GP Referral Directory 1 - Metro South Health

Transcription

Metro South Health | GP Referral Directory
1
Contents
Ophthalmology .......................................................... 58
Antenatal Shared Care
Occupational Therapy – Driving Assessment ............ 61
General antenatal referral information ........................ 4
Occupational Therapy – Hand Clinic (QEII/Redland) 62
Early Pregnancy Assessment Unit (Logan Hospital) .. 5
Occupational Therapy/Physiotherapy – Hand Elbow
Wrist Therapy Clinic (Logan/Beaudesert) .................. 63
Recommended minimum antenatal shared care
schedule checklist....................................................... 6
Hospital Specialty Outpatient Clinics
General referral criteria ............................................... 9
Bulk billed (private) clinics......................................... 10
Alcohol and Drug Assessment .................................. 11
Orthopaedics ............................................................. 59
Occupational Therapy – Lymphoedema Service ....... 64
Occupational Therapy – Vascular Therapy Clinic ...... 65
Paediatrics ................................................................. 66
Palliative Care ........................................................... 67
Persistent Pain Management..................................... 68
Allergy and immunology............................................ 12
Physiotherapy – Continence and Women’s Health
Clinic .......................................................................... 70
Antenatal................................................................... 13
Physiotherapy – Musculoskeletal Clinic ..................... 71
Antenatal Diabetes and Endocrinology ..................... 14
Physiotherapy – Oncology Clinic ............................... 72
Audiology (adult) ....................................................... 15
Physiotherapy – Rehabilitation Clinic ........................ 73
Audiology (paediatric) ............................................... 16
Plastic Surgery .......................................................... 74
Bowel Cancer Screening .......................................... 17
Prosthetic/Orthotic and Podiatry ................................ 75
Brain Injury Rehabilitation ......................................... 18
Radiation Oncology ................................................... 76
Cancer Services (Medical Oncology)........................ 19
Rehabilitation Medicine ............................................. 77
Cardiac Surgery ........................................................ 20
Respiratory ................................................................ 78
Cardiology................................................................. 21
Rheumatology ........................................................... 79
Child Protection ........................................................ 22
Sexual Health ............................................................ 80
Colposcopy ............................................................... 23
Sleep Disorders ......................................................... 81
Complex Obesity Service.......................................... 24
Speech Pathology ..................................................... 82
Dermatology ............................................................. 25
Spinal Cord Injury (Paraplegia and Tetraplegia) ........ 83
Diabetes.................................................................... 26
Social Work (Sexual Assault Response/Beaudesert
Hospital) .................................................................... 84
Dietetics .................................................................... 27
Endocrinology ........................................................... 29
ENT/Head and Neck/Thyroid Surgery ...................... 31
Gastroenterology ...................................................... 33
General Surgery ....................................................... 35
Breast and Endocrine (General Surgery) .................. 37
Colorectal Surgery .................................................... 39
Stomal Therapy and Wound Consultancy (Nurse Led)
.................................................................................. 85
Thoracic Surgery ....................................................... 86
Urology ...................................................................... 87
Vascular Medicine and Wound Clinic ........................ 90
Vascular Surgery ....................................................... 91
Upper Gastrointestinal Surgery................................. 40
Addiction and Mental Health Services
General Medicine...................................................... 41
Acute Care Teams (ACT) .......................................... 94
Geriatric Medicine ..................................................... 42
Mood Academic Clinical Unit (ACU) .......................... 95
Gynaecology ............................................................. 43
Psychosis Academic Clinical Unit (ACU) ................... 96
Haematology (Cancer Services) ............................... 45
Rehabilitation Academic Clinical Unit (ACU) ............. 97
Heart Recovery Service/Cardiac Rehabilitation ........ 46
Resource and Access Services Academic Clinical Unit
(ACU)......................................................................... 98
Hepatobiliary ............................................................. 47
Hepatology................................................................ 48
Hypertension............................................................. 49
Hypertonicity Clinic ................................................... 50
Immunology .............................................................. 51
Infectious Diseases ................................................... 52
Maxillo-Facial ............................................................ 53
Renal (Nephrology)................................................... 54
Neurology ................................................................. 55
Consultation Liaison Psychiatry Services Academic
Clinical Unit (ACU)..................................................... 99
Addiction Academic Clinical Unit (ACU) .................. 100
Child and Youth Academic Clinical Unit (ACU)........ 101
Older Adult Academic Clinical Unit (ACU) ............... 102
Acute Mental Health Inpatient Services Academic
Clinical Unit (ACU)................................................... 103
Transcultural Mental Health Academic Clinical Unit
(ACU)....................................................................... 104
Neurosurgery ............................................................ 56
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General antenatal referral information
This section contains specific information for antenatal shared care at Beaudesert Hospital, Logan Hospital and
Redland Hospital.
Uncomplicated pregnancies
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Ensure all minimum referral criteria (see p. 9) are met including a copy of the required pathology tests:
Refer privately for detailed scanning (dating, morphology)
Expect the first hospital visit with the consultant to be offered after 20 weeks
You will be responsible for the care until she is seen by a doctor at the hospital
Note: The mother will be required to see the midwife and the consultant before a booking is confirmed.
Complicated pregnancies
Please refer urgently to the Antenatal Clinic and specify the reason in the referral letter and include relevant specialist
correspondence. The letter will be triaged within the same week.
Please ensure you copy pathology results to the hospital clinic directly from the laboratory.
High risk of gestational diabetes (GDM):
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Risks for GDM include: previous GDM or baby over 4000g, polycystic ovarian syndrome, strong family history,
glycosuria, or BMI greater than 30, multiple pregnancy and at risk
ethnicity (Aboriginal and Torres Strait Islander, Pacific or South Sea Islander, Indian subcontinent, South East
Asia, Middle Eastern or African)
If there is a high risk, please request a glucose tolerance test (GTT) in the first trimester.
Hospital visits
Hospital visits usually occur at 36 and 41 weeks (Logan) / 40 weeks (Redland). This will be increased if clinically
indicated. At 41 weeks, an induction is booked for approximately 10 days post the estimated delivery date.
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Early Pregnancy Assessment Unit
(Logan Hospital only)
Logan Hospital offers an Early Pregnancy Assessment Unit for the assessment of early pregnancy complications.
Eligibility criteria
Women may be referred directly to the unit if they have:
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a positive pregnancy test or suspected pregnancy, and
a pregnancy less than 20 weeks completed gestation,
and are experiencing any of the following symptoms:
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pain or vaginal bleeding but are clinically stable
no bleeding but with a non-viable pregnancy
a confirmed stable ectopic pregnancy to be treated conservatively
pregnancy of unknown location, stable and requiring follow up
hypermesis gravidarum requiring follow up
Accessing the service
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Telephone the Early Pregnancy Assessment Unit nurse on (07) 3299 8456 to book an appointment
Follow up with a referral to Dr Mano Haran via fax on (07) 3299 8963.
