Transcript DoD Clinical Practice Guideline Management of - Awhonn

LTC Liz Murray, AN
MSN, BSN, RNC-OB
Madigan Army Medical Center
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No conflicts of interest or relevant financial
relationships
No discussion of off label uses of medications
or any medical devices
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Upon completion of this class, the participant will
be able to:
◦ Verbalize three updates and three new additions to the
Clinical Practice Guideline (CPG) for Pregnancy
Management
◦ Verbalize how to incorporate the CPG provider reference
cards into practice
◦ Verbalize how to incorporate the Purple Book into
practice
◦ Verbalize where to find CPG and how to order reference
cards and purple book/pamphlets for patients
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2003, implementation CPG Management of
Uncomplicated Pregnancy
Intent
◦ Reduce practice variation
◦ Provide evidence-based recommendations
◦ Identify outcome measures
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Goal-oriented prenatal care system vs.
interval-based visit
Patient “exited the guideline” if complications
arose
http://www.healthquality.va.gov/pregnancy.asp
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Goal: Improve pregnant woman and provider
satisfaction with antenatal care
◦ Gestational age antenatal visits; specific, welldefined goals
◦ Promote partnership through education and goals
◦ Standardized care plan
◦ Evidence-based interventions and evaluations
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Population: antenatal only
Audience: relevant to all primary and
secondary health-care providers
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Outcomes
◦ Initial screening and intake completed in first
trimester
◦ Timely comprehensive screening for risk factors
◦ Timely prenatal counseling and education
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Content : algorithm based
http://www.healthquality.va.gov/pregnancy.asp
www.militaryhomefront.dod.mil/service/fap/sbs
The Period of PURPLE Crying® program is the name
given to the National Center on Shaken Baby
Syndrome's evidence-based SBS prevention
program, which includes a full color 11-page
booklet and a 10-minute DVD intended to be
given to parents of new infants.
The 5 S’s: Five simple steps that trigger the calming
reflex (swaddling, side/stomach position, shushing,
swinging and sucking). For centuries, parents have
tried these methods only to fail because, as with a knee
reflex, the calming reflex only works when it is
triggered in exactly the right way.
http://www.thehappiestbaby.com
https://www.qmo.amedd.army.mil/pregnancy/PregTools.htm
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25 updates and 14 new additions to the Clinical Practice
Guideline (CPG) for Pregnancy Management – name three of
each
How will you incorporate the CPG provider reference cards
into practice?
How will you incorporate the Purple Book into practice?
Where do you find the CPG and how do you order reference
cards and purple book/pamphlets for patients?
[email protected]