Protocol 4-333 - Chronic OB/GYN Management (Including New Born Management)

CMH EMS & MIH Protocols


Condition GREEN: All Clear Zone... This is the safety zone.
Indications:
  • None of the YELLOW or RED indications are present.
What you can do:
  • Take your medications as ordered.
  • Follow healthy eating habits.
  • Balance activity and rest periods.
  • Keep all medical appointments.
What your CHW might do:
  • Review health history and PCP care plan prior to visit.
  • Answer any questions and address any concerns you have.
  • Review any discharge instructions from any hospital, emergency room, and/or doctor visits.
  • Review goals from previous visit:__________
  • Assess adherence to care plan, including diet, exercise, medications, and keeping appointments.
  • Review delivery complications and history.
  • Evaluated for postpartum depression and provide education on expected warning signs and symptoms.
  • Perform a general newborn assessment that includes:
    • Weight,
    • Oxygen saturation,
    • Vital signs,
    • Heart tones,
    • Lung sounds,
    • Physical exam
  • Review prevention measures with you including how and when to correctly take your medications.
  • Education on healthy eating and living habits is to be expected for every encounter.
  • Education on baby vaccination schedule.
  • Education on calorie count and food intake recommendations for both mother and baby.
  • Complete a History and Physical Exam.
  • A complete Medications Reconciliation is to be expected at every encounter.
  • Complete a Safety Assessment.
  • Complete a Social Assessment.
  • Facilitate a Telehealth visit, if scheduled.
  • Follow any verbal orders as obtained via telehealth, phone call, or electronic messaging.
  • Schedule follow-up appointment(s) as needed that might include, but not limited to: Primary Care Provider, Addiction Recovery, Behavioral Health, Dental Care, Dietician, Home Health, Home Medical Equipment, Hospice, Pharmacy Services, Therapy Services, Public Health, Wound Care
  • Establish goals for next visit:__________
What your CP might do:
  • Ensure completion of applicable CHW items above.
Condition YELLOW: Warning Zone... This is the watch zone.
Indications:
  • None of the RED indications are present.
  • An uneasy feeling or you know something is not right,
  • Changes in the baby's feeding habits or diaper conditions (including diarrhea),
  • Baby has lost weight,
  • Other indication set by your doctor:____________________
What you can do:
  • You may need an adjustment to your medications.
  • Improve your eating habits.
  • Increase your activity level.
  • Provide referral to a lactation counselor.
  • Call your CHW or CP:____________________
  • Call your PCP:____________________
    • If outside business hours, 24-hour triage nurse screening is available by calling your PCP's number.
What your CHW might do:
  • Ensure completion of applicable items in the GREEN zone above.
What your CP might do:
  • Ensure completion of applicable CHW items above.

Condition RED: Medical Alert Zone... This is the danger zone.
Indications:
  • Baby has continued to lose weight,
  • Baby has a fever,
  • Other indication set by your doctor:____________________
What you can do:
  • You need immediate evaluation by a medical professional.
  • Call your CHW or CP:____________________
  • Call your PCP:____________________
    • If outside business hours, 24-hour triage nurse screening is available by calling your PCP's number.
  • Call 9-1-1
What your CHW might do: What your CP might do:
  • Ensure completion of applicable CHW items above.
  • Assist you in the administration of your own prescribed medications.

NEMSIS Protocol: 9914175 - General-Community Paramedicine / Mobile Integrated Healthcare

Citations:


Change Log:

DateLink to
previous
version
Description of change
03/16/23Created this section.
05/11/23pdfFirst draft with green, yellow, and red sections.
05/26/23pdfAdded review of discharge instructions.

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CMH Pre-Hospital Services Mission: "Provide safe, exceptional, and compassionate care to our communities with an emphasis on highly trained and empowered staff." CMH Mobile Integrated Healthcare Mission: "Provide exceptional, compassionate, and patient-centered care by a mobile collaborative team to improve patient experience, improve quality outcomes, and reduce healthcare costs."
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