NURSE LED SERVICES IN CARDIFF AND VALE NHS TRUST. Sandra Smith Senior Nurse Manager Cardiff and Vale NHS Trust 28 th June 2007
|
|
|
- Madison Clark
- 8 years ago
- Views:
Transcription
1 NURSE LED SERVICES IN CARDIFF AND VALE NHS TRUST Sandra Smith Senior Nurse Manager Cardiff and Vale NHS Trust 28 th June 2007
2 Reasons for increasing Nurse Led Services The advent of HIV and the dramatic increase in all sexually transmitted infections (STIs) over the last ten years have focused attention on clinics abilities to deliver. An important change to practice was the advent of new technology allowing asymptomatic screening for gonorrhoea and chlamydia on a first-catch urine sample. Many nurses are trained in contraception and family planning issues, and can readily provide a comprehensive service for those with mixed demands. Engaging skilled nurses in more responsible and professional roles greatly enhances their enthusiasm and job satisfaction. (O Mahony BJSM 2007 Vol 30 No 1)
3 Before January 2004 Few Nurse led services No Nurse Practitioners - Gynae/GUM No designated support for HIV patients No designated person for Termination of Pregnancy Services
4 RECOMMENDED SERVICE SPECIFICATION FOR INTEGRATED SEXUAL HEALTH SERVICES
5 INTEGRATION AND MODERNISATION OF SERVICES (MARRIAGE MODEL) Review of skill mix Review of clinic visit processes Offering HIV tests routine Microscopy Follow-up patients (0.62) (was 1:16) No Follow-up for BV and Thrush Results (text/ letter/ no news) Partner notification standardised Target Groups New diagnostic techniques (NAATS) KC 60 Coding
6 Aims Transmission of HIV and STI s In the prevalence of undiagnosed HIV and STI s In unintended pregnancy rates In Health and Social Care for PLWA In the stigma associated with HIV and STI s
7 Proposed Standards for Sexual Health Services Wales Standard 1: Standard 2: Standard 3: Standard 4: Standard 5: Standard 6: Standard 7: Sexual Health Networks Sexual Health Promotion Sexually Transmitted Infections Contraceptive Care Abortion Services HIV and AIDS Psychosexual Services
8 Four Domains The Patient Experience Clinical Outcomes Healthcare Governance Public Health
9 ZIPPER MODEL FOR INTEGRATING SEXUAL HEALTH M A N A G E M E N T C A R E P A T H W A Y GUM HIV Syphilis Recurrent HSV Training Symptomatic EXTENDED SERVICES GUM PID HSV GC Warts COMPLEX UNIFIED SERVICE PROVISION Sexual Health and Reproductive Health Medical Gynae/menopause USS T.O.P s Complex contraception Training Hysteroscopy S+RH Implanon IUCD T.O.P. outpatients Nurse Prescribing/Independent Prescribing STI SERVICES CONTRACEPTION UNPLANNED PREGNANCY PATIENT GOUP DIRECTIONS
10 NURSE LED SERVICES GUM NURSE PRACTITIONERS CLINICAL NURSE SPECIALIST (HIV) SEXUAL HEALTH ADVISERS FAMILY PLANNING NURSES GYNAE NURSE PRACTITIONER (TOP)
11 GUM NURSE PRACTITIONERS Take sexual history Undertake examination and collection of swabs PN for NSU, Trichomonas Advice for all STI s Diagnose conditions Supplementary /independent prescribing telephone Triage Person
12 GUM NURSE PRACTITIONERS continued CX Smears Vaccinations, venepuncture, pregnancy tests ; urinalysis / MSU/ EHC Advice to GP S/ SHO S/Practice Nurses Referral for Termination of Pregnancy (TOP) Prison Service Safe sex advice (H.P) HEALTH PROMOTION Treatment for genital warts Pre-test counselling for low risk / HIV (High risk if Health Adviser trained) Teach students (pre/post/grad)
13 FUTURE PLANS PGD s for all contraception except implanon More generic Nurse Practitioners all Health Adviser trained All Nurse Practitioners dual trained in GUM / Family Planning All nurses trained to STIF/RCN Sexual Health Skills or equivalent Specific wart treatment clinics
14 FUTURE PLANS continued Fast Track minimum screen clinics Triage Questionnaire Chlamydia Gonorrhoea } Urine/Self taken swabs STS HEP B HIV } Bloods Initially by trained Nurse but by Health Care Support Worker when fully trained
15 CURRENT EXCLUSION CRITERIA FOR NURSE PRACTITIONERS Under 16 s? Future under 13 s Sexual Assault Nurse led (Sexually Assault referrals centred (SARC) Opening December 2007/January 2008 PID Second Opinion Testicular pain Second Opinion Pregnancy Second Opinion Ulceration Second Opinion
