Post-Shift Notes
Lab Protocol: If a client does not meet threshold for sending out urine but has dysuria, a UA dipstick should be run on the second catch if possible. If there is only 1st catch, it is up to the medic's discretion.
Meeting Protocol: Post-shift meetings no longer have the authority to make changes to protocols, except to prevent client harm.
SFDPH: Working group is empowered to negotiate and make decisions regarding agreement with respect to SFDPH's study recruitment.
Charting: GMHC will solicit input from MC's regarding charting of diagnosis.
Treatment Protocol: Adopt current CA DPH guidelines for treatment of gonorrhea and will review with MC's need for test-of-cure:
Dual treatment regardless of site of infection.
Treatment Protocol: Adopt CDC recommendation for syphilis follow-up:
HIV-: measure titer at 6 and 12 months
HIV+: measure titer at 3, 6, 9, 12, 24 months
EMR: GMHC supports investigating and implementing electronic medical records. Working group created to present plan to collective.
OST Protocol: Coordinators empowered to assign members to various off-shift tasks by member's request.
Treatment/Lab Protocol: NAATs will be used for test-of-cure for gonorrhea, unless there is discharge - if there is visible discharge a culture will be collected from the discharge instead of NAAT. The culture must be collected prior to giving treatment. 2.5" insertion and spin is the ideal technique if swabbing the inside of the urethra.
Treatment Protocol: GMHC will prefer to buy TCA over BCA, unless BCA can be procured at the proper solution.
Allotment of Funds: $1000 of discretionary funds allotted to purchasing a laptop and projector, as approved by tech com.
Coordinator Protocol: Access to coordinator account (GMHCBFC@gmail.com) is restricted to coordinators only.
Treatment Protocol: Treat MSM with confirmed cases of gonorrhea with azithromycin and ceftriaxone. MSW and epitreats should be treated with doxycycline and ceftriaxone. Will consult MC's for input.
Treatment Protocol: If client reports partner had NGU or NSU, treat the same as exposure to chlamydia and send NAAT.
TC Protocol: If a new medic who is within the 30-client probationary period misses 2 check-ins with senior medic, it will be mentioned at post-shift. Those clients will not count towards the 30 and he must co-medic with a senior medic next shift.