Ward Guide & Clinical Protocols

Ward Protocols

11

How to Receive a New Patient

Step-by-step admission protocol

Ward Rounds

How to conduct effective ward rounds

How to Take Patient's Daily Progress Report

SOAP format for patient progress

Round Orders

Writing and executing round orders

How to Write Drug Prescriptions

Proper prescription writing guidelines

How to Write a Discharge Summary

Complete discharge documentation

Handover Notes

Effective patient handover protocols

How to Fill Request Form (for Sending Specimen)

How to Write Calls to Other Units

How to Take Consent

Learn to Say No

Clinical Triage

2

Clinical Triage — Severity Assessment

RED / YELLOW / GREEN triage system

Symptom-based Triage Guide

Common symptom triage with red flags

General Care of the Patients

5

Regulation of Body Temperature

Injections

Tube Feeding

Enema

Flatus Tube

General Procedures

7

Femoral Vein Puncture

Venous Cut Down

Lumbar Puncture

Pleural Aspiration

Intercostal Drainage

Bone Marrow Aspiration

Abdominal Paracentesis

Common OPD Cases

59

Common Medical Emergencies

14

Introduction to Common Medical Emergencies

Equipments in Emergency Room

Medications (Parenteral)

Medications (Oral)

Acute Chest Pain

Acute Breathlessness

Seizures

Encephalopathy and Coma

Hypotension and Shock

Vertigo/Syncope

Acute Diarrhoea and Vomiting and Prevention of Acute Renal Failure

Acute Retention of Urine

Fever

Headache

Surgical Emergencies

10

Accident and Emergency Department

Head

Thorax

Gastrointestinal Bleeding

Major Burns

Acute Appendicitis

Acute Intestinal Obstruction

Acute Pancreatitis

Postoperative Complications

Specific Postoperative Complications

Cardio Pulmonary Resuscitation

4

CPR

Defibrillation

Phases of CPR

Hands-Only CPR

Intravenous Therapy

2

Intravenous Therapy

Hazards/Complications of IV Therapy

Pain and Palliative Care

3

Treatment of Pain

Acute Pain

Chronic Pain

ENT and Dentistry

17

Perichondritis

Furuncle

Ear Wax

Foreign Body in Ear

Otitis Externa

Otomycosis

Otitis Media

Tinnitus

Vertigo

Stomatitis (Mouth and Lips Swelling)

Sensitivity

Management of Dental Abscess

Acute Tonsillitis/Acute Gingivitis

Acute Pharyngitis

Aphthous Ulcers

Epistaxis

The Viral Rhinosinusitis (Common Cold)

Infectious Diseases

16

Typhoid Fever

Filariasis

Malaria

Leptospirosis

Meningitis

Endocarditis

Histoplasmosis

Blastomycosis

Coccidioidomycosis

Cryptococcosis

Candida Infections

Human Immunodeficiency Virus Infection

Influenza

Acute Bronchitis

Chronic Bronchitis

Bronchiolitis

Ophthalmic Disorders

18

Glaucoma

Age-Related Macular Degeneration (AMD)

Xerophthalmia (Vitamin A Deficiency)

Conjunctivitis

Bacterial Conjunctivitis

Allergic Conjunctivitis

Fungal Conjunctivitis

Sub-Conjunctival Hemorrhage

Decrease of Vision

Management of Blepharitis

Keratitis & Corneal Ulcer

Refractive Errors of Vision

Amblyopia

Cataract

Uveitis

Diabetic Retinopathy

Ocular Herpes

Sty

Cardiovascular Disorders

19

Acute Coronary Syndromes

Arrhythmias

Cardiac Arrest

Dyslipidemia

Heart Failure

Hypertension

Ischemic Heart Disease

Shock

Stroke

Venous Thromboembolism

Angina Pectoris (Stable Angina)

Unstable Angina and NSTEMI

Mitral Stenosis

Mitral Regurgitation

Mitral Valve Prolapse (MVP)

Aortic Stenosis

Aortic Regurgitation

Pulmonary Embolism

Peripheral Arterial Disease (Lower Limb Ischemia)

Bone and Joint Disorders

14

Gout and Hyperuricemia

Osteoarthritis

Osteoporosis

Rheumatoid Arthritis

Casts and Their Problems

Management of Back Pain

Management of Bone Fracture

Joint Sprain

Osteomyelitis

Spinal Tuberculosis (Pott’s Disease)

Drug-Induced Lupus

Antiphospholipid Syndrome

Raynaud Phenomenon

Bone Dislocations

Renal Disorders

16

Acids-Base Disorders

Metabolic Acidosis

Metabolic Alkalosis

Respiratory Alkalosis

Respiratory Acidosis

Mixed Acid–Base Disorders

Acute Kidney Injury

Chronic Kidney Disease

Urinary Tract Infection Clinical

Urolithiasis (Kidney Stone)

Glomerulonephritis

Benign Prostatic Hypertrophy

Dialysis

Hyperkalemia

Hypokalemia

Hypocalcemia

Hematologic Disorders

16

Anemias

Sickle Cell Disease

Thalassemia

Glucose 6 Phosphate Dehydrogenase Deficiency Anemia

Hemophilia

Immune Thrombocytopenia (ITP)

