Category:YKHC Guidelines

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LOCAL GUIDELINE COLLECTIONS
YKHC Clinical Resource Book
ANMC Clinical Guidelines

CLINICAL GUIDELINES (Arranged by system)

General

• Consultations; supplement
• Guideline Guideline
• Process to Update the EHR to Match Guidelines

Critical Care & Emergency Medicine

• Acute Coronary Syndrome (ACS/MI); supplement
• Cerebrovascular Accident; supplement
• Critical Care Medications Guide (Adult)
• Critical Care Medications Guide (Weight-Based – Pediatric)
• Death Protocol; supplement
• Head Injury/Concussion (<18 years); supplement
• High-Flow Nasal Cannula (HFNC) (Pediatric); supplement
• Hypothermia; supplement
• Intubation (Adult and Pediatric); supplement
• Medevac Activation: Village to YKHC; supplement
• Medevac Activation: YKHC to Anchorage; supplement
• Military Transport for Emergencies (RCC); supplement
• Pediatric Medevacs: Bethel to Anchorage; supplement
• Procedural Sedation & Analgesia Outside the OR (PSAOOR); supplement
• Sepsis (Adult); supplement
• Sepsis Medications (Adult); supplement
• Sepsis (Pediatric); supplement
• Spinal Cord Injury Management
• Status Epilepticus Treatment (Adult)
• Status Epilepticus Treatment (Pediatric); supplement
• Trauma Outside Bethel
• Villages without Health Aides

Abuse/Assault

• Sexual Assault (≥18 Years); supplement
• Strangulation; supplement
• Suspected Physical Abuse Procedure (Pediatric); supplement
• Suspected Sexual Abuse Procedure (Pediatric); supplement

Cardiovascular

• Acute Coronary Syndrome (MI); supplement
• Aspirin for Adults >40 without Known Cardiovascular Disease; supplement
• Hypertension; supplement

Gastrointestinal & Endocrine

• Diabetes, Type 2; supplements
• Dyspepsia/H. pylori (Adult and Pediatric); supplement
• Iron Infusion for Chronic Iron-Deficiency Anemia (Adult and Pediatrics); supplement
• Osteoporosis Screening and Treatment; supplement

Infectious Disease

• Amoxicillin Allergy Trials (Pediatric); supplement
• Botulism; supplement
• Bronchiectasis/Chronic Cough (<18 years); supplement
• Bronchiolitis/Wheezing (3-24 months); supplement
• Croup/Stridor (6 months - 3 years); supplement
• Fever (0-90 days); supplement
• Influenza (Adult and Pediatric); supplement
• Lymphadenitis, Acute Cervical (Pediatric); supplement
• Mpox (formerly "monkeypox"): Emergency Use of Tecovirimat
• Multisystem Inflammatory Syndrome (MIS-C)
• Nirsevimab (RSV Antibody)
• Otitis Media, Acute (3 months - 12 years); supplement
• Peritonsillar Abscess (Adult and Pediatric); supplement
• Pharyngitis (Adult and Pediatric) (Group A Strep); supplement
• Pneumonia (Adult); supplement
• Pneumonia (> 3 months); supplement
• Procalcitonin in Lower Respiratory Tract Infections (Adult); supplement
• Rabies; supplement
• Sepsis (Adult); supplement
• Sepsis Medications (Adult); supplement
• Sepsis/Septic Shock (Pediatric); supplement
• Sexually Transmitted Infections; supplement
• Sinusitis (>4 years); supplement
• Skin and Soft Tissue Infection (Adult and Pediatric); supplement
• Tuberculosis, Active Pulmonary (≥14 years); supplement
• Tuberculosis, Latent (≥14 years); supplement
• Tuberculosis Evaluation and Treatment (<14 years); supplement
• UTI (Adult); supplement
• UTI (3 months - 5 years); supplement
• Varicella (Chicken Pox), Suspected; supplement

