Clinical.stjohnwa.com.au

Clinical Resources

WEBSt John WA’s Clinical Resources, including its Clinical Practice Guidelines (Clinical Resources), are intended for use by credentialed St John WA staff and volunteers when …

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URL: https://clinical.stjohnwa.com.au/

Chest Pain / Acute Coronary Syndrome

WEBChest pain or discomfort of presumed cardiac origin. Acute or Sub-acute shortness of breath with no clear reason or cause (up to ⅓ of ACS patients may present without …

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Dyspnoea & Respiratory Distress

WEBIntroduction. Dyspnoea and respiratory distress is difficulty in breathing or shortness of breath. It is a sign of a variety of disorders and is primarily an indication of inadequate …

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Stroke (Cerebrovascular Accident)

WEBFAST (Face, Arm, Speech and Time) is a rapid diagnostic tool for the evaluation of stroke like symptoms.. If 1 or more abnormality exists (to Face, Arms or Speech), and symptom …

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Post-Resuscitation Care (ROSC)

WEBThe focus of post resuscitation care is on ensuring adequate cerebral perfusion, oxygenation and supportive treatment to allow the recovery of vital organs. Continue to …

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Falls Prevention Guideline

WEBFalls prevention in the older generation is a priority for health services, with previous trials showing that targeting multiple risk factors related to falls can reduce the risk of falls in …

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Hypovolemic Shock

WEBRisk Assessment. Level of consciousness is a good indicator of cerebral perfusion. Hypotension is a late sign of shock. Beta blockers blunt cardio vascular responses to …

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Standard & Transmission Based Precautions

WEBStandard precautions: The routine application of basic infection prevention and control strategies, to minimise risk to both patients and staff. These are the primary strategy for …

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Clinical Handover

WEBPatients of concern. A patient of concern is a patient that a clinician is particularly concerned about, as defined by the treating clinician. Patients should be handed over in …

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Reprocessing of Reusable Equipment

WEBNational Health & Medical Research Council and the Australian Commission on Safety and Quality in Healthcare. (2021). Australian guidelines for the prevention and control of …

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Postpartum Haemorrhage

WEBConsider oxygen. Apply direct pressure to any visible bleed, such as tear of perineum. Apply management principles as indicated in clinical skill Postpartum Haemorrhage. …

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Tracheostomy / Laryngectomy Airway Emergencies

WEBSuction. See Clinical Skill – Suction (tracheostomy); Oxygenation. Oxygen via the stoma is the priority as it is appropriate for both laryngectomy and tracheostomy patients. If two …

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Immunisation Pre-Employment Health Screening

WEBPre-Employment Health Screening and Immunisation. To ensure the health and immune/immunisation status of prospective clinical staff and paid volunteers is current …

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Peripheral IV Access

WEBUtilise Difficult IntraVenous Access Score (DIVAS) to assist with identifying difficult or high risk patients. In Acute Coronary Syndrome patients, preference is for PIVC insertion into …

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Glasgow Coma Scale (GCS)

WEB2. Best Verbal Response: 3. Best Motor Response: Calculate the sum of the score from 1 (Eye Opening), 2 (Best Verbal Response) and 3 (Best Motor Response). This number …

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Mental Health Transfers

WEBDue to changes in the current Mental Health Act 2014, Paramedics are not authorised to independently administer sedation to a patient who is the subject of a transport order …

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Rapid Access Clinic for the Elderly

WEBIntroduction. Joondalup Health Campus and St John WA are trialling a Rapid Access Clinic for Elderly patients (RACE) as an alternative care pathway for appropriate patients …

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Blood Glucose Monitor

WEBApply gentle pressure, moving distally toward the lanced site; avoid excessive squeezing. Apply blood droplet to test strip and allow unit to absorb the blood, a beeping sound will …

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