Top tips for adult dehydration management
February 18, 2020
POAC only funds dehydration cases for moderate dehydration with vomiting and must include a trial antiemetic and oral fluids for all patients presenting with moderate dehydration in primary care. After 60mins, reassess and if insufficient response then give IV fluids + antie...
New Toothache Auckland Regional HealthPathway
February 12, 2020
This new pathway provides guidance on the likely causes of toothache by type of pain and options for pain relief. In addition it discusses the limited role of oral antibiotics, which antibiotics to use, and that intravenous antibiotics are not indicated for dental absc...
Top tips for adult cellulitis management
January 22, 2020
A trial oral Fluclox 1g QID unless : symptomatic PVD, symptomatic venous insufficiency or BMI >40 for all patients presenting with cellulitis in primary care
Discuss all cases for consideration of IVs without a trial of oral antibiotics with the Infectious Diseases team u...
POAC Funded ECG for chest pain
December 10, 2019
An internal review of chest pain cases has demonstrated that many claims for ECGs performed to investigate a possible diagnosis of Acute Coronary Syndrome do not align with the Acute Chest Pain HealthPathway
A normal ECG alone cannot rule out Acute Coronary...
POAC funding of X-ray
November 12, 2019
An internal review of radiology cases claimed under POAC has highlighted many X-ray requests that do not align with the plain X-Ray HealthPathway
POAC funded X-ray should be reserved for same day imaging where results will inform immediate management and/or determine r...
POAC funding awaiting ambulance transfer
August 31, 2019
Background
Historically it has not been part of POAC’s remit to fund unavoidable admission i.e. admissions where, from the initial community assessment, it is clear that hospital evaluation is required.
In the current environment, delays in ambulance services continue to ...
Acute Pelvic Pain in Young Women
May 28, 2019
This pathway assists GPs with navigating through the causes of pelvic pain in young women to decide a provisional diagnosis and thereby refer to the correct service, or appropriately investigate and follow-up in the community. Please note there are limited indications f...
Management of cellulitis accompanying an abscess
April 12, 2019
In January 2019 new pathways were published for Skin and Soft Tissue Abscess in Adults, Mastitis and Breast Abscess and Bartholin’s Cyst or Abscess. Communications were sent via Medinz and the POAC blog – click here to sign up
Following review by the regional Antimi...
Changes to Hepatitis C Treatment
February 1, 2019
Hepatitis C Treatment - Update to pathway and claiming process
The Chronic Hepatitis C pathway has been updated for the newly funded direct acting antiviral (DAA) medication, Maviret™.
Maviret™ is the recommended treatment in primary care for a majority of patients with Hepatitis C who do not have cirrhosis:
Cure rate of 99%...
New Abscess Management Pathways
January 31, 2019
Primary Care communications for new abscess management pathways
Auckland Regional HealthPathways has developed three new pathways for abscess management:
Skin and soft tissue abscess in adultsBartholin's cyst or abscess Mastitis and breast abscess
These best practice regionally agreed pathways have been developed with both primary a...
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