16 CLINICAL NURSE SPECIALIST Co-ordinates care (HIV) } Dietician Community Psychiatric Nurse Social Worker Pharmacist Ante Natal Screening Midwife Fastrack clinics for HIV testing only ( Health Adviser trained) Adherence clinics in conjunction with Pharmacist Advice and support Monitoring / medication clinics (home delivery) On call advice during working hours by mobile phone ECG/Exercise tests FUTURE PLANS Clinical Assessor Supplementary/Independent prescribing Lipid Clinics Joint Adolescent Clinic with UHW Joint Family Clinic
17 SEXUAL HEALTH ADVISERS High risk Pre post test Counselling for HIV Partner notification for :- Chlamydia, HIV, Hepatitis, Gonorrhoea and Syphilis Safe sex information Behaviour modification Advice re: vaccines etc Sexual Assault
18 SEXUAL HEALTH ADVISERS Giving positive results Worried well Young people (under 16 s) Child protection/vulnerable adult issues Teaching in house /externally/nationally Health Protection e.g. Mardi Gras Sauna Project work Airport Education and Primary Care Prison Detox Unit on going education programme continued HIV STI s Safe Sex Hepatitis Safe drug using
19 SEXUAL HEALTH ADVISERS FUTURE PLANS More collaborative working with Primary Care Community Health Adviser to Co-ordinate PN in Level 1 and 2 More outbreak work e.g. Sexual Health Promotion Motivational and interviewing
20 FAMILY PLANNING NURSES Prescribe contraception EHC Obtain swabs for Chlamydia/Gonorrhoea/BV and Thrush Safe sex advice Referral for termination of pregnancy Cervical Cytology Implanon insertion/removal Chlamydia treatment and simple partner notification
21 FAMILY PLANNING NURSES FUTURE PLANS Increase number of nurses who insert/remove implanon Increase number of nurses who fit coils NAATS Testing - SEPTEMBER 2007 STI treatments - SEPTEMBER 2007 STIF RCN Sexual Health Skills trained Co-ordinator of partner notification
22 GYNAECOLOGY NURSE PRACTITIONERS TERMINATION OF PREGNANCY Deals with referrals in out patients department Takes swabs for sexually transmitted diseases Performs ultrasound scans Organises procedures Refers patient to doctors when necessary Deals with:- Medical Termination of Pregnancy Suction Termination of Pregnancy } -TAKES HISTORY -UNDERTAKES COUNSELLING -PROVIDES INFORMATION GONORRHOEA CHLAMYDIA
23 TERMINATIION OF PREGNANCY Any women over 16 weeks are referred to British Pregnancy Advisory Service 10 % Complication rate 10% Evacuation of retained products of conception 10% Infections continued
24 TERMINATIION OF PREGNANCY FUTURE PLANS Patient group direction in termination service Move ultrasound scanning over completely Provide care for over 16/40 gestation in Cardiff and Vale Home procedure continued
Sexual health commissioning Frequently asked questions Published February 2013. Health, adult social care and ageing
Sexual health commissioning Frequently asked questions Published February 2013 Health, adult social care and ageing Introduction These Frequently Asked Questions (FAQs) have been produced by the Local
Information for you Abortion care
Information for you Abortion care Published in February 2012 This information is for you if you are considering having an abortion. It tells you: how you can access abortion services the care you can expect
STI case management. Francis Ndowa - GFMER Theodora Wi - WHO
Training Course in Sexual and Reproductive Health Research 2014 Module: Principles and Practice of Sexually Transmitted Infections Prevention and Care STI case management Francis Ndowa - GFMER Theodora
signs suggesting chlamydia:
Chlamydia - uncomplicated genital - Management View full scenario When should I suspect and test for chlamydia? Women: o Test for chlamydia if they are sexually active with symptoms and signs suggesting
Teenage Pregnancy Reduction Plan 2014 to 2017
Teenage Pregnancy Reduction Plan 2014 to 2017 1. Introduction This plan sits under the sexual health strategy and sets out the boroughs plans to meet the challenges of reducing Teenage Pregnancy in Knowsley.
