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Includes EPA manual "How to Comply With the 2015 Revised Worker Protection Standard For Agricultural Pesticides - What Owners and Employers Need To Know" and an excerpt specifically for clininicians regarding medical evaluation and respirator fit test. See also the medical evaluation questions in English and Spanish.  

For the first time, the U.S. Preventive Services Task Force has released an e-book version of its Guide to Clinical Preventive Services. The e-book is compatible with many readers, including Kindle, Nook, iBook, and Kobo. The new “Guide to Clinical Preventive Services, 2014” is a comprehensive resource that can help primary care clinicians and patients decide together which preventive services are right for a patient’s needs. It includes all active Task Force evidence-based recommendations since 2004, including 28 new and updated recommendations since the 2012 guide, in a format meant for use at the point of patient care. It also includes information about topics in development, clinical summary tables and additional resources.

Summary of Results from the California Pesticide Illness Surveillance Program - 2010.  

 The Department of Pesticide Regulation administers the California pesticide safety program, widely regarded as the most stringent in the nation.  Mandatory reporting of pesticide illnesses has been part of this comprehensive program since 1971.  Illness reports are collected, evaluated and analyzed by program staff.  PISP is the oldest and largest program of its kind in the nation; its scientists provide data to regulators, advocates, industry, and indivudal citizens.

These Cholinesterase (ChE) clinical tools provide a concise and simple format to guide clinicians in monitoring the ChE levels for patients working with Class I and Class II organophosphates (OP) or OP and N-methyl-carbamates. 

Urinary Tract Infection treatment protocol decision tree.
Sample protocol for the assessement and care of prenatal patients.
Sample clinical protocol describing how the clinic works with patients who are suspected of being victims of abuse.
The New York State Department of Health convened an expert panel of health care professionals who are involved in promoting the health of pregnant women and children.  Since it is highly unlikely that a sufficient number of studies will be available in the near future to make evidence-based recommendations for all clinical situations, the group relied on expert consensus when controlled studies were not available to address specific issues and concerns.The panel developed separate recommendations for prenatal, oral health and child health professionals. While specific treatments require attention to individual clinical situations, these recommendations are intended to bring about changes in the health care delivery system and to improve the overall standard of care.

This is a one page tool used by community health workers to evaluate individuals for family violence. The tool is designed for use with low literacy populations and uses pictures instead of words to communicate.

MCN's Pesticide Clinical Guidelines and Pesticide Exposure Assessment Form assist in the recognition and management of acute pesticide exposures in primary care settings.

The pesticide guidelines were adapted from guidelines developed by Dr. Dennis H. Penzell, a former medical director of a Community and Migrant Health Center with experience in large-scale pesticide exposure incidents.

The Acute Pesticide Exposure Form was adapted from the data collection on an acute pesticide exposed patient tool developed by Matthew C. Keifer, MD, MPH, Director of the National Farm Medicine Center, appearing in the EPA's Recognition and Management of Pesticide Exposures, 6th Edition, EPA 2013.

These resources were developed with guidance from MCN's Environmental and Occupational Health Advisory Committee - a panel of healthcare professionals and researchers with expertise in pesticides and migrant health.

Guidelines for health care providers from the Occupational Lead Poisoning Prevention Program, a program in the California Department of Public Health that helps employers, workers, and others prevent lead poisoning in workers.


Clinicial guidelines dealing with children and lead exposure.  Special emphasis on working with migrant children. 

Sample clinical protocol for Type I and II Diabetes.

Vaccine preventable diseases continue to affect both children and adults. The ultimate goal of immunizations is eradication of disease; the immediate goal is prevention of disease in individuals or groups.

Persons administering biologic products or serum must be prepared to recognize and treat allergic reactions, including anaphylaxis and must have appropriate resources at hand.

These guidelines are aimed at integrating environmental management of asthma into pediatric health care. Offers clinical competencies in environmental health relevant to pediatric asthma and outlines the environmental interventions to communicate to patients.

MMWR August 7, 2009 / 58(RR09);1-11

Sample pediatric immuniation protocol.
Sample adult immunization protocol.
Sample clinical protocol for oral contraceptives.
Sample clinical protocol for the assessement and treatment of Established Essential Hypertension.
Sample protocol for ear irrigation.
Sample protocol for anemia that including testing and development of a treatment plan. The file also includes the current guidelines for deficient anemia levels.
Guidelines for all PAP test results adapted from the recommendations issued from Brigham and Women's Hospital.
Sample procedure for abnormal PAP Smear follow-up.
A very comprehensive Hep C testing and counseling policy developed by the State Health Department in South Carolina. The guidelines also include an attachment that outlines HCV-specific information and prevention messages for health care providers.
Upper gastrointestinal tract acid related disorders treatment protocol decision tree.
A 54-page telephone traige protocol for basic pediatric conditions. If you have any questions about specific protocols, check the American Academy of Pediatrics website for their clinical Practice Guidelines at the following address.