Alaska Native Medical Center

Clinical Guidelines



Clinical Guidelines

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Medical Staff approved ANMC Guidelines only

Disclaimer: These guidelines are designed for general use for most patients but may need to be adapted to meet the special needs of a specific patient as determined by the patient’s provider.

Organ System: Breastfeeding Title Date
Organ System: Breastfeeding Ankyloglossia (Tongue-tie) and tied maxillary frenum (lip-tie) 8/19/2017
Organ System: Breastfeeding Healthy Infant Feeding Policy 509 12/06/2016
Organ System: Breastfeeding Healthy Infant Feeding Procedure 509-01 12/06/2016
Organ System: Breastfeeding Marijuana Use during Pregnancy and Lactation 5/24/2016

Cardiovascular Title Date
Cardiovascular Hypertension 3/02/2006
Cardiovascular Lipid Disorder in Adults 9/07/2006

Dermatology Title Date
Dermatology Acne Treatment 9/07/2006
Dermatology Isotretinoin (Accutane) Use for the Treatment of Acne 9/07/2006

Ear, Nose & Throat Title Date
Ear, Nose & Throat ANMC Frostbite Protocol 4/04/2018
Ear, Nose & Throat Dizziness Clinical Guideline 9/07/2006
Ear, Nose & Throat ENT Sinus CT Scan and Evaluation Form 7/19/2007
Ear, Nose & Throat ENT Direct Referral Form for Sleep Study 10/23/2003
Ear, Nose & Throat ENT Appointment Form for Tonsillectomy 10/23/2003
Ear, Nose & Throat NT Tympanostomy Tube Replacement Form 10/23/2003
Ear, Nose & Throat ANMC Pediatric Cervical Lymphadenitis Guideline 11/14/2016
Ear, Nose & Throat Acute Otitis Media Pediatric Treatment Guideline 11/14/2017
Ear, Nose & Throat Otolaryngology/HNS Department Clinical Practice for Neck & Head Cancer Follow-Up Guidelines 6/13/2002
Ear, Nose & Throat Adult Pediatric Pharyngitis (GAS) Guideline 11/14/2017
Ear, Nose & Throat Sinusitis in Adults and Children – Management 12/06/2016
Ear, Nose & Throat Tobacco Screening and Referral Guideline Inpatient 1/31/2011
Ear, Nose & Throat Tobacco Screening and Referral Guideline Outpatient 1/31/2011

Endocrinology Title Date
Endocrinology File Title 0/00/0000

Gastrointestinal Title Date
Gastrointestinal Clostridium difficile Treatment Guideline 11/14/2017
Gastrointestinal Clostridium difficile Prophylaxis Guideline 11/14/2017
Gastrointestinal Gastrointestinal Infection Treatment Guideline 11/14/2017
Gastrointestinal Gastrointestinal Surgical Prophylaxis Guideline 11/14/2017
Gastrointestinal ANMC Helicobacter Pylori Guideline 1/06/2017
Gastrointestinal Diagnosis and Treatment of GERD 9/03/2002

Genitourinary Title Date
Genitourinary Common Gentiourinary Disorders 11/14/2017
Genitourinary UTI Pediatric Management and Evaluation 11/14/2016
Genitourinary Uncomplicated Uninary Tract Infection in Adults 11/14/2017

Gynecology Title Date
Gynecology STD Guideline Pocketbook, CDC 7/17/2017
Gynecology Adnexal Mass /Ovarian Cysts 7/24/2016
Gynecology Abnormal Uterine Bleeding 7/24/2016
Gynecology Blood Product Education Tool 7/17/2017
Gynecology Opioid addiction medication assisted treatments: OB/GYN 9/27/2016
Gynecology Cervical Cancer Screening Algorithms 1/27/2016
Gynecology Cervical Cancer Screening and Colposcopy Management 5/16/2016
Gynecology Opioid Management of Chronic Non-Cancer Pain: ANMC 3/14/2017
Gynecology Miscarriage Management 2/28/2017
Gynecology Miscarriage: Misoprostol Use Pt Ed 11/17/2017
Gynecology Miscarriage: Pt Ed Text 11/17/2017
Gynecology Miscarriage: Pt Ed Bullet Points 11/17/2017
Gynecology Cervical Ripening: Oral Titrated Liquid Misoprostol 5/31/2017
Gynecology Osteoporosis Screening and Management 7/17/2017
Gynecology First Trimester Bleeding 7/24/2017
Gynecology First Trimester Bleeding Guideline 7/06/2018
Gynecology Genetic Screening: Option Summary 7/05/2017
Gynecology Infertility 7/24/2016
Gynecology Menopausal Symptoms 7/24/2016
Gynecology Adnexal Cyst Management 7/23/2016
Gynecology Gestational Trophoblastic Disease 4/12/2017
Gynecology Ectopic Pregnancy: Tubal and Interstitial 7/06/2018
Gynecology Opioids for Chronic Pain: CDC 9/27/2016
Gynecology Pelvic Organ Prolapse 7/24/2016
Gynecology Pelvic Pain 7/24/2016
Gynecology Pre-operative Evaluation, ANMC 3/21/2017
Gynecology Pre-operative Evaluation, GYN Procedures 5/13/2016
Gynecology Pre-Ooperative Tobacco Cessation 7/23/2016
Gynecology Sexually Transmitted Disease Screening and Treatment 12/19/2017
Gynecology Urinary Incontinence 7/24/2016
Gynecology Surgical Antibiotic Prophylaxis, ANMC 7/03/2018
Gynecology Pre-operative Evaluation, GYN Procedures 7/03/2018

