Telephone triage for obstetrics and gynecology / Vicki Long, Patricia McMullen.

Format:

Book

Author/Creator:

Long, Vicki, author.

McMullen, Patricia C., author.

Language:

English

Subjects (All):

Maternity nursing.

Physical Description:

1 online resource (xxiii, 573 pages)

Edition:

Third edition.

Place of Publication:

[Place of publication not identified] : Wolters Kluwer, [2018]

Summary:

This easy-to-use manual provides telephone triage protocols to nurses involved with obstetrics and gynecology.It offers suggestions for asking appropriate questions in a flowchart format to ascertain the assessment and severity of the problem and need for medical intervention.

Contents:

Intro

Part I: Telephone Triage Basics

Chapter 1: Telephone Triage in Women's Health Care: Logistical and Legal Considerations

THE ORIGIN AND EVOLUTION OF TRIAGE

BASIC CONSIDERATIONS IN ESTABLISHING A TELEPHONE TRIAGE SYSTEM

Are "Protocols" or "Guidelines" the Appropriate Format?

What's the First Step in Drafting Protocols or Guidelines?

Who Should Handle the Calls?

How Should Calls Be Documented?

A WORD ON CONFIDENTIALITY, THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT, AND THE AMERICAN RECOVERY AND REINVESTMENT ACT

What Information Is Pertinent for Each Patient Who Calls?

HANDLING OUT-OF-STATE CALLS

REDUCING LEGAL RISKS/IMPROVING PATIENT CARE

Chapter 2: Assessing the Obstetric/Gynecologic Patient by Telephone

THE EVIDENCE FOR ASSESSMENT BY TELEPHONE

THE BASIC DATA

THE NATURE OF THE PROBLEM

THE REAL NATURE OF THE PROBLEM

EXPLORING SYMPTOMS

TIME MANAGEMENT IN TELEPHONE TRIAGE

Chapter 3: Communication Basics and Challenges in Telephone Triage

HELPFUL THERAPEUTIC COMMUNICATION TECHNIQUES

COMMUNICATION BASICS IN TELEPHONE TRIAGE

Self-Awareness

Tele Charisma

Paralanguage

Establish Trust

Use an Empathetic Approach

Allow Enough Time

Judicious Use of Open-ended Questions

Significance of Closing

COMMON CHALLENGES IN TELEPHONE TRIAGE

Maintaining Composure

Giving Bad News

Providing Comfort

Communicating with Assertiveness

Care for the Caregiver

RESOURCES IN COMMUNITY

Chapter 4: The Use of Online Information Retrieval in Telephone Triage: Professional Resources and Social Media

IMPORTANT TERMS

WEB PAGE ORGANIZATION AND NAVIGATION

INTERNET SEARCH ENGINES

CHOOSING KEYWORDS

Table 4-1: Internet Search Tracking Form

ENTERING KEYWORDS

Table 4-2: Examples of Keywords, Operators, and Results From Internet Searches.

RESULTS DISPLAY

Table 4-3: Results From Keyword Search High Risk Pregnancy

EVALUATING WEB PAGE CONTENT

PATIENTS, CAREGIVERS, AND THE INTERNET

SCHOLARLY SEARCH ENGINES/DATABASES

A WORD ON SOCIAL MEDIA

MEDICAL PROFESSIONAL EDUCATION

Patient Education

POTENTIAL BARRIERS AND CAUTIONS

PROPER USE OF THE INTERNET AND SOCIAL MEDIA

Part II: Obstetric Protocols

Chapter 5: Preconceptual and Infertility Overview

BASIC TRIAGE ASSESSMENT FORM FOR PREGNANCY

BASIC TRIAGE ASSESSMENT FORM FOR AN OBSTETRIC PATIENT'S EXPOSURE TO ENVIRONMENTAL AND HOUSEHOLD CHEMICALS

BASIC TRIAGE ASSESSMENT FORM FOR AN OBSTETRIC PATIENT'S EXPOSURE TO COMMUNICABLE DISEASES

Table 5-1: Exposure to Selected Communicable Diseases in Pregnancy

Table 5-2: Recommendations for Vaccine Use in Pregnant Women

Cleaning Agents

Key Questions

Actions

STEP A: Use of Cleaning Agents

Cord Blood Banking

STEP A: Definition of Cord Blood Banking

STEP B: Arranging for Cord Blood Banking

STEP C: Controversies Surrounding Cord Blood Banking

Food Safety in Pregnancy

STEP A: Basic Rules of Food Safety

STEP B: Food Safety Advice for Consuming Fish

STEP C: Food Safety Advice for Selected Dairy Products

STEP D: Food Safety Advice for Deli Meats, etc.

STEP E: Safety Advice for Avoiding Toxoplasmosis Exposure

Hair Dye and Permanent Wave Exposure

STEP A: Hair Dye or Permanent Wave

Medication Use During Preconception, Pregnancy, and Lactation

Table 5-3: Risk Categories for Medications Prescribed in Preconception, Pregnancy, and Lactation

STEP A: Current Medication Use

Paint Exposure

STEP A: Latex Paints

STEP B: Spray Paints.

