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Protocol Written medical protocol translated in language of provider Personnel Trained local ; health care professionals on call 24 hours day ; A "same language" female health worker or companion in the room during examination Furniture Setting Room private, quiet, accessible, access to a toilet or latrine ; Examination table Lighting, preferably fixed a torch may be threatening for children ; Access to an autoclave to sterilise equipment Supplies "Rape Kit" for collection of forensic evidence, including: Speculum Tape measure for measuring the size of bruises, lacerations, etc. Paper bags for collection of evidence Paper tape for sealing and labelling containers bags Supplies for universal precautions Resuscitation equipment for anaphylactic reactions Sterile medical instruments kit ; for repair of tears and suture material Needles, syringes Cover gown, cloth, sheet ; to cover the survivor during the examination Sanitary supplies pads or local cloths ; Drugs: For treatment of STIs as per country protocol Emergency contraception pills and or IUD Pain relief e.g. paracetamol ; Local anaesthetic for suturing Antibiotics for wound care Administrative Supplies Medical chart with pictograms Consent forms Information pamphlets for post-rape care for survivor ; Safe locked filing space to keep confidential records. 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Milwaukee Children's Hospital of Wisconsin .38 Chris Lutze, Pediatric RN Columbia St. Mary's .39 JoAnne Arndt, RN Columbia St. Mary's .58 Mary L. Schils, RTRM St. Francis Hospital.40 Mary Ann Biederwolf, RN St. Joseph's Regional Medical Center .41 Mary Kay Klukas, RN, BSN St. Luke's Medical Center .57 Amy Pelikan, RT St. Michael Hospital.52 Juliann Daniels, C.O.T.A Occupational Therapy Assistant Monroe The Monroe Clinic .42 Gynel Hagemann, RN Family Birth Center Neenah Children's Hospital of WI-Fox Valley .43 Amy Korlesky, Pediatric RN Neillsville Memorial Medical Center .18 April Dailey, CNA Oconto Falls Community Memorial Hospital .13 Susan M. Rindt, Housekeeper Park Falls Flambeau Hospital .11 Laurie McKuen, EMT Portage Divine Savior Healthcare .15 Cindy Wilson, Medical Technologist Prairie du Sac Sauk Prairie Memorial Hospital.8 Judith Wolff, ECG Technician x.
D. Other Considerations: Measles disease can be severe in HIV-infected persons. MMR vaccine is recommended for all measles-susceptible, asymptomatic HIVinfected persons and should be considered for susceptible symptomatic persons who are not severely immunosuppressed. Data indicate that vaccination with MMR has not been associated with severe or unusual adverse events in such individuals. Tuberculosis patients may be immunized after therapy has begun. Vaccine should be given 14 days before or deferred for 3 to 11 months after immune globulin or blood transfusion depending on the product received. Contact Immunization Program for specific intervals. e. Education: Public education by health departments and private physicians should encourage measles vaccine for all susceptible infants, children, adolescents, and adults. IG should be used to protect susceptible individuals for whom vaccine is not appropriate or is contraindicated and who are exposed to measles. IG should not be given with measles vaccine. 2. Immunization Requirement for School Attendance: Measles immunization requirement for school attendance from daycare center through college ; is an important and effective means of measles control in the USA. In California, all children attending dayPART IV: Acute Communicable Diseases MEASLES -- page 3 and pletal. The risk will depend on how much of each medicine you take every day, and on how long you take the medicines together. If you do not understand the instructions, ask your doctor or pharmacist for help and premphase, for example, diclofenac piroxicam. General Clinical Research Center M.F.P., H.L.H., S.S.L. ; and Division of Pharmacotherapy and Experimental Therapeutics M.F.P. ; , University of North Carolina, Chapel Hill, North Carolina; Department of Basic Pharmaceutical Sciences, West Virginia University, Morgantown, West Virginia R.L.H. Department of Medicinal Chemistry, University of Washington, Seattle, Washington A.E.R. and Division of Intramural Research, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina D.C.Z.
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