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Should your center’s future include medical services? Medical Essentials will help you, your board, and your medical staff explore the rationale of expanding into this new, pro-life area of high-value professional service. Bring Medical Essentials to your organization to help guide your steps for bringing medical services to your clients and community.
Medical Essentials covers the planning, implementation, and principles important to pregnancy and women’s well-being. The manual also includes the tools your center needs to navigate and comply with U.S. regulatory standards.
From adding ultrasound and STD/STI testing to abortion pill reversal and more, Medical Essentials is your go-to guide for adding and improving the tools and expertise you need to help each client make the healthiest choice for everyone involved in an unexpected pregnancy.
Also Includes a companion CD with job descriptions and sample forms.
AcknowledgementsAbout the ManualOur Passion to Serve Our Commitment of Care and CompetencePart I: Looking Back in Order to Look Forward Pregnancy Help and the Pregnancy Medical Clinic: A Developing Model Origin of the Pregnancy Help Movement Vision for Women and our Medical Roots Vision for Ministry Vision for Babies, Leading to Ultrasound Vision for Healing Vision for Prevention Vision for Family: Fatherhood, Marriage, and Adoption Recent Developments Related to Pregnancy Medical Centers Conclusion: Vision to Transform Every Community for Life Part II: Considering the Alternatives to Direct Provision of Medical ServicesAlternatives to Direct Provision of Medical Services Soliciting Referrals to Area Pro-Life OB/GYNsPartnering with a Center that Provides Medical Services Arranging for Outside Ultrasound Services to Visit Your Center Renting Space to or From a Physician Who Will Take Your Clients as Referrals Working with the Health Department in Your AreaUtilizing Referral Doctors for Those in Greatest Need ConclusionPart III: Establishing the Foundation for Adding Medical Services IntroductionAre We A Medical Clinic? Test vs. TestingSo What About Ultrasounds?Laying the Groundwork - Strategic PlanningMedical Steering CommitteeWhere to Look for Potential CandidatesCommunity Research Determining Your Services Limited Obstetric Ultrasounds Pregnancy Confirmation Exams (without Ultrasound)Partial or Full Prenatal Care Testing for Sexually Transmitted Diseases/Infections (STDs/STIs) Fertility CareWell Woman CarePerinatal Hospice Abortion Pill Reversal Determine Whom You Will ServeAssess Strategies that May Influence the Impact of Your Services Within the Community Strategy for Marketing Your Medical Services Review of Internal CultureTransitioning the Organizational StructurePersonal Testimony: Medical Conversion Part IV: Essential Principles of Operation When Adding Medical ServicesFederal RegulationsCLIA - Clinical Laboratory Improvement Amendments of 1988 Additional Information on CLIA CertificationOSHA - Occupational Safety and Health AdministrationUniversal Precautions Procedures for Compliance with OSHA RegulationsDisposal of Infectious Waste Equipment PersonnelADA - Americans with Disabilities Act HIPAA - Health Insurance Portability and Accountability Act Licensing Ultrasound RegulationsDocumentation Interpretation of Ultrasound Examinations and Final Report Local Codes and RegulationsDetermine Acceptable Standards of Care in Your Community GeneralUltrasoundSTD/STI Testing and Treatment Insurance and Liability Medical EmergenciesEmergency and Disaster Plans Safety Policy RecordsQuality Assurance ProgramAdvertising Part V: Effective Medical Services General ProceduresPolicies and Procedures Scheduling Medical ProceduresSuggested Dialogue for Presenting the Ultrasound Option and Securing the Appointment Consulting Guidelines Confidentiality and PrivacyPatient Education Prenatal EducationAbstinence and Sexual Integrity EducationMedical Records Serving MinorsUltrasounds Routine Use of Ultrasound Limited Obstetrical Ultrasound Written Standing Order Additional Direction through Policies and ProceduresWho Should Perform Ultrasound Examinations? Training Ultrasounds Interpretation of Ultrasound ExaminationsDocumentation Fetal Biometry Ultrasound Documentation of Fetal DevelopmentAbdominal and Transvaginal UltrasoundsUltrasound EquipmentUltrasound SystemsMinimum System RecommendedMinimum Peripherals Recommended Recommended Features on the Ultrasound System Used (or Pre-owned) Versus New: A Look at the Options Ultrasound Supplies Needed