STEP C: Oil- or Lead-Based Paints

STEP D: Sealants and Shellacs

STEP E: Artists' Paints

Pesticide Use

STEP A: Pesticide Use

Common 30-Day Female Infertility Workup for Women With 28- to 30-Day Cycles

Table 5-4: Commonly Used Infertility Medications

STEP A: Getting Started

STEP B: Menses After Completion of the Infertility Workup

STEP C: No Menses After Completion of the Infertility Workup

Chapter 6: Early Management of Unintended Pregnancy Overview

BASIC TRIAGE ASSESSMENT FORM FOR EARLY UNINTENDED PREGNANCY

Counseling Options for Early Unintended Pregnancy

STEP A: Discussing Options for Unintended Pregnancy

STEP B: Referral to a Counselor or Other Care Provider

Chapter 7: Prenatal Screening Overview and Tests for Ongoing Fetal Surveillance

PRENATAL SCREENING OVERVIEW

TESTS FOR ONGOING FETAL SURVEILLANCE

Early Prenatal Genetic Screening for Aneuploidy (Abnormal Chromosomes)

STEP A: Chorionic Villus Sampling and Amniocentesis

STEP B: First Trimester Combined Screening, Serum Integrated Screening, and the Quadruple Second Trimester Screen

Early Prenatal Screening for Carrier Status

STEP A: Desires Carrier Screening

STEP B: Positive Screening Test

Antepartum Fetal Surveillance by Biophysical Profile

STEP A: Indications for a Biophysical Profile

STEP B: What a Biophysical Profile Involves

STEP C: Understanding Biophysical Profile Results

Antepartum Fetal Surveillance by Contraction Stress Test

STEP A: Indications for a Contraction Stress Test.

STEP B: What a Contraction Stress Test Involves

STEP C: Understanding Contraction Stress Test Results

Antepartum Fetal Surveillance by Fetal Movement (Kick) Counts

STEP A: Indications for Counting Fetal Movements

STEP B: What Counting Fetal Movement (Kicks) Involves

STEP C: Understanding Fetal Movement (Kick) Count Results

Antepartum Fetal Surveillance by Nonstress Test

STEP A: Indications for a Nonstress Test

STEP B: What a Nonstress Test Involves

STEP C: Understanding Nonstress Test Results

Chapter 8: 1st Trimester Overview

Table 8-1: Maternal Mental Health: Perinatal Depression and Anxiety Patient Safety Bundle From the Council on Patient Safety in Women's Health Care

1st Trimester Abdominal Pain

STEP A: Vaginal Bleeding

STEP B: Severe Abdominal Pain

STEP C: Problems to Consider

1st Trimester Ambivalence Regarding Pregnancy

STEP A: Ambivalence in Pregnancy

STEP B: Possible Underlying Depression or Anxiety

STEP C: History of Depression or Other Mental Health Disorders

STEP D: Desire to Harm Oneself or Others

1st Trimester Anxiety

STEP C: History of Depression or Mental Health Disorders

STEP D: Recognition and Treatment of a Panic Attack

STEP E: Desire to Harm Oneself or Others

1st Trimester Bleeding

STEP A: Pregnancy Confirmation

STEP B: Vaginal Bleeding, Heavy

STEP C: Vaginal Spotting or Irregular Bleeding

STEP D: Ectopic Pregnancy Considerations.

STEP E: Spontaneous Abortion Considerations

1st Trimester Constipation

STEP A: Pregnancy Related

STEP B: Constipation With Additional Symptoms

STEP C: History of Constipation/Medication Possibly Contributing

STEP D: Blood in Stool

1st Trimester Depression

STEP C: History of Depression or Mental Health Disorder

1st Trimester Dizziness/Fainting

STEP A: Sudden, Severe Headache, or Neurologic Changes

STEP B: Fainting, Loss of Consciousness

STEP C: Ear Pain or Sinus Pressure

STEP D: Syncope

1st Trimester Fatigue

STEP A: Pregnancy-Related Fatigue

STEP B: Preexisting Illnesses

STEP C: Outside Stressors

1st Trimester Headache

STEP A: Sudden, Severe Headache

STEP B: Neurologic Symptoms

STEP C: Respiratory Symptoms

STEP D: Dull Headaches

1st Trimester Nausea/Vomiting

STEP A: Food/Fluid Difficulties

STEP B: Nausea/Vomiting in Pregnancy

STEP C: Preexisting Food Intolerance or Gastrointestinal Problem

STEP D: Fever/Abdominal Pain

1st Trimester Urinary Complaints

STEP A: Frequent Urination Without Other Symptoms

STEP B: Frequent Urination With Urinary Symptoms

STEP C: Frequent Urination With Renal Symptoms

STEP D: Sickle Cell Disease or Sickle Cell Carrier

1st Trimester Vaginal Discharge

STEP A: Physiologic Discharge of Pregnancy.

STEP B: Symptoms of Vaginitis.

Notes:

Description based on print version record.

Description based on publisher supplied metadata and other sources.

ISBN:

1-4963-6239-X

OCLC:

1109818989