Three Doctors Masked And In The Operating Theater

Women and Newborn Health Service

Health Professionals

 

King Edward Memorial Hospital

O&G Clinical Guidelines Section A

Clinical guidelines under review remain the current endorsed clinical guideline until the review is complete.


Preface

Standard Protocols

Patient Administration

Parenteral Therapy

Vaginal Procedures

Bladder Management

Wound Care

Death

Contraception

Respiratory Support

Enteral Tubes

Obstetric and Gynaecological Infections

Preface

  1. Disclaimer

  2. Guidelines development, implementation, evaluation and review processes

  3. Flowchart

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Standard Protocols

 Date Reviewed
Pathology and Ultrasound Requesting by Midwives and Nurses September 2016
Communication Guidelines and Flowchart July 2015
Heat: Local Application October 2014
Graduated Compression Stockings July 2015
RhD Negative Blood Group:management of October 2016
Nicotine Dependence Assessment And Intervention – Inpatient Management October 2014
Recognising and responding to Clinical Deterioration May 2016
Clinical Deterioration in the Community (Recognising and Responding): VMS/MGP/CMP March 2018
Resuscitation trolley (Adult) Checking and Equipment November 2016
Resuscitation trolley (Neonatal) Checking and Equipment September 2016
Resuscitation Trolley Checking and Contents Paediatric November 2016
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Patient Administration

Patient Identification  
Patient Identification May 2016
Latex Sensitivity June 2015
Food Allergies: management of November 2016
Patient movement
External Calls: Obstetric Registrars Receiving October 2014
Admission & Booking Procedure November 2016
Transfer of a Patient August 2016
Transfer of a Patient to Agnes Walsh Lodge / House February 2018
Transfer of a critically unwell patient and records to an ICU at another Hospital July 2016
Discharge of a Patient
Discharge of a Patient January 2017
Referral to Silver Chain April 2016
Ronald McDonald House Booking July 2016
Referrals
Visiting Midwifery Service (VMS) Referrals March 2018
Home Visiting in Safety November 2015
VMS: Readmission of a Baby / Babies to KEMH January 2015
Transfer from home to Hospital (VMS/MGP/CMP) March 2018
Psychological Medicine Referral February 2016
Dietitian Referral - (via intranet only) December 2014
Adolescent Service ReferralJune 2015
Adoption: Relinquishment for March 2015
For Interpreter services see WNHS Policy: Language Services  
Consultant Responsibilities (Procedure) (Healthpoint only) February 2018
Pressure Injury Prevention July 2014
Falls: Risks, Prevention & Management February 2018
Information available on Bariatric Patient Management (NMHS)  
Review at Another Hospital: Obstetric & Gynaecology Review at Fremantle, SCGH & RPH January 2015
For Demand Management and Diversion at KEMH, see WNHS Patient Flow/Bed Management hub page
For Food Allergy management, see Dietetics guideline: Food Allergy  
Clinical Handover May 2017
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Parenteral Therapy

Intravenous (IV) Therapy  
Peripheral Intravenous Cannula Insertion and ManagementNovember 2016
Peripheral Intravenous Central Catheter (PICC)
PICC Management November 2016
Central Venous Catheter (CVC)
Central Venous Catheter November 2016
Arterial Line
Arterial Line Management July 2014
Intravenous Infusion Rate: CalculationJanuary 2015
Central Venous Pressure Measurement October 2014
Implanted Vascular Access Port (IVAP) May 2017
Total Parenteral Nutrition (TPN) October 2015
Adult TPN Prescribing QRG December 2015
Iron Therapy
Iron Infusion: Booking December 2015
Iron Infusions: Referrals for Obstetrics and Gynaecology patients deemed high risk for iron infusions within non-tertiary care October 2017
Iron Polymaltose Therapy July 2015
Iron Carboxymaltose Therapy December 2015
Iron Infusion: Adverse Reaction: Midwifery / Nursing Management July 2014
Iron Infusion: Infiltration / Extravasation Management August 2014
Intravenous Medications - Labelling of Injectable Medicines and Fluids May 2017
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Vaginal Procedures

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Bladder Management

October 2017
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Wound Care

Dressings
Dressing: Simple September 2014
Sutures: Removal September 2014
Staples: Removal September 2014
Wound Drains
Wound Drainage Systems April 2013
Drains: Wound Suction Pre-vacuumed System: Management February 2014
Drainage Tubes: Shortening of February 2014
Drainage Tubes: Removal of February 2014
Drains- Vaginal: Removal of February 2014
Vaginal T-Tube: Removal February 2014
Collection of Wound Swab March 2015
Topical Negative Pressure Wound Therapy (TNPWT) September 2017
Referral to HITH at SCGH August 2016

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Death

Death: General Information June 2015
Death: Sudden & Unexplained- Including Maternal March 2015
Deceased Adult Patient- Non-Coronial: Care of March 2015
Death That Occurs in the Operating Theatre March 2015
Death: Religious & Cultural Considerations June 2015
Death: Post Mortem Examination March 2015
Perinatal Loss
Perinatal Loss: Legalities January 2018
Perinatal Loss: Deceased Baby: Care & Management January 2018
Perinatal Loss: Flexmort Cuddle Cot Cooling System: Management December 2014
Perinatal Loss: Funeral Arrangements for Deceased Babies May 2015
Perinatal Loss: Baptism & Pastoral Care June 2015
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Contraception

Barrier Methods May 2015
Intrauterine Devices June 2015
Oral Contraceptives  
Progestogen Only Pill July 2015
Combined Oral Contraceptive Pill August 2015
Depo Provera July 2015
Implanon: Etonogestrel implants January 2016
Implanon: Insertion January 2016
Implanon: Removal (Non-Routine) November 2016
Sterilisation November 2016
Contraception: Postpartum July 2015
Contraception: Emergency November 2016
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Respiratory Support

Oxygen TherapyMarch 2017
NebulisationsMay 2014
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Enteral Tubes

Enteral Tubes: Nasogastric (NGT)January 2018
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Obstetric and Gynaecological Infections

 
For Breast Infections see Newborn feeding, Breastfeeding Challenge: Mastitis Management
Caesarean Section: Antibiotic Prophylaxis for December 2015
Endocervical Infections: Antibiotic treatment for
Gynaecological and Urogynaecological Surgery: Antibiotic prophylaxis for February 2015
Hysterosalpingogram for Infertility: Antibiotic Prophylaxis for
Pelvic Inflammatory Disease: Antibiotic treatment for
Urinary tract Infection: Antibiotic Treatment for
Vaginal Infections: Antibiotic treatment for May 2016
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