QUICK LINKS
PROTOCOLS FORMS COMMUNITY RESOURCES PATIENT EDUCATION PHYSICIAN EDUCATION
PROTOCOLS, GUIDELINES & DECISION AIDS
ACC Clinic Protocols
Adult Warfarin Initiation and Dosing Protocol
Anticoagulation Protocol INR 2-3
Anticoagulation Protocol INR 2.5-3.5
Bloodborne Exposure
Depression Screening Protocol
Diabetes Protocols:
New Onset Diabetes Protocol
Metformin Protocol
Sulfonylurea Protocol
Insulin Protocol
Foot Care Program Protocol (update)
Hypertension Protocol (for patients WITH diabetes)
Lab Order Protocol
Low-Molecular Weight Heparin (LMWH) Protocol
Pneumococcal and Flu Vaccine Protocol
Statin Titration Protocol
Suicide protocol (phone calls) – Crisis center phone #966-2166
Tobacco Cessation Protocol and Treatment Options
Decision Aids/Links
ACE-inhibitor Initiation - Decision Aid (DRAFT)
ATP III Cholesterol Guidelines
Aspirin Initiation - Decision Aid
Clinical Decision Rule for PE & DVT
Contraception Decision Aid
Statin Initiation - Decision Aid
Dermatology Educational Link
EKG Library
Framingham 10 Year Cardiac Risk Calculator
Gail Model (Breast Cancer Risk)
ICD-9 Diagnosis Codes
Mclendon Labs
Med-Decisions (for collaborative CV risk assessment with a patient)
MELD Score Calculator
MICROMEDEX
National Guidelines Clearinghouse a public resource for evidence-based clinical practice guidelines
Oncology Manual for UNC Residents
Pill Identification Site
PHQ-9 Depression Screening Questionnaire
Rabies Prevention (CDC 2008)
Rabies Vaccine Information for Medical Professionals (NC) for post-exposure Rabies prophylaxis
Rabies Vaccine Shortage Procedure
Suicide protocol (phone calls) – Crisis center phone #966-2166
Tobacco Cessation Protocol and Treatment Options
TIMI Risk Score for UA/NSTEMI
Travel Resources:
CDC Traveler’s Health
International Travel Assessment form
Travel Clinic resource guide for residents
Travax for recommended vaccinations user name: nc27599, password: regina
UNC Travel Clinic
UNC Healthcare Drug Formulary
UNC Needlestick Hotline Protocol
UpToDate
FORMS
Communicable Disease Report Form
Durable Medical Equipment Order
Emergency Certificate for Involuntary Commitment for suicidal patients in clinic
Pain Med Contract
Personal Health Summary
Release of Medical Information (English) Request for UNC records to be sent to outside physician
Release of Medical Information (Spanish) Request for UNC records to be sent to outside physician
Release of Medical Information (English) Request for outside records to be sent to IM Clinic physician
Work Excuse
RECLAST
MIM approved Reclast Order Form
Reclast Informaton Guide (for patients)
Reclast Information Sheet
Reclast spreadsheet
COMMUNITY RESOURCES / REFERRALS
ADA Diabetes Self Management Education FAX Referral Form
Cardiac Rehabilitation Facilities
Cardiac Rehab Referrals (by county)
Central Carolina HealthNet
Dental School Referral Information
Domestic Violence:
Beacon Program (Domestic Violence)
Domestic Violence Resources - a list of groups and agencies listed by county
Home Health
Home Health Referral UNC or call 64915
Home Health Referrals Outside Agencies
Home Health Contact Information Outside Agencies
Personal Care Services
Mental Health Workers
NC Mental Health, Developmental Disabilities and Substance Abuse Services
NC State Health Plan
Pharmacy
Summary of discount pharmacies (WalMart, Target, etc)
Discount plan card
Discount medication list
Pharmacy Assistance- UNC
Podiatrists in North Carolina
Transportation Master List
Translation Services (Spanish)
Translation Services (all others)
PATIENT EDUCATION
Beacon Program Website
Inhaler Instructional Videos, Literacy Sensitive (ACP)
New patient info:
New Patient Brochure
FAQ Brochure
Personal Health Summary
Clinic Information & Frequently Asked Questions
Work Excuse
Anticoagulation
Factor V Leiden Thrombophilia Awareness Project website for patients
Foods with Vitamin K - a list of low, medium and high vitamin K containing foods
Lovenox® Administration - provides instructions on how to inject Lovenox®
Warfarin or Coumadin® Tablet Identification - color pictures to help identify tablet strength
Warfarin medication calendar - a 7-day calendar to record warfarin dose each day
Your Guide to Coumadin®/Warfarin Therapy – handout, reviews common issues
Su guía para la terapia de Coumadin®/Warfarina - also available in Spanish
Stop The Clot - the National Alliance for Thrombosis and Thrombophilia (NATT)
ClotCare website with patient/provider info
Diabetes
ACC- ADA Diabetes Class Brochure - describes the group class offered in our clinic
ACC- ADA Diabetes Self Management Education Class Description
Blood Sugar Logs
Oral medications or only Lantus insulin use, Blood Sugar Log (Fasting)
Lantus + meal-time insulin (3x/day) Blood Sugar Log (Lunch & Supper)
Lantus + meal-time insulin (2x/day) Blood Sugar Log (Pre and post-meal).
70/30 insulin use, Blood Sugar Log (Alternating Checks)
AC, HS, record of SS Blood Sugar Log (all checks)
Diabetes Program Brochure
Diabetes Visit Summary - record goals and medication changes from a visit, with logs
Family Planning and Diabetes - important information about contraception for women <55 years old How to Take Care of Your Diabetes ("Thermometer") - describes A1c and blood sugar goals
How to Treat a Low Blood Sugar - instructions on how to treat a low blood sugar (70 or less)
Hypertension
American Heart Association - patient information on high blood pressure
"Get Smart About Salt" Handout
Tips for a Heart Healthy Diet
Nutrition
Cut Down Your Cholesterol - foods to avoid and foods to eat when trying to lower your cholesterol
Foods with Vitamin K (for patients on coumadin or warfarin)
Healthy Foods Shopping List - a grocery store list of healthy foods
High Fiber Foods
High Potassium Foods
Get Smart About Salt - sources of salt/sodium, ways to decrease salt/sodium in your diet
Plate Method (in English) - a guide to food portion sizes
Plate Method (in Spanish) - una guía para el tamaño de las porciones de alimentos
Tips for Heart Healthy Eating - tips for healthy eating choices from each food group
Orthopaedic Symptoms
Back Pain
Frozen Shoulder
Knee Pain
Rotator Cuff
Tobacco Cessation
Reasons for me to Quit Smoking - questions to help you think about why YOU want to quit smoking
Smoking cessation Quit Kit
You Can Quit Smoking - booklet that covers all aspects of smoking cessation
Tips for Smoking Cessation - helpful hints and tips developed by a former smoker
What Happens when you Quit Smoking - how your body heals after you quit
Smoking cessation checklist - what to do when you are preparing to quit smoking
Recovery Symptoms - symptoms to expect while you are quitting
NC Quitline Flyer - information on free phone support provided by trained counselors
NC Quitline Website - Call 1-800-QUIT-NOW (1-800-784-8669).
UNC Internal Medicine Tobacco Cessation Clinic -966-1459 or 1-800-862-4938
Procedures
Specimen Collection
24 hour urine instructions
FOBT/stool card instructions
GI Procedures and Preparations
Colonoscopy - English
Colonoscopy - Spanish
Flexible Sigmoidoscopy - English
Flexible Sigmoidoscopy - Spanish
Upper Endoscopy (EGD) - English
Upper Endoscopy (EGD) – Spanish
PHYSICIAN EDUCATION
EKG Library
Faculty Development Program in Health Literacy and Aging
Health Literacy Resources (ACP)
National Guidelines Clearinghouse a public resource for evidence-based clinical practice guidelines
Oncology Manual for UNC Residents
Travel Medicine Cases powerpoint presentation
Travel Medicine Review Article
UNC Health Care Quality Site
UNC P&A PCMH Shared Drive (Intranet)
