Guidelines

95 entries

Speciality / institutional guidelines

TB Drug DosingTB Control Programme Treatment Regimen for TB in Adult Patients and Children 8 years and older→
TB Drug Dosing Chart for Children < 8 Years of Age (2013)TB Drug Dosing Chart for Children <8 Years of Age (2013)→
TB Drug Dosing Chart for Children ≥8 years of ageTB Drug Dosing Chart for Children ≥8 years of age→
TB Exposed Newborn: Management GuidelinesTB Exposed Newborn: Management Guidelines→
TB Preventive Therapy2023 ART Clinical Guidelines→
TB Screening and TB Preventative Therapy during Pregnancy, Labour, and the Breastfeeding PeriodClick on the image to enlarge. Click here for the Dolutegravir (DTG) in Pregnancy and Safe Conception in Women . Click here for the pdf . South African National Department of Health, Guideline for Vertical Transmission Prevention of Communicable Infections, Version 2_August 2023→
TB: Paediatric (Extract from DOH Protocol)Locally relevant guidelines for both the junior and senior practitioner care for the manifold patients encountered within the Western Cape environment.→
TPT in Pregnant and Breastfeeding Women with TB Exposure or Living with HIVTPT should be offered to all pregnant and breastfeeding women (regardless of their HIV status) with significant TB exposure TPT should be deferred or not offered if the pregnant woman Management of TPT amongst HIV-negative and HIV-positive pregnant and breastfeeding women with TB exposure TPT should be offered to all pregnant and breastfeeding women (regardless of their HIV status) with significa→
Tachycardia Management AlgorithmTachycardia Management Algorithm→
Taking Consent for Organ DonationTaking consent for organ donation→
Technical issuesAssessment of Membrane Function PD Solutions Determination of Exchange Volume Assessment of PD Adequacy Assessment of membrane function Knowledge of the transport capacity of the patient’s peritoneal membrane is required to be able to write an optimal dialysis prescription. For this purpose a peritoneal equilibration test should be done with an exchange volume scaled to the body surface area and→
Temperature RegulationThermoregulation is the ability to balance heat production and heat loss to maintain a neutral thermal zone. The aim is to maximize metabolic efficiency, decrease oxygen need and conserve energy for other basic functions. Newborns, especially preterm babies, are more at risk for hypothermia due to the large surface area to body mass ratio, decreased subcutaneous fat, poorly developed mechanisms f→
Terminal PhaseAn approach to symptom management to guide decision-making in the management of patients with life-threatening illness→
Termination of Pregnancy (TOP)This booklet is intended as a practical guide to patient care for registrars, medical officers, interns and medical students attached to the gynaecology units at the University of the Witwatersrand Academic Hospitals. Anyone can use it.→
Testifying in CourtRainbow Clinic for Abused Children, April 2020→
Testing Criteria for the Public (Western Cape)Testing Criteria June→
Testing of Allergan SensitisationObjective laboratory testing can identify patients at increased risk for severe disease, direct preventative steps to minimise allergen exposure(s) and tailor treatment and allergen immunotherapy (AIT). 29 However, indiscriminate and extensive specific IgE testing is not indicated where history and examination suggest AR. Various recommendations regarding prevailing aero-allergens in South A→
Tetanus ProphylaxisTetanus Prophylaxis→
The Anaesthetic PeriodDelegation of care Perioperative temperature management Consideration of principles of safe anaesthesia care provision is given elsewhere in the document as it pertains to professionalism, equipment and monitoring, medication, etc. The following are guidelines on issues not addressed elsewhere. Delegation of care The anaesthetist’s primary responsibility is to the patient currently under their ca→
The Anaesthetic Period: Guidelines on the use of Ultrasound in AnaesthesiaVascular access Transthoracic echocardiography The use of ultrasound (US) has significantly improved patient safety. It is sufficiently pervasive in both the training of anaesthetists and usage among SASA members to warrant the drafting of some guidance. Vascular access Based on available evidence, using real-time US during internal jugular (IJ) cannulation improves success and reduces the incide→
The Anaesthetic Period: Monitoring and Care StandardsThe following tables have been taken from the International Standards for the Practice of Safe Anaesthesia. Please note that facilities in South Africa where anaesthesia is delivered should comply with Hospital Level 2–3 standards in these tables. Please note that international levels of care do not exactly correlate to South African levels of care. This table should be merely used as a guideline→
The Anaesthetic Period: Prevention of Wrong-Side SurgeryFactors that contribute to wrong-side procedures Prevention of incorrect side block performance General Wrong-side procedures are classified as ‘ never events ’. However, they still occur at an unacceptable rate. As integral members of the surgical team and advocates for patient safety, anaesthesia providers are critical to processes that aim to prevent these. Of note, it is estimated that wrong-→
The Anaesthetic Period: RecordsAnaesthesia records Ownership of records Signing of records and official documents The anaesthetist’s prescription Records of incident and death reporting Aggregated clinical data and registries Personal information and health data: confidentiality and access SASA supports the following WFSA standards: A record of the details of each anaesthetic (preoperative assessment, anaesthetic plan, intra-→
The Bladder DiaryA bladder diary, also known as a frequency-volume chart, is a simple tool for monitoring urinary habits. It records the number of times the child voids and the volume of urine passed with each void. To gather accurate information, the diary should be kept for at least 2 - 3 days, although non-consecutive days are acceptable. While a 3-day diary is more comprehensive, studies have shown that patie→
