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ER precautions in Term Pregnancy
Regular painful contraction every 5 minutes (nulliparous) or every 10 minutes (multiparous), or sooner if long distance to hospital or history of precipitous delivery Rupture of membrane Vaginal bleeding No or decreased fetal movement (<10 kicks in 2hrs)
Medication in Obstetrics
Minimize all medication use during pregnancy (especially in 1st TM), unless clearly indicated! FDA pregnancy categories A: No risk in controlled human studies B: No risk in controlled animal studies and no risk seen in humans C: Small risk in controlled an...
Developmental Milestones
Newborn Social Language and Self-help: Has periods of wakefulness; looks at parent's eyes when being held Calms when picked up Verbal Language: Communicates discomfort through crying and behaviors such as facial expressions, body movements Moves or calms...
Pre-Training Questionnaire
ACEs Pre-Questionairre Position: Staff Attending MA PGY-1 PGY-2 PGY-3 Have you started/completed the ACE’s Aware training? Yes No What does ACE’s stand for in the medical field? Angiotensin-Conver...
Post Training Questionnaire
ACEs Post-Questionairre What does ACE’s stand for in the medical field? Angiotensin-Converting Enzyme Adult Continuing Education Adverse Childhood Experiences Abstinence Commitment Effect Advocates for Children's Education ...
Pre-Training Data
What does ACE’s stand for in the medical field? ANSWER CHOICES RESPONSES a. Angiotensin-Converting Enzyme 8.11% 3 b. Adult Continuing Education 2.70% 1 c. Adverse Childhood Experiences 83.78% 31 d....
Post Training Questionairre Data
To interpret the data below, please see the numbered questions below corresponding to Q1...Q10. The answers have been truncated to fit onto the table. Please see the preceding Post Training Questionairre for the full responses as well as the answers (bolded). ...
ACEs Aware PowerPoint
https://docs.google.com/presentation/d/13Op55PKSH0PH8cTiWY1G1UnZ7vNlOdJl/edit?usp=sharing&ouid=101540590564494398620&rtpof=true&sd=true
ACEs Aware Training
Please see the following link to be transferred to the ACEs Aware Training. https://training.acesaware.org/
ACEs Aware Attestation
Please follow the below link to arrive at the online ACE Aware Provider Attestation page that was required for all provider (physicians, PAs, NPs) to be self-attested after July 1, 2020 to screen for ACEs in their clinics. https://www.medi-cal.ca.gov/TSTA/TS...
ACEs Aware Website Resources- Questionnaires for Clinic Screening
PEARLS Questionaire https://www.acesaware.org/wp-content/uploads/2019/12/PEARLS-Tool-Child-Parent-Caregiver-Report-De-Identified-English.pdf Adverse Childhood Exeprience for Adults Questionaire https://www.acesaware.org/wp-content/uploads/2020/02/ACE-Question...
Clinic Screening Data
89 Referrals received 134 encounters 113 Connections 42 closed loop referrals 19 closed cases-received help ACEs >4: 11 Top stress busters: Mental Health/Supportive relationships Quality sleep Balanced Nutrition
ACEing Residency-Links
1. CAFP "ACEing Residency" Poster: https://docs.google.com/presentation/d/1XW2yjOAYav7dxQjeTBPgGdZQrV00RxAw/edit?usp=sharing&ouid=101540590564494398620&rtpof=true&sd=true 2. ACEs Video (Revolutionizing Healthcare through Trauma Informed Approaches in Fresno C...
Hypothyroidism
Definition Primary Hypothyroidism: High TSH and Low T4 Secondary (central) Hypothyroidism: Low T4 and TSH that is low Subclinical Hypothyroidism: High TSG with normal T4 Myxedema coma: severe hypothyroidism causing multi-organ dysfunction. A medical emerge...
Hyperthyroidism
Symptoms and signs Signs of hypermetabolic state: restlessness, tachycardia, diaphoresis, hyper-defecation, weight loss, palpitation Apathetic hyperthyrodism: elderly patients often don't have classic symptoms, but may present with lethargy, weight loss, SOB...
VFib/Pulseless VT/Asystole/PEA
AHA
USPSTF screening
Abdominal Aortic Aneurysm: Screening: The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked. Asymptomatic Bacteriuria in Adults: Screening: pregnant persons The USPSTF...
Peds Inpatient Expectation
You will receive an email from valley children for the on-boarding package. Part of this package, you need to have also go to our employee health to get mask fitting because VCH using a different mask than the one we have at SAMC. On your first day, you will...
Rotation expectations
Call group (only cover patients of the following): Dr. Vishwanath Dr. Dickinson Dr. Marquez Dr. Gade Dr. Matharu Any unassigned patients Door Codes: Sleep Rm 4th floor 611# 6th floor doctors’ lounge 33115 From elevator on 6th floor 425# From COVID ...
Bradycardia
AHA