Service times
Opening hours and location
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8 am to 4 pm, Monday to Friday (except public holidays)
Building 2, Logan Hospital precinct
Outside these times
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Telephone the on-call Obstetrics and Gynaecology registrar on (07) 3299 8027, or
Telephone (07) 3299 8899 and ask Logan Hospital switchboard to page the on-call Obstetrics and
Gynaecology registrar.
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Recommended minimum antenatal shared care
schedule checklist
First visit
20 weeks
GP/Midwife visit preferably before 12 weeks
Doctor booking in visit
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Pregnancy confirmed, maternal counselling
commenced
Tobacco/drug and alcohol cessation screening
completed
Pre-pregnancy weight, height and BMI recorded
(refer to dietitian if high)
Urine dipstick/MSU performed
Antenatal blood tests ordered with consent and
counselling: blood group and antibodies (status
checked/identified), full blood count, diabetes mellitus
(if indicated), syphilis, rubella, hepatitis B, hepatitis C,
HIV ordered
Ultrasounds ordered:
 Antenatal screening bloods Free Beta-hCG
and Papp A after 10 completed weeks and
preferably 3–5 days prior to Nuchal USS. Note:
request slip to include EDD and current
maternal weight
 Nuchal Translucency 11–13 weeks+6 days
 Diagnostic Morphology 18–20 weeks
Genetic Counselling and testing discussed as
appropriate:
 Chorionic Villus Sampling 11–13
weeks/Amniocentesis 16–18 weeks as
indicated
Booking in referral sent:
 Birth centre care options discussed (if
applicable)
Pap smear offered if due
Normal breast changes discussed
 Examination performed
Folate and iodine supplementation discussed
12-18 weeks
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Post diagnostic morphology ultrasound assessment
and general health check attended
Appropriate model of care confirmed and
documented (after risk assessment completed)
Maternal counselling including tobacco / drug and
alcohol cessation continued (if applicable)
Further discussion with midwife (if applicable)
Consent obtained from Rh negative women for
prophylactic Anti D (staple inside Pregnancy Health
Record)
Expected date of birth confirmed
Model of care confirmed
Blood/scan results reviewed
Initiation of breastfeeding / baby led feeding
discussed
Positioning and attachment of baby discussed
Skin to skin contact discussed
25 weeks
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Full assessment including abdominal palpation and
foetal auscultation performed and foetal movements
discussed
Request slip given to women for blood tests to be
performed between 26–28 weeks:
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Full blood count (FBC), and Glucose Challenge
for all women (GTT when indicated)
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For Rh negative women, Rhesus Antibody blood
screen
Benefits of rooming-in discussed (baby/woman
staying together)
Physical activity, exercise and rest discussed
Home safety and hazard identification for injury
prevention discussed
Midwife booking in visit
28 weeks
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Booking in Visit – demographic, social, medical and
obstetric history documented ± allied health referrals
arranged
 SAFE Start or similar tool:
 Commenced  Completed  Referred
 Tobacco screening / drug and alcohol
screening / EDS (EPDS) / maternal counselling
completed
Models of care discussed and preference identified
(page a5)
Urine dipstick/MSU repeated
Recommended weight gain and healthy eating
discussed and information given
Physiotherapy discussed
Reasons to breast feed discussed / breast feeding
education provided
Antenatal classes offered:
 Accepted  Declined  Booked
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Pathology results checked
First dose of Anti D for Rhesus negative women
attended (page a4)
Exercise and rest revisited
SIDS and SUDI discussed and pamphlet given
31 weeks
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Maternal counselling on tobacco / drug and alcohol
cessation revisited
Breastfeeding education provided, recommending
exclusive breastfeeding for around the first six
months of baby’s life
Birth preferences discussed
Length of hospital stay and time of discharge
discussed
Postnatal community supports discussed
Continued over
6
34 weeks
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Second dose of Anti D for Rhesus negative women
attended
EDS (EPDS) reviewed, repeated and recorded
Expressing of breast milk and safe storage discussed
36 weeks
Visit at 36 weeks, then as clinically indicated every 1–
2 weeks until 41 weeks
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At each standard antenatal visit:
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Revisit maternal counselling on tobacco / drug
and alcohol cessation / breastfeeding
education
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Discuss signs of early labour and when to
come to hospital
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Review blood results
At 36 weeks:
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Elective caesarean section booked (if applicable)
Full blood count
38 weeks
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Signs of early labour and when to come to hospital
discussed
Breastfeeding information reviewed
Blood results reviewed
40 weeks
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Maternal counselling on tobacco / drug and alcohol
cessation revisited
Maternal concerns discussed and addressed
Induction of labour for week 40 (+10–14 days) plus or
minus membrane sweep discussed
41 weeks
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Assessment of maternal and baby wellbeing
completed (arrange for CTG if indicated)
Monitoring if indicated as per current fetal
surveillance guidelines
Induction of labour for week 40 (+10–14 days) (i.e. 42
weeks) re-discussed
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Hospital Specialty Outpatient Clinics
This section contains specific information for referring patients to specialty outpatient clinics at:
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Beaudesert Hospital
Logan Hospital
Princess Alexandra Hospital
QEII Jubilee Hospital
Redland hospitals.
General referral criteria
Referrals to specialist outpatient services within Metro South Health must be in writing, and as a minimum contain the
following:
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Patient demographics including Medicare number and Interpreter requirements
Patient’s mobile phone contact number and an alternate postal or contact address (if not the same as usual
residence)
Reason for referral (including the problem to be assessed, degree of loss of function, pain experienced)
Results of relevant investigations (pathology, radiology, histology)
Current medications and doses, prescribed and over the counter (note any recent changes in drug therapy)
Allergies (drug/topical preparation)
Relevant information about the patient’s condition such as previous medical/surgical treatment (include
systemic and topical medications prescribed for the condition) and details of any associated medical
conditions which may affect the condition or its treatment (e.g. diabetes)
Relevant psychological and social issues impacted by condition
Smoking and alcohol history.
Where to send your referral
The Metro South Health Central Referral Hub processes all specialist outpatient referrals. Please ensure the referral is
“named”.
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Telephone:
Facsimile:
Post:
Central Referral Hub
Metro South Health
PO Box 4195
Eight Mile Plains QLD
4113
Secure e-Transfer:
Automatically directed to
the Central Referral Hub
1300 364 155 1300 364 248
Urgent referrals
To arrange a VERY URGENT outpatient appointment, please phone the relevant hospital’s switchboard and ask to
speak to the Registrar of the relevant specialty:
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Princess Alexandra Hospital – (07) 3176 2111
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QEII Jubilee Hospital – (07) 3182 6111
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Logan Hospital – (07) 3299 8899
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Redland Hospital – (07) 3488 3111.
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Bulk billed (private) clinics
Metro South Health’s public hospitals offer private (bulk billed) services in many outpatient clinics. This means that your
patient has the right to choose to be treated as a private patient within any facility listed in this guide and can be bulk
billed for the service with no gap payment.
These funds will allow for the delivery of improved clinical services to the local community and your patients.
If seen as a bulk billed (private) patient, the benefits will be that:
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your patients will have access to one of our staff specialists with right of private practice, and
the consultation and investigations performed will be bulk billed.
