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| A WOMEN'S HEALTH |
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Current as of: 19 July 2012 |
| Clinic
Location: |
10th
MDG, 1st floor. |
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4102 Pinion Dr, USAFA, CO 80840. |
| Hours of Operation: Mon - Fri 0730-1630 |
| Walk-in: |
Yes. Mon - Fri 0800-1100 and 1300-1500 for the
following: |
| ► Pregnancy testing, if
two weeks past their expected menses. |
| ► Emergency contraception. |
| ► Repeat Depo-Provera injections if within their window. |
| Consult |
No |
| Required: |
| Self-Referral |
Yes |
| Clinic: |
| Beneficiary |
AD and Prime under age
65 ONLY EXCEPTION:
WELL appointment type is Active Duty ONLY. |
| Types: |
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| Appt Types: |
Detail Codes: |
Duration: |
Comments / Instructions: |
| ACUTE |
|
30 |
► Same day/Next day |
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► GYN problem such as STD
check |
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► Vaginal lesions |
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► Vaginitis, yeast
infections |
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► Pelvic pain |
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(SEE BELOW FOR BOOKING PRIORITY) |
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►
Follow-up from an initial visit (seen within 12 months) |
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All follow-ups are to be booked with the same
provider seen previously. |
| SPEC |
|
30 |
► Menopausal concerns |
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► Dysmenorrhea (Painful
Mensus) |
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► Premenstrual syndrome |
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► Abnormal menstrual cycles |
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► Menopause (Menopause concern with a PAP may be booked together in this slot) |
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► Breast complaints (breast
mass, lump, nipple discharge –not nursing) |
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► IUD removal |
| SPEC |
|
30 |
► IUD removal with PAP |
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► ER Follow-up |
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► PAPs for Dysplasia clinic |
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► Initial prescription of
birth control, to include initial Depo Provera, |
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and
IUD counseling. |
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A PAP is NOT required for birth control or Hormone Replacement Treatment
(HRT) |
| SPEC |
|
30 |
► Hormone Replacement
Treatment (HRT) |
| |
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► Implanon counseling to be
done by Maj Holland ONLY |
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| WELL |
|
30 |
► PAP
(non-dysplasia) / First PAP/ Well Women / Breast Exam |
| |
(Active Duty ONLY ) |
| PROC |
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► Endometrial Biopsies,
Vulvar Biopsies |
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► IUD placement will be
performed by the same provider who initially counseled |
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30 / 40 |
patient regarding IUD. |
| |
► Implanon insertion and
removals, booked with Maj Holland ONLY. |
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► Bartholin Cyst |
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| EST |
FE and PAP |
20 |
Quarterly PAP Surge List. Used for PAP only. |
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| Special Instructions for Patients: |
| TO BE READ VERBATIM TO THE PATIENT |
| |
| ► Arrive 15 min early. |
| ► Do NOT bring children to appointment or you WILL be
rescheduled. |
For PAP and/or GYN appointments ONLY:
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| The Child Development Center (CDC) has, by
appointment, "drop off" child care capacity if needed during their
appointment. |
| Patients
can contact the CDC at 333-6863 |
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| ► Call clinic if you are scheduled for PROC and think you may
be pregnant. |
| ► Patients under 21 may be eligible for birth control without a
pelvic exam. |
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| Special Instructions for CLERKS: |
| |
| Booking Restrictions |
| ► Do not book Urinary Tract Infections (UTIs). |
| ► All OB patients are sent to Ft. Carson for EMERGENT problems such as
cramping, vaginal bleeding, etc. |
| ► DO NOT book patients for care listed above that can be
received on a walk-in basis. |
| |
| Multiple Issues/Concerns |
| ► Only ONE issue/concern per appointment (unless specified
elsewhere). |
| ► Additional complaints will require a separate
appointment. Multiple issues will not
be addressed in a single appointment. |
| |
| Booking Priority - ACUTE |
| 1. Women’s Health
Provider |
| 2. PCM |
| 3. Other 'self-referral' clinics |
| 4. After going through ALL available options above, and the patient requesting to BE
SEEN TODAY, please tell the patient: |
| "I apologize, but I have no appointments available. Please hold while I transfer you to an
Advice Nurse for further assistance." |
| 5. Attempt to perform a WARM transfer to the Nurse Advice
Line: 524-8669 |
| 6. If the Nurse Advice
Line is busy (WAIT 45
SECONDS to connect), or AUTOMATICALLY after 14:15, |
| proceed to the
Urgent Care booking as follows: |
|
a) Click on the following
link for the Urgent Care Clinic (UCC) guidelines |
|
| b) Enter the UCC referral as instructed |
| |
| Booking Priority NON-ACUTE |
| 1. Women’s Health
Provider |
| 2. PCM |
| 3. Any other 'self referral' GYN clinics with
access. |
| 4. If there's no PAP access, patient may contact
TRIWEST at 888-TRI-WEST or Triwest.com to locate a civilian PAP provider. |
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| Medication Refills |
| ► Transfer patient to the clinic: 130# |
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| OB |
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► Please see Evans OB Clinic protocol. |
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| Dysplasia |
| ► Dysplasia patients will tell you if they need a COLPO or
PAP. They receive a letter in the mail
for their f/u and it lists what they need. |
| ► If they need a COLPO, transfer to the clinic: 130# |
| ► All PAPs for dysplasia should be booked into a SPEC. |
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| Providers |
| Holland, WHNP |
| Lomenick, WHNP |
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| Special Instructions for Lack of Availability: |
| ► Only transfer to the Women’s Health Clinic at 130# if: |
| 1. The
patient called initially for an
appointment in Academy Women’s Health AND |
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2. There are NO appointments at ANY of the other locations
on the booking priority list. |
| Transfer to this clinic should be FEW AND FAR BETWEEN. Look in the other clinics ! |
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