SCGH specific clinical guidelines.
- Non-SCGH Clinical Guidelines
- (## ) local intranet links and require access via the health network.
- (**) password protected – as per EDPACS
Administration / Legal
- Emergency Department – Inpatient Admissions (Sir Charles Gairdner Hospital Policy 193) ##
- Direct Admissions (Sir Charles Gairdner Hospital Policy 222) ##
- Specialty Admission Criteria ##
- Forensic Blood Sampling – Legislation – update 3/2017
- Patient Confidentiality – 08/2018
Allied Health & Support Services
- Language and Interpreter Services
- Alcohol and Drug Service (ADS) – (Intranet link)
Analgesia and Anaesthetics
- Analgesia in the ED – 04/2015 **
- Hydromorphone – 04/2015
- Oral opiates as discharge medications – 04/2015 **
- Oral Opioid Prescribing in Acute NON-Cancer Pain (from SCGH Medications Guidelines)
- Intranasal Fentanyl: Emergency Department
- CPOP – Community Program for Opioid Pharmacotherapy
- Bier’s block – 06/2019
- Local anaesthetic infiltration – 05/2017
- Procedural sedation documentation and checklist – 08/2010
- Femoral Nerve Block Procedure – 03/2019
Cardiology
- Chest pain pathway including code STEMI – 03/2015
- Atrial fibrillation with Tachycardia – 02/2016
- Defibrillation – 05/2009
- Electrical cardioversion – 05/2009
- Transthoracic cardiac pacing – 05/2009
- ECMO for OOHCA – 10/2017
- ECMO / ECPR Resources
Cardiothoracics
- Policy for the insertion of a chest drain by trainees – 05/2015
- Chest wall injury (rib fractures) – 01/2015
- ECMO for OOHCA – 10/2017
Critical Care
- Airway management – 01/2013
- Major haemorrhage / Massive Transfusion Protocol – 01/2009
- Tissue (Organ) donation – 09/2015
- Central line insertion – 05/2009
- Metaraminol: High Dependency Unit
- Central Venous Line (CVL) – SCGH Recommended Fixation Standard – 11/2015
- Post resuscitation care – 01/2013
- ECMO for OOHCA – 10/2017
- ECMO / ECPR Resources
Dental
Disaster
ED Ultrasound
Endocrine
- Adult Insulin Subcutaneous Order and Blood Glucose Record – updated 2015
FSH Diabetic Guidelines
These guidelines have been endorsed by the SCGH Emergency (Medical and Nursing!) and Endocrinology Departments and are to be used at SCGH pending the approval of the SCGH Diabetic Guidelines, found below (??some time 2020)
- FSH Diabetic Ketoacidosis (DKA) Guidelines – 12/2019
- FSH Hyperosmolar Hyperglycaemic State (HHS) Guidelines – 10/2019
SCGH Draft Guidelines
Below are some draft guidelines in the final stages of approval.
- Adult Variable Rate Insulin Guidelines – draft 2019
ENT
Environmental
Gastroenterology & Hepatology
- Upper GI bleeding – 11/2015
- Paracentesis in Chronic Liver Disease – 11/2013##
- Decompensated Chronic Liver Disease Guideline – 02/2017
- PEG re-insertion – 01/2009
General Medicine
General Surgical
Haematology & Oncology
- Major haemorrhage / Massive Transfusion Protocol – 05/2017
- Jehovah’s witnesses and blood products – 11/2015**
- Febrile Neutropenia Management Guideline
- Iron infusions for chronic anaemia – 08/2017
- Blood transfusion reaction algorithm – 11/2015
- NOAC’s and bleeding – 11/2013
- Management of Immune Related Adverse Events Associated with use of Immune Checkpoint Inhibitors – 05/2017
Immunology
- Anaphylaxis – 11/2013
- Management of Immune Related Adverse Events Associated with use of Immune Checkpoint Inhibitors – 05/2017
- PEP (Post Exposure Prophylaxis) HIV: Starter Packs for Occupational and Non-Occupational exposure
Infectious Disease
- SCGH ED COVID-19 Guidelines – 03/2020
- SCGH ED Adult Sepsis Pathway Trial Document – 04/2019
- SCGH Infection Control Unit (Intranet only)
- SCGH Infection Protection and Control Manual
- Patient Placement/Admission Criteria: Standard & Additional Transmission Based Precautions (PS026)
- SCGH Viral Haemorrhagic Fever Policy
- Standard and Transmission Based Precautions Policy Includes a table at the bottom that lists precautions indicated for each infectious agent. Note: Airborne Infection Isolation Rooms (AIIRs) must be used for patients with the following conditions:
- Pulmonary tuberculosis
- Chickenpox or disseminated shingles infections
- Measles
- SARS
- Avian Influenza
- Viral Haemorrhagic Fever
- +/- Mumps (droplet precautions, but prefer door!)
