• Home
• General
  • Contact Us
  • KEMH
    • About KEMH
    • Healthcare Rights
    • By-Laws
    • KEMH Douglas Enquiry
    • Quality Improvement Committes
    • Vision & Mission
  • Customer Service Unit
    • Contact Information
    • CSU Services
    • Compliment or Complaint
    • Patient First Program
    • Disability Access and Inclusion Plan
    • Community Advisory Council
  • Visiting KEMH
    • Guides to KEMH
    • Maps
    • Parking & Transport
  • Information To Tenderers
  • Private Patient Incentive
  • Admission Information
• Careers
  • KEMH Employment
    • Medical Positions
    • Nurses and Midwives
    • General Information
  • Oversees Applicants
    • Nurss & Midwives
  • Enquiries
  • Graduate, Re-entry & PG
    • Nurses & Midwives
  • Education
    • Diabetes and Pregnancy - Diabetes Service KEMH
    • Nursing & Midwifery Education
    • Education
• Health A-Z
• Services A-Z
• Health Professionals
  • Clinical Guidelines
    • Antenatal Shared Care Guidelines
    • A4 Antenatal Shared Care
    • Blood Transfusion Guidelines
    • NCCU Drug Protocols
    • NCCU Guidelines
    • NETS Medical Guidelines
    • O&G Clinical Guidelines
    • Perinatal Disorders Clinical Guide
    • Perinatal Disorders Quick Ref Guide
  • Early Pregnancy Assessment Service
  • Education
    • Diabetes and Pregnancy - Diabetes Service KEMH
    • Neonatal Curricular Framework for Advanced Trainees
    • Nursing & Midwifery Education
    • PG Program on Women's Health (Doctors)
  • Gynaecologic Cancer Service
  • Hospital Liaison GP KEMH
    • About Hospital Liaison GP
    • KEMH Contact Information for GPs
    • Specialist Outpatient Department Referral Directory 2010
  • Health A - Z
  • Midwifery Professional Portfolio
  • Outpatient Referral Form
  • Referral to the Family Birth Centre
  • Research Resources
    • Ethics Committee
    • Library and Information Services
  • Research At KEMH
    • Birth Defects Registry
    • Genetics Services WA
    • Meternal Fetal Medicine
    • Twin to Twin Transfusion Syndrome
    • Women and Infants Research
  • Specialist Outpatient Referral Directory
  • Statewide Obstetric Support Unit
  • WA Perinatal Mental Health Unit
• Help Us
  • KEMH Volunteers
  • WIRF Volunteers
• Having a Baby in WA
  • Your Care Options
    • Community Care
    • General Care
    • Tertiary Care
  • Information About Pregnancy and Birth
  • Public Metropolitan Hospitals
    • Armadale Kelmscott Memorial Hospital
    • Bentley Hospital
    • Family Birth Centre
    • Joondalup Health Campus
    • Kaleeya Maternity Unit
    • King Edward Memorial Hospital
    • Osborne Park Hospital
    • Rockingham General Hospital
    • Swan District Hospital
  • Public Regional Hospitals
    • Albany Regional Hospital
    • Bunbury District Hospital
    • Busselton Hospital
    • Bridgetown Hospital
    • Broome Hospital
    • Carnarvon Hospital
    • Collie Hospital
    • Denmark Hospital
    • Derby Hospital
    • Esperance Hospital
    • Geraldton Hospital
    • Kalgoorlie Hospital
    • Katanning District Hospital
    • Kununurra Hospital
    • Margaret River Hospital
    • Narrogin Hospital
    • Nickol Bay Hospital
    • Northam Hospital
    • Plantagenet Hospital
    • Port Hedland Hospital
    • Warren Hospital
  • Private Hospitals

Women and Newborn Health Service

Health Professionals

 

•   Clinical Guidelines
•   Early Pregnancy Assessment   Service
•   Education
•   Hospital Liaison GP KEMH
•   » Emergency Contact       Information for GP's
•   Health A - Z
•   Midwifery Professional   Portfolio
•   Research Resources
•   Research at KEMH
•   Statewide Obstetric Support   Unit
•   WA Perinatal Mental Health   Unit

King Edward Memorial Hospital

O&G Clinical Guidelines Section A

Home | A: Obstetrics & Gynaecology | B: Obstetrics & Midwifery Care | C: Gynaecology E: Anaesthetics | F: Perioperative Services | P: Pharmacy & Medications Alphabetical Index