How to refer to a bulk billed clinic
To refer your patient to a private (bulk billed) clinic, please include a named referral to one of our staff specialists with
Right of Private Practice.
Staff specialists with Right of Private Practice who offer a bulk billed clinic are listed with
‘(BB)’ next to their name in this guide.
Further information
For further information about private (bulk billing) clinics, please contact:
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Logan Hospital Private Practice: (07) 3299 8590
Princess Alexandra Hospital Private Practice: (07) 3176 2721
QEII Jubilee Hospital Private Practice: (07) 3182 6392
Redland Hospital Private Practice: (07) 3488 3524
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Alcohol and Drug Assessment
Locations
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Referral criteria
Minimal referral information that is useful includes:
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Drug(s) of abuse
Basic demographic and medical information
Quantity of substance used, and recent (ie within the last month)
Relevant blood tests.
Note: In cases where a higher level of urgency is considered, referrers can contact ADAU directly (eg assessment for
detoxification at HADS (RBWH) ; or where patient has just recently been detoxified and needs an outpatient program)
on 3176 5191.
Specialists
PAH:
Dr Gerald Feeney (BB)
Send referral to
Metro South Health Central Referral Hub
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
Post: Central Referral Hub, Metro South Health, PO Box 4195, Eight Mile Plains
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Allergy and immunology
Locations
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Referral criteria
Please include all of the general referral criteria listed on page 9, and:
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FBC
Skin testing
RAST results
IgE
Note: If urgent review is required, please contact the Immunology Registrar via the Princess Alexandra Hospital
switchboard on (07) 3176 2111 or Dr Patrick Hogan on (07) 3176 5900.
Specialists
PAH:
Dr David Gillis
Dr Richard Wong
Dr Patrick Hogan
(Immunology/Allergy)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
12
Antenatal
Locations
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Beaudesert Hospital
Logan Hospital
Redland Hospital
Referral criteria
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LNMP, Gravida, Parity, EDC
Blood tests: FBC, HepB, HepC, HIV, Syphilis serology, Blood group and antibodies
Rubella
MSH/Chlamydia
Dating and Morphology Ultrasound scans
Aneuploidy screening
(GTT for selective patients)
First trimester combined screening results if the patient identifies as Aboriginal or Torres Strait Islander
Specialists
Logan Hospital:
Dr Mano Haran (BB)
Dr Sabaratnam
Ganeshananthan (BB)
Dr Janet Draper (BB)
Dr Yoga Gounden (BB)
Dr Leela Sharma (BB)
Dr Hasthika Ellepola (BB)
Dr Drew Moffrey (BB)
Dr Poi Leng Lee
Redland Hospital:
Dr Wendy Dutton (Director)
(BB)
Dr Philip Moon (BB)
Dr Saman Senevirathna
(BB)
Dr Piratheepan Kandasamy
(BB)
Dr Ravi Wlaisinghe (BB)
Dr Simon Tyrrell
Beaudesert:
Dr Nathan Kesteven
Dr Tim Devine
Dr Chandra Tennakoon
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
13
Antenatal Diabetes and Endocrinology
Locations
•
Logan Hospital
Referral criteria
Please include all of the general referral criteria listed on page 9.
Specialists
Logan Hospital:
Dr Elizabeth Jarvis (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
14
Audiology (adult)
Locations
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Logan Hospital
Referral criteria
Minimum information required:
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Name
Contact details (address and phone)
Patient demographics
Date of birth
Reason for referral
Description of problem
Previous assessments/reports
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
15
Audiology (paediatric)
Locations
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Logan Hospital
Referral criteria
Minimum information required:
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Name
Contact details (address and phone)
Date of birth
Reason for referral
Description of problem
Previous assessments/reports
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
16
Bowel Cancer Screening
Locations
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Logan Hospital
Referral criteria
Send referral to
Logan Hospital:
Phone: (07) 3299 8077
Fax: (07) 3299 8129
Princess Alexandra Hospital:
Phone: (07) 3176 1047
Fax: (07) 3176 1295
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Brain Injury Rehabilitation
Locations
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Referral criteria
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Collateral information including that of type and severity of acquired brain injury, previous management and
ongoing treatment including that of medications.
Other relevant medical information, including CT/MRI scans, EEG and blood tests.
Note: The service does not offer a primary medico-legal assessment.
Note: Cases where the predominant presentation is that of mental health or substance use are best managed before
referral.
Specialists
PAH:
Dr David Douglas (BB)
Dr Rachael Nunan
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
18
Cancer Services – Medical Oncology
Locations
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Referral criteria
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Any old pathology results which might help determine the duration/progression of a blood abnormality
Scan and x-ray results
Histology
Operative reports
Previous cancer treatments (chemotherapy, radiation).
Specialists
PAH:
Dr Warren Joubert (BB)
Dr Victoria Atkinson (BB)
Dr Euan Walpole (BB)
Dr Elizabeth McCaffrey (BB)
Dr Katharine Cuff (BB)
Dr Margaret McGrath (BB)
Prof Ken O’Byrne (BB)
Dr Jermaine Coward (BB)
Dr Vikram Jain (BB)
Dr Kathryn Middleton (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
19
Cardiac Surgery
Locations
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Referral criteria
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Chest x-ray
U&E/LFT’s & HbA1c for diabetic patients
ECG
FBC
RFTs if indicated by long term smoking or chronic lung disease
Cardiac risk factors
Exercise tolerance
Previous Cardiology assessment data where performed, including formal echo angiogram disc either with
referral or to PAH catheter laboratory.
Note: Patients with valvular heart disease or suspected coronary artery disease must have been assessed by a
Cardiologist prior to surgical referral.
Note: Referral to a cardiac surgeon is an internal referral between specialists.
Specialists
PAH:
Dr Julie Mundy (Director)
(Cardiothoracic)
Dr Wingchi Lo
(Cardiothoracic) (Telehealth
only) (BB)
Dr Christopher Cole
(Cardiothoracic) (Telehealth
only) (BB)
Dr Masashi Ura
(Cardiothoracic)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
20
Cardiology
Locations
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Logan Hospital
Redland Hospital
Referral criteria
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Significant symptoms, e.g. chest pains, breathlessness, syncope or palpitations
Exercise tolerance
Results of any recent cardiac investigations, e.g. ECG, CXR, Echo, stress test
LFT, FBC, TFT, cholesterol, electrolytes, lipid profile
Details of any prior cardiac surgical/interventional procedures
IHD risk factors (Htn, smoking, +FHx, +BMI, diabetes, +cholesterol/hyperlipidemia).
