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From the National Center for Farm Worker Health

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To provide guidelines for a thorough and consistent management of immunizations to our Clients throughout the Waimanalo Health Center.

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An encounter between a nurse and a patient in which the nurse acts as an independent provider of medical services, under the delegation and supervision of a physician, nurse practitioner, or physician’s assistant, who has no direct contact with the patient during that visit.
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To establish a procedure by which a patient may have a throat culture performed and strep throat treated without a provider visit.
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To provide for pertussis prophylaxis by the Registered Nurse to avoid pertussis infection and spread of clinical disease in patients served by the LSCHC.
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To establish guidelines by which the RN may diagnose and manage a patient with pinworms.
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To provide guidelines by which the registered nurse may provide Nicotine Replacement Therapy (NRT) to patients who are attempting smoking cessation. Research shows that NRT generally increases the rates of smoking cessation, therefore, except in the presence of serious medical precautions, NRT should be encouraged in smokers interested in quitting.
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To establish guidelines by which the registered nurse may diagnose and manage a patient with cerumen impaction.
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Policy statement for clinics to use for injectable contraceptive medications given to female patients at risk of pregnancy.
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Clinic policy to improve assessment of treatment goals for diabetic patients.
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Sample policy describing the procedure for physician on call.
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