Nurse Practitioner Role Primary Health Care In General Practice Setting.
Nurse Practitioner Role Primary Health Care In General Practice Setting. The role of a nurse practitioner is to provide autonomous patient consultations. It also involves working in collaboration with
IN-NETWORK MEMBER PAYS. Out-of-Pocket Maximum (Includes a combination of deductible, copayments and coinsurance for health and pharmacy services)
HMO-OA-CNT-30-45-500-500D-13 HMO Open Access Contract Year Plan Benefit Summary This is a brief summary of benefits. Refer to your Membership Agreement for complete details on benefits, conditions, limitations
SCREENING FOR SEXUALLY TRANSMITTED INFECTIONS
SCREENING FOR SEXUALLY TRANSMITTED INFECTIONS Take history:- History of presenting problem Full sexual history (refer to guideline on sexual history taking) Relevant past medical history, including previous
Chlamydia. Looking after your sexual health
Chlamydia Looking after your sexual health 2 Chlamydia Chlamydia is one of the most common sexually transmitted infections (STIs). It is very easy to treat and cure. Up to one in 10 sexually active young
Sexually Transmitted Infections (STIs) and the STI Clinic
Patient & Family Guide 2016 Sexually Transmitted Infections (STIs) and the STI Clinic Where to go. What to know. STIs are more common than you might think! www.nshealth.ca Sexually Transmitted Infections
Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies
Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies First Antenatal Contact with the GP Obtain medical and obstetric history. Measure
MBS items (10994, 10995) for Pap smears and Preventive Checks taken by a Practice Nurse on behalf of a GP
MBS items (10994, 10995) for Pap smears and Preventive Checks taken by a Practice Nurse on behalf of a GP Medicare item numbers 10994 and 10995 apply to Pap smears and preventive checks provided by a practice
Clinical Practice Guidance for the Assessment of Young Women aged 20-24 with Abnormal Vaginal Bleeding
Clinical Practice Guidance for the Assessment of Young Women aged 20-24 with Abnormal Vaginal Bleeding Clinical Practice Guidance for the Assessment of Young Women aged 20-24 with Abnormal Vaginal Bleeding
THIS IS AN OFFICIAL NH DHHS HEALTH ALERT
THIS IS AN OFFICIAL NH DHHS HEALTH ALERT Distributed by the NH Health Alert Network Health.Alert@nh.gov August 13, 2015 1400 EDT (2:00 PM EDT) NH-HAN 20150813 Updated Centers for Disease Control (CDC)
Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64
Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 1. BMI - Documented in patients medical record on an annual basis. Screen for obesity and offer intensive counseling and behavioral
Aetna Life Insurance Company
Aetna Life Insurance Company Hartford, Connecticut 06156 Amendment Policyholder: Group Policy No.: Effective Date: UNIVERSITY OF PENNSYLVANIA POSTDOCTORAL INSURANCE PLAN GP-861472 This Amendment is effective
Clinical Scenarios CODING AND BILLING 101. Daryn Eikner, Family Planning Council Ann Finn, Ann Finn Consulting
Clinical Scenarios CODING AND BILLING 101 Daryn Eikner, Family Planning Council Ann Finn, Ann Finn Consulting 1 Always remember Follow coding guidelines If you didn t write it down, it didn t happen The
SEXUALLY TRANSMITTED INFECTIONS (STIs)
SEXUALLY TRANSMITTED INFECTIONS (STIs) The importance of a renewed commitment to STI prevention and control in achieving global sexual and reproductive health STIs: LARGE BURDEN AND SERIOUS CONSEQUENCES
Sexual Health and Sexually Transmitted Infections Prevention and Control Protocol, 2013 (Revised)
Sexual Health and Sexually Transmitted Infections Prevention and Control Protocol, 2013 (Revised) Preamble The Ontario Public Health Standards (OPHS) are published by the Minister of Health and Long- Term
Contents: 1 Services for People with Alcohol Problems. 3 Services for People with Drug Problems. 7 Services for People Who Wish to Stop Smoking
Contents: 1 Services for People with Alcohol Problems 3 Services for People with Drug Problems 7 Services for People Who Wish to Stop Smoking 1 Services for People with Alcohol Problems NHS Grampian works