 

Obstetrics & Gynaecology

Preface

       Notifications of New guidelines
       Notifications of Updated guidelines

1. Standard Protocols

2. Patient Administration

3. Medications

4. Parenteral Therapy

5. Vaginal Procedures

6. Management of the Bladder and Urinary Drainage Apparatus

7. Wound Care

8. Death

9. Contraception

10. Isolation

11. Emergency Procedures

Preface

1. Introduction, aims and Disclaimer

2. Development, implementation, evaluation and review processes

3. Flowchart

4. Levels of Evidence

5. Notifications of New guidelines

   Notification of updated guidelines

1. Standard Protocols

	Date Reviewed
1.1 Standing Orders for Midwives/Nurses - Key Points	February 2010
1.1.7 Ordering Group B Streptococcus Antenatal Screening	August 2009
1.1.8 Ordering of Routine Antenatal Tests	August 2009
1.1.9 Ordering of Cord Blood Group	August 2009
1.1.10 Ordering of a Kleihauer for Postpartum Women	August 2009
1.1.11 Ordering of Postpartum Full Blood Picture for Haemoglobin Levels	August 2009
1.1.12 Referral of Women to the Department of Psychological Medicine	August 2009
1.1.14 Ordering of Low Vaginal Swabs for Microscopy, Culture and Sensitivity	February 2010
1.1.15 Ordering of High Vaginal Swabs for Microscopy, Culture and Sensitivity	May 2010
1.1.16 Ordering of Endocervical Swabs	February 2010
1.1.17 Ordering of Mid-Stream Urine for Microscopy, Culture and Sensitivity	February 2010
1.1.18 Ordering of Spot Urine Protein: Creatinine Ratios	February 2010
1.1.19 Ordering of Urea and Electrolytes, Uric Acid and Liver Function Tests	February 2010
1.1.20 Ordering of a Full Blood Picture	February 2010
1.1.21 Ordering of a Blood Group And Hold	February 2010
1.1.22 Ordering of a Kleihauer By Midwives Working in the Maternal Fetal Assessment Unit	March 2009
1.1.23 Ordering of a C Reactive Protein (CRP)	February 2010
1.1.24 Ordering of Ultrasound Assessment for Fetal Wellbeing in the Maternal Fetal Assessment Unit Scanning Room	August 2009
1.1.24.1 Ordering of Ultrasounds by Midwives working in a low risk Team Midwifery Clinic/ Family Birth Centre	November 2011
1.1.25 Ordering HbA1c for the Antenatal Woman
1.1.34 Ordering of Full Blood Picture, Blood Group and Hold and BhCG in Emergency Centre	February 2010
1.1.35 Ordering of Full Blood Picture in Adult Special Care Unit for Gynaecology Women	February 2010
1.1.36 Ordering Urea and Electrolytes in Adult Special Care Unit for Gynaecology Women	February 2010
1.1.37 Ordering of vitamin D assay for antepartum women	February 2010
1.2 Standard Protocol for all Nursing / Midwifery Clinical Care	September 2009
1.3 Communication Guidelines and Flowchart	September 2009
1.4 Hand Hygiene	February 2010
Major aseptic procedure Minor aseptic procedure
1.5 Local Application of Heat	August 2009
1.6 Use of graduated compression stockings	August 2009
1.9 Management of Women who have RhD Negative Blood Group
1.9.1 Blood group and antibody screening	February 2009
1.9.2 Kleihauer Test	February 2009
1.9.3 Rh D Immunoglobulin	February 2009
1.9.4 Postpartum administration of RhD Immunoglobulin	February 2009
1.10 Intramuscular Injections	June 2010
1.11 Insulin Pump - Inpatient	April 2011
1.12 Nicotine Dependence Assessment And Intervention – Inpatient Management	May 2011
1.13 Recognising and responding to clinical deterioration	July 2011
2. Patient Administration
2.1 Patient Identification	April 2012
2.1.1 Patient with Same / Similar Names	August 2009
2.1.2 Neonatal Identification	April 2011
2.2 Latex Sensitivity	June 2009
2.3 Privacy	May 2009