Specialists
Logan:
Dr VR Prasad Challa
(Director) (BB)
Dr Bruno Jesuthasan (BB)
Dr Arun Dahiya (BB)
Dr Shashi Ranjan (BB)
Dr John Hill (Arrhythmia)
(BB)
PAH:
Dr Paul Garrahy (BB)
Dr Gerard Connors
Dr Stephen Cox
Dr Kieran Dauber
Dr Paul Gould (BB)
Dr John Hill (BB)
Dr Gerald Kaye (BB)
Dr Dariusz Korczyk (BB)
Dr Richard Lim (BB)
Dr Arnold Ng (BB)
Dr Sudhir Wahi (BB)
Dr William Wang (BB)
Dr Anthony Camuglia
Dr Adrian Chong (BB)
QEII: N/A
Redland:
Dr Daljeet Gill (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
21
Child Protection
Locations
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Logan Hospital
Redland Hospital
Referral criteria
Contact the relevant hospital child protection officer for advice.
Send referral to
Logan Hospital:
Phone: (07) 3299 9102
Fax: (07) 3299 8035
Princess Alexandra Hospital:
Phone: (07) 3176 2610
Fax: (07) 3176 5759
QEII Jubilee Hospital:
Phone: (07) 3182 5353
Fax: (07) 3182 5494
Redland Hospital:
Phone: (07) 3488 4256
Fax: (07) 3488 4251
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Colposcopy
Locations
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Beaudesert Hospital
Logan Hospital
Redland Hospital
Referral criteria
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Copy of relevant Pap smear (and swabs if relevant)
Copy of previous biopsy and/or LLETZ if applicable
Copy of previous Pap smears as well if reason for referral is a low-grade abnormality.
Note: Always refer symptomatic patients (i.e. persistent post-coital bleeding) regardless of Pap test results.
Specific comorbidity information:
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Previous genital warts
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Infectious disease – sexual transmitted agents
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Any other concurrent medical problem
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Concurrent pregnancy
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Therapeutic abortion, D&C or Ablation within past 4 weeks
Specific symptom information:
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Abnormal appearing cervix
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Abnormal vaginal bleeding
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Provide any considered relevant by the referring
Physician
Specific tests/investigations if available:
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Histopathological reports – for any surgical procedure, biopsy or cytology – PAP Smear
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History & Physical
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All related DI – Reports
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All relevant Consultation reports
Specialists
Beaudesert:
Dr Herath (Anura)
Padmasiri
Logan:
Dr Mano Haran
QEII:
Dr Louis MacPherson (BB)
Dr Anton Marineanu (BB)
Redland:
Dr Wendy Dutton (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
23
Complex Obesity Service
Locations
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Referral criteria
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Current height, weight and BMI
Summary of weight loss initiatives taken by patient and health care provider prior to referral
Details of any allied health support in place to assist with weight loss (any GPMP/TCA in place )
Copies of most recent blood results or relevant investigations
Ensure all comorbidities clearly stated
Note: Bariatric (weight loss) surgery is not available within the Princess Alexandra Hospital.
Specialists
PAH:
Dr Lisa Hayes (BB)
Dr Viral Chikani
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
24
Dermatology
Locations
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Referral criteria
Note: Any black spot under a nail must always be categorised as a Cat 1.
Specialists
PAH:
Dr Jason Wu
Dr Victoria Shepherd
Dr Michael Freeman (Laser
only)
Prof Peter Soyer
Dr Scott Webber
(Cutaneous MM patients
only)
Dr Kayrn Lun (Skin Cancer)
Dr David Francis (Skin
Cancer)
Dr Brian De Ambrosis
(Surgical only)
Dr Erin McMeniman
Dr Kiarash Khosrotehrani
(Pigmented Lesions)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
25
Diabetes
Locations
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Logan Hospital
Redland Hospital
Referral criteria
Please include all of the general referral criteria listed on page 9, and details of the following:
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Required
o Type of diabetes and duration of disease
o Presence of any diabetes complications
o Current medications
o Blood pressure
o HBA1c
o FBE, ELFTs
o Fasting Lipids - Chol, LDL, HDL, Tg
o Urinary microalbumin.
Useful
o Previous medications tried for the diabetes
o Previous allied health reviews
o History of smoking
o opy of GPMP/TCA
o Licence status
o Weight/BMI.
Specialists
Logan:
Dr David Roberts (BB)
Dr Maung Khant (BB)
Prof Richard Jackson
Dr Elizabeth Jarvis (High
Risk Maternity)
PAH:
A/Prof Anthony Russell
(BB)
Dr Clair Sullivan (BB)
Dr Ross Cuneo (BB)
A/Prof Warrick Inder (BB)
Dr Lisa Hayes (BB)
Dr Emily MacKenzie (BB)
Dr Viral Chikani (BB)
Dr Anish Menon (BB)
QEII:
Dr Shanthi Kannan
Redland:
Dr Joel Iedema (Director)
(BB)
Dr Naomi Achong
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
26
Dietetics
Locations
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Beaudesert Hospital
Logan Hospital
Redland Hospital
Wynnum Health Service
Referral criteria
For QEII, Logan, PAH, Redland Hospital and Wynnum Health Service:
Hospital Dietitians will respond to internal referrals for adult patients:
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•
being discharged from hospital requiring on-going dietetic intervention to reduce the risk of deterioration and
re-admission or
from the hospital out-patient (OPD) clinics if the person is a current patient with a UR number and currently
attending specialist OPD.
Dietetics is unable to accept direct referrals from external community sources including GP’s.
For Redland Hospital:
Hospital Dietitians will respond to internal referrals for paediatric patients:
•
•
being discharged from the hospital requiring on-going dietetic intervention to reduce the risk of deterioration
and re-admission or
from the hospital Paediatric out-patient (OPD) clinics if the child is a current patient with a UR number and
currently attending specialist OPD.
Dietetics is unable to accept direct referrals from external community sources including GPs.
For Beaudesert Hospital:
External referrals are accepted from GPs and medical specialists for adult patients residing within the area (postcodes
4270,4275, 4285, 4280 & 4287). This is an equivalent service as provided by Community Dietitians in other locations.
Please provide:
•
Patient details – Name, DOB, Address & Phone Number/s
•
Medical History
•
Medication List
•
Reason for referral
•
Relevant Pathology (for Diabetes HbA1c)
•
Translator if required
GP referrals are accepted for patients residing within the area (postcodes 4270, 4275, 4280, 4285 & 4287) as below:
•
Adults:
o Type 1 or Type 2 Diabetes

Complications eg. Diabetic Ketoacidosis, CVD, gastroparesis

Hypoglycaemia

Poor control (HbA1c >8.5% or 69 mmol/mol)

Commencing on insulin

Pre pregnancy planning
o Type 2 Diabetes (and Pre Diabetes or Impaired Glucose Tolerance)

If stable or HbA1c <8.5% (69 mmol/mol) will be offered group program only
o Coeliac Disease
o Unintentional weight loss – requiring nutrition support (from any causes including gastrointestinal,
liver disease etc)
o Underweight (BMI <20 kg/m2)
27
•
Paediatrics (0 – 16 years:
o Failure to thrive or Poor weight gain/growth
o Food allergies
o Food refusal
o Iron deficiency anaemia
o Constipation
o Coeliac Disease
o ADD/ADHD and food intolerance
Minimum information required on the referral:
•
Patient details – Name, DOB, Address & Phone Number/s
•
Medical History
•
Medication List
•
Reason for referral
•
Relevant pathology (for Diabetes HbA1c)
•
Translator if required.
