Vancouver KEMH output style is specifically designed for KEMH guideline referencing and contains two new referencing types: Pharmacy for citing online drug information resources in KEMH guidelines; Guideline for citing online guidelines. BV is a polymicrobial clinical syndrome resulting from replacement of the normal hydrogen peroxide producing Lactobacillus sp. Impaired renal function warrants an adjustment in acyclovir dosage. Constipation is a common condition, with functional constipation being the most common cause. A B C PLUS Doxycycline 100mg PO, BD for 14 days. Obstetrics and Gynaecology Medication Monographs. Neonatology guidelines Neonatology Emergency Transport Service WA guidelines {0A9C8654-272A-48DA-8FC7-E26CABFD7BF9} CAHS Medical Library {10975433-2FC8-446A-B2AA-085D5A0E3B6B} Metabolic acidosis characterized by the accumulation of lactate in the body. Treatment. This guideline has been developed to assist in safe administration of caffeine in the emergency setting. The Obstetric Medicines Information Service at KEMH provides advice by specialist pharmacists on medication use during pregnancy and breastfeeding, as well as neonatal medication therapy and infant dose. Prednisolone. While you are an inpatient at KEMH, expect our staff to check for two identifiers (usually name and birth date) in order to make sure: We reliably identify the patient as the person for whom the service or treatment is intended; We match the service , surgery, medications, blood products, specimens or treatment to that individual patient Medication. Please direct clinical guideline queries to: Neonatology Clinical Guidelines: KEMH.NeonatalClinicalGuidelines@health.wa.gov.au Monday 3 August 2020: Bermuda Hospitals Board (BHB) today announces that, given the sustained low prevalence of COVID-19 in Bermuda, that it will allow more visitation over increased hours for acute care patients at KEMH from Tuesday 4 August 2020. Obstetric medication information The pharmacy department at King Edward Memorial Hospital (KEMH) provides an information service on medications that can be safely used during pregnancy. While most drug dosing resources require payment the following are useful free drug dosing resources. This guideline has been developed to assist in safe administration of caffeine in the emergency setting. Obstetrics and Gynaecology Clinical Guidelines: Pharmacy Guidelines and Medication Monographs. Wherever possible, the hospital adheres to UK standards/guidelines for medical practice. Dobutamine Drug Protocol Dopamine (NICU) Drug Protocol ERYthromycin ethylsuccinate (Oral) Fentanyl Drug Protocol Ferrous Sulphate Flecainide Flucloxacillin Fluconazole Drug Protocol Folic acid Furosemide (Frusemide) Ganciclovir Gentamicin Drug Guideline Glucagon Drug Guideline Glucose Gel (40%) - Neomed Drug Guideline SOGC CLINICAL PRACTICE GuIDELINE Intrauterine Growth Restriction: Screening, Diagnosis, and Management This document reflects emerging clinical and scientific advances on the date issued and is subject to change. Severe. South Australian Neonatal Medication Guidelines Vitamin K 2mg/0.2mL injection Treatment of Vitamin K Deficiency Bleeding . neonatal guidelines As per standard protocol Discuss with ID or Microbiology service Neonatal viral infectionse can sometimes present with neonatal sepsis. Diabetes is a persistent, serious, and chronic disease that in the short term may cause serious illness, and in the long term may lead to dangerous complications. Specialised Medication – Intravenous Glyceryl Trinitrate for ADULTS in Critical Care Areas Guideline . maternal treatment during pregnancy. HIGH RISK Medication Presentation Tablet: 200mg Ampoule: 150mg/3mL Dose and Administration Cardiac Arrest, Ventricular Arrhythmias & Supraventricular Arrhythmias Refer to relevant KEMH anaesthetics guidelines (links below) Pregnancy Amiodarone should not be given to pregnant mothers unless critically required. These guidelines take into account the current best available evidence and recommended practices and are reviewed and changed as required. Here is the current advice on how and when to contact O&G services at KEMH for advice / review of pregnant patients presenting to this hospital Please see below memo regarding management of antenatal patients at SCGH Until further notice SCGH staff managing antenatal patients are to contact the Consultant Obstetrician on call at KEMH under the following circumstances: Presentation or … The aim of the study was to assess the methodological quality of local clinical practice guidelines (CPGs) on the identification and management of GDM. CAUTION: Caffeine Base 1mg = Caffeine Citrate 2mg; To minimise dosing errors, always prescribe as Caffeine Base or Caffeine Citrate; Caffeine Base is the preparation used at PCH. All guidelines and protocols have been written for use within the Neonatal Services Division at the Royal Hospital for Women. Guiding Principles . Treatment is usually required for