Hermatology and Oncology Title Date
Hermatology and Oncology Cancer Post Treatment Guidelines 6/13/2002
Hermatology and Oncology Cervical Cancer Screening Algorithms 1/27/2016
Hermatology and Oncology Lung Cancer Guidelines for Diagnosis, Surgery and Referral 8/13/2009
Hermatology and Oncology Otolaryngology/HNS Department Clinical Practice for Neck & Head Cancer Follow-Up Guidelines 6/13/2002

Hermatology and Oncology Title Date
Mental & Behavioral Health Treatment Guidelines for Adjustment Disorders 2/02/2006
Mental & Behavioral Health Treatment Guidelines for Alcohol and Other Substance Abuse 2/02/2006
Mental & Behavioral Health Treatment Guidelines for Anxiety Disorders 2/02/2006
Mental & Behavioral Health Treatment Guidelines for Chronic Pain / Somatoforms 2/02/2006
Mental & Behavioral Health Treatment Guidelines for ADHD 7/12/2006
Mental & Behavioral Health Treatment Guidelines for Autism, PDD & MR 7/12/2006
Mental & Behavioral Health Treatment Guidelines for Autism, PDD & MR 7/12/2006
Mental & Behavioral Health Treatment Guidelines for Bipolar Disorder 4/06/2006
Mental & Behavioral Health Treatment Guidelines for Cognitive Disorders 4/06/2006
Mental & Behavioral Health Treatment Guidelines for Couples Therapy 4/06/2006
Mental & Behavioral Health Treatment Guidelines for Depression Disorders 7/12/2006
Mental & Behavioral Health Treatment Guidelines for Family Therapy 4/06/2006
Mental & Behavioral Health Treatment Guidelines for Parenting 7/12/2006
Mental & Behavioral Health Treatment Guidelines for Personality Disorders 7/12/2006
Mental & Behavioral Health Treatment Guidelines for Psychotic Disorders 7/12/2006
Mental & Behavioral Health Treatment Guidelines for PTSD 4/06/2006
Mental & Behavioral Health Opioid Management of Chronic Non-Cancer Pain: ANMC 3/14/2017
Mental & Behavioral Health ANMC Frostbite Protocol 12/19/2017
Mental & Behavioral Health Depression Screening, Treatment and Follow-Up for Patients >= 18 12/02/2004
Mental & Behavioral Health Tobacco Screening and Referral Guideline PCC 12/07/2006

Musculo-skeletal disorders Title Date
Musculo-skeletal disorders Orthopedic Surgery Antibiotic Guideline 0/00/0000
Musculo-skeletal disorders Pediatric Septic Arthritis Osteomyelitis Guideline 11/14/2017
Musculo-skeletal disorders Orthopedics – NSAID Protocol 9/30/2004
Musculo-skeletal disorders Orthopedics – Ankle 9/30/2004
Musculo-skeletal disorders Orthopedics – Elbow 9/30/2004
Musculo-skeletal disorders Orthopedics – Foot 9/30/2004
Musculo-skeletal disorders Orthopedics – Forearm 9/30/2004
Musculo-skeletal disorders Orthopedics – Hand-Other 9/30/2004
Musculo-skeletal disorders Orthopedics – Hand-Trigger Finger 9/30/2004
Musculo-skeletal disorders Orthopedics – Hip-Other 9/30/2004
Musculo-skeletal disorders Orthopedics – Humerus 9/30/2004
Musculo-skeletal disorders Orthopedics – Knee Pain 9/30/2004
Musculo-skeletal disorders Knee Patello Femoral 9/30/2004
Musculo-skeletal disorders Orthopedics – Leg 9/30/2004
Musculo-skeletal disorders Orthopedics – Shoulder-Adhesive 9/30/2004
Musculo-skeletal disorders Orthopedics – Shoulder-Impingement 9/30/2004
Musculo-skeletal disorders Orthopedics – Wrist 9/30/2004
Musculo-skeletal disorders Orthopedics – Wrist-Ganglion 9/30/2004

