Guidelines
3,191 entriesNDOH Standard Treatment Guidelines and clinical protocols
- VitiligoVitiligoPrimary Care→
- Volatile SolventsDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: T53 DESCRIPTION Inhalants include: spray-paint, glue and paint thinners that may contain hydrocarbons such as toluene and/or n-Hexane. If these are ingested, hydrocarbon poisoning with possible chemical pneumonitis must also be considered. DIAGNOSTIC CRITERIA distinctive odour, euphoria,PEML (Paeds)→
- Voluntary Sterilisation, Male and FemaleZ30.2 Female sterilisation Also known as tubal occlusion or tubal ligation. This is a permanent, surgical contraceptive method for women who do not intend to have more children. Women who opt for sterilisation should be adequately counselled and referred. Male sterilisation Also known as vasectomy. This is a permanent surgical contraceptive method for men who do not intend to have more children.Primary Care→
- Von Willebrand DiseaseDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: D68.0 DESCRIPTION Von Willebrand disease is the most common congenital bleeding disorder and is due to reduced amounts or abnormal forms of von Willebrand factor. DIAGNOSTIC CRITERIA Clinical Recurrent epistaxis, prolonged bleeding from lacerations, easy bruising or gum bleeds, menorrhagPEML (Paeds)→
- Vulval Skin Problems, Dysplasias & VulvodyniaThis 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.Other→
- Vulvar CancerThis guideline 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.Other→
- WHO Guiding Principles on Human Cell, Tissue and Organ TransplantGuiding Principle 1 Guiding Principle 2 Guiding Principle 3 Guiding Principle 4 Guiding Principle 5 Guiding Principle 6 Guiding Principle 7 Guiding Principle 8 Guiding Principle 9 Guiding Principle 10 Guiding Principle 11 Guiding Principle 1 Cells, tissues and organs may be removed from the bodies of deceased persons for the purpose of transplantation if: (a) any consent required by law is obtainOther→
- WHO Recommendations for the Use of AnalgesicsGeneral principles and management of cancer pain in adultsOther→
- WHO Weight ReferencesWHO Weight ReferencesPrimary Care→
- Ward Management of Surgical Patients: Administrative IssuesTips and suggestions for surgical managementOther→
- Ward Management of Surgical Patients: Clinical IssuesTips and suggestions for surgical managementOther→
- WarfarinWarfarinOther→
- WartsMedicine treatment Referral ICD-10 Code: B07 MEDICINE TREATMENT Common warts Salicylic acid 25% ointment, applied under plaster nightly. Protect surrounding skin with petroleum jelly. Repeat until the wart falls off. Genital warts Podophyllin resin 20%, applied under plaster nightly. Protect surrounding skin with petroleum jelly. Repeat until the wart falls off. REFERRAL Extensive warts involvingPEML (Paeds)→
- WartsPlease click on the link below to access the most up-to-date version of this guideline. The content on this page is currently being updated to align with the latest publication. Always check the version number at the bottom of the screen to confirm which version you are using. Click here to access the Primary-Healthcare-Chapter-5-Skin-Conditions-with-Supporting-NEMLC-Report-2020-4-Review-Version-Primary Care→
- Waste ManagementDistrict level hospital guidelines applicable for interns and comm service doctors. Published in 2016Other→
- Weight ManagementWeight Management in type 2 DiabetesOther→
- Western Cape Provincial PPE PlanThis document provides recommendations for the use of personal protective equipment (PPE) for specific situations, to protect our staff, patients and visitors against exposure to the coronavirus (SARS-CoV-2). Published 25 March 2020.Other→
- Western-Cape Provincial Periviability CriteriaExecutive Summary Overview Background and Reasoning Definitions Principles GROUP 1: Neonatal interventions in Cape Town Hospitals housing NICU beds (TBH, GSH, MMH) GROUP 2: Neonatal interventions in Regional Hospitals (NSH, WRH, PRH, George Regional Hospital) GROUP 3: Neonatal interventions in District Hospitals Areas of inequity that require attention if these objectivesOther→
- What to do for Admission, Discharge and Follow-upAdmissions Care of babies <900g birth weight Eye checks for retinopathy of prematurity Discharge Summaries and stats meetings Neonatal follow-up (NNFU) Postnatal wards Admissions Which patients to admit: Usually it is obvious if a baby needs admission. Some of the grey areas are: Low birth weight but baby otherwise well. All babies of birth weight < 1800g should be admitted Mild respirOther→