The Community Health WorkerCare of the Non-Pregnant Woman of Child Bearing Potential (CBP) at Home Encourage Pregnant Women to Attend at the Antenatal Clinic Identify the Pregnant Woman Living with HIV Counsel all Pregnant Women on Good Nutrition and Following a Healthy Lifestyle Prevent Mother to Child Transmission of HIV, Syphilis and TB Promote Safety During Pregnancy and Delivery Postnatal Care for Mother and Baby Care→
The Fetal Medicine UnitThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The First Antenatal VisitThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The Floppy Infant (Distinguished from the Weak Child)The Floppy Infant (Distinguished from the Weak Child)→
The Fourth Stage of LabourThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The Neurobiology of PainPostoperative pain Procedural pain Even extremely premature neonates are able to process and experience pain. Repeated painful stimuli experienced in the neonatal period have been associated with adverse longterm consequences, including poor cognitive outcomes. Neonates and infants are particularly vulnerable because of the plasticity of their nervous systems. Inhibitory descending pathways→
The New Ballard Maturational Score (Physical Maturity and Neuromuscular Maturity)Management guidelines for students, interns and registrars on a variety of routine and emergency situations in our neonatal service at Tygerberg Children’s Hospital. Published in 2014.→
The Normal PuerperiumThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The Painful Red EyeThe Painful Red Eye→
The Partogram: Alert & Action LinesThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The Physiology of Acute PainDefinitions Understanding nociceptive pathways Neurotransmitters Intracellular events Receptors and ligands Nociceptive pathways Receptors Autonomic nervous system Psychological aspects of acute pain The progression of acute to chronic pain Adverse effects of pain Definitions Pain is defined by the International Association for the Study of Pain (IASP) as an “unpleasant sensory and emotional expe→
The Postanaesthesia PeriodCare of patients recovering from anaesthesia Transfer from theatre to recovery room Guidelines for the handover of postoperative patients to the staff of the theatre recovery area Aldrete score Management and supervision Care of patients recovering from anaesthesia Recovery from anaesthesia must occur under appropriate supervision in an area designed for this purpose. This area should either be i→
The Preanaesthesia Period: Preoperative Anaesthesia ClinicIntroduction Value in health care has been described as quality divided by cost, where quality is the sum of patient outcomes and experience. A well-run preoperative anaesthesia clinic (PAC) offers many opportunities to improve the value of the care delivered to patients by reducing the associated costs and improving the quality of care, i.e., reduction in excessive preoperative testing, reductio→
The Preanaesthesia Period: Preoperative ConsultationClinical assessment Preoperative testing Consent and explanation Telephonic and electronic prescription of premedication drugs These standards apply to all patients who receive general or regional anaesthesia, sedation or monitored anaesthesia care. Under unusual circumstances, e.g., extreme emergencies, these standards may be modified. When this is the case, the circumstances must be documented→
The Preanaesthesia Period: Preoperative FastingIn adults In children In adults The following fasting guidelines have been adopted from the Canadian Anesthesiologists’ Society, with permission: Fasting policies apply to all forms of anaesthesia, including sedation. Emergent or urgent procedures should be undertaken after considering the risk of delaying surgery vs the risk of aspiration of gastric contents. Pre-existing medical conditions like→
The Second Stage of LabourThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The South African Dysphagia Screening ToolClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Registered Nurse Stroke Patient Acute Treatment Form_2024→
The Ten Steps to Successful BreastfeedingAll Health Facilities must support mothers to breastfeed as a standard of care by implementing the following... Click here for the pdf . South African National Department of Health, Guideline for Vertical Transmission Prevention of Communicable Infections, Version 2_August 2023→
The Third Stage of LabourThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The Ultrasound Scan at 11-14 WeeksThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The Ultrasound Scan at 18-23 WeeksThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The Unconscious Obstetric PatientThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
The eFAST Exam (Trauma)Summary of indications, technique and findings in clinician-performed, bedside ultrasound for traumatic injuries. Adapted from the Partners In Health Manual of Ultrasound for use by health care providers.→
Theophylline PoisoningTheophylline poisoning→
Therapeutic Approaches of Psoriatic Arthritis (PsA)Non-steroidal anti-inflammatory drugs Glucocorticoids Disease-modifying antirheumatic drugs Important notes on b/tsDMARDs Choice of b/tsDMARD Switching therapy Non-steroidal anti-inflammatory drugs Non-steroidal anti-inflammatory drugs (NSAIDs) are useful and frequently used for symptomatic treatment in patients with PsA, particularly those with oligoarthritis, axial disease and enthesitis.→
Therapeutic Drug Monitoring for Aminoglycosides and VancomycinThe current recommended empiric antibiotic choices and empiric durations for suspected bacterial infections at CHBAH, based on consensus agreement between Infectious Diseases (ID), Microbiology and specialties after review of our 2018 antibiogram data, is as follows until directed therapy is possible.→