Obstetrics Title Date
Obstetrics Cervical Ripening: IUFD with prior Cesarean, Misoprostol 12/09/2017
Obstetrics Abnormal placentation management: Placenta Accreta 7/06/2018
Obstetrics Alaska Native Birthweight by Gestational Age 4/30/2017
Obstetrics Prevention of Rh D alloimmunization Guideline 3/23/2018
Obstetrics Alloimmunization Prevention Guideline 3/23/2018
Obstetrics Anemia in Pregnancy Management Guideline 7/06/2018
Obstetrics Ankyloglossia (Tongue-tie) and tied maxillary frenum (lip-tie) 8/19/2017
Obstetrics Antenatal Testing Guideline and Flowsheet 3/23/2018
Obstetrics Blood Product Education Tool 7/17/2017
Obstetrics Breech Birth Guidelines 9/27/2016
Obstetrics Breech Birth Information Sheet 2/19/2018
Obstetrics Opioid addiction medication assisted treatments: OB/GYN 9/27/2016
Obstetrics Opioid Management of Chronic Non-Cancer Pain: ANMC 3/14/2017
Obstetrics ANMC Frostbite Protocol 4/04/2018
Obstetrics Perinatal Transport and Referral 12/11/2017
Obstetrics Miscarriage Management 2/28/2017
Obstetrics Cervical Ripening: Oral Titrated Liquid Misoprostol 5/31/2017
Obstetrics Osteoporosis Screening and Management 7/17/2017
Obstetrics Peripartum Uterine Infection 12/11/2017
Obstetrics Blunt Trauma in Pregnancy 10/15/2017
Obstetrics Trauma in Pregnancy 10/15/2017
Obstetrics Certified-Nurse Midwife Practice Guideline 10/15/2017
Obstetrics Diabetes in Pregnancy Chart Tool 9/27/2016
Obstetrics Diabetes Mellitus in Pregnancy Screening and Management 3/23/2018
Obstetrics Expectant Management of Indicated Delivery 7/03/2018
Obstetrics Extreme Prematurity: Diagnosis and Management 12/25/2016
Obstetrics Fetal Expulsion Disorder 7/23/2016
Obstetrics First Trimester Bleeding Guideline 7/06/2018
Obstetrics Genetic Screening: Option Summary 7/05/2017
Obstetrics Group B Streptococcal Disease: Guideline text 7/23/2016
Obstetrics Group B Streptococcal Disease: FAQs 7/16/2018
Obstetrics Healthy Infant Feeding Policy 509 12/06/2016
Obstetrics Healthy Infant Feeding Procedure 509-01 12/06/2016
Obstetrics HIV/AIDS in Pregnancy: Screening and Management 7/10/2018
Obstetrics Herpes Simplex Virus (HSV) in Pregnancy 12/11/2017
Obstetrics Hypertensive Disorders in Pregnancy 3/23/2018
Obstetrics Hypertension in Pregnancy Chart Tool 4/09/2018
Obstetrics Intrahepatic Cholestasis of Pregnancy (ICP) 3/23/2018
Obstetrics Cervical Ripening: Inpatient 7/24/2016
Obstetrics Intrauterine Growth Restriction (IUGR) 10/23/2016
Obstetrics Magnesium Sulfate for Fetal Neuroprotection 10/28/2016
Obstetrics Marijuana Use during Pregnancy and Lactation 7/06/2018
Obstetrics Gestational Trophoblastic Disease 4/12/2017
Obstetrics Ectopic Pregnancy: Tubal and Interstitial 7/06/2018
Obstetrics Nausea and Vomiting in Pregnancy 4/30/2017
Obstetrics Obesity in Pregnancy 7/09/2018
Obstetrics Oligohydramnios Management 8/19/2017
Obstetrics Cervical Ripening: Outpatient Pre-Induction 9/05/2017
Obstetrics Opioids for Chronic Pain: CDC 9/27/2016
Obstetrics Post-term Pregnancy Management 4/30/2017
Obstetrics Obstetric Hemorrhage Management 4/06/2018
Obstetrics Post Partum Hemorrhage Management 4/06/2018
Obstetrics Preterm Premature Rupture of Membranes 10/30/2016
Obstetrics Prenatal Worksheet / Timeline 12/09/2017
Obstetrics HIV Pre-Exposure Prophylaxis (PrEP) 8/16/2016
Obstetrics Preterm Labor Management 10/30/2016
Obstetrics Progesterone for the Prevention of Preterm Birth 12/092017
Obstetrics Recurrent Pregnancy Loss: First Trimester 12/09/2017
Obstetrics Shoulder Dystocia Guideline 7/23/2016
Obstetrics Corticosteroids for Fetal Benefit 10/30/2016
Obstetrics Stillbirth: Management and Prevention 5/13/2016
Obstetrics Cesarean Delivery Thromboprophylaxis 7/06/2018
Obstetrics Thyroid Disease in Pregnancy 7/17/2017
Obstetrics Trial of Labor after Cesarean Consent 9/01/2016
Obstetrics Trial of Labor after Cesarean Education Tool 11/17/2017
Obstetrics Trial of Labor after Cesarean 10/24/2016
Obstetrics Multiple Gestation Management 7/06/2018
Obstetrics Ultrasound Dating Parameters 7/24/2016
Obstetrics First Trimester Bleeding 7/24/2016
Obstetrics Antenatal Testing Guidline and Flowsheet 7/03/2018
Obstetrics Stillbirth: Management and Prevention 7/01/2018
Obstetrics Asthma Pregnancy 7/13/2018

Opthalmology Title Date
Opthalmology File Title 0/00/0000

Preventive Services Title Date
Preventive Services Breast Cancer Screening Guidelines 2/05/2004
Preventive Services Cervical Cancer Screening Algorithms 1/27/2016
Preventive Services Cervical Cancer Screening and Colposcopy Management 5/16/2016
Preventive Services Opioid Management of Chronic Non-Cancer Pain: ANMC 3/14/2017
Preventive Services Osteoporosis Screening and Management 7/17/2017
Preventive Services Summary of Clinical Preventive Services 6/05/2003
Preventive Services Colon Cancer Follow-Up Guidelines 2/24/2009
Preventive Services Colorectal Cancer Screening Guidelines 11/18/2013
Preventive Services Diabetes Screening Guidelines 5/04/2006
Preventive Services Diabetes Mellitus in Pregnancy Screening and Management 3/23/2018
Preventive Services Group B Streptococcal Disease: Guideline text 7/23/2016
Preventive Services Group B Streptococcal Disease: FAQs 7/23/2016
Preventive Services HIV/AIDS in Pregnancy: Screening and Management 7/10/2018
Preventive Services Immunization Protocols Adult 4/03/2018
Preventive Services Immunization Protocols Pediatric 7/03/2018
Preventive Services ANMC Flu Protocol for 2017-18 7/17/2017
Preventive Services Lipid Screening and Counseling for Adults 6/03/2004
Preventive Services Sexually Transmitted Disease Screening and Treatment 12/19/2017
Preventive Services Tobacco Screening and Referral Guideline Outpatient 1/31/2011
Preventive Services Tobacco Screening and Referral Guideline Outpatient 1/31/2011

