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| | temporarily removed until changes can be approved |
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| to page: 2500 BBBB CCCC#
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| ==Info==
| | [[Category:Admin]] |
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| Deaths
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| * Document whether or not "coroner's case", if yes you MUST contact the coroner.
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| * If non-member, document whether you contacted PMD and/or POMD to sign death certificate.
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| * If member, leave message on PMD voicemail, generally will sign death certificate.
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| Outpt
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| * Suture/abscess >13yo: follow up in UC, no appt needed.
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| * Suture <13yo: wound check and suture removal in peds clinic. Walk-in peds clinic 5-830. If parent calls before 7am they will get same day appt.
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| * Abscess <13yo: FU in ED
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| ==Fx==
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| Nasal fractures: ENT
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| other Facial fractures (includ mandible): Plastics
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| ==Urology==
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| Painless Hematuria
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| - CT urogram: In ED if active painless bleeding AND only if pt has gross hematuria, sig drop Hct, or anemic from bleeding.
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| - if not active bleeding -> outpatient CT urogram & outpt urology referral
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| - 20 F 3way cath for irrigation.
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| Kidney Stones
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| - CT KUB
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| - Uric acid stones cannot be seen on KUB, must use CT
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| - urine strainer for dc pt's, urology WANTS stone for analysis
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| - Tamulosin preferred agent, if already on hytrin then no just keep them on it
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| UTI
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| - Urine Culture all recurrent UTI. (Many times it is not a UTI and the culture helps them when seeing the patient in clinic)
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| General<br />
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| 1. Our standard foley catheters are 16 F coudet catheters. If the patient has a prior stricture, surgery, TURP then do not keep attempting to place a larger catheter. This will just cause trauma and bleeding. Call urology. In the case of BPH a LARGER catheter may pass more easily
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| 2. If a patient is post op, please do NOT have the RN's automatically place a foley in triage. This may be contraindicated after certain surgeries
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| 3. Please DO NOT tell patients to go to urology clinic without an appointment. Send a referral or direct book the patient. Later the same day or the next day may be too soon. For example, a kidney stone patient should be seen in 2-3 days to allow time for the stone to pass. They won't change management if seen later the same day or the next day.
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| ==External Links==
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| ==References==
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| <references/>
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