- Wheeze - Follow-UpIMCI - Child (Age 2 months up to 5 years)IMCI→
- When to Initiate DialysisDialysis is recommended when the eGFR is ~5-10ml/min, or when the eGFR is less than 15 ml/min and the patient has one or more of the following: Symptoms or signs of uraemia Diuretic resistant fluid overload Poorly controlled blood pressure Evidence of malnutrition Refractory metabolic acidosis Note 1: There is no evidence that earlier initiation of dialysis improves outcome. The value of dialysisOther→
- When to Refer to a NephrologistAbnormal renal imaging e.g. cystic kidney disease, at any GFR Persistent proteinuria and/or haematuria eGFR <60 ml/min (recommended) eGFR <30 ml/min (mandatory) Note 1: At GFR <60 ml/min interventions to retard or prevent the progression of CKD should be instituted. Note 2: At GFR <30 ml/min, options for renal replacement need to be considered. Consider preparing vascular access and wOther→
- Women for Referral to 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.Other→
- Work-up for a Suspected Cervical CarcinomaWork-up for a Suspected Cervical CarcinomaOther→
- Work-up for a Suspected Pelvic MassNEW Work-up for a Suspected Pelvic MassOther→
- Work-up for a Suspected Uterine CancerNEW Work-up for a Suspected Uterine CancerOther→
- Worm BolusDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: B77 DESCRIPTION Partial or complete obstruction of the bowel by a 'knot' of Ascaris lumbricoides curled around each other. Usually presents with cramping abdominal pain with/without other evidence of obstruction. May occasionally lead to local necrosis and perforation of the small bowel.PEML (Paeds)→
- Wound CareAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- Wound CareIntroduction Background Materials available on tender SETTING Primary and Secondary Healthcare Institutions in the Western Cape which refer to Red Cross War Memorial Children’s Hospital (RCWMCH) FOR STAFF Primary and Secondary Doctors and Nurses who refer patients to RCWMCH PATIENTS Patients under the age of 13 years old with open wounds Introduction Open wounds are a common presentation in childOther→
- Wound Care ManagementWound Care ManagementOther→
- Wound Infections/ Surgical Site Infections (SSI)Infection Wound Infections / Surgical site infections (SSI) Brief outline/clinical setting Accounts for 20% of all hospital-acquired infections. Divided into the categories of - superficial incisional SSI (skin or subcutaneous tissue), - deep incisional SSI (fascia or muscular layers), and - organ/space SSI (any part of the body opened or manipulated during a procedure, excluding the previously mOther→
- Wrist Injuries - Specific fracturesSpecific wrist fracturesOther→
- Wrist injuries — Approach / ImagingWrist injuries — An Emergency Centre approachOther→
- Yellow Fever VaccinationYellow Fever VaccinationOther→
- Your Child’s General AnaestheticInformation for parents and guardiansOther→
- Zinc (Age 2 months up to 5 years)IMCI - Child (Age 2 months up to 5 years)IMCI→
- ZosterDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: B02 DESCRIPTION A vesicular eruption in a dermatomal pattern, due to reactivation of varicella zoster virus. Occurs commonly in immunocompromised children and occasionally in immunocompetent children. DIAGNOSTIC CRITERIA Usually made on clinical grounds. Investigations Confirm diagnosisPEML (Paeds)→
- Zoster (Shingles)Description General measures Medicine treatment Referral ICD-10 code: B02.9 DESCRIPTION Dermatomal eruption of vesicles on an erythematous base due to varicella-zoster virus (lies dormant in nerve ganglia following chickenpox). GENERAL MEASURES Isolate from immunocompromised or pregnant non-immune individuals (who may develop severe chickenpox). Offer HIV test, especially in patients <50 yearsEML (Adult)→
- rt-PA (Alteplase) Dosing ChartClick on the image to enlarge. Click here for the pdf Angels Initiative South Africa _ Registered Nurse rtPA Treatment Pack_2024Other→
- rt-PA Administration: Standing OrderClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Treating Doctor_Stroke patient acute treatment forms_2024Other→
- rt-PA Administration: Standing OrderClick on th eimage to enlarge. Click here for the pdf . Angels Initiative South Africa _ Registered Nurse_Stroke Patient Acute Treatment Form_2024Other→