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
28
Endocrinology
Locations
•
•
•
•
Logan Hospital
Redland Hospital
Referral criteria
•
•
Hormone levels
Relevant investigations - any relevant imaging studies.
For a pituitary problem:
•
•
•
•
•
•
•
•
•
•
morning prolactin
LH, FSH
Oestradiol (testosterone if male)
TSH, T4,
Cortisol
ACTH
Growth hormone
IGF1
ELFT
FBE
For thyrotoxicosis:
•
•
•
TSH, T4, T3,
ESR,
TSH receptor antibodies
(Primary hypothyroidism should be be managed by the GP and not require specialist referral).
For calcium disorder:
•
•
•
•
•
ELFT
Ionised calcium
PTH
Vitamin D and 1,25(OH)2 Vitamin D,
24 hour urine calcium.
If primary hyperparathyroidism include bone mineral density and US kidneys or AXR KUB.
For osteoporosis:
•
•
•
•
•
•
•
•
•
•
•
FBE
ELFT
ESR
Vitamin D
PTH,
i\Ionised calcium
TSH
Serum EPP
Testosterone (in males)
Antitransglutaminase antibodies
Bone mineral density and vertebral x-rays or x-rays of fractures if relevant
For adrenal insufficiency:
•
•
•
Short synacthen test,
Morning cortisol and ACTH,
Renin and aldosterone
Continued over
29
For Cushing’s syndrome:
•
•
•
•
24 hour urine free cortisol,
1mg dexamethasone suppression test,
Morning cortisol
ACTH
For suspected phaeochromocytoma:
•
•
Plasma metanephrines x2,
CT adrenals
For Hyponatremia:
•
•
•
•
paired serum and urine osmolarity and sodium, TFTs
9am cortisol
ELFT profile
full medication list
For hypogonadism:
•
•
Morning LH, FSH, oestradiol progesterone (testosterone if male)
Prolactin.
For Adrenal lesion:
•
•
•
•
•
•
ELFT
Aldosterone:rennin ratio
Plasma metanephrines
DHEAS
24 hr urine free cortisol
1mg dexmethasone suppression test with baseline ACTH
For PCOS:
•
•
•
•
•
•
•
•
FSH, LH
Prolactin
TFTs
Free testosterone
DHEAS
Fasting glucose
Fasting lipids
Consider pelvic ultrasound (day1-4 menstrual cycle)
Specialists
Logan:
Dr Maung Khant (BB)
Prof Richard Jackson
PAH:
Prof. John Prins (BB)
Dr Emily MacKenzie (BB)
Dr Anthony Russell (BB)
Dr Ross Cuneo (BB)
Prof Ken Ho (BB)
Dr Warrick Inder (BB)
Dr Lisa Hayes (Thyroid) (BB)
Dr Clair Sullivan (Thyroid) (BB)
Dr Warwick Inder (Thyroid)
(BB)
Dr Emily MacKenzie (Thyroid)
(BB)
Metabolic Bone
Dr Lisa Hayes (BB)
Dr Warrick Inder (BB)
QEII:
Dr Shanthi Kannan
Redland:
Dr Joel Iedema (BB)
(Director)
Dr Naomi Achong
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
30
ENT/Head and Neck/Thyroid Surgery
Locations
•
•
Logan Hospital
Referral criteria
Please include all of the general referral criteria listed on page 9, and the following tests/investigations are highly
recommended:
For hearing loss, tinnitus, vertigo, unilateral ear symptoms:
•
Audiology, pure tone audiogram (children and adults)
For sinusitis or unilateral sinus pathology – adults:
•
CT scan paranasal sinuses +/- contrast
For cancer or lump in neck > 4 weeks – adults:
•
•
Initially CT with contrast or USS of neck +/- FNA
Routine bloods (FBC, LFT’s, U/E’s, Creatinine, Ca++)
For nasal fracture with cosmetic displacement:
•
Request appointment within 5-7 days after injury to allow for surgery within 14 days, if required
For head and neck skin cancer:
•
Biopsy (punch) for histology
For dysphagia (adults) – not essential:
•
Modified barium swallow
For thyroid:
•
TFT’s, , FBC, Ca++ U/S +/- FNA
Specialists
Logan:
Dr Bernard Whitfield
(BB)
Dr Simon Nasser
Dr Raefe Gundelach
Dr James Bowman
PAH:
Assoc/Prof Benedict
Panizza (Director)
A/Prof. Chris Perry
Dr Scott Coman
A/Prof. Ben Wallwork
Dr James Bowman
Dr Raefe Gundelach
Dr Nick Potter
Continued over
31
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
32
Gastroenterology
Locations
•
•
•
•
Logan Hospital
Redland Hospital
Referral criteria
•
•
•
•
Presence or absence or alarm symptoms in patients with upper abdominal symptoms
Family history of colorectal neoplasia in patients with lower abdominal symptoms
E/LFT’s, FBS and ESR or CRP (all patients)
Results of any scopes undertaken
For Abdominal pain:
•
Imaging US or CT
For Dyspepsia:
•
H.pylori testing (breath test or stool antigen)
Specialists
Beaudesert:
Dr Thein Htut (BB)
(Endoscopy)
Logan:
Dr Carolyn McIvor
(Director) (BB)
Dr Rob Brodribb (BB)
Dr Mostafa Seleem (BB)
Dr Shahram Safa (BB)
Dr Sneha John (BB)
Dr Arti Rattan (BB)
Dr Thein Htut (BB)
Dr Mark Norrie
PAH:
Dr Lara Kane (BB)
Dr Graeme Macdonald (BB)
Dr Paul Clark (BB)
Dr Rebecca Ryan (BB)
Dr Caroline Tallis (BB)
Dr Elizabeth Powell (BB)
Dr Katherine Stuart
IBD and Motility:
Prof. Gerald Holtmann
(BB)
Dr Neal Martin (BB)
Dr Daniel Burger (BB)
QEII:
Dr Sanjeev Naidu
(Director) (BB)
Dr Terrence Tan (BB)
Dr David Hewett (BB)
Dr Jakob Begun
Dr Nicholas Tutticci (BB)
Dr Shamsui Islam (BB)
Dr Sunny Lee (BB)
Dr John Evans
Dr Natalie Kiel
Redland:
Dr Charles Nankivell (BB)
(Director)
Dr Tariq Masood (BB)
Dr Mikhail Mastakov
Dr Heidi Cameron (BB)
Dr Ben Dodd
Dr Saranga Mahi
Ranasinghe
Interventional:
Dr Luke Hourigan
Dr Nadia Maqboul (BB)
Dr Saurabh Gupta (BB)
Dr Andrew St John (BB)
Oesophageal Manometry &
pH Breath Testing:
Dr Linda Fletcher
33
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
34
General Surgery
Locations
•
•
•
•
•
Beaudesert Hospital
Logan Hospital
Redland Hospital
Referral criteria
•
•
•
•
•
•
•
•
•
•
•
Reason for referral
BMI
Clinical History
Investigations: FBE, LFT’s, Lipase, Hepatitis serology (if indicated), U/sound and CTs
Medications
Interpreter needed for which language etc.