Vit B12 Deficiency

Iron Deficiency Anemia

Folic Acid Deficiency

Mentzer (Thalassemic) Index

Rituxan (Rituximab) Infusion Protocol

Hemolytic Anemia

Polycythemia Vera

Blood Transfusion

RH Incompatibility

Cyclophosphamide Infusion Protocol

Urologic Disorders

3

Benign Prostatic Hyperplasia

Erectile Dysfunction

Urinary Incontinence

Gastrointestinal Disorders

28

Neurologic Disorders

16

Alzheimer’s Disease

Epilepsy

Migraine Headache

Tension-Type Headache

Parkinson’s Disease

Status Epilepticus

Acute Spinal Cord Injury

Amyotrophic Lateral Sclerosis

Ataxia

Bell’s Palsy

Brain Tumor

Brain Aneurysm

Guillain-Barre Syndrome

Herniated Disk

Meningitis

Multiple Sclerosis

Gynecologic and Obstetric Disorders

28

Contraception

Menopausal, Perimenopausal and Postmenopausal Hormone Therapy

Pregnancy and Lactation Therapeutic Considerations

Pregnancy-Influenced Issues

Acute Care Issues in Pregnancy

Chronic Illnesses in Pregnancy

Labor and Delivery Preterm Labor

Premenopausal Abnormal Uterine Bleeding

Abnormal Vaginal Discharge

Pelvic Inflammatory Diseases

Primary Dysmenorrhea

Signs and Symptom + DDs of Pregnancy

Aims of Antenatal Consultations

Maternal and Neonatal Tetanus

Typhoid Fever in Pregnancy

Vomiting of Pregnancy and Hyperemesis Gravidarum

Anemia in Pregnancy

Antiphospholipid Syndrome

Preeclampsia – Eclampsia

Acute Fatty Liver of Pregnancy

Intrahepatic Cholestasis of Pregnancy

Premature Rupture of Membrane

Bleeding During the First Half of Pregnancy

Bleeding During the Second Half of Pregnancy

Spontaneous Abortion

Ectopic Pregnancy

Premature Labour

Post-Partum Haemorrhage

Paediatric Medicine

8

Resuscitation of the Newborn

Acute Bacterial Meningitis

Management of Wheezing

Acute Nasopharyngitis/Common Cold

Acute Uvulitis

Acute Purulent Sinusitis

Acute Infectious Laryngitis

Status Asthmaticus

Endocrinologic Disorders

13

Adrenal Gland Disorders

Adrenal Insufficiency

Diabetes Mellitus

Thyrotoxicosis (Hyperthyroidism)

Hypothyroidism

Hypoglycemia

Diabetic Ketoacidosis

Diabetic Neuropathy

Thyroid Examination

Goitre

Management of Thyroid Crisis

Primary Adrenal Insufficiency (Addison Disease)

Impotence/Erectile Dysfunction

Dermatological Disorders

30

Nutrition Support

3

Obesity

Nutrition Evaluation and Support

Components of Parenteral Nutrition

Forensic Medicine

6

Medicolegal Duties of a Casualty Medical Officer

Examination of Injury Cases

Examination of a Case of Drunkenness

Examination of a Victim of Rape

Postmortem Examination

Medical Ethics

Psychiatry

16

Introduction to Psychiatry

Neurosis

Acute and Chronic Anxiety States

Panic Disorder

Conversion and Dissociative Disorders

Phobia

Obsessive Compulsive Disorders

Psychosis

Schizophrenia

Mood Disorder (Affective Disorder)

Mania

Depression

Psychiatric Emergencies

Suicidal Patients

Dystonia

Akathisia

Clinical Toxicology

18

Toxicology

Poisoning

Poison

Accidental Poisoning

Syndromes: Anticholinergic

Cholinergic, Muscarinic Nicotinic

Sympathomimetic

Management of Poisoning

Specific Management

Increasing Drug Elimination

Antidotes

Charcoal

Acetylcysteine

Cyanide Kit

Deferoxamine

Dimercaprol

Penicillamine

Naloxone

Microbiology Specimen Collection and Transfer

19

Introduction to Microbiology Specimen Collection and Transfer

Blood Culture

Bone Marrow Culture

Culture for Leptospires

Blood for Viral Isolation (General)

CSF Culture

Urine Culture (Routine)

Sputum Culture (Routine)

Transtracheal Aspirate

Throat Swab

Wounds and Abscesses

Anaerobic Culture

Eye Infections

Ear and Sinus Infections

Skin Infections

Urethritis

Faeces

Rectal Swabs

Blood for Serological Tests

Rational Use of Drugs

5

Introduction to Rational Use of Drugs

What Is Irrational Prescribing?

When to Use Drugs Combinations?

Non-Compliance

Adverse Drugs Reactions

Respiratory Disorders

9

Respiratory System Examination

Pneumonia

Asthma

Tuberculosis

Cough

COPD

Bronchiectasis

Lung Abscess

Pulmonary Tuberculosis