Treatment of sexually transmitted and other genital infections
www.bpac.org.nz keyword: sti Treatment of sexually transmitted and other genital infections Key reviewer: Dr Murray Reid, Sexual Health Physician, Auckland Sexual Health Service General points: If one
Modernising Medical Careers UK. FY2 -Sexual and Reproductive Healthcare (SRH)
Curriculum: Foundation Year 2 in Sexual and Reproductive Healthcare The FSRH has developed a curriculum for Foundation Year 2 training outcomes in Sexual & Reproductive Healthcare which is pitched at a
Trichomonas vaginalis. Looking after your sexual health
Trichomonas vaginalis Looking after your sexual health 2 3 Trichomonas vaginalis Trichomonas vaginalis is a sexually transmitted infection (STI). It is sometimes referred to as trichomonas or trichomoniasis,
TREATMENT OF STI CONTACTS
This decision support tool is effective as of October 2014. For more information or to provide feedback on this or any other decision support tool, email certifiedpractice@crnbc.ca TREATMENT OF STI CONTACTS
USEFUL TELEPHONE NUMBERS
USEFUL TELEPHONE NUMBERS OUT OF HOURS 0845 0701611 HOSPITALS Princess Alexandra 01279 444455 St Margaret s (not A&E) 01992 561666 CHEMISTS Glennon s 01992 717145 Lloyds - Sun Street 01992 712097 Boots
Changes in the 2010 STD Treatment Guidelines: What Adolescent Health Care Providers Should Know February 2011
Changes in the 2010 STD Treatment Guidelines: What Adolescent Health Care Providers Should Know February 2011 Gale Burstein, MD, MPH, FAAP, FSAHM 1 Amanda Jacobs, MD, FAAP, 2 Dmitry Kissin, MD, MPH, 3
London Sexual Health Transformation project
London Sexual Health Transformation project Update October 2015 Background Councils took on the responsibility for commissioning many sexual health services in April 2013, as part of changes under the
Rhode Island Department of Health Division of Infectious Diseases and Epidemiology
Rhode Island Department of Health Division of Infectious Diseases and Epidemiology STD (Sexually Transmitted Disease) PROGRAM Expedited Partner Therapy (EPT) for STDs Guidance for Medical Providers in
GP & Community Nursing Services
GP & Community Nursing Services What do these services comprise? General Medical Practitioners (GP) A GP is your local personal NHS doctor. If you are ill or worried about your health or the health of
2. Characteristics of staff Qualifications required. Additional requirements. Continued education & training requirements
Patient Group Direction The supply of Azithromycin 1g as a single dose by accredited Community Pharmacists to patients in receipt of a positive test result to Chlamydia trachomatis, and treatment of their
abortion abortion abortion abortion abortion abortion abortion on abortio abortion ortion abortion abortion abortion abortion abortio
Abortion Your questions answered abortio bortion ion ortion on abortio 2 Are you pregnant but not sure you want to have the baby? Do you need more information about your pregnancy choices? Unplanned pregnancy
POST EXPOSURE PROPHYLAXI S
Departments of Infectious Diseases & Emergency Medicine POST EXPOSURE PROPHYLAXI S QUI CK GUI DE FOR EMERGENCY DEPT Adapted from Irish National PEP Guidelines and St James s Hospital GUIDE Clinic/Emergency
Guidelines for Nurse Led HIV Clinic
Guidelines for Nurse Led HIV Clinic Produced and approved by (Committee and Date) Kieran Sharkey Ratified by (Committee and Date) Reviewed Review date: Guidelines for Nurse Led HIV Clinic Introduction
Acute pelvic inflammatory disease: tests and treatment
Acute pelvic inflammatory disease: tests and treatment Information for you Information for you Published August 2010 Published in August 2010 (next review date: 2014) Acute What is pelvic inflammatory
Aim of Presentation. The Role of the Nurse in HIV Care. Global Epidemic 7/24/09
Aim of Presentation The Role of the Nurse in HIV Care Eileen Nixon HIV Nurse Consultant Brighton and Sussex University Hospitals Overview of key issues that affect people with HIV Identify the role of
IMPLANON (contraceptive implant) Lines to take and Q&A: from the Department of Health Sexual Health Team.
