december 2014 revision informational ppt update on revisions made to the echam as of december 29 th,...
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December 2014 Revision Informational PPTUpdate on Revisions
Made to the eCHAM as of December 29th, 2014
Resources for Training www.echam.org > eCHAM Users >
Training Materials: You will find:
On Demand Videos on how to use the eCHAM and iCHAM.
PDF’s including: Scenarios to practice using the eCHAM. Answers to Scenarios. Icon Legends for the eCHAM & iCHAM. Instructions for accessing each of the eCHAM
products. Word document of training slides.
Resources for Training Live Online Quarterly Trainings:
Contact us at [email protected] to register for a live online training.
Check out calendar at: www.echam.org/echamusers.aspx for future dates.
We will also offer live online trainings EVERY WEEK in January 2015. Please email us at [email protected] to register.
www.echam.org This is a great website to visit on a
regular basis. We post events and trainings on our
calendar. We post updates about the eCHAM on our
main page. We provide access to on-Demand training.
eCHAM on Facebook We host a page: Electronic Community
Health Aide Manual on Facebook! www.facebook.com/eCHAMProjectOffice
Be sure to like us to keep track of what is happening with the eCHAM!
The eCHAM Website https://access.echam.org This website allows you to access the
eCHAM online! Log in with the Username and Password
assigned to you during training with your THO.
If you don’t have an account, contact us at [email protected] to set one up. We will need your first and last name, work
phone, work email and organization. An account can be set up same day M-F.
The iCHAM eCHAM iPad App Available on the Apple App Store! Search for: iCHAM, eCHAM, ANTHC or CHAP to find it. Log in with the same Username and Password as the
one you use for the website. Once it is downloaded and the content is updated, you
do not need to be online to use this app! You will need to connect your iPad to WiFi to receive
iCHAM updates and to save your notes, highlights, bookmarks to the website.
Notes, bookmarks and highlights made on the website and iPad app are transferrable, they will show up in both places as long as you connect your iPad to WiFi after you’ve made personalizations on either product!!
The eCHAM eBook Available for download to your iPad, Kindle, Kindle for
PC program, most any other e-reader. For Kindle:
https://access.echam.org/eCHAM.mobi For all other devices, including your iPad:
https://access.echam.org/eCHAM.epub CASE SENSITIVE WEB ADDRESS!!
Meant as a backup if your iCHAM doesn’t work and/or the website is down.
Your notes, bookmarks and highlights made in the eBook WILL NOT transfer when you upload a new version.
eCHAM PDF Will be available shortly after the
December Revision Release. You will be notified by email, Facebook
and our website when it is available for download.
Support for the eCHAM Contact us at:
907-729-5618 [email protected]
AFTER HOURS: Go to: www.echam.org/helpdesk for a
trouble shooting algorithm. OR
Call 907-729-2626 for assistance
General Fixes Added link to AKCHAP.org. Added contact information for eCHAM
staff.
Index Improvements We focused on adding Index items
requested by your training center instructors. These additional Index terms will help you to find items needed during your basic training sessions!
Please see the Complete spreadsheet of Revisions at http://www.echam.org/eCHAMUsers.aspx#TrainingMaterials
Typos and Text Consistency Removed Typos in
Death and Grief Urinary Ferrous Sulfate
Improved Text Consistency in Ear Circulatory Digestive
Fixed typos in the How to Use section.
Emergency Field Handbook Evaluation of Trauma Patient
Added checking for altered level of consciousness and concern for head or neck injury.
Severe Head Injury Removed protocol for hyperventilation of
someone with suspected head injury. Head and Neck Injury
Added checking neuro status
Emergency Field Handbook Care of Chest Wound
Added plastic bag to list of supplies. How to Relieve Tension Pneumothorax
Added details of how to perform this technique.
Splinting Section for possible pelvic fractures Added details of proper splinting
technique.
Emergency Field Handbook Cool other Burns
Added guidelines for how to cool burns and what to look for.
Rapid Exam Added specific features of the skin to look
for during rapid exam. Aspirin
Changed details of when to give and not give Aspirin during an emergency.
