IC-030 Sample Clauses

IC-030. The Contractor’s Clinician shall evaluate, monitor, and provide continuity of care to all inmate patients enrolled in CICs, per HSB 15.03.05 and all attachments pertaining to their diagnosed illness. ee. IC-031 Cardiovascular Clinic Baseline procedures: Fundoscopic exam, EKG, Comprehensive Metabolic Profile (CMP), Thyroid Stimulating Hormone, Urine Analysis by dipstick. If clinically indicated: Chest X-ray, Lipid Profile, Complete Blood Count with platelets, PTT, Prothrombin time with INR, Albumin, Creatinine, Liver Function tests. Follow-up: lab test(s) are determined and ordered by the attending Clinician based on findings at the previous clinic appointment. However, at a minimum, CMP and Urine Analysis are required annually. Goals: Hypertension-Blood pressure less than 140/90 and if diabetic, Blood pressure less than 130/80. Hyperlipidemia (see below) LDL Cholesterol • Low risk: <160 • Moderate risk: <130 • High risk: <100 HDL Cholesterol • Men: >40 mg/dl • Women: >50 mg/dl Triglycerides • <150mg/dl Anticoagulation: minimize the number of Clinicians prescribing/adjusting warfarin for the patient; establish to review each patient at least monthly; achieve a therapeutic INR goal within 30 days of warfarin initiation; use single target INR value as goal endpoint (i.e., target 2.5 range 2.0-3,0); avoid major medication interactions. ff. IC-032 Endocrinology Clinic Baseline procedures: Dilated fundoscopic exam, Urine dipstick, CMP, Lipid Profile, HbA1c are required for Diabetic patients. Inmate with Thyroid Disorder required TSH; EKG may be ordered if clinically indicated. Follow-up: HbA1c (diabetic patient); TSH (thyroid disorder). At a minimum: CMP or BMP, Lipid Profile, Urine dipstick and dilated fundoscopic exam are to be done annually for diabetic patient. Patient with thyroid disorders will need TSH annually. Goals: HbA1c less than 7.0; prevent end-organ damage; If diabetic, blood pressure less than 130/80 or for thyroid disorders, blood pressure less than 140/90; ACE inhibitors or ARB are prescribed for any degree of proteinuria unless contraindicated; Lipid profile range is LDL less than 100; TG less than 150 and HDL in men greater than 40mg/dl and women greater than 50mg/dl; other endocrine conditions stable with no unaddressed problems. gg. IC-033 Respiratory Clinic Baseline procedure: Chest X-Ray Follow-up: As clinically indicated Goals: Good control of medical condition (shortness of breath, wheeze, cough less than two (2) days per week); prevent...
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Related to IC-030

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