Simple Healthcare Protocol
Simple Healthcare Protocol
Objective:
To provide a clear and concise protocol for the assessment and management of fever in adult patients.
Scope:
This protocol applies to all healthcare providers at [Your Company Name], including nurses, physicians, and physician assistants, who are responsible for the care of adult patients presenting with fever.
1. Initial Assessment
Measure Temperature:
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Use a digital thermometer to record the patient's temperature orally.
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If oral temperature is not feasible, use a tympanic, rectal, or axillary method.
Patient History:
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Ask the patient about the onset, duration, and any associated symptoms (e.g., chills, sweating, headache).
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Inquire about recent travel, exposure to infectious diseases, and any use of medications (e.g., antipyretics).
Physical Examination:
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Check for signs of infection, such as rash, swollen lymph nodes, or localized pain.
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Assess the patient’s vital signs, including heart rate, blood pressure, and respiratory rate.
2. Management
If Temperature is Below 38°C (100.4°F):
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Encourage fluid intake to prevent dehydration.
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Reassess the patient’s condition after 2 hours.
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No immediate intervention required unless symptoms worsen.
If Temperature is Between 38°C and 39°C (100.4°F - 102.2°F):
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Administer acetaminophen or ibuprofen as per dosage guidelines, if no contraindications.
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Encourage fluid intake and rest.
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Monitor temperature every 4 hours.
If Temperature is Above 39°C (102.2°F):
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Administer antipyretics as prescribed.
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Consider cold compresses or tepid sponging.
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If fever persists after 4 hours, escalate to a healthcare provider for further evaluation.
3. Documentation
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Record the temperature readings, patient symptoms, and any medications administered in the patient's medical record.
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Note the time of re-assessments and any changes in the patient's condition.
4. Follow-Up
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If fever persists for more than 48 hours or if the patient’s condition deteriorates, refer to a physician for further evaluation.
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Provide the patient with information on when to seek further medical attention (e.g., if new symptoms develop, or if the fever returns after resolution).
References:
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World Health Organization (WHO) guidelines on the management of fever.
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Institutional policies for the administration of antipyretics.
