Michael DiStefano<\/span><\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/td><\/div> <\/span><\/div><\/div>5\/16\/2023<\/span><\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/td><\/tr><\/tbody><\/table><\/div><\/div> <\/span><\/div><\/div><\/div><\/div><\/div><\/div>"}}},"position":[300,2400],"shape":{"type":"rect","width":460}},{"id":"4341d98d-8558-4e5b-0c24-5255403e1a13","title":{"isVisible":true,"backgroundColor":"#fafafa","borderColor":"#bdbdbd","content":{"draftjs":{"htmlString":"Legal Statement<\/span><\/span><\/div><\/div><\/div><\/div><\/div><\/div>"}}},"body":{"isVisible":true,"backgroundColor":"#fafafa","borderColor":"#bdbdbd","content":{"draftjs":{"htmlString":"“Clinical pathways and algorithms<\/span><\/span> <\/span><\/span>are intended for informational purposes only. They are current at the date of publication and are reviewed on a regular basis to align with the best available evidence. Some information and links may not be available to external viewers. External viewers are encouraged to consult other available sources if needed to confirm and supplement the content presented in the clinical pathways. Clinical pathways and algorithms<\/span><\/span> <\/span><\/span>are not intended to take the place of a physician’s or other health care provider’s advice, and are not intended to diagnose, treat, cure or prevent any disease or other medical condition. The information should not be used in place of a visit, call, consultation or advice of a physician or other health care provider. <\/span><\/span>T<\/span><\/span>he information presented <\/span><\/span>should not be relied upon as being comprehensive or error-free<\/span><\/span>. Furthermore, this document and the information it contains may not be distributed externally or reproduced for external distribution in any form without express written permission of Children's Hospital Colorado. The information presented is provided for use solely at your own risk on an “as-is” basis. Any person or entity reviewing this document and the information it contains should conduct their own review of the specified topic(s) and customize the information to meet their specific needs. Neither Children's Hospital Colorado,<\/span><\/span> <\/span><\/span>Pediatric Care Network, or any other Children’s Hospital Colorado entities<\/span><\/span> <\/span><\/span>accept any liability for the content, or for the consequences of any actions taken on the basis of the information provided. Children’s Colorado and the Pediatric Care Network declare no affiliation, sponsorship, nor any partnerships with any listed organization, or its respective directors, officers, employees, agents, contractors, affiliates, and representatives.”<\/span><\/span><\/div><\/div><\/div><\/div><\/div><\/div>"}}},"position":[320,2920],"shape":{"type":"rect","width":700}},{"id":"bbeca5c2-227a-4393-2b18-167f2451e68d","title":{"isVisible":true,"backgroundColor":"#fafafa","borderColor":"#bdbdbd","content":{"draftjs":{"htmlString":"Active bleeding, laceration, or nail 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Children’s Hospital Colorado complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Children’s Hospital Colorado does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Children’s Hospital Colorado provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters, written information in other formats (large print, audio, accessible electronic formats, other formats). Children’s Hospital Colorado provides free language services to people whose primary language is not English, such as: Qualified interpreters, information written in other languages. If you need these services, contact the hospital main line at 720.777.1234. If you believe that Children’s Hospital Colorado has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Corporate Compliance Officer, 13123 E 16th Avenue, B450, Aurora, Colorado 80045, Phone: 720.777.1234, Fax: 720.777.7257, corporatecompliance@childrenscolorado.org. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Corporate Compliance Officer is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https:\/\/ocrportal.hhs.gov\/ocr\/portal\/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20221 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http:\/\/www.hhs.gov\/ocr\/office\/file\/index.html. Children’s Hospital Colorado complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-720-777-1234. CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-720-777-1234. 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-720-777-1234 번으로 전화해 주십시오 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-720-777-1234. ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-720-777-1234. ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-720-777-1234 (መስማት ለተሳናቸው. . ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-1234-777-720( رقم ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-720-777-1234. ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-720-777-1234. ध्यान दनु होस:्तपाइले नेपाल बोल्नहन्छ भन तपाइको निम्त भाषा सहायता सवाहरू नःशल्क रूपमा उपलब्ध छ । फोन गनु होसर् ्1-720-777-1234 । PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-720-777-1234. 注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-720-777-1234 まで、お電話にてご連絡ください。 Ntị: Ọ bụrụ na asụ Ibo, asụsụ aka ọasụ n’efu, defu, aka. Call 1-720-777-1234.<\/span><\/span><\/div><\/div><\/div><\/div><\/div><\/div>"}}},"position":[320,3340],"shape":{"type":"rect","width":700}},{"id":"6ff3025e-c877-46fe-1840-bf80c4eb54e3","title":{"isVisible":true,"backgroundColor":"#f1fdff","borderColor":"#77c9f2","content":{"draftjs":{"htmlString":"Repair Plan<\/span><\/span><\/div><\/div><\/div><\/div><\/div><\/div>"}}},"body":{"isVisible":true,"backgroundColor":"#fafafa","borderColor":"#bdbdbd","content":{"draftjs":{"blocks":[{"key":"1vg4p","data":{},"text":"If greater than 50% of nail plate surface, consider removing nail plate and repair laceration","type":"unordered-list-item","depth":0,"entityRanges":[],"inlineStyleRanges":[]},{"key":"3noa2","data":{},"text":"If less than 50%, can consider subungual decompression ","type":"unordered-list-item","depth":0,"entityRanges":[{"key":0,"length":23,"offset":31}],"inlineStyleRanges":[]},{"key":"c0gj5","data":{},"text":"","type":"unstyled","depth":0,"entityRanges":[],"inlineStyleRanges":[]}],"entityMap":{"0":{"data":{"id":"2a31869b-f68c-494b-8410-bfbc91926de9","title":"Subungual decompression (nail be trephination) ","width":400,"content":{"draftjs":{"htmlString":"DO NOT trephinate through artificial nails as those materials are flammable. <\/span><\/span><\/div><\/div> <\/span><\/div><\/div>Trephination procedure: <\/span><\/span><\/div><\/div>Advise patient about smell of burning nail<\/span><\/span><\/div><\/li>Clean nail with antimicrobial solution<\/span><\/span><\/div><\/li>Dry thoroughly<\/span><\/span><\/div><\/li>Use heat source to trephinate nail<\/span><\/span><\/div><\/li>Handheld electrocautery: Use electrocautery at 90-degree angle to nail to make a hole through the nail over the central area of hematoma<\/span><\/span><\/div><\/li>Release hematoma<\/span><\/span><\/div><\/li>Apply bandage<\/span><\/span><\/div><\/li><\/ul><\/div><\/div><\/div><\/div>"}}},"type":"INFO","mutability":"MUTABLE"}}}}},"position":[0,840],"shape":{"type":"rect","width":240}},{"id":"da315806-1495-4261-15c1-a1eb1559a1be","title":{"isVisible":true,"backgroundColor":"#f1fdff","borderColor":"#77c9f2","content":{"draftjs":{"htmlString":"Type of bleeding<\/span><\/span><\/div><\/div><\/div><\/div><\/div><\/div>"}}},"body":{"isVisible":false,"backgroundColor":"#fafafa","borderColor":"#bdbdbd","content":{"draftjs":{"blocks":[{"key":"6aboc","data":{},"text":"","type":"unstyled","depth":0,"entityRanges":[],"inlineStyleRanges":[]}],"entityMap":{}}}},"position":[280,580],"shape":{"type":"rect","width":240}},{"id":"7a63945a-5362-4377-1538-33c62e59f4a3","title":{"isVisible":true,"backgroundColor":"#fafafa","borderColor":"#bdbdbd","content":{"draftjs":{"htmlString":"Subungual <\/span><\/span><\/div><\/div>bleeding<\/span><\/span><\/div><\/div><\/div><\/div><\/div><\/div>"}}},"body":{"isVisible":false,"backgroundColor":"#fafafa","borderColor":"#bdbdbd","content":{"draftjs":{"blocks":[{"key":"1vg4p","data":{},"text":"","type":"unstyled","depth":0,"entityRanges":[],"inlineStyleRanges":[]}],"entityMap":{}}}},"position":[0,740],"shape":{"type":"rect","width":240}},{"id":"ec78dcaf-2ef0-424a-37e7-6ddd7bd92afb","title":{"isVisible":true,"backgroundColor":"#f1fdff","borderColor":"#77c9f2","content":{"draftjs":{"blocks":[{"key":"co7kp","data":{},"text":"Repair Plan ","type":"unstyled","depth":0,"entityRanges":[{"key":0,"length":11,"offset":0}],"inlineStyleRanges":[]}],"entityMap":{"0":{"data":{"query":null,"fileId":"fi_13ed02354f0038fc","nodeId":"e7e8112b-7d3c-4bc7-2f5e-8b0f02986558","fileType":"flowchart","moduleId":"mo_101653b66ec031b8"},"type":"FILE_LINK","mutability":"MUTABLE"}}}}},"body":{"isVisible":true,"backgroundColor":"#fafafa","borderColor":"#bdbdbd","content":{"draftjs":{"htmlString":"
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