Behavioral Health Title Date
Behavioral Health Treatment Guidelines for Adjustment Disorders 2/02/2006
Behavioral Health Treatment Guidelines for Alcohol and Other Substance Abuse 2/02/2006
Behavioral Health Treatment Guidelines for Anxiety Disorders 2/02/2006
Behavioral Health Treatment Guidelines for Chronic Pain / Somatoforms 2/02/2006
Behavioral Health Treatment Guidelines for ADHD 7/12/2006
Behavioral Health Treatment Guidelines for Autism, PDD & MR 7/12/2006
Behavioral Health Treatment Guidelines for Bipolar Disorder 4/06/2006
Behavioral Health Treatment Guidelines for Cognitive Disorders 4/06/2006
Behavioral Health Treatment Guidelines for Couples Therapy 4/06/2006
Behavioral Health Treatment Guidelines for Depression Disorders 7/12/2006
Behavioral Health Treatment Guidelines for Family Therapy 4/06/2006
Behavioral Health Treatment Guidelines for Parenting 7/12/2006
Behavioral Health Treatment Guidelines for Personality Disorders 7/12/2006
Behavioral Health Treatment Guidelines for Psychotic Disorders 7/12/2006
Behavioral Health Treatment Guidelines for PTSD 4/06/2006
Behavioral Health Tobacco Screening and Referral Guideline PCC 12/07/2006

Breastfeeding Title Date
Breastfeeding Ankyloglossia (Tongue-tie) and tied maxillary frenum (lip-tie) 8/19/2017
Breastfeeding Healthy Infant Feeding Policy 509 12/06/2016
Breastfeeding Healthy Infant Feeding Procedure 509-01 12/06/2016
Breastfeeding Marijuana Use during Pregnancy and Lactation 5/24/2016

Emergency & Urgent Care Title Date
Emergency & Urgent Care Cervical Cancer Screening and Colposcopy Management 5/16/2016
Emergency & Urgent Care Opioid Management of Chronic Non-Cancer Pain: ANMC 3/14/2017
Emergency & Urgent Care ANMC Frostbite Protocol 4/04/2018
Emergency & Urgent Care Pediatric MBTP Dosing Guidelines 1/07/2010
Emergency & Urgent Care Care of patients with Subarachnoid Hemorrhages 1/07/2010
Emergency & Urgent Care Notification of Surgeon for Trauma Patients 1/07/2010
Emergency & Urgent Care Screening for Blunt Cervical Vascular Injury 1/07/2010
Emergency & Urgent Care Trauma in Pregnancy 10/15/2017
Emergency & Urgent Care Blunt Trauma in Pregnancy 10/15/2017
Emergency & Urgent Care State of Alaska: Head Injury Flow Chart 1/07/2010
Emergency & Urgent Care State of Alaska: Head Injury Guidelines 1/07/2010
Emergency & Urgent Care Trauma Activation Response Procedure 1/07/2010
Emergency & Urgent Care Trauma Response Activation Criteria 9/07/2006

Ear, Nose, and Throat Title Date
Ear, Nose, and Throat Dizziness Clinical Guideline

9/07/2006
Ear, Nose, and Throat Otolaryngology/HNS Department Clinical Practice for Neck & Head Cancer Follow-Up Guidelines 6/13/2002
Ear, Nose, and Throat ANMC Frostbite Protocol 12/19/2017
Ear, Nose, and Throat ENT Sinus CT Scan and Evaluation Form 7/19/2007
Ear, Nose, and Throat ENT Direct Referral Form for Sleep Study 10/23/2003
Ear, Nose, and Throat ENT Appointment Form for Tonsillectomy 10/23/2003
Ear, Nose, and Throat ENT Tympanostomy Tube Replacement Form 10/23/2003
Ear, Nose, and Throat Acute Otitis Media Pediatric Treatment Guideline 11/14/2017
Ear, Nose, and Throat Adult Pediatric Pharyngitis (GAS) Guideline 11/14/2017
Ear, Nose, and Throat Sinusitis in Adults and Children – Management 12/06/2016
Ear, Nose, and Throat Tobacco Screening and Referral Guideline Inpatient 1/31/2011
Ear, Nose, and Throat Tobacco Screening and Referral Guideline Outpatient 1/31/2011
Ear, Nose, and Throat Pediatric Cervical Lymphadenitis Guide 11/14/2003