Medicare details including your provider number
Please indicate sub-specialty
Recent/previous endoscopy/colonoscopy report
Imaging (film and reports)
For Endocrine surgical cases:
Tests required as per endocrinology section for appropriate organ. For dominant thyroid nodules prefer U/S +/-FNA
Investigations:
•
FBE
•
TFTs/Antibodies
•
Ultrasound or CT thyroid
•
FNA solitary nodule after imaging
•
Nuclear Scan (Hyperthyroid only)
Adrenals:
•
Serum K+
•
Urinary catecholamines
For Breast lesions: See Breast and Endocrine, p. 35.
For Hepatobiliary:
•
•
Gallbladder Mass/Lesion: Ultrasound, ELFT, FBC
Obstructive Jaundice: Ultrasound, ELFT
History of ano-rectal bleeding:
•
•
PR
Proctoscopy
Logan Hospital offers paediatric surgery
Continued over
35
Specialists
Beaudesert:
Dr Peter Wysocki (BB)
Logan:
Dr Brian McGowan
(Director) (BB)
Dr Saranga (Mahi)
Ranasinghe (BB)
Dr Tony Leece (BB)
Dr Hajir Nabi (BB)
(Colorectal)
Dr Mikhail Mastakov (BB)
Dr Mark Daoud
Dr Romi Das Gupta
(Paediatrics)
(B&E)
Dr Ben Lancashire (B&E)
Dr Ken Loon (Colorectal)
Dr Joy Chakraborti
(Colorectal)
PAH:
Breast and Endocrine:
Assoc/Prof Ian Bennett
Chair (BB)
Dr David Wilkinson
Dr Petar Vujovic
Dr Simone Geere
General Surgery:
Dr Jonathan Fawcett
(A/Chair Gen Surgery)
Dr Anthony Griffin (BB)
UGI:
Dr David Gotley
Dr Mark Smithers
(Chair)
Dr Iain Thomson
Dr Andrew Barbour
Pro David Gotley
Dr Ian Martin
Colorectal: Oncology
Dr Nicholas Lutton
Chair (BB)
Dr Tim Slack (BB)
Dr Bradley Morris
Dr Brian Meade
Dr Chris Gillespie
Dr Joy Chakraborty
Dr Sanjeev Naidu
Dr Peter Gourlas
PAH continued
HPB:
Prof Jonathan Fawcett
Director T’plant HPB
Dr Peter Hodgkinson (Liver
& HPB)
Dr Thomas O’Rourke
Dr Kellee Slater
Dr Shinn Yeung
Redland:
Dr Charles Nankivell
(Director) (BB)
Dr Mahi Ranasinghe (BB)
Dr Saranga Mahi
Ranasinghe
Dr Ben Dodd
QEII:
Dr Sanjeev Naidu
(Director) (BB)
Dr Ray Lancashire
Dr Ben Lancashire
Dr Adam Louie
Dr Geoff Muduioa (BB)
Dr Praga Pillay (BB)
Dr Christopher Gillespie
(BB)
Dr Chung-Kwun Won (BB)
Dr Anthony Cheng (BB)
Dr Kenneth Loon
Dr Lee Ong
Melanoma:
Dr Mark Smithers
Dr Andrew Barbour
Dr Gerard Bayley
Dr Michael Wagels (BB)
Dr Sam Yang
Breast Care Nurses:
Amanda Smith
Juanita Ryan
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
36
Breast and Endocrine (General Surgery)
Locations
•
•
•
Redland Hospital
Referral criteria
Please include all of the general referral criteria listed on page 9, as well as the following:
For Endocrine Surgical Cases:
Endocrine Cases requiring:
•
Intensive pre-operative assessment and control of endocrine function and/or are likely to require postoperative intensive care management such as:
o Phaeochromocytoma
o Functional endocrine tumours
o Goitres with significant retrosternal extension
o Complicated recurrent goitres along with:
o Primary, secondary, tertiary or recurrent primary hyperparathyroidism
Such cases require multidisciplinary care and both endocrinology and endocrine surgical component. Should be
referred to the Princess Alexandra or Mater Hospitals.
Evaluation: Tests required as per endocrinology section for appropriate organ. For dominant thyroid nodules refer U/S
+/- FNA
For Breast Lesions:
If lesions are impalpable and a localisation procedure is required prior to excision then cases should be referred to
Princess Alexandra or Mater Hospitals so that localisation and excision can be performed at the same campus. This
facility is not available at other Metro South Health Hospitals.
If cases require multi-disciplinary care including chemotherapy and/or radiotherapy prior to or after surgery, they should
be referred to the Princess Alexandra or Mater Hospitals.
Evaluation
•
•
<35 years with:
o breast lump or
 Ultrasound both breasts
o thickening or
o axillary mass
o if a localised or suspicious lesion  Core biopsy
> 35 years with:
o breast lump or
o thickening or
o axillary mass or
 Bilateral mammogram and ultrasound
o skin ulceration or
o nipple distortion or
o bloody or clear nipple discharge
o and no recent mammogram
o if a localised or suspicious lesion  Core biopsy
o If bloody or clear nipple discharge send smear of d/c for cytology
37
Specialists
PAH:
Breast and Endocrine
Surgery:
Assoc/Prof Ian Bennett
(BB)
Dr David Wilkinson
Dr Petar Vujovic
Dr Simone Geere
QEII:
Breast and Endocrine
Surgery:
Dr Geoff Muduioa (BB)
Dr Lee Ong
Breast Care Nurses:
Amanda Smith
Juanita Ryan
Logan:
Dr Brian McGowan
(Director) (BB)
Dr Bernard Whitfield (BB)
Dr Simon Nasser
Dr Ryan Sommerville
Dr Raefe Gundelach
Dr James Bowman
Dr Vijay Kanagarajah (BB)
Dr Saranga (Mahi)
Ranasinghe (BB)
Dr Tony Leece
Dr Mark Daoud
Dr Mikhail Mastakov
Redland:
Dr Heidi Cameron
Dr Lee Ong (Breast
Disease)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
38
Colorectal Surgery
Locations
•
•
•
•
•
Beaudesert Hospital
Logan Hospital
Redland Hospital
Referral criteria
•
•
•
•
•
•
•
Reason for referral
Clinical History
Investigations
Medications
Recent Colonoscopy report
Interpreter needed for which language etc.
Note: Changes in bowel habit suggestive of irritable bowel syndrome; refer to Gastroenterology.
Note: Routine screening for family history of colorectal cancer; refer to Gastroenterology.
Note: Perianal pathology to be redirected to QEII Hospital in the first instance, then Logan and Redland Hospital.
Note: Some appropriate investigation by the referrer will facilitate the referral process.
