Three Docotors Masked and in the Operating Theater

Women and Newborn Health Service

Health Professionals

 

King Edward Memorial Hospital

O&G Clinical Guidelines

Preface

Nursing Care

Management of the Surgical Patient

Perioperative Management of Co-morbidities

Stoma Care

Benign Gynaecology

Sexually Transmitted Infections

Reproductive Medicines

Early Pregnancy Care

Mid Trimester Termination of Pregnancy

Menopause

Management of menopausal symptoms after cancer

Gynaecological Cancers

Palliative Care

Emergency Centre

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Preface

  1. Disclaimer

  2. Guidelines development, implementation, evaluation and review processes

  3. Flowchart

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Nursing Care

  Date Reviewed
Bowel Care March 2014
Administration of Aperients October 2014
Administration of rectal suppositories March 2014
Administration of enema March 2014
Intercostal catheter Care  
Insertion of intercostal catheter and connection to underwater seal drain April 2014
Ongoing Management of an Intercostal Catheter March 2014
Changing an ICC Canister April 2014
Removal of an Intercostal Catheter April 2014
Vaginal Procedures  
Insertion of a Vaginal Pack for Uterine Procedentia March 2014
Vaginal Irrigation February 2014
Insertion and Removal of a Vaginal Pack March 2014
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Management of the Surgical Patient

Routine Pre Operative Care  
Routine Preoperative Care March 2015
Pre-operative hair removal September 2014
Routine Post Operative Care
Receiving patient from recovery March 2014
Care following minor surgery for gynaecology,oncology urogynaecology July 2014
Care following major surgery for gynaecology, oncology,urogynaecology April 2014
Cervical Cerclage May 2016
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Perioperative Management of Co-morbidities

Anti embolic therapy
Risk assessment and recommended venous thromboembolic prophylaxis in patients admitted for Gynaecological conditions May 2016
Pre and Post Operative Management of Patients on Therapeutic Warfarin Anticoagulation October 2014
Intravenous Heparin Therapy  
Diabetes
Elective surgery August 2015
Emergency surgery August 2015
Management of hypoglycaemia March 2014
Management of diabetic ketoacidosis March 2014
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Stoma Care

July 2014
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Benign Gynaecology

Acute pelvic inflammatory disease (PID) September 2014
Ovarian cyst accidents May 2014
Vulvar Dynia October 2015
Myomectomy strategies to Minimise Blood Loss and Anaemia September 2016
Care following simple/radical vulvectomy
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Sexually Transmitted Infections

Screening Tests for Sexually Transmitted Infections September 2014
Screening Tests for Asymptomatic Male and female patients September 2014
Screening Tests for Symptomatic Females September 2014
Screening Tests for Symptomatic Males September 2014
Urine Collection September 2014
Vaginal Discharges October 2015
Syphilis August 2015
Interpretation of Treponemal Serology September 2014
Gonorrhoea August 2015
Herpes Simplex September 2014
Trichomoniasis August 2015
Condylomata Accuminata (Genital Warts) August 2015
Cryotherapy September 2014
August 2015
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Reproductive Medicine

August 2010
Aetiology and Treatment of Infertility July 2014
Anovulatory Infertility July 2014
Tubal Infertility July 2014
Endometriosis Associated Infertility July 2014
Unexpected Infertility July 2014
Male Factor Infertility July 2014
Donor Insemination July 2014
Premature Ovarian Failure July 2014
Ovarian Hyperstimulation Syndrome July 2014
Inpatient Management - Ovarian Hyperstimulation Syndrome July 2014
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Early Pregnancy Care

Early pregnancy complications - Assessment and diagnosis January 2014
Early Pregnancy Bleeding Algorithm September 2014
Vaginal Bleeding and a Viable Intrauterine Pregnancy January 2014
Management of Miscarriage - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH
Ectopic pregnancy May 2017
Gestational Trophoblast Disease (hydatidiform mole) July 2015
Absence of chorionic villi in products of conception January 2014
Management of hyperemesis gravidarum May 2014
Management in the home May 2014
Referral to the early Pregnancy Assessment Service July 2016
Management of Early Gestational Sac January 2014
Management of the Products of Conception Following Pregnancy Loss (Including Miscarriage or Termination of Pregnancy) in Children Age 13 Years and Under June 2015
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Mid Trimester Termination of Pregnancy

Administration of misoprostol - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH

Insertion of an intra-uterine/extra-amniotic Foley's catheter for administration of prostaglandins June 2014
Augmentation of labour using oxytocin May 2014
Supression of lactation May 2014
Guidelines for the use of Mifepristone - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH
Guidelines for the use of Misoprostol - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH
Management of a Woman undergoing a Mid-Trimester Pregnancy Loss (Induction of Labour, Termination of Pregnancy, Spontaneous Miscarriage) <20 weeks Gestation - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH

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Menopause

Assessment of the Woman Algorithm

May 2015
Menopausal Hormonal Treatment May 2015
Menopausal Symptom Management May 2015
Menopause: Review of Treatment May 2015

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Management of menopausal symptoms after cancer

Referral to the Nurse Led sexual Wellness Clinic (NR233 clinic) February 2015
Management of menopausal symptoms after breast cancer September 2014
Options for medication of menopausal symptoms after breast cancer February 2015
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Gynaecological Cancers

Classification and staging of vulvar cancers September 2015
Classification and staging of cervical cancers September 2015
Staging of Vaginal Cancer September 2015
Staging of Endometrial cancer September 2015
Staging of Ovarian Cancer July 2015
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Palliative Care

Palliative Care May 2017
Niki t34 syringe pump: continuous subcutaneous infusion management May 2017
Palliative Care - Intrathecal administration of medications May 2017
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Emergency Centre

Triage and Observation in the Emergency Centre May 2015
Recording of Clinical Care Commencement Date and Time in EC March 2015
Admission of a patient to the Emergency Short Stay Unit February 2015
After hours management of emergency sexual assault resource centre(SARC) clients May 2014
Presentation and Management of Staff and Visitors(including patients from the MBU) with Non Gynaecological or Obstetric Conditions June 2015
High Vaginal Swab Collection in EC May 2015
IV Morphine Administration in the Emergency Centre January 2016

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