2.4 Notification of Patient Accidents and Incidents	May 2009
2.6 Patient movement
2.6.1 Guidelines for Obstetric Registrars Receiving External Phonecalls	August 2011
2.6.3 Patient Admission and Booking Procedure	April 2012
2.6.4 Admission of a Patient
2.6.4.1 Nursing/Midwifery Care and Assessment	September 2011
2.6.5 Born before Arrival - Admission Procedure	January 2009
2.6.6 Transfer of a Patient	November 2008
2.6.6.1 Transfer of a Patient to Agnes Walsh Lodge / House	August 2011
2.6.6.2 Transfer of a critically unwell patient and records to an ICU at another Hospital	May 2009
2.6.7 Discharge of a Patient
2.6.7.1 Discharge of a Patient from Labour and Birth Suite, Emergency Centre and the Maternal Fetal Assessment Unit - Medical Considerations	February 2012
2.6.7.2 Midwifery / Nursing Considerations	February 2012
2.6.7.3 Discharge Against Medical Advice
2.6.9 Referrals
2.6.9.1 Visiting Midwifery Service (VMS) Referrals	July 2009
2.6.9.2 VMS When There is Known Aggression or Domestic Violence	December 2008
2.6.9.3 VMS for Women Identified as Complex Care	December 2008
2.6.9.4 VMS Guidelines for the Readmission of a Baby / Babies to KEMH	October 2014
2.6.9.5 Psychological Medicine	October 2014
2.6.9.6 Referral Social Work	September 2011
2.6.9.7 Referral Dietitian	November 2008
2.6.9.8 Physiotherapy Referrals	July 2009
2.7 Relinquishment for Adoption	March 2009
2.8 Language Services	May 2009
2.9 On-call Responsibilities of KEMH Obstetric and Gynaecological Consultants	May 2009
2.10 Guidelines for Consultant Responsibilities in ASCU KEMH	July 2009
2.11 Pressure ulcer prevention	August 2007
2.12 Falls Prevention at King Edward Memorial Hospital	February 2011
2.13 Booking a Bariatric Patient transfer through St Johns Ambulance	December 2010
2.14 Requests to Review Obstetric and Gynaecology Patients at Fremantle, SCGH or Royal Perth Hospitals	March 2011
3. Medications - refer to Section P
4. Parenteral Therapy
4.2 Intravenous Therapy	July 2010
4.2.1 Insertion of a Peripheral Intravenous Cannula
4.2.2 Intravenous Catheter Insertion by Registered Midwife/Nurse	October 2009
4.2.3 Monitoring of a Peripheral IV Site	November 2009
4.2.4 Sodium Chloride 0.9% Flush of a Cannula	September 2009
4.2.5 Dressing a Peripheral IV Site	February 2010
4.2.6 Changing Intravenous Administration Set	February 2010
4.2.7 Removal of a Peripheral Intravenous Line	February 2010
4.3 Peripheral Intravenous Central Catheter (PICC)
4.3.1 Insertion of a PICC	July 2010
4.3.2 Monitoring Dressings of a PICC Site	October 2010
4.3.3 Flushing PICC	October 2010
4.3.4 Changing an Administration Set on a PICC	October 2010
4.3.5 Removal of a PICC	October 2010
4.4 Central Venous Catheter (CVC)
4.4.1 Insertion of a CVC	October 2010
4.4.2 Monitoring/Dressings of a CVC Site	August 2009
4.4.3 Flushing a CVC	October 2010
4.4.4 Changing Intravenous Administration Set	July 2010
4.4.5 Removal of a CVC	October 2010
4.5 Arterial Line
4.5.1 Insertion of an Arterial Line	March 2011
4.5.2 Monitoring/Dressings of an Arterial Line	March 2011
4.5.3 Sodium Chloride 0.9% Flush of an Arterial Line Site	March 2011
4.5.4 Changing Arterial Line	April 2011
4.5.5 Removal of an Arterial Line	March 2011
4.5.6 Arterial Blood Gas Sample Collection	March 2011
4.6 Calculating an Intravenous Infusion Rate	February 2011
4.7 Measuring Central Venous Pressure	April 2011
4.8 Electronic Infusion Devices
4.8.1 Volumetric Infusion Pumps / Syringe Drivers	January 2011
4.9 Enrolled Nurses And Intravenous Therapy	August 2009
4.10 Implanted Vascular Access Port (IVAP)	December 2010