Specialists
Beaudesert:
Dr Peter Wysocki
Logan:
Dr Tim Slack
Dr Chris Gillespie
PAH:
Dr Nicholas Lutton
Chair (BB)
Dr Chris Gillespie
Dr Peter Gourlas
Dr Brian Meade
Dr Tim Slack (BB)
Dr Bradley Morris
Dr Joy Chakraborty
QEII:
Dr Chris Gillespie
(Faecal Incontinence)
Dr Tim Slack
Redland:
Dr Jack Ashworth
Dr Saranga Mahi
Ranasinghe (BB)
Dr Ian Vela (BB)
39
Upper Gastrointestinal Surgery
Locations
•
•
•
•
•
Beaudesert Hospital
Logan Hospital
Redland Hospital
Referral criteria
Reflux symptoms:
•
•
•
History to include: findings of heartburn, waterbrash, volume reflux, nocturnal choking or coughing attacks,
odynophagia
Refer to Upper GI if medical management has failed
Diagnostic studies: gastroscopy (desirable not essential)
Stomach Mass/Lesion:
•
Refer urgently to PAH, no additional tests required
Oesphageal Mass, Lesion:
•
Refer urgently to PAH, no additional tests required
Specialists
PAH:
Dr Mark Smithers
(Chair)
Dr Iain Thomson (BB)
Dr Andrew Barbour
Prof David Gotley
Dr Ian Martin
Beaudesert:
Dr Peter Wysocki
Logan:
Dr Tim Slack
Dr Chris Gillespie
QEII:
Dr Chris Gillespie
(Faecal Incontinence)
Dr Tim Slack
Redland:
Dr Jack Ashworth
Dr Saranga (Mahi)
Ranasinghe (BB)
Dr Ian Vela (BB)
Melanoma:
Dr Mark Smithers
Dr Andrew Barbour
Dr Gerard Bayley
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
40
General Medicine
Locations
•
•
•
•
Logan Hospital
Redland Hospital
Referral criteria
•
List of names and contact details of other health providers (including pharmacists, home and community
services) to whom the patient has been referred or from whom the patient has been referred or from whom
care is being received
•
Copies of specialist letters / hospital discharge summaries / allied health evaluations or other correspondence
relating to care received in the past from other health providers, either public or private, which are relevant to
current referral
•
X-ray and scan reports
Specialists
Logan:
Dr Maung Khant (BB)
Dr Alex Lau (BB)
Prof. Richard Jackson
PAH:
Dr Ian Scott (BB)
Dr Su-Mien Yeoh
Dr Peter Pillans (BB)
Dr Amgad Said (BB)
Dr Susana Milosevic (BB)
Dr Xena Caney (BB)
QEII:
Dr Alan Lam (Director)
Dr Mandeep Mathur (BB)
Dr Judy Flores (BB)
Dr Malcolm Wright
Dr John Storie
Dr Shanthi Kannan
Redland:
Dr Sagarika (Chamundri)
Attudawage (BB)
Dr John Tamargo (BB)
Dr Sanjaya Herath (BB)
Dr Timothy Ryder (General
and Respiratory Medicine)
(BB)
Dr Jenna Allan
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
41
Geriatric Medicine
Locations
•
•
•
•
Logan Hospital
Redland Hospital
Referral criteria
•
•
•
•
•
•
•
•
Medical history
Current living arrangements
Community services currently in place
CT scan films
Recent results: FBC, E/LFT, B12, folate, TSH, MSU
Medication list
Home access issues
Name and contact details of patient’s carer
Primary referral criteria for this service includes:
•
•
•
•
•
Advanced age or frailty usually with cognitive impairment and/or physical disability
Medical problems requiring assessment for treatment, rehabilitation or support
Complex multiple medical system disorders
Difficulty with activities of daily living with potential for improvement with therapeutic intervention from a
Specialised multi-disciplinary team
Resident in the community or residential care with complex medical issues
For Memory Clinic:
•
•
•
Recent MMSE
CT brain
Carer contact details
For Falls Clinic:
•
A fall in the last 6 months
For Dementia:
•
•
General referral criteria and
Recent imaging: CT head
Note: Patients should bring all medications taken, their usual walking aid, their usual footwear and their CT scan films.
Specialists
PAH:
Dr Glenise Berry
Dr Paul Varghese (BB)
Dr Ruth Hubbard
Dr Phil Aitken
Dr Salih Salih
Dr Lisa Kelly (BB)
(Telehealth Only)
Dr Elena Klestov
QEII:
Dr Amanda Siller (Director)
Dr Jerry Wong
Dr Andrew Pearson
Redland:
Dr Elena Klestov
Logan:
Dr Lillian Wong (Director)
(BB)
Dr Leslie Gan (BB)
Dr Kah Wai Chan (BB)
Dr Aisling Fleury (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
42
Gynaecology
Locations
•
•
•
•
Beaudesert
Logan Hospital
Redland Hospital
Referral criteria
Abnormal pap smear - refer to Colposcopy, p. 23.
Postcoital bleeding / Cervical polyp
•
Pap smear
•
HVS, endocervical swab (for chlamydia and gonorrhoea)
Intermenstrual bleeding
•
Pelvic US (TVS and TAS)
•
Pap smear
•
Menorrhagia
•
Pelvic US (TAS and TVS)
•
Pap smear
•
FBC and iron studies, TSH (if clinical indicated)
Post menopausal bleeding
•
•
Pap smear
Uterine fibroids / known Endometriosis
•
Pelvic pain / Dysmenorrhoea
•
•
Ovarian cyst / Pelvic mass
•
•
CA 125
•
Other tumor markers
o for patients > 35 years include CEA, CA 19-9, inhibin
o for patients < 35 years include hCG, AFP, LDH
Prolapse / Urinary incontinence
•
MSU for MCS
•
Patient should be referred for 3 months to physio for pelvic floor exercises prior to referral
Infertility
•
FBC, TFT, Prolactin, FSH (D3), Progesterone (D21), AMH (if appropriate)
•
Testosterone/FAI and glucose screen (if PCOS suspected)
•
•
HSG
•
•
Semen analysis of partner
Recurrent pregnancy loss (RPL)
•
FBC, TFT, glucose screen, antibodies screen, thrombofilia screen, infectious screen (Hep B and C, Rubella,
Syphillis, HIV)
•
Pelvic US
Continued over
43
Specialists
Beaudesert:
Logan:
Dr Herath (Anura)
Padmasiri (BB)
Dr Mano Haran (Director)
(BB)
Dr Sabaratnam
Ganeshananthan (BB)
Dr Janet Draper (BB)
Dr Yoga Gounden (BB)
Dr Leela Sharma (BB)
Dr Hasthika Ellepola (BB)
Dr Poi Leng Lee (BB)
Dr Drew Moffrey (BB)
Dr Anupinder Kaur (BB)
Dr Vidhya Gupta (BB)
QEII:
Dr Anton Marineanu
(Director) (BB)
Dr Louis MacPherson (BB)
Dr Lew Lander
Dr Michael O’Brien
Dr Michael Wynn-Williams
Dr David Salter
Dr Hannah Krause
Dr Vivien Wong
Dr Judith Goh
Redland:
Dr Wendy Dutton (Director)
(BB)
Dr Piratheepan
Kandasamy (BB)
Dr Philip Moon (BB)
Dr Saman Seneviratna
(BB)
Dr Ravi Walisinghe (BB)
Dr Simon Tyrrell
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
44
Haematology – Cancer Services
Locations
•
Referral criteria
•
•
Any pathology results that may indicate duration/progression of blood abnormality
Previous radiation treatment.