several months. KEMH / PCH NICU Guidelines: Enteral Feeding: Bolus, Bottle and Continuous Milk Feed (CMF) (WA) KEMH / PCH NICU Guidelines: Enteral Feeding: Initiation and Progression (WA) Royal Hospital for Women Guidelines: Parenteral Nutrition in Newborns (NSW) Nicolle LE, Bradley S, Colgan R et al (2005) Infectious diseases society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Please direct clinical guideline queries to: Mental health and having a baby during COVID-19, Pregnancy Information by Professor John Newnham, Obstetrics and Gynaecology Medication Guidelines, Department of Nursing and Midwifery Education and Research, Early Pregnancy Assessment Service referrals, Western Australian Gynaecologic Cancer Service (WAGCS), Gynaecology Services (including cancer care), Statewide Perinatal and Infant Mental Health Program (SPIMHP), Women and Newborn Drug and Alcohol Service (WANDAS), WA Register of Developmental Anomalies (WARDA). Stimulates central inspiratory drive The categorisation system has taken into account Prazosin. 1 Treatment of uncomplicated vulvovaginal candidiasis, which affects around 75% of women at some stage of their lives, 2 is well supported by evidence and results in few long term sequelae. and taking medication as prescribed. Picoprep. Endometriosis, Investigation and Management (Green-top Guideline No. However, studies have shown that many women do not receive appropriate information about lifestyle changes or timely drug treatment. The recommended regimen is acyclovir 5–10 mg/kg IV every 8 hours for 2–7 days or until clinical improvement is observed, followed by oral antiviral therapy to complete at least 10 days of total therapy. Please call (08) 6458 2723 between 8:30am - 5pm Mon-Fri << Australian Aboriginal Culture is the oldest living culture in the world yet Aboriginal people continue to experience the poorest health outcomes when Clin Infect Dis 40: 643–54. This included the wearing of full personal protective equipment. ... • Referring doctor must contact the on-call obstetrician at KEMH to discuss in-utero transfer. Guideline 1 All guidelines suggest that well‑controlled diabetes is not a risk factor for RPL, but poorly controlled diabetes is. Your breast milk is safe for your baby even if you have mastitis, so continue to breastfeed or express from the affected breast. Obstetric & Gynaecology Medication Guidelines [KEMH] Royal Flying Doctor Service (RFDS) WA Drug Infusion Guidelines For Paediatric patients, refer to the Perth Children Hospital ChAMP Monographs O P R S T U V W Z, Amoxicillin (Amoxycillin) Clavulanic Acid, Hexamine Hippurate: Refer to Methenamine Hippurate, Influenza Vaccine - Refer to KEMH Clinical Guidelines: O&G: Vaccinations, Iron Carboxymaltose - see Ferric Carboxymaltose, Measles, Mumps and Rubella Vaccine - Refer to KEMH Clinical Guidelines: O&G: Vaccinations, Methenamine Hippurate (Hexamine Hippurate), Oestrogen - Vaginal: Refer to Estrogen - Vaginal, Pertussis Vaccine - Refer to KEMH Clinical Guidelines: O&G: Vaccinations, Procaine Benzylpenicillin (Procaine Penicillin) - rescinded September 2020; refer to benzathine benzylpenicillin for syphilis treatment, Obstetrics and Gynaecology Medication Guidelines, Mental health and having a baby during COVID-19, Pregnancy Information by Professor John Newnham, Department of Nursing and Midwifery Education and Research, Early Pregnancy Assessment Service referrals, Western Australian Gynaecologic Cancer Service (WAGCS), Gynaecology Services (including cancer care), Statewide Perinatal and Infant Mental Health Program (SPIMHP), Women and Newborn Drug and Alcohol Service (WANDAS), WA Register of Developmental Anomalies (WARDA), Analgesics - Medicines used to manage pain, Analgesics - Post Surgery. Provides guidance for the prescription and administration of glyceryl trinitrate for ADULT patients via the intravenous route for use within Critical Care Areas only. Chlorhexidine 1% lotion is to be prescribed on inpatient medication chart. 3. Obstetric medication information The pharmacy department at King Edward Memorial Hospital (KEMH) provides an information service on medications that can be safely used during pregnancy. Admission to NICU KEMH and PCH Page 6 of 8 Neonatal Guideline Routine bloods - see Blood Tests: Ordering. Eradication guidelines for Streptococcus agalactiae (group B Streptococcus, GBS) Jorgen Katholm, October 2014 Before implementation of the eradication program. G H I K L M N Obstetrics and Gynaecology Medication Monographs. Neonatology guidelines Neonatology Emergency Transport Service WA guidelines {0A9C8654-272A-48DA-8FC7-E26CABFD7BF9} CAHS Medical Library {10975433-2FC8-446A-B2AA-085D5A0E3B6B} i) FIGO Guidelines: Prevention of PPH with misoprostol, 2012 j) Raghavan et al. Guideline – Treatment of tuberculosis in pregnant women and newborn infants Version 3.1 - 1 - The decision to treat tuberculosis (TB) in pregnancy must consider the potential risks to mother and fetus from medication, and thebenefits to mother, foetus and the community. Place a heat pack or warm cloths on the sore area before feeding or expressing to help with your milk flow. Ceftriaxone 2g IV, daily OR Cefotaxime 2g IV, TDS PLUS Azithromycin 500mg IV, daily PLUS Objective The objective of this study was to establish an evidence-based clinical practice guideline for the primary management of obstetrical brachial plexus injury (OBPI). Medication. Access the Clinical Guidelines below.. A Policy is a set of statements or intentions that indicate the Women’s position on a particular issue.It guides conduct and decision making and must be … Reassure parents where appropriate. Use on infants in incubators on day 1 then on alternate days. BJOG, 2015 k) FIGO Guidelines: Treatment of PPH with misoprostol, 2012. Guideline. Your breast milk is safe for your baby even if you have mastitis, so continue to breastfeed or express from the affected breast. Use on infants in open cots on day … Immigrant health guideline - Low Vitamin D Contains detailed information and background, especially for at-risk migrant and refugee populations Potassum Chloride. Genital herpes is a chronic, life-long viral infection. Actions. Hepatitis B vaccine alone, HBIG alone, and hepatitis B vaccine plus HBIG has been shown to reduce perinatal transmission of HBV. 8. HSV encephalitis requires 21 days of intravenous therapy. This Medication Administration Policy – Nursing Practice Standard is to be read in conjunction with the National Standards in Quality Health Service Standard 4 (NSQHSS) National Inpatient Medication Chart (NIMC) Standardised Charts and A sustained viral response at 12 weeks post treatment amounts to cure, and produces hepatic histological improvement and lifelong health advantage. Ceftriaxone 500mg in 2mL of 1% lignocaine IMI, or 500 mg IV, stat PLUS Metronidazole 400mg PO, BD for 14 days. 1. The use of evidence-based guidelines for the prevention and treatment of GDM can reduce the adverse outcomes in pregnancy and childhood. Antenatal Shared Care: Guidelines for General Practitioners, Obstetrics and Gynaecology Guidelines Medications. All surgical infants are to have Chlorhexidine 1% lotion application the day before or day of surgery. Procaine Benzylpenicillin (Procaine Penicillin) - rescinded September 2020; refer to benzathine benzylpenicillin for syphilis treatment. Current guidelines suggest treating all women with overt hypothyroidism, considering treatment of subclinical hypothyroidism, and not treating euthyroid patients with RPL who test positive for thyroid antibodies. Please be aware that king edward Memorial Hospital (KEMH), as a publicly funded service, is currently unable to offer fertility treatment to: • Women 41 years of age and over, before the first appointment. Pertussis Vaccine - Refer to KEMH Clinical Guidelines: O&G: Vaccinations. Milk with gloves in conventional farms. BV can be diagnosed by the use of clinical criteria (i.e., Amsel’s Diagnostic Criteria) (596) or Gram stain. Medications: Administer prescribed medications after … Initial treatment and imaging priorities in the pregnant trauma patient are the same as for the non-pregnant patient1 *Refer to Section 7 for Trauma Team Activation Criteria. Place a heat pack or warm cloths on the sore area before feeding or expressing to help with your milk flow. Neonatal Medication Guidelines On this page. Internal examination is not required. Despite this, all individuals involved in transporting the crew member to the hospital and all medical personnel providing treatment followed the stringent safety guidelines implemented by the Ministry of Health to prevent any possible contact with or spread of COVID-19. Discard if frozen. ... KEMH guideline for preterm labour3 and/or preterm prelabour rupture of membranes4 is to be followed, bearing in mind the possibility of uterine trauma. The objective of this article is to review current evidence-based guidelines for NVP management and barriers to treatment. Adelaide, S. Replacement of clotting factors may be necessary in the presence of active bleeding . Warning! A Gram stain (considered the gold standard laboratory method for diagnosing BV) is used to determine the relative concentration of lactobacilli (i.e., long Gram-positive rods), Gram-negative and Gram-variable rods and cocci (i.e., G. vaginalis, Prevotella, Porphyromonas, and peptostreptococci), and curved Gram-negative rods (i.e., Mobiluncus) characteristic of BV. 2. Adult Medication Guideline Insulin glargine (analogue) Cartridge: Lantus® (3mL) Pen: Lantus SoloStar® (3mL) Insulin aspart/Insulin degludec Cartridge: Ryzodeg Penfill® (3mL) Pen: Ryzodeg FlexTouch® (3mL) Storage Pre-filled pens/Innolet/Cartridges/Vials Protect from light Unopened insulin: Refrigerate (2-8°C), do not freeze. All Guidelines suggest that well‑controlled diabetes is procaine Penicillin ) - rescinded September 2020 refer. 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