To provide for pertussis prophylaxis by the Registered Nurse to avoid pertussis infection and spread of clinical disease in patients served by the LSCHC.
To establish guidelines by which the RN may diagnose and manage a patient with pinworms.
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- Pinworms Protocol.doc (29.5 KB)
To provide guidelines by which the registered nurse may provide Nicotine Replacement Therapy (NRT) to patients who are attempting smoking cessation. Research shows that NRT generally increases the rates of smoking cessation, therefore, except in the presence of serious medical precautions, NRT should be encouraged in smokers interested in quitting.
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To establish guidelines by which the registered nurse may diagnose and manage a patient with cerumen impaction.
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- Cerumen Removal Protocol.doc (30 KB)
Policy statement for clinics to use for injectable contraceptive medications given to female patients at risk of pregnancy.
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Clinic policy to improve assessment of treatment goals for diabetic patients.
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- StandingOrders-Diabetes.doc (22 KB)
Sample policy describing the procedure for physician on call.
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- PhysicianonCall.doc (19 KB)
Sample policy on Early Preventative Screening Detection Tests.
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- EPSDTPolicy.doc (20.5 KB)
Sample clinic policy on the treatment of minors.
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- Treatment_of_minors.pdf (69.44 KB)
Sample clinic policy for pediatric immunizations
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- PediatricImmunizationPolicy.doc (24.5 KB)
Sample clinic policy to assure that pregnant women receive thorough and consistent care throughout pregnancy and postpartum
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- OngoingMaternityAssessment.doc (25 KB)
Sample clinic policy stating that pregnant patients will receive thorough and prompt prenatal assessment and assignment to care
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- InitialMaternityAssessment.doc (21 KB)
This policy is initiated to inhibit the transmission of infectious diseases in the work place.
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- EmployeeInfecDisease.doc (55.5 KB)
To ensure that *** Health Center (***) is prepared to efficiently provide health services during an influenza pandemic.
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- Influenza+Pandemic+Policy.doc (276 KB)
Sample policy describing the procedure for correct blood lead collection.
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- BloodLeadCollection.doc (21 KB)
Sample policy statement describing how to provide appropriate evaluation and follow-up of diagnostic testing.
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Sample policy describing the process for reviewing lab results from outside sources.
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- OutsideLabReview.doc (23.5 KB)
Sample policy stating that the clinc will complete proficiency testing as per state or manufacturer requirements.
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- ProficiencyTesting.doc (19 KB)
Migrant patients often have limited time and resources to attend clinic. To accommodate migrants this policy establishes standing orders for laboratory panels so that clients may receive the typically ordered profiles PRIOR to their first visit with the physician/mid-level provider. Hence the client will be enrolled, assessed per protocol, laboratory work will be ordered and drawn per these standing orders and the client will be given a subsequent appointment to see the physician/mid-level provider.
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- Prot.lab.orders.doc (31.5 KB)
Sample policy on transferring clinic patients to the hospital.
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- PatientTransfertoHospital.doc (19.5 KB)
Sample policy for referrals by non-physicians.
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- ReferralsbyNonPhysicians.doc (19 KB)
Sample policy stating that the clinic will provide consultations, referrals, or transfers to other health care professionals or settings when deemed medically necessary and/or will be considered at the patient's request.
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- ConsultationsReferrals.doc (25 KB)
Advance directive description and policy in Spanish.
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- AdvanceDirectivesSpanish.pdf (102.82 KB)
General description and elements of an advance directive policy.
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- 187_AdvanceDirectives.pdf (142.58 KB)
Sample Clinic policy for offering and educating on advance directives to patients.
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- AdvanceDirectives.doc (21.5 KB)
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Staffing ratios are a critical component of clinic productivity and business plans. This table shows one way to look at staffing ratios by estimating how many support staff is reasonable for each FTE provider in the clinic. Clearly this figure will vary depending on the type of practice (i.e. very heavy procedure oriented, high risk patients, a lot of obstetrics) but this example is a good "bench mark" for a basic primary care CHC doing full scope primary care with a primary care provider staff.
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- ProjectedStaffingRatios.pdf (9.37 KB)