Specialists
PAH:
Dr Sally Mapp (BB)
Dr Devinder Gill (BB)
Dr Maher Gandhi (BB)
Dr Peter Wood (BB)
Dr Robert Bird (BB)
Dr Paula Marlton (BB)
Dr Anthony Mills (BB)
Dr Peter Mollee (BB)
Dr Helen Wordsworth
Dr Andrew Perkins (BB)
Dr Matthew Hourigan
Dr Colm Keane (BB)
Dr James Daly
Logan:
Dr Robert Bird (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
45
Heart Recovery Service/Cardiac Rehabilitation
Locations
•
•
•
•
Logan Hospital
Community clinics
Referral criteria
Eligibility:
•
•
•
•
•
•
•
•
•
•
•
Myocardial Infarction (STEMI & Non STEMI)
Re – vascularisation procedures;
o Angiogram/PTCA – 2 wks post
o CABG – 4 wks post
Stable angina
Unstable angina
Acute coronary syndrome
Controlled Heart failure
Cardiomyopathy
Heart Valve replacement
Pacemaker / AICD insertion
Cardiac Transplant
High cardiac risk factors
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
46
Hepatobiliary
Locations
•
Referral criteria
Liver Mass/Lesion:
•
•
•
Ultrasound Scan
ELFT
FBC
Pancreatic Mass/Lesion:
•
•
•
Ultrasound Scan
ELFT
FBC
Gall bladder Mass/Lesion:
•
•
•
Ultrasound
ELFT
FBC
Obstructive Jaundice:
•
•
Ultrasound
ELFT
Note: Uncomplicated gallstones do not need to be seen in the specialist HPB service at PAH, but should be redirected
to the other MSH General Surgical departments.
Specialists
PAH:
Prof. Jonathan Fawcett (BB)
Director of Transplant &
HPB
Dr Thomas O’Rourke (BB)
Dr Peter Hodgkinson (Liver
and HPB) (BB)
Dr Shinn Yeung (BB)
Dr Kellee Slater (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
47
Hepatology
Locations
•
Referral criteria
•
•
•
Abdominal ultrasound or CT scan
E/LFTs
FBE
HCV: must have HCV RNA data and be HCV RNA positive
HBV: HBV serology including HBeAg status, HBV DNA and aFP
Suspected haemochromatosis: iron studies and HFE genotyping
Deranged LFTs: HCV and HBV serology and ideally auto-antibody screen (ANA, ASMA, AMA)
Liver lesion: aFP and written reports of the abdominal US and/or CT scans
Specialists
PAH:
Dr Elizabeth Powell (BB)
Dr Katherine Stuart
Dr Lara Kane (BB)
Dr Graeme MacDonald
(BB)
Dr Rebecca Ryan (BB)
Dr Caroline Tallis (BB)
Dr Paul Clark (BB)
Logan:
Dr Carolyn McIvor
(Director) (BB)
Dr Rob Brodribb (BB)
Dr Mostafa Seleem (BB)
Dr Shahram Safa (BB)
Dr Sneha John (BB)
Dr Arti Rattan (BB)
Dr Thein Htut (BB)
Dr Mark Norrie
QEII:
Dr Terrence Tan (BB)
Dr David Hewett (BB)
Dr Jakob Begun
Dr Nicholas Tutticci (BB)
Dr James Daveson (BB)
Dr Shamsui Islam (BB)
Dr Sunny Lee (BB)
Dr John Evans
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
48
Hypertension
Locations
•
Referral criteria
•
•
•
BP recordings
List of medications
Pathology test and X-rays relevant to the referral.
Specialists
PAH:
Prof. Michael Stowasser
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
49
Hypertonicity Clinic
Locations
•
Referral criteria
This clinic is a specialised medical and allied health run clinic created to assist inpatients and outpatients post brain
injury, who experience muscle tightness / hypertonicity as a major limitation to functional recovery, carer burden or
pain.
The Hypertonicity Clinic:
•
•
•
•
•
Assesses adult patients with Acquired Brain Injury (incl. CVA/Stroke) or Traumatic Brain Injury (TBI) from QLD
and Northern New South Wales.
Accepts appropriate referrals from a specialist consultant, GP or Allied Health staff.
Sees any patient deemed appropriate at the triage consultation.
Assesses any patients with muscle ‘tightness’ as major cause of functional limitation, pain or carer burden.
Requires patients to have suitable follow-up (medical and allied health) post intervention but this is not
necessary for the initial consultation.
Specialists
PAH:
Dr David Douglas (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
50
Immunology
Locations
•
Referral criteria
Note: If review is urgent, please contact the Immunology Registrar via the Princess Alexandra Hospital switchboard on
(07) 3176 2111.
Specialists
PAH:
Dr David Gillis
Dr Richard Wong
Dr Patrick Hogan (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
51
Infectious Diseases
Locations
•
•
•
•
Logan Hospital
Redland Hospital
Referral criteria
Specialists
Logan:
Dr Marjoree Sehu (BB)
Dr David Siebert (BB)
Dr Matthew Hawthorne
PAH:
Dr Geoffrey Playford (BB)
Dr David Looke (BB)
Dr Wendy Munckhof (BB)
Dr Naomi Runnegar (BB)
Dr Marjoree Sehu (BB)
Dr Cheryn Palmer (Sex
Health & HIV)
Dr David Siebert (Sex
Health)
QEII:
Dr David Looke (BB)
Redland:
Dr Naomi Runnegar (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
52
Maxillo-Facial
Locations
•
•
Logan Hospital
Referral criteria
•
•
Hard or electronic copies of imaging
Relevant microbiology/pathology
For Facial Fractures:
•
•
CT face
Contact registrar to arrange an outpatient appointment within 5-7 days
For Mandibular fractures:
•
OPG and PA mandible (plain films)
For Salivary Glands:
•
Sialogram or US or CT as indicated
For Skin Cancer (head/neck/face):
•
Any biopsy results
For Orthognathic cases or Facial Deformity:
•
•
•
OPG
PA ceph,
Lateral ceph (plain films)
For dental or bony pathology:
•
OPG
For TMJ:
•
•
OPG in open and closed mouth positions
TMJ plain films
Note: If possible all imaging should be uploaded to PACS. Alternatively hard copy or CD copy versions will be
accepted
Specialists
Logan:
Dr Matthew Hawthorne
Dr Richard Harris
Dr Jacob De Looze
PAH:
Dr David Theile (Director)
Dr Alistair Reid
Dr George Chu
Dr Anthony Crombie
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
53
Renal (Nephrology)
Locations
•
•
•
Logan Hospital
Redