterial Infection (LBTI) 87