IMPLANON (contraceptive implant) Lines to take and Q&A: from the Department of Health Sexual Health Team. Top Lines DH spokesperson "We understand why women are concerned. They should be reassured that
Internet-Based Chlamydia Screening Guidance for commissioning. March 2015
Internet-Based Chlamydia Screening Guidance for commissioning March 2015 About Public Health England Public Health England exists to protect and improve the nation's health and wellbeing, and reduce health
Illinois Insurance Facts Illinois Department of Insurance
Illinois Insurance Facts Illinois Department of Insurance Women s Health Care Issues Revised August 2012 Note: This information was developed to provide consumers with general information and guidance
IUD training principles 2013
IUD training principles 2013 Introduction These principles were developed in 2011 2012 by representatives and members of the following organisations: Sexual Health and Family Planning Australia (SHFPA)
Standards for the management of sexually transmitted infections (STIs)
Standards for the management of sexually transmitted infections (STIs) JANUARY 2010 The Department of Health has provided a supporting role in the development of these standards The standards cover all
Flexible health insurance plans that work around you
Please note: these documents are for illustration purposes only, are updated from time to time and do not form part of any contract with us. To be sure that you are using the most upto-date and correct
Developed by: California Department of Public Health (CDPH) Sexually Transmitted Diseases (STD) Control Branch. In collaboration with:
Best Practices for the Prevention and Early Detection of Repeat Chlamydial and Gonococcal Infections: Effective Partner Treatment and Patient Retesting Strategies for Implementation in California Health
2014 CDC Treatment Guidelines for STDs What s New, What s Important, What s Essential. STD Treatment Guidelines. How are the guidelines prepared?
2014 CDC Treatment Guidelines for STDs What s New, What s Important, What s Essential Bradley Stoner, MD, PhD Associate Professor, Washington University School of Medicine Medical Director, St. Louis STD/HIV
abortion your questions answered
abortion your questions answered About Marie Stopes International Marie Stopes International is a specialist reproductive healthcare organisation and a registered charity working in both the UK and overseas.
JOB DESCRIPTION and PERSON SPECIFICATION
The Ridge Medical Practice JOB DESCRIPTION and PERSON SPECIFICATION 1. POST TITLE: Advanced Nurse Practitioner 2. DEPARTMENT: Nursing 3. LOCATION: All Ridge sites 4. GRADE: Equivalent to Band 8A Agenda
Information about hepatitis C for patients and carers
Information about hepatitis C for patients and carers What is hepatitis C? Hepatitis C is an illness caused by a virus which can be passed through blood from one person to another. It mainly affects the
Copper intra-uterine device (IUD)
Oxford University Hospitals NHS Trust Copper intra-uterine device (IUD) Page What is an inter-uterine device? 3 How does it work? 4 Would an IUD be suitable for me? 5 Are there any risks or complications?
Specimen collection and transport for Chlamydia trachomatis and Neisseria gonorrhoeae testing
Specimen collection and transport for Chlamydia trachomatis and Neisseria gonorrhoeae testing Overview Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections are two of the most common sexually
WA Endemic Regions STI/HIV Control Supplement
WA Endemic Regions STI/HIV Control Supplement MAY 2013 Contents INTRODUCTION... 2 HEALTH UNITS CONTACTS... 3 RATES OF CHLAMYDIA, GONORRHOEA AND SYPHILIS NOTIFICATIONS IN THE GOLDFIELDS, KIMBERLEY, MIDWEST
Australian Federation of AIDS Organisations (AFAO) Primary Health Care Reform
Australian Federation of AIDS Organisations (AFAO) Primary Health Care Reform 27 February 2009 1 Introduction The Australian Federation of AIDS Organisations (AFAO) is the peak body for Australia s community
Balanitis (change on the helmet of the penis) This is a change in the skin on the glans (helmet) of the penis. It is often caused by either:-
INFECTIONS Bacterial Vaginosis Women with Bacterial Vaginosis (BV) often complain of an increase in vaginal discharge that is "smelly" or they feel "unclean" despite regular washing. This is more noticeable
Sample Service Specifications
Sample Service Specifications SSS 1: Care of people with diabetes as part of essential services Service Description Certain aspects of diabetes care fall within the essential services element of the community
So you think you might be pregnant?
So you think you might be pregnant? British Pregnancy Advisory Service British Pregnancy Advisory Service Contents What are the signs of pregnancy? 4 Where can I get a pregnancy test? 6 Who can I talk
Outpatient/Ambulatory Health Services
Outpatient/Ambulatory Health Services Service Definition Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician
NOTICE OF PUBLIC HEARING REGARDING PROPOSED CHANGES IN HEALTH CARE SERVICES PROVIDED BY FRESNO COUNTY
NOTICE IS HEREBY GIVEN that a public hearing will commence on Tuesday, September 23, 2008, at 9:00 a.m. (subject to continuance on that date of the hearing) at the Fresno County Board of Supervisors Chambers,
So you think you might be pregnant?
So you think you might be pregnant? About this booklet If you ve had sex in the last 5 days you may be able to use an emergency contraception method. See pages 22-25 for more information regarding emergency
The Minnesota Chlamydia Strategy: Action Plan to Reduce and Prevent Chlamydia in Minnesota Minnesota Chlamydia Partnership, April 2011
The Minnesota Chlamydia Strategy: Action Plan to Reduce and Prevent Chlamydia in Minnesota Minnesota Chlamydia Partnership, April 2011 Section 5: Screening, Treating and Reporting Chlamydia While the information
How To Treat An Addict
Guidance on Medical Treatment of Drug Abusers in Substitution Treatment for Opioid Dependency Pompidou Treatment Platform, Cyprus, May 2009 Helle Petersen Senior Medical Officer National Board of Health
Sexual Health. Royal College of General Practitioners Curriculum Statement 11
Royal College of General Practitioners Curriculum Statement 11 Sexual Health One in a series of curriculum statements produced by the Royal College of General Practitioners: 1 Being a General Practitioner
Institute of Applied Health Sciences. University of Aberdeen DATABASE REVIEW. Grampian University. Hospitals NHS Trust GRAMPIAN DIABETES
DATABASE REVIEW Grampian University Hospitals NHS Trust GRAMPIAN DIABETES SERVICES DATABASE Page 1 Contents Contents 2 Introduction 3 History 3 Overview of Database 3 Database Structure 4 Main Table Summary
Overview of Existing State Distribution Mechanisms and Barr s Proposed Educational Program and Distribution for Plan B
Overview of Existing State Distribution Mechanisms and Barr s Proposed Educational Program and Distribution for Plan B In most states throughout the US, emergency contraception pills, including Plan B,
Expedited Partner Therapy (EPT) for Sexually Transmitted Diseases Protocol for Health Care Providers in Oregon
Expedited Partner Therapy (EPT) for Sexually Transmitted Diseases Protocol for Health Care Providers in Oregon Oregon Health Authority Center for Public Health Practice HIV/STD/TB Section Principles of
Health Check (Intellectual Disability)
Page 1 Health Check (Intellectual Disability) Use of a specific form to record the results of the health assessment is not mandatory but the health assessment should cover the matters listed below. The
Gonorrhoea. Looking after your sexual health
Gonorrhoea Looking after your sexual health 2 Gonorrhoea Gonorrhoea is a bacterial sexually transmitted infection (STI). It can be painful and can cause serious health problems such as infertility in both
bpas.ie I just wanted to say thank you. Your staff showed both kindness and professionalism and this definitely helped me get through the day...
I just wanted to say thank you. Your staff showed both kindness and professionalism and this definitely helped me get through the day... bpas client bpas provides balanced counselling for unplanned pregnancy
PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION
PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION Health Plan of Nevada and Sierra Health and Life suggest that health plan members get certain screening tests, exams and shots to stay healthy. This document
VICTORIA STREET MEDICAL GROUP 7 VICTORIA STREET ABERDEEN AB10 1QW. Tel: 01224 641930 Fax: 01224 656915
VICTORIA STREET MEDICAL GROUP 7 VICTORIA STREET ABERDEEN AB10 1QW Tel: 01224 641930 Fax: 01224 656915 The Practice We are Victoria Street Medical Group, 7 Victoria Street, Aberdeen, Tel (01224) 641930,
ROADMAP OF STANDARD MEDICAL SERVICES IN PRISONS AND DETENTION FACILITIES
ROADMAP OF STANDARD MEDICAL SERVICES IN PRISONS AND DETENTION FACILITIES The present roadmap is based on the Standards of Medical Services and Additional Standards of Medical Services for the Persons with
Preventing unsafe abortion
Preventing unsafe abortion Fact sheet N 388 March 2014 Key facts Around 22 million unsafe abortions are estimated to take place worldwide each year, almost all in developing countries. Deaths due to unsafe
California Guidelines for STD Screening and Treatment in Pregnancy
California Guidelines for STD Screening and Treatment in Pregnancy These guidelines were developed by the California Department of Public Health (CDPH) Sexually Transmitted Diseases (STD) Control Branch
ENHANCING ADOLESCENT SEXUAL HEALTH
ENHANCING ADOLESCENT SEXUAL HEALTH SERVICES BY CREATING AN ADOLESCENT MEDICAL HOME Gale R. Burstein, MD, MPH, FAAP, FSAHM Commissioner, Erie County Department of Health, Associate Clinical Professor, SUNY
NORTHAMPTONSHIRE INTEGRATED SEXUAL HEALTH SERVICES IUD/IUS PROTOCOL
NORTHAMPTONSHIRE INTEGRATED SEXUAL HEALTH SERVICES IUD/IUS PROTOCOL Policy Details NHFT document reference MMPr005 Version Final Date Ratified 19.01.16 Ratified by Medicines Management Committee Implementation
Under 20 s Contraception Plan (developed for use in South Tyneside) At Booking Previous contraception Y N
Appendices: 1. Contraceptive plan pro-forma 2. LARC guidance 3. LARC care pathway 4. Features of LARC methods to discuss with women 5. Post-natal contraception planning for young women 6. Annotated bibliography
SYNDROMIC CASE MANAGEMENT OF RTIs Advantages, Limitations, Optimization
WHO COLLABORATING CENTRE FOR RESEARCH IN HUMAN REPRODUCTION Hôpitaux Universitaires de Genève SYNDROMIC CASE MANAGEMENT OF RTIs Advantages, Limitations, Optimization Dr SALONEY NAZEER Department of Gynaecology
Review of Teenage Pregnancy in Buckinghamshire. Lynda Ayres
Review of Teenage Pregnancy in Buckinghamshire Lynda Ayres December 2012 CONTENTS 1. Introduction 2. Summary of Key Outcomes and Achievements of the Buckinghamshire Teenage Pregnancy Strategy 3. Recommendations
Unplanned Pregnancy. Practical Information for women living in Ireland
Unplanned Pregnancy Practical Information for women living in Ireland About Marie Stopes International Marie Stopes International (MSI) is a pro-choice organisation. We believe that abortion should be
TERMINATION OF PREGNANCY- MEDICAL
TERMINATION OF PREGNANCY- MEDICAL Information Leaflet Your Health. Our Priority. Page 2 of 8 You have been offered a medical termination of pregnancy using mifepristone. You will have been given some verbal
STANDARD PROTOCOL STD AND HIV SCREENING AND EPIDEMIOLOGIC STD TREATMENT
STANDARD PROTOCOL STD AND HIV SCREENING AND EPIDEMIOLOGIC STD TREATMENT RELEASE DATE: REVIEW INTERVAL: YEARLY REVIEW DATE: SITE/SERVICE UNIT: IMPLEMENTATION DATE: REVIEWED BY: CONTACT: APPROVED BY: CONTENTS
CDC 2015 STD Treatment Guidelines: Update for IHS Providers Sharon Adler M.D., M.P.H.