Patient Care Visit Circulatory
Added details regarding when patient can be given sublingual nitroglycerin.
Added specific questions regarding potential drug use to HPI.
Added history questions to following sections: SOB with Chest Pain regarding
immobilization, travel, bed rest. Heart problems regarding heart stents,
surgery, valve problems and implanted devices.
Patient Care Visit Circulatory (cont’d)
Additional exam features of legs if found to be tender.
If history of leg edema, inquire about cancer history. If leg edema is found, measure both sides. A note that any illness, with or without fever can
cause elevated heart rate. Recheck when taking iron, added questions about
abdominal pain and constipation. Changed wording about rheumatic fever questions
to heart valve problem. Added information to patient education about
pacemakers and defibrillators and when to report problems to your CHA/P.
Patient Care Visit Ear
Added qualifiers to question about how quickly ear pain came on in HPI.
Added suggestions about when and how to use telemedicine and what to include in a case.
Added tympanometry test to suspected AOM, perforation, SOM and hearing loss.
Added additional report now conditions to the ear chapter.
Patient Care Visit Ear (cont’d)
Changed recheck dates for a number of conditions.
Added information to patient education on ear injuries about healing process.
Added details about referrals when patients suffer from unresolving SOM.
Changed patient education regarding ear plugs and follow up for patients with PE tubes.
Patient Care Visit Added details regarding when patients
should be reported to ENT. Added information about how to apply
ear drops with Otitis Externa. Added information in assessment chart
about when to describe SOM as acute or chronic.
Patient Care Visit Digestive
Changed Stool Guaiac to Fit Test under labs in multiple sections throughout the Digestive Chapter.
Removed Ranitidine from drug choice for patient with vomiting during pregnancy. Added Ranitidine to patient with GERD.
Defined Jaundice in Digestive 14: Patient Ed. Added to Digestive 14: Info for CHA/P-clarified
details regarding sexual transmission of Hepatitis C as well as incubation periods for Hepatitis C from weeks to days for increased accuracy.
Patient Care Visit Digestive (cont’d)
Added details to Hepatitis A, B, C on Common Types of Viral Hepatitis Table.
Rewrite of information regarding blood draw and reminder letters for patients with Hepatitis B and C.
Updated information in Hepatitis in Alaska Natives table.
Changed information about labs ordered for patients with chronic Hepatitis.
Added information about new medications available for Hepatitis C.
Added information about Carrier or Hepatitis C Positive patients.
Patient Care Visit Nervous System
Added additional questions about head injury. Added checking for tenderness to back of
head with head injuries. Added information about sleeping after
seizures Added exam step for seizures. Added details about how to help patients with
missed seizure med doses. Added details about daily living abilities for
patients requiring chronic stroke care.
Medicine Replaced Acyclovir with Valacyclovir.
Plans: Female 8,9; Male 5,6; Skin/Soft Tissue 5,6.
Amoxicillin Changed from 250mg to 500mg capsules;
changed dosing tables accordingly. Changed dosing frequency for Acute Otitis
Media.
Medicine Cephalexin
Changed from 250mg to 500mg capsules, changed dosing accordingly.
Added to Breast 4. Removed from Ear 6, Nose 2. Changed dosing frequency based on current
recommendations from Infectious Disease specialists at ANMC.
Dicloxacillin replaced by Cephalexin in all plans, so it has been removed from the eCHAM.
Medicine Ferrous Sulfate
Changed strength from 1mg/0.6ml to 1mg/1ml and dosing accordingly.
Pediatric Multi-Vitamins Changed from Tri to Poly vitamins, added
strength and names of additional vitamins included.
Calamine Lotion Added back into the eCHAM.
Artificial Tears Adjusted dosing to eliminate ranges and
become Joint Commission compliant.
Thank You! Thank you for taking the time to learn
about your new eCHAM! Please do not hesitate to contact us with
questions or with suggestions for the June 2015 Revision Release. [email protected]
Have fun and enjoy your new eCHAM!!