June 2014 Revision Informational SessionUpdate on Revisions

Made to the eCHAM as of

June 30th, 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

deliverables Word document of training slides

Resources for Training Live Online Quarterly Trainings:

Beginning on September 15th-16th, 2014 Contact us at echam@anthc.org to

register for a live online training. Check out calendar at:

www.echam.org/echamusers.aspx for future dates.

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 echam@anthc.org 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 the: iCHAM app 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 deliverable!!

The eCHAM eBook Available for download to your iPad, Kindle,

Kindle for PC program, most any other e-reader.

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 later this year. Until December 31st, you can use your

paper 2006 CHAM as a back up if you have an eCHAM failure.

Support for the eCHAM Contact us at:

907-729-5618 echam@anthc.org

AFTER HOURS: Go to: www.echam.org/helpdesk for a

trouble shooting algorithm OR

Call 907-729-2626 for assistance

Index Improvements We have added over 600 new index terms per

your suggestions and our findings as we created the eCHAM. You should find the index to have MANY more terms to make it more user-friendly. See your release notes for a full list of new terms!

All Plans from the eCHAM have been added to the index. So you can search Plan Pregnancy 3 and instantly be provided with a link to that plan for example! Great for RMT providers, chart reviews and

recheck visits!

Patient Care Visit Inside Front Cover:

If patient has more than one problem, CHAP is advised to perform complete history.

Added to Drug/ETOH History: If they answer yes to having consumed drugs

or alcohol, ask when they last used. Emergency:

Added link to eye injuries from Evaluate Patient section of scene size up to ensure chemicals in the eye is treated immediately.

Patient Care Visit Emergency Childbirth:

Added question about what medications the patient is currently taking.

Child and Teen: Added question about daily servings of

fruit, vegetables, grains, protein. Added question about frequency of

brushing teeth and frequency of dental cleanings.

Patient Care Visit Female Reproductive:

Cancer Screening Added “Schedule Pap smear for recheck, if

abnormal results.” Female Genital Problem

Added question about color of discharge. HPI

Added question about sex with males, females or both.

Patient Care Visit Mental Health:

Added BHA as a resource to contact. Mouth

Tooth Knocked Out Assessment Added “Refer to DHAT if available.”

Patient Care Visit Musculoskeletal

Wrist-Hand Exam Added hyperlink to Muscle Movement and

Strength exam in Reference and Procedure. Arm or Leg Exam

Added reference to the specific Musculoskeletal Exam Chart.

Patient Care Visit Pregnancy

Exam Advised to perform pap smear if trained to

do so and link to female reproductive cancer screening created.

Return Prenatal Advised to ask how many pregnancies the

patient has had Return Prenatal

Decreased fetal movement added as a reportable finding.

Patient Care Visit Respiratory

Plan 20 Added link to How to Collect Sputum Sample.

Respiratory Illness Chart B; Bronchiolitis H&P findings: added “patient usually has

retractions.” Respiratory Illness; Signs and Symptoms

Added that you can often hear wheezing without stethoscope.

Strep throat Added “report if you do not have a standing

order.”

Patient Care Visit Skin and Soft Tissue:

Patient Education Skin and Soft Tissue #2, 3a, 5: Removed Calamine lotion since it is no longer available on the market.

Reference and Procedure Nervous System Exam

Added Soft/Sharp testing on the face. History and Physical

Vital Signs: Changed check pulse 30 seconds x 2, to 15 seconds x 4.

Child and Teen; Heart Exam Changed it from listen to heart in several

places to listen in four places and created link to Examining the Heart.

Reference and Procedure History and Exam

Examining the Ear Summary changed to:

color, position, clarity, mobility then other. Heart

Changed to listen in four places and link to Examining the Heart added.

Mental Status Added “ask patient to recall three things I asked

you to remember earlier” at conclusion of exam.

Reference and Procedure History And Exam

Step #2 Removed statement about percussion in

small children. Anus and Rectum

Suggested having chaperone in the room even for same sex patients.

Changed name of Child Screening Exam to Well Child Screening Exam

Reference and Procedure History and Physical

Information about testing rebound tenderness made to match information provided in Patient Care Visit.

Emergency Equipment Added trash bags, zip ties, small sharps

container to the list. Oxygen tank use

Improved explanation for opening and closing valve .

Reference and Procedure Labs

Urine Dipstick Values Chart Added information about Specific Gravity

Added a link to normal hemoglobin ranges chart in the Well Child Exam.

Splinting Fixed image demonstrating adding

padding to match text regarding how many layers of padding should be added.

Medicine Anti-infectives

Amoxicillin Added to warning box: Do not give to

patient if allergic to Augmentin. Changed suspension strength from

250mg/5ml to 400mg/5ml.

Medicine Anti-infectives

Azithromycin Changed from (1) 1 gram powder packets to

(4) 250 mg tablets. Affects

Female Reproductive Plan 2, 3, 5, 6 Sexual Assault Plan 1, 2 Male Reproductive Plan 1, 2, 3

Medicine Anti-Infectives:

Nitrofurantoin Changed brand name drug from

Macrodantin to Macrobid, which means the patient will take the medicine twice daily instead of four times a day, ideally improving patient compliance

Affects: Urinary Plan 1

Medicine Anti-Infectives

Tetracycline Removed from the eCHAM No longer available on the market Replaced Tetracycline with Doxycycline

Acne Plan-Skin and Soft Tissue 12.

Medicine Contraceptives

Emergency Contraceptive Pill Changed from brand name drug Plan B to

Next Choice due to market availability. Affects:

Birth Control 6 Sexual Assault 1, 2

Medicine Emergency Medicines

Ipecac Removed from the eCHAM No longer available on the market Affects:

Emergency Plan 31

Medicine Medicine Skills

Charting: Added strength to list of information to chart when dispensing medication

Giving Immunizations Technique Updated, including:

Aspiration Charting vaccines Choosing where to give vaccine Getting set up Giving Subcutaneous injections Giving Intradermal injections Injecting and adult or child > 40 lbs Giving powder vaccines Needle and syringe size

Medicine Pain and Fever

Aspirin Added to warning box: Do not give to

patient under 18 years of age.

Medicine Pain and Fever

Ibuprofen Simplified dosing for this drug Only one chart Based on a 10mg/kg dose, regardless of the

patient’s temperature

Medicine Pain and Fever

Children’s Tylenol 80mg/0.8ml is no longer available on the

market Changed dose to 160mg/5ml only, to be

compatible with market availability

Medicine Respiratory

Pseudoephedrine Removed this drug from the eCHAM Due to the Combat Meth Act of 2005. Affects

Respiratory Plan 2, 3, 4, 5, 6

Medicine Skin

Permetherin Added do not take shower prior to applying,

to make consistent throughout eCHAM.

Medicine Skin

Calamine Lotion Removed from eCHAM due to market

availability. Affects:

Skin and Soft Tissue Plan 2, 3a, 5

Thank You! Thank you for joining us and taking the

time to learn about your new eCHAM! Please do not hesitate to contact us with

questions or with suggestions for the December 2014 Revision Release. echam@anthc.org

Have fun and enjoy your new eCHAM!!