CDC 2015 STD Treatment Guidelines: Update for IHS Providers Sharon Adler M.D., M.P.H. Clinical Faculty, CA Prevention Training Center Disclosure Information Sharon Adler MD, MPH I have no financial relationships
GONORRHOEA. Use of lidocaine as a diluent when using ceftriaxone (see Appendix 1)
Key practice notes: 1 st line therapy GONORRHOEA Decreasing sensitivity of gonorrhoea to cephalosporins is now a real threat: CEFTRIAXONE 500mg IM stat first-line for all gonococcal infections AZITHROMYCIN
Rapid Assessment of Sexual and Reproductive Health
MOROCCO Rapid Assessment of Sexual and Reproductive Health and HIV Linkages This summary highlights the experiences, results and actions from the implementation of the Rapid Assessment Tool for Sexual
Beginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice
Beginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice Dr Chris Ford GP & SMMGP Clinical Lead Kate Halliday Telford & Wrekin Shared Care Coordinator Aims Discuss:
Unprotected Nation. A Report by Development Economics. January 2013
Unprotected Nation The Financial and Economic Impacts of Restricted Contraceptive and Sexual Health Services A Report by Development Economics January 2013 About the Author Stephen Lucas is an economist
CLINICAL PRIVILEGES- NURSE MIDWIFE
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: Applicant: Check off the Requested
National Chlamydia Screening Programme September 2012 PATIENT GROUP DIRECTION FOR THE ADMINISTRATION OF AZITHROMYCIN FOR CHLAMYDIA TRACHOMATIS
PATIENT GROUP DIRECTION FOR THE ADMINISTRATION OF AZITHROMYCIN FOR CHLAMYDIA TRACHOMATIS Below is a template that can be used to produce a local patient group direction (PGD) for the administration of
Nurse Initiated STI Treatment Code
Nurse Initiated STI Treatment Code Public Health and Clinical Services Division June 2012 FORWARD The Nurse Initiated STI Treatment Code establishes the competencies which must be achieved and criteria
Have a shower, rather than a bath to avoid exposing your genitals to the chemicals in your cleaning products for too long. Always empty your bladder
Cystitis, Avenue Medical Practice Neat Guideline Introduction Cystitis means 'inflammation of the bladder'. It causes: an urgent and frequent need to urinate, and Pain, or stinging, when passing urine.
FAQs HIV & AIDS. What is HIV? A virus that reduces the effectiveness of your immune system, meaning you are less protected against disease.
HIV & AIDS What is HIV? A virus that reduces the effectiveness of your immune system, meaning you are less protected against disease. What does HIV stand for? Human Immunodeficiency Virus Where did HIV
Frequently Asked Questions
Guidelines for Testing and Treatment of Gonorrhea in Ontario, 2013 Frequently Asked Questions Table of Contents Background... 1 Treatment Recommendations... 2 Treatment of Contacts... 4 Administration
Frequently Asked Questions
Frequently Asked Questions Testing for Gonorrhea Q1: What test should be completed for accurately diagnosing gonorrhea? A1: Testing is done with either a culture or a NAAT (nucleic acid amplification test).
Yes, I know I have genital herpes:
Counseling Messages for Herpes Simplex Type II (HSV-II) Genital herpes Always take the time to attend to the participant s feelings and emotional state; for some people, this is the most devastating news
HIV. Looking after your sexual health
HIV Looking after your sexual health 2 HIV HIV stands for Human Immunodeficiency Virus. Once someone is infected with HIV the virus will remain in their body for the rest of their life. There is currently
SECTION 1.1 PERSONNEL
A. JOB DESCRIPTIONS The following are examples of job descriptions for staff working in Title X Family Planning Clinics. Each agency should have internal job descriptions that reflect the functions, duties,
SECTION 1.11 RISK MANAGEMENT / QUALITY ASSURANCE POLICY
A. OVERVIEW 1. Risk management is the system used to minimize the probability of events that have adverse effects and cause loss of human or financial resources. 2. It involves the prevention of circumstances
Because sometimes. abortion. it s just the right thing to do.
??? Because sometimes? abortion it s just the right thing to do. Because sometimes it s just the right thing to do. An abortion is a procedure carried out to stop you being pregnant. You may also hear
Department of Gynaecology Early medically induced termination of pregnancy. Information for patients
Department of Gynaecology Early medically induced termination of pregnancy Information for patients Medically induced termination of pregnancy In this procedure the termination of pregnancy is brought
Swansea Drugs Project
Swansea Drugs Project Sa f ren ing Supporting d Chi r Safegarding and a u l d g e This booklet is aimed at professionals in the City and County of Swansea who work with children and families where there
ECDC GUIDANCE. Chlamydia control in Europe. June 2009. www.ecdc.europa.eu
ECDC GUIDANCE Chlamydia control in Europe June 2009 www.ecdc.europa.eu ECDC GUIDANCE Chlamydia control in Europe Stockholm, June 2009 This report was commissioned by the European Centre for Disease Prevention
Promoting Family Planning
Promoting Family Planning INTRODUCTION Voluntary family planning has been widely adopted throughout the world. More than half of all couples in the developing world now use a modern method of contraception
Genital warts. Looking after your sexual health
Genital warts Looking after your sexual health 2 Genital warts Genital warts are the most common viral sexually transmitted infection (STI). They are caused by the human papilloma virus (HPV) which can