Family Medicine Title Date
Family Medicine Acute Bronchitis in Adolescents and Adults Guideline 1/4/2018
Family Medicine Adult Inpatient Antibiotic Guidelines for Febrile Neutropenia 2/26/2018
Family Medicine Tobacco Screening and Referral Guideline Outpatient 1/31/2011
Family Medicine ANMC Helicobacter Pylori Guideline 1/06/2017
Family Medicine UTI Pediatric Management and Evaluation 3/02/2018
Family Medicine ANMC Adult Ambulatory Cellulitis Guideline 11/142016
Family Medicine ANMC Flu Protocol for 2017-18: off site Mass Flu Clinics 9/28/2017
Family Medicine ANMC Flu Protocol for 2017-18: on site Mass Flu Clinics 9/28/2017
Family Medicine Hospitalized Community Acquired Pneumonia (CAP) Guideline 11/14/2017
Family Medicine Procalcitonin (PCT) Guideline for Lower Respiratory Tract Infections and Sepsis 11/14/2017
Family Medicine Group B Streptococcal Disease: Guideline text 7/23/2016
Family Medicine Group B Streptococcal Disease: FAQs 7/16/2018
Family Medicine HIV/AIDS Clinical Guidelines for Adults 9/06/2007
Family Medicine HIV/AIDS in Pregnancy: Screening and Management 7/10/2018
Family Medicine HIV—Risk Assessments 8/03/2006
Family Medicine HIV—Screening & Consent for Testing 8/03/2006
Family Medicine Immunization Protocols Adult 4/03/2018
Family Medicine ANMC Flu Protocol for 2017-18 7/17/2017
Family Medicine Pediatric Cervical Lymphadenitis Guideline 11/14/2016
Family Medicine Acute Otitis Media Pediatric Treatment Guideline 11/14/2017
Family Medicine Sexually Transmitted Disease Screening and Treatment 12/19/2017
Family Medicine Uncomplicated Uninary Tract Infection in Adults 11/14/2017
Family Medicine Opioid Management of Chronic Non-Cancer Pain: ANMC 3/14/2017
Family Medicine ANMC Frostbite Protocol 4/04/2018
Family Medicine Depression Screening, Treatment and Follow-Up for Patients >= 18 12/02/2004
Family Medicine Acute Ischemic Stroke Management Guideline 6/05/2012
Family Medicine Prevention of Rh D alloimmunization Guideline 3/23/2018
Family Medicine Alloimmunization Prevention Guideline 3/23/2018
Family Medicine Bronchitis in Adolescents and Adults 12/312017
Family Medicine Adult Ambulatory Community Acquired Pneumonia (CAP) Guideline 11/14/2017
Family Medicine Clostridium difficile Treatment Guideline 11/14/2017
Family Medicine Clostridium difficile Prophylaxis Guideline 11/14/2017
Family Medicine Gastrointestinal Surgical Prophylaxis Guideline 11/14/2017
Family Medicine Miscarriage Management 2/28/2017
Family Medicine Miscarriage: Misoprostol Use Pt Ed 11/17/2017
Family Medicine Miscarriage: Pt Ed Text 11/17/2017
Family Medicine Miscarriage: Pt Ed Bullet Points 11/17/2017
Family Medicine Cervical Ripening: Oral Titrated Liquid Misoprostol 5/31/2017
Family Medicine Summary of Clinical Preventive Services 6/05/2003
Family Medicine Colorectal Cancer Screening Guidelines 11/18/2013
Family Medicine Diabetes Screening Guidelines 5/04/2006
Family Medicine Diabetes Mellitus in Pregnancy Screening and Management 3/23/2018
Family Medicine Febrile Infant 0-90 Days Guideline 11/14/2017
Family Medicine Genetic Screening: Option Summary 7/05/2017
Family Medicine Diagnosis and Treatment of GERD 9/03/2002
Family Medicine HIV/AIDS—Pediatric Guidelines (Follow-up for Infants Born to HIV+ Mothers) 5/15/2008
Family Medicine Hypertension 3/02/2006
Family Medicine Isotretinoin(Accutane) Use for the Treatment of Acne 9/07/2006
Family Medicine Lipid Disorder in Adults 9/07/2006
Family Medicine Lipid Screening and Counseling for Adults 6/03/2004
Family Medicine Gestational Trophoblastic Disease 4/12/2017
Family Medicine Adult Pediatric Pharyngitis (GAS) Guideline 11/14/2017
Family Medicine Sinusitis in Adults and Children – Management 12/06/2016
Family Medicine Tobacco Screening and Referral Guideline PCC 12/07/2006
Family Medicine Acne Treatment 9/07/2006
Family Medicine Osteoporosis Screening and Management 7/17/2017
Family Medicine Care of patients with Subarachnoid Hemorrhages 1/07/2010