4.11 Total Parenteral Nutrition (TPN)	April 2011
4.12 Blood Transfusion Medicine
4.13 Iron Therapy
4.13.1 Booking an Iron Infusion	March 2010
4.13.2 Iron Polymaltose Therapy	April 2011
4.13.3 Intravenous Iron Sucrose	February 2010
4.13.4 Midwifery / Nursing Management of an Adverse reaction to an Iron Infusion	March 2010
4.14 Labelling of Injectable Medicines and Fluids	September 2011
4.16 Administration of Intragam
4.17 Administration of Octagam
4.18 Administration of Fresh Frozen Plasma	February 2010
4.19 Administration of Flebogamma	January 2011
5. Vaginal Procedures
5.1 Vaginal Examination
5.1.1 Vaginal Examination in Children and Young Women	September 2009
5.2 Specimen Collection
5.2.1 Speculum Examination	September 2009
5.2.2 Low Vaginal, High Vaginal, Endocervical and Rectal Swabs	August 2009
5.2.3 Papanicolaou (Pap) Smear	December 2009
6. Management of the Bladder and Urinary Drainage Apparatus
6.1 Collection of a Midstream Urine Specimen	August 2009
6.2 Intermittent Catheterisation	August 2009
6.2.1 Self Catheterisation	Augsut 2009
6.2.2 Use of an O’Neill Catheter	August 2009
6.3 Indwelling Catheters
6.3.1 Insertion of an Indwelling Urinary Catheter	August 2009
6.3.2 Ongoing Management Following Insertion of Catheter	August 2009
6.3.2.1 Emptying a Urinary Drainage Bag	August 2009
6.3.2.2 Blockage of a Urinary Catheter	August 2009
6.3.3 Collection of a Catheter Specimen	August 2009
6.3.4 Trial without Catheter - Indwelling Catheter	August 2009
6.3.5 Removal of Indwelling Urinary Catheter	August 2009
6.4 Care of Supra Pubic Catheter	August 2009
6.4.1 Trial Without Catheter - Suprapubic Catheter	August 2009
6.4.2 Removal of a Suprapubic Catheter	August 2009
6.5 Bladder Irrigation	August 2009
6.6 Urinary Incontinence Aids	August 2009
6.7 Use of a Non real Time Bladder Scanner	December 2010
7. Wound Care
7.1 Dressings
7.1.1 Simple Dressing	September 2009
7.1.2 Removal of Sutures	September 2009
7.1.3 Removal of Staples	September 2009
7.2 Wound Drains
7.2.1 Wound Drainage Systems	September 2009
7.2.2 Shortening of Drainage Tubes	September 2009
7.2.3 Removal of Drainage Tube	September 2009
7.2.4 Removal of Vaginal Drain	September 2009
7.2.5 Removal of Vaginal T-Tube	September 2009
7.3 Wound Suction
7.3.1 Management of Pre-vacuumed Closed System	September 2009
8. Death
8.1 General Information	October 2009
8.2 Sudden and Unexplained Death - Including Maternal Death	May 2009
8.3 Care of the Deceased Adult Patient	November 2009
8.3.1 Death occurring in the operating theatre	July 2009
8.3.2 Religious and Cultural Considerations	November 2009
8.4 Perinatal Death
8.4.1 Legalities	December 2009
8.5 Care and Management of the Deceased Baby	April 2012
8.6 Funeral Arrangements for Deceased Babies	November 2009
8.7 Pregnancy Loss Identification Stickers	December 2009
8.8 Baptism	November 2009
8.9 Post Mortem Examinations	December 2009
9. Contraception
9.1 Barrier Methods	January 2009
9.2 Intrauterine Devices	March 2009
9.3.1 Progestogen Only Pill	January 2009
9.3.2 Combined Oral Contraceptive Pill	March 2009
9.4 Use of Depo Provera	March 2009
9.5.1 Insertion of an Implanon Implant	March 2009
9.5.2 Non Routine removal of an Implanon Implant	January 2009
9.6 Sterilisation	February 2009
9.7.1 Post partum contraception	January 2009
9.7.2 Emergency Contraception	February 2009
10. Isolation
Infection Control Manual - WNHS (intranet)
11. Emergency Procedures
11.1 Anaphylaxis	February 2009
11.2 Basic Life Support - Adult	April 2011
11.3 Advanced Life Support - Adult	July 2011