- SCGH Infectious Disease Guidelines (intranet)
- SCGH Antimicrobial Formulary List (intranet) This list has been created to identify the antimicrobials available and outline the restrictions that exist for certain antimicrobials prescribed at SCGH.
- Febrile Neutropenia Management Guideline (intranet)
- Admission criteria – HITH (IV Antibiotics) (intranet)
- STIs – 07/2016
- Sepsis Triage Screening Tool – 01/2018
- Guidelines for Rabies and Australia Bat Lyssavirus exposure (intranet)
- MERS CoV – 06/2015
- PEP (Post Exposure Prophylaxis) HIV: Starter Packs for Occupational and Non-Occupational exposure (intranet)
Legal
Neurology
- Stroke Call Pathway – 11/2017
- Spontaneous intracerebral haemorrhage – 11/2014
- Vertigo assessment – 01/2014 (for review)
- Lumbar puncture – 05/2009
- Seizures – 09/2009
Neurosurgery
Oncology
Ophthalmology
Orthopaedics
- Arthrocentesis (joint aspiration) – 05/2009
- Femoral Nerve Block Procedure – 03/2019
- Bier’s block – 06/2019
- Orthopaedic Investigation Ordering Guideline – 08/2019
- Basic Fracture Treatment – 05/2018
O&G
- Mx of of 1st Trimester Pain &/or Bleeding – 10/2015
- Sexual assault – 02/2009
- Obstetric patients at SCGH ED – 11/2015
- Radiology Procedure for Imaging Pregnant Patients – 01/2016
Pharmacy
Psychiatry & Behavioural
- Mental Health Catchment Areas – 02/2016
- NMHS Patient Flow Process to access a Mental Health Bed – 3/2014
- Eating Disorder Management – 09/2016
Radiology
- Radiology Procedure for Imaging Pregnant Patients – 01/2016
- Cervical spine injury investigation – 01/2015
- Pulmonary embolism initial diagnostic pathway – 05/2011
- X-Ray Risk Calculator – as the name suggests
- Diagnostic Imaging Pathways WA DOH
Renal
Respiratory
- Policy for the insertion of a chest drain by trainees – 05/2015
- COPD – 08/2015
- Pulmonary embolism initial diagnostic pathway – 09/2017
- Pulmonary embolism advanced care pathway – 02/2018
- Pneumothorax – 04/2014 (for review)
Toxicology and Toxinology
- Toxicology Hanbook (3rd Edition) – via SCGH Library
- Paracetamol poisoning – 06/2019
- Lithium toxicity – 04/2016
- Snake bite envenomation – 09/2015
- Emergency Department Prescription and Recreational Drug Screening Trial – 12/2015
Trauma
- Resuscitation / Trauma Team Roles – 4/2015
- SCGH Trauma Call Criteria – 11/2017
- Cervical spine injury investigation – 01/2015
- Philadelphia collar application – 04/2015
- Head injury – 05/2015
- Femoral Nerve Block Guideline – 03/2019
- Burns Assessment & Management – 08/2019
- Wound Closure Advice from Closing the Gap Website
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