Doppler UltrasoundsCurrent Thinking on 3D/4D Ultrasound ConclusionVerification of Pregnancy Forms and Ultrasound Reports to Abortion-Minded Clients Early Ultrasound and hCG Levels Sample Standing Order for Quantitative hCG Pregnancy Confirmation ExamsGeneral InformationPregnancy Confirmation Exam Equipment and SuppliesPrenatal Care (Partial/Full)General InformationPartial Prenatal Care Full Prenatal CareAdditional considerations Birthing CenterBreath of Life Women’s Health and Birth CenterAbortion Pill Reversal Outline for Abortion Pill Reversal Nursing ProtocolDecision Tree for Locating a Doctor Who Will Begin Progesterone Protocol What Will a Woman See When She Visits the Website: AbortionPillReversal.com?Testing for STDs/STIs (Sexually Transmitted Diseases/Infections) Definition of TermsGeneral InformationAdvantages of Adding STI Services How to Get Started Mission Statement and Vision ReviewInquiry with Other Pregnancy Centers That Provide STI ServicesWhat Your Staff and Current Patients Think of STI Services Cost: Start-Up and On-GoingSpace AccommodationsSupplies Needed Laboratory ServicesLiability Insurance Standing Orders Staff: Who? Additional Training?Name Change of Your Center or New Subtitle Who Will Be Tested and What Tests Will Be Offered? OSHA Standards CLIA WaiverDeveloping Your Own Policy and Procedure Manual Forms and Standing OrdersStart Date Launching CampaignPrayer Part VI: Equipping Your Medical Staff General Medical Personnel Policies Medical Personnel Health PoliciesApplying Health Policy Sample Job Descriptions Medical DirectorNurse Manager UltrasonographerStaff PhysicianVolunteer Clinic Physician Nurse PractitionerStaff NurseVolunteer Peer Counselor/Consultant/AdvocatePersonnel RecordsCompensation for Medical PersonnelPart VII: Funding the Medical Center Learning Objective Medical Services Strengthen Your Appeal Introduction New Services, New AskFAQ: Government Funding Part VIII: Contemporary Medical Issues Abortion Procedures Medication Abortion, RU-486, the Abortion Pill Telemed Abortion First-Trimester Aspiration Abortion (Up to twelve or thirteen weeks of pregnancy) Dilation & Evacuation (D&E) Second Trimester (approximately thirteen weeks of pregnancy and onward) Abortion Risks Is Childbirth or Abortion Safer?Is a Medical Abortion (RU-486, the Abortion Pill) or Surgical Abortion Safer?Medical Abortion Risks (RU-486, the Abortion Pill) Physical Pain Infection Severe Bleeding (Hemorrhage) Damage to Internal Organs Anesthetic Hazards Preterm Birth Low Birth Weight DeathProtect Yourself Against Medical MalpracticeEmergency Contraception Plan B One-StepellaProgesterone Use to Reverse the Effects of MifepristonePharmacology of Mifepristone and Progesterone Current Regimens of Medical Abortion Results of Progesterone TherapyCase ReportsDiscussionSuggested ProtocolTestimony of Anthony Levatino, MD, JDTestimony of Anthony Levatino, MD, JD before the Subcommittee on the Constitution, Committee on the Judiciary, U.S. House of Representatives on The District of Columbia Pain-Capable Unborn Child Protection Act (H.R. 3803) Myths About Abortion-Minded New Research Shows Abortion Poses Higher Risk of Death than Giving Birth Induced Abortion and Risk of Subsequent Preterm Birth Abortion and Maternal Mortality Abortion and Mental HealthTherapeutic Abortion Long-Term Emotions Following Abortion AgeSubstance AbuseReproductive Choices and Breast Cancer Risks Breast Maturity & Breast Cancer Risk Reproductive History & Breast Cancer Risk Hormonal Birth Control and Hormone Replacement Therapy & Breast Cancer RiskAAPLOG Statement on the Association of Induced Abortion and the Subsequent Development of Breast Cancer Induced Abortion and the Subsequent Risk of Developing Breast Cancer The Daling Study The Howe StudyHow Do Medical Organizations Discredit the World Literature? Example # 1:The Melbye Study Example #2 The Beral Study Girls on Steroids! The Big News that Is Not News at All Health Concerns for Women Who Practice Homosexuality Ministering Medical Care to Women from Underdeveloped Nations Perinatal Hospice: Support for Families Carrying to Term after a Severe Prenatal Diagnosis Error! Bookmark not defined.Get up to Speed on Ectopic Pregnancies Causes Risk Factors SymptomsComplications DiagnosisTreatment Applying Biblical Ethics PrognosisPreventionPatient Instruction SheetMedical Advisory Board: An Effective Support for Pregnancy Help CentersHow Can They Help?How to Successfully Recruit Sample: Letter of Invitation What Has Worked?Bonus Tips: Keeping in Touch with Your DocsWho is