Neonatal/Pediatric Growth & Development

• Failure to Thrive in Children <24 Months
• Late Preterm Newborns, Care of; supplement
• Newborn Early Onset Sepsis/GBS; supplement
• Neonatal Glucose Screening; supplement
• Jaundice in a Baby <4 Weeks; supplement
• Neonatal Resuscitation Summary

Neurology

• Cerebrovascular Accident; supplement
• Head Injury/Concussion (<18 years); supplement
• Seizure Evaluation (Pediatric); supplement
• Status Epilepticus Treatment (Pediatric); supplement
• Status Epilepticus Treatment (Adult)

Obstetrics

• Anemia in Pregnancy; supplement
• Aneuploidy
• Diabetes,Gestational; supplement
• Ectopic Pregnancy Treatment; supplement
• First Trimester Vaginal Bleeding; supplement
• Group B Streptococcus (GBS) Maternal; supplement
• HIV Screening and Prenatal Care; supplement
• Hypertension in Pregnancy, Chronic; supplement
• Hypertension, Gestational; supplement
• Hypertension in Pregnant and Postpartum Patients, Severe; supplement
• Induction of Labor; supplement
• Intrahepatic Cholestasis of Pregnancy (IHCP); supplement
• Intrauterine Growth Restriction (IUGR); supplement
• Labor Patient in a Village; supplement
• Molar Pregnancy; supplement
• Oligohydramnios; supplement
• Post Dates Pregnancy; supplement
• Prenatal Care; supplement
• Preterm Labor (Screening, Prevention, Evaluation, and Treatment); supplement
• Preterm Premature Rupture of Membranes (PPROM); supplement
• Rhogam; supplement
• Vaginal Birth After Cesarian (VBAC); supplement

Preventative Health

• Amoxicillin Allergy Trials (Pediatric); supplement
• Aspirin for Adults >40 without Known Cardiovascular Disease; supplement
• Breast Cancer Screening; supplement
• Lead Evaluation (Pediatric); supplement
• Primary Care for Ex-Premies - Checklist
• Sports Clearance for Pediatric Patients with History of COVID-19 (return to play after COVID); supplement
• Osteoporosis Screening and Treatment; supplement

Psychiatry

• Alcohol Hangover/Withdrawal; supplement
• Attention Deficit Hyperactivity Disorder (Pediatrics); supplement
• Care of an Agitated/Aggressive/Escalating Patient on Inpatient or DES; supplement
• Intoxicated Patient; supplement
• Involuntary Psychiatric Admissions (Title 47); supplement

Trauma/Injury/Ingestion

• Acetaminophen Overdose (Adult and Pediatric); supplement
• Burns (Adult and Pediatric); supplement
• Frostbite (Adult and Pediatric); supplement
• Head Injury/Concussion (<18 years); supplement
• Rabies; supplement
• Strangulation; supplement

COVID Guidelines

• Multisystem Inflammatory Syndrome (MIS C)
• Molnupiravir, Emergency Use
• Paxlovid, Emergency Use
• Sports Clearance for Pediatric Patients with History of COVID-19 (return to play after COVID); supplement

PROTOCOLS, REFERENCES, & RESOURCES (arranged by department)

Neonatal References

• Neopuff Set-Up Guide
• Surfactant (Curosurf) Administration Protocol; supplement
• Village Deliveries; supplement

Outpatient Protocols/References

• Chronic Pain; supplement
• Colon Cancer Screening; supplement
• DME Documentation Requirements
• Incontinence Supplies Documentation Requirements
• Pre-Anesthesia Testing; supplement
• Wound Care Supplies

Pediatric Protocols/References

• Caffeine Protocol, Post-NICU Discharge
• Care Conference Checklist
• Dexamethasone in Meningitis
• Pediatric Endocrine Protocols (DKA, Endocrine Emergencies, and Follow-Up)
• ET CO2 Monitoring in Ventilated Pediatric Patients
• Hip Exam and Surveillance in Infants; supplement
• Induced Sputum Collection; supplement
• mPEWS Protocol for Pediatric Patients
• Nutritional Supplements, Documentation Requirements
• Suspected Septic Arthritis and Osteomyelitis