Internal Medicine Title Date
Internal Medicine Acute Bronchitis in Adolescents and Adults Guideline 1/04/2018
Internal Medicine Adult Inpatient Antibiotic Guidelines for Febrile Neutropenia 2/26/2018
Internal Medicine Tobacco Screening and Referral Guideline Outpatient 1/31/2011
Internal Medicine ANMC Helicobacter Pylori Guideline 1/06/2017
Internal Medicine UTI Pediatric Management and Evaluation 3/02/2018
Internal Medicine Antimicrobial Stewardship Program Guidelines 8/18/2017
Internal Medicine ANMC Adult Ambulatory Cellulitis Guideline 11/142016
Internal Medicine ANMC Flu Protocol for 2017-18: off site Mass Flu Clinics 9/28/2017
Internal Medicine ANMC Flu Protocol for 2017-18: on site Mass Flu Clinics 9/28/2017
Internal Medicine Hospitalized Community Acquired Pneumonia (CAP) Guideline 11/14/2017
Internal Medicine Procalcitonin (PCT) Guideline for Lower Respiratory Tract Infections and Sepsis 11/14/2017
Internal Medicine Group B Streptococcal Disease: Guideline text 7/23/2016
Internal Medicine Group B Streptococcal Disease: FAQs 7/16/2018
Internal Medicine HIV/AIDS Clinical Guidelines for Adults 9/06/2007
Internal Medicine HIV/AIDS in Pregnancy: Screening and Management 7/10/2018
Internal Medicine HIV—Risk Assessments 8/03/2006
Internal Medicine HIV—Screening & Consent for Testing 8/03/2006
Internal Medicine Immunization Protocols Adult 4/03/2018
Internal Medicine ANMC Flu Protocol for 2017-18 7/17/2017
Internal Medicine Pediatric Cervical Lymphadenitis Guideline 11/14/2016
Internal Medicine Acute Otitis Media Pediatric Treatment Guideline 11/14/2017
Internal Medicine Sexually Transmitted Disease Screening and Treatment 12/19/2017
Internal Medicine Uncomplicated Uninary Tract Infection in Adults 11/14/2017
Internal Medicine Opioid Management of Chronic Non-Cancer Pain: ANMC 3/14/2017
Internal Medicine ANMC Frostbite Protocol 4/04/2018
Internal Medicine Depression Screening, Treatment and Follow-Up for Patients >= 18 12/02/2004
Internal Medicine Acute Ischemic Stroke Management Guideline 6/05/2012
Internal Medicine Prevention of Rh D alloimmunization Guideline 3/23/2018
Internal Medicine Alloimmunization Prevention Guideline 3/23/2018
Internal Medicine Bronchitis in Adolescents and Adults 12/312017
Internal Medicine Adult Ambulatory Community Acquired Pneumonia (CAP) Guideline 11/14/2017
Internal Medicine Clostridium difficile Treatment Guideline 11/14/2017
Internal Medicine Clostridium difficile Prophylaxis Guideline 11/14/2017
Internal Medicine Gastrointestinal Surgical Prophylaxis Guideline 11/14/2017
Internal Medicine Miscarriage Management 2/28/2017
Internal Medicine Miscarriage: Misoprostol Use Pt Ed 11/17/2017
Internal Medicine Miscarriage: Pt Ed Text 11/17/2017
Internal Medicine Miscarriage: Pt Ed Bullet Points 11/17/2017
Internal Medicine Cervical Ripening: Oral Titrated Liquid Misoprostol 5/31/2017
Internal Medicine Summary of Clinical Preventive Services 6/05/2003
Internal Medicine Colorectal Cancer Screening Guidelines 11/18/2013
Internal Medicine Diabetes Screening Guidelines 5/04/2006
Internal Medicine Diabetes Mellitus in Pregnancy Screening and Management 3/23/2018
Internal Medicine Febrile Infant 0-90 Days Guideline 11/14/2017
Internal Medicine Genetic Screening: Option Summary 7/05/2017
Internal Medicine Diagnosis and Treatment of GERD 9/03/2002
Internal Medicine HIV/AIDS—Pediatric Guidelines (Follow-up for Infants Born to HIV+ Mothers) 5/15/2008
Internal Medicine Hypertension 3/02/2006
Internal Medicine Isotretinoin(Accutane) Use for the Treatment of Acne 9/07/2006
Internal Medicine Lipid Disorder in Adults 9/07/2006
Internal Medicine Lipid Screening and Counseling for Adults 6/03/2004
Internal Medicine Gestational Trophoblastic Disease 4/12/2017
Internal Medicine Adult Pediatric Pharyngitis (GAS) Guideline 11/14/2017
Internal Medicine Sinusitis in Adults and Children – Management 12/06/2016
Internal Medicine Tobacco Screening and Referral Guideline PCC 12/07/2006
Internal Medicine Acne Treatment 9/07/2006
Internal Medicine Osteoporosis Screening and Management 7/17/2017
Internal Medicine Care of patients with Subarachnoid Hemorrhages 1/07/2010

Obstetrics Title Date
Orthopedics ANMC Frostbite Protocol 4/04/2018
Orthopedics Orthopedic Surgery Antibiotic Guideline 11/14/2017
Orthopedics Pediatric Septic Arthritis Osteomyelitis Guideline 11/14/2017
Orthopedics Orthopedics – NSAID Protocol 9/30/2004
Orthopedics Orthopedics – Ankle 9/30/2004
Orthopedics Orthopedics – Elbow 9/30/2004
Orthopedics Orthopedics – Foot 9/30/2004
Orthopedics Orthopedics – Forearm 9/30/2004
Orthopedics Orthopedics – Hand-Other 9/30/2004
Orthopedics Orthopedics – Hand-Trigger Finger 9/30/2004
Orthopedics Orthopedics – Hip-Other 9/30/2004
Orthopedics Orthopedics – Humerus 9/30/2004
Orthopedics Orthopedics – Knee Pain 9/30/2004
Orthopedics Orthopedics – Knee Patello Femoral 9/30/2004
Orthopedics Orthopedics – Leg 9/30/2004
Orthopedics Orthopedics – Shoulder-Adhesive 9/30/2004
Orthopedics Orthopedics – Shoulder-Impingement 9/30/2004
Orthopedics Orthopedics – Wrist 9/30/2004
Orthopedics Orthopedics – Wrist-Ganglion 9/30/2004

Pediatrics Title Date
Pediatrics NICU Antibiotic Guideline 2018 6/18/2018
Pediatrics Acute Bronchitis in Adolescents and Adults Guideline 1/04/2018
Pediatrics Ankyloglossia (Tongue-tie) and tied maxillary frenum (lip-tie) 8/19/2017
Pediatrics Bronchitis in Adolescents and Adults 12/31/2017
Pediatrics Gastrointestinal Surgical Prophylaxis Guideline 11/14/2017
Pediatrics Perinatal Transport and Referral 12/11/2017
Pediatrics Pediatric Ambulatory Community Acquired Pneumonia (CAP) Guideline 11/14/2017
Pediatrics Pediatric Septic Arthritis Osteomyelitis Guideline 11/14/2017
Pediatrics Surgical Prophylaxis Guideline 11/14/2017
Pediatrics Febrile Infant 0-90 Days Guideline 11/14/2017
Pediatrics Group B Streptococcal Disease: Guideline text 7/23/2016
Pediatrics Group B Streptococcal Disease: FAQs 7/23/2016
Pediatrics Healthy Infant Feeding Policy 509 12/06/2016
Pediatrics Healthy Infant Feeding Procedure 509-01 12/06/2016
Pediatrics HIV/AIDS—Pediatric Guidelines (Follow-up for Infants Born to HIV+ Mothers) 5/15/2008
Pediatrics Neonatal Hypoglycemia Guideline 1/01/2015
Pediatrics Immunization Protocols Pediatric 4/03/2018
Pediatrics Pediatric Cervical Lymphadenitis Guideline 11/14/2016
Pediatrics Marijuana Use during Pregnancy and Lactation 5/24/2016
Pediatrics Guideline for Evaluation of Afebrile Seizures in Infants and Children (<16 yrs) 1/04/2007
Pediatrics Acute Otitis Media Pediatric Treatment Guideline 11/14/2017
Pediatrics Pediatric MBTP Dosing Guidelines 1/07/2010
Pediatrics UTI Pediatric Management and Evaluation 3/02/2018
Pediatrics Adult Pediatric Pharyngitis (GAS) Guideline 11/14/2017
Pediatrics Prenatal Worksheet / Timeline 12/09/2017
Pediatrics Sinusitis in Adults and Children – Management 12/06/2016
Pediatrics Corticosteroids for Fetal Benefit 10/30/2016
Pediatrics Tobacco Screening and Referral Guideline Inpatient 1/31/2011
Pediatrics Tobacco Screening and Referral Guideline Outpatient 1/31/2011
Gynecology Surgical Antibiotic Prophylaxis, ANMC 7/03/2018

Urology Title Date
Urology Common Gentiourinary Disorders 11/14/2017

Women’s Health Title Date
Women’s Health STD Guideline Pocketbook, CDC 7/17/2017
Women’s Health Cervical Ripening: IUFD with prior Cesarean, Misoprostol 12/09/2017
Women’s Health Abnormal placentation management: Placenta Accreta 4/23/2016
Women’s Health Alaska Native Birthweight by Gestational Age 4/30/2017
Women’s Health Prevention of Rh D alloimmunization Guideline 3/23/2018
Women’s Health Alloimmunization Prevention Guideline 3/23/2018
Women’s Health Anemia in Pregnancy Management Guideline 7/06/2018
Women’s Health Ankyloglossia (Tongue-tie) and tied maxillary frenum (lip-tie) 8/19/2017
Women’s Health Antenatal Testing Guideline and Flowsheet 3/23/2018
Women’s Health Antimicrobial Stewardship Program Guidelines 8/18/2017
Women’s Health Asthma in Pregnancy 8/16/2016
Women’s Health Breast Cancer Screening Guidelines 2/05/2004
Women’s Health Opioid addiction medication assisted treatments: OB/GYN 9/27/2016
Women’s Health Breech Birth Guidelines 9/27/2016
Women’s Health Cervical Cancer Screening Algorithms 1/27/2016
Women’s Health Cervical Cancer Screening and Colposcopy Management 5/16/2016
Women’s Health Opioid Management of Chronic Non-Cancer Pain: ANMC 3/14/2017
Women’s Health Miscarriage Management 2/28/2017
Women’s Health Cervical Ripening: Oral Titrated Liquid Misoprostol 5/31/2017
Women’s Health Osteoporosis Screening and Management 7/17/2017
Women’s Health Peripartum Uterine Infection 12/11/2017
Women’s Health Blunt Trauma in Pregnancy 10/15/2017
Women’s Health Trauma in Pregnancy 10/15/2017
Women’s Health Certified-Nurse Midwife Practice Guideline 10/15/2017
Women’s Health Diabetes in Pregnancy Chart Tool 9/27/2016
Women’s Health Diabetes Mellitus in Pregnancy Screening and Management 3/23/2018
Women’s Health Expectant Management of Indicated Delivery 7/03/2018
Women’s Health Extreme Prematurity: Diagnosis and Management 12/25/2016
Women’s Health Fetal Expulsion Disorder 7/23/2016
Women’s Health First Trimester Bleeding Guideline 7/06/2018
Women’s Health Genetic Screening: Option Summary 7/05/2017
Women’s Health Group B Streptococcal Disease: Guideline text 7/23/2016
Women’s Health Group B Streptococcal Disease: FAQs 7/16/2018
Women’s Health HIV/AIDS in Pregnancy: Screening and Management 7/10/2018
Women’s Health Herpes Simplex Virus (HSV) in Pregnancy 12/11/2017
Women’s Health Hypertensive Disorders in Pregnancy 3/23/2018
Women’s Health Hypertension in Pregnancy Chart Tool 4/09/2018
Women’s Health Intrahepatic Cholestasis of Pregnancy (ICP) 3/23/2018
Women’s Health Cervical Ripening: Inpatient 7/24/2016
Women’s Health Intrauterine Growth Restriction (IUGR) 10/23/2016
Women’s Health Magnesium Sulfate for Fetal Neuroprotection 10/28/2016
Women’s Health Adnexal Cyst Management 7/23/2016
Women’s Health Gestational Trophoblastic Disease 4/12/2017
Women’s Health Ectopic Pregnancy: Tubal and Interstitial 7/06/2018
Women’s Health Nausea and Vomiting in Pregnancy 4/30/2017
Women’s Health Obesity in Pregnancy 4/23/2016
Women’s Health Oligohydramnios Management 8/19/2017
Women’s Health Cervical Ripening: Outpatient Pre-Induction 9/05/2017
Women’s Health Opioids for Chronic Pain: CDC 9/27/2016
Women’s Health Post-term Pregnancy Management 4/30/2017
Women’s Health Obstetric Hemorrhage Management 4/06/2018
Women’s Health Post Partum Hemorrhage Management 4/06/2018
Women’s Health Preterm Premature Rupture of Membranes 10/30/2016
Women’s Health Prenatal Worksheet / Timeline 12/09/2017
Women’s Health Pre-operative Evaluation, ANMC 3/21/2017
Women’s Health HIV Pre-Exposure Prophylaxis (PrEP) 8/16/2016
Women’s Health Preterm Labor Management 10/30/2016
Women’s Health Progesterone for the Prevention of Preterm Birth 12/09/2017
Women’s Health Recurrent Pregnancy Loss: First Trimester 12/09/2017
Women’s Health Shoulder Dystocia Guideline 7/13/2016
Women’s Health Pre-Ooperative Tobacco Cessation 7/23/2016
Women’s Health Sexually Transmitted Disease Screening and Treatment 12/19/2017
Women’s Health Stillbirth: Management and Prevention 5/13/2016
Women’s Health Cesarean Delivery Thromboprophylaxis 7/06/2018
Women’s Health Thyroid Disease in Pregnancy 7/17/2017
Women’s Health Trial of Labor after Cesarean Consent 9/01/2016
Women’s Health Trial of Labor after Cesarean 10/24/2016
Women’s Health Multiple Gestation Management 7/06/2018
Women’s Health Ultrasound Dating Parameters 4/30/2017
Women’s Health Antenatal Testing Guidline and Flowsheet 7/03/2018
Women’s Health Pre-operative Evaluation, GYN Procedures 7/03/2018
Women’s Health Stillbirth: Management and Prevention 7/01/2018

Posting Guidelines Title Date
Posting Guidelines Healthy Infant Feeding Procedure 509-01 12/06/2016

Service Agreements Title Date
Service Agreements Request for Evaluation and Consultation 8/27/2004
Service Agreements Behavioral Health Services and Family Medicine 9/19/2006
Service Agreements Behavioral Health Services and Pediatrics 9/19/2006
Service Agreements Behavioral Health Services and Urgent Care 9/19/2006
Service Agreements Behavioral Health Services and Womens Health 9/19/2006
Service Agreements Complementary Medicine and Primary Care Department 9/09/2009
Service Agreements Complementary Medicine Department and Pediatric Department 9/09/2009
Service Agreements Complementary Medicine Department and Valley Native Primary Care Center 9/09/2009
Service Agreements Complementary Medicine Department and Womens Health Department 2/06/2008
Service Agreements ENT and Family Medicine Departments 11/13/2006
Service Agreements ENT and Pediatrics Departments 11/13/2006
Service Agreements Pediatrics and Primary Care Departments 4/01/2009
Service Agreements Primary Care Departments and Emergency Department 5/12/2009
Service Agreements Womens Health and Family Medicine 9/25/2006
Service Agreements Imaging and Family Medicine Departments 3/30/2007
Service Agreements Imaging and Pediatrics Departments 3/30/2007
Service Agreements Imaging and Women’s Health Departments 3/30/2007
Service Agreements General Internal Medicine and Pediatrics Departments 12/01/2004
Service Agreements General Internal Medicine and Family Medicine Departments 8/27/2004
Service Agreements Oncology and Family Medicine Departments 8/27/2004
Service Agreements Surgery and Oncology Departments 6/16/2004
Service Agreements Oncology and Womens Health Departments 6/16/2004
Service Agreements Orthopedics and Family Medicine Departments 6/15/2004
Service Agreements Orthopedic and Pediatric Departments 6/17/2004
Service Agreements Pediatrics Department and Emergency Department 5/12/2009
Service Agreements Pediatrics and Womens Health Clinic 9/25/2006
Service Agreements Surgery and Family Medicine Departments 6/17/2004
Service Agreements Surgery and Pediatric Departments 6/17/2004
Service Agreements Urgent Care Center and Womens Health Clinic 6/07/2005
Service Agreements Urology and Women’s Health Departments 8/27/2004
Service Agreements Urology and Pediatrics Departments 6/18/2004