My Patient? Medical Ethics and the Pregnancy Resource CenterHistorical Perspective of Medical Ethics and Abortion Deregulation in the United StatesThe Four Questions Every Medical PRC Should AskMedicine Weathering the StormExhibit 1: Health Services Standard Code of Conduct in Women’s Reproductive Health Building on What We Have Done: Making Abortion Unwantable Our PurposeOur Problems Our SolutionAppendix Agency Contacts Medical Manual References Regional CLIA Offices Regional OSHA Offices Clinical Laboratory Improvement Amendments (CLIA) State Survey Agency Contacts State Departments of HealthLaying the Groundwork – Sample Forms Budget Estimate for Medical Services (Limited Ultrasound)Medical Services Development Guidelines Heartbeat International Medical Services Checklist Pro-Life Pregnancy Centers Survey Client Medical Services Survey (Ultrasound) Client Medical Services Survey (STD/STI Testing) Community Statistics (Ultrasound)Community Statistics (STD/STI Testing) Medical Community Services Survey (Ultrasound) Medical Community Services Survey (STD/STI Testing) Ministry Friends Survey (Ultrasound) Ministry Friends Survey (Spiritual Care) Survey Summary (Ultrasound) Survey Summary (STD/STI Testing) General Medical Forms and HandoutsSample Forms Accepted Abbreviations and TerminologyAuthorization to Release RecordsAcknowledgment of Receipt of RecordsContraceptives Chart Birth Control Chart Methods End NotesCenters for Disease Control (CDC) Guidelines for Measles, Mumps, and Rubella Hepatitis B Vaccine FormMedical Director Approval of Policies and Procedures Medical Emergency Procedures [Sample] Medical Services Sample Organization Chart with Physicians on StaffMedical Services Sample Organization Chart with Well Developed Paid Staff and Governing Board (Also Showing Medical Staff) Patient Complaint Form Patient Medical Emergency InformationPatient Exit Questionnaire Positive Pregnancy Test Verification (Nurse Administered)Positive Pregnancy Test Confirmation (Self Administered)Safety Requirements [Sample] Standing Order: Laboratory Tests Standing Order: Prenatal Vitamins Ultrasound Sample Forms Confirmation of PregnancyConfirmation of Pregnancy Preliminary Report [Sample]Consent for Performance of Medical Services and Release of Liability (Pregnancy Confirmation Exam and Ultrasound) Ultrasound Consent Waiver and Release Form Discharge Summary Discharge Summary for Medical Follow-upEctopic Pregnancy Patient Instruction Sheet Medical Clinic Preliminary FindingsMedical Services Patient Instructions Miscarriage Patient Instruction Sheet Nurse Ultrasound Consult without Physician Exam Protocols Patient Medical HistoryStanding Order: Performing Training Ultrasounds Standing Order: Performing Urine hCG Pregnancy Tests Standing Order: Quantitative hCG Standing Order: Performing Urine hCG Pregnancy TestsStanding Order: Suspected Blighted Ovum Standing Order: Suspected Early Pregnancy, Non-Confirmed Standing Order: Suspected Ectopic PregnancyStanding Order: Suspected Multiple Fetuses Standing Order: Suspected Non-Viable Fetus, No Heart Rate Detected Ultrasound Order and Exam Report Ultrasound FAQ Sheet Ultrasound Patient LogUltrasound System ChecklistQuality AssuranceSample Forms Policy: Quality AssuranceClient Record Audit Annual Client Record Audit Summary Annual Physician Peer Review SummaryAnnual Quality Assurance Report Annual Review and Approval of Policies and Procedures ManualChart AuditClient Record Audit Form List of Hazardous MaterialsPeer ReviewPregnancy Center Quality Assurance GuidelinesJustice Foundation LettersSample Letters“Dear Parent” Letter “Dear Client” Letter“Dear Parent” Letter (Spanish Version)“Dear Abortionist” Letter“Dear Father” LetterDeclaration FormSTD/STI Testing Sample FormsSTI Services Request & Consent Form STI Scope of Services & Client Information STI Testing Services Consent Form & Release FormConsent for Testing and Treatment Medical Appointment Intake Form Sexual Health Inventory Form Sexual Behavior InventorySexually Transmitted Infection Testing Standing OrderSTI Testing Checklist Your STI AppointmentSTD/STI Appointment Reminder STI Laboratory Testing RequisitionSTI Results Form Doctor Letter to Client Abortion Pill Reversal Sample Forms APR Case Report FormAPR Treatment Consent Form APR Phone Call Intake FormAPR Authorization for Release of Health Information Pursuant to HIPAA APR Progesterone Protocol for the Attempted Reversal of Mifepristone APR Order Set for Nurses Abbreviations and Terminology Index
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