This is the part of the strict protocol that should be used for all the educational information. It might include a differential diagnosis of the condition or the reasons for some of the choices made in establishing the protocol. This section also might contain prescribing information for the convenience of the physician. It should be clear to all parties involved that this section does not authorize any actions by the NPP:

Notes

1. There are no clinical signs or symptoms that differentiate strep throat from viral pharyngitis.

2. Sensitivities are not necessary since community-acquired strep is uniformly sensitive to all the penicillins.

3. Strep is not generally susceptible to sulfas.

4. The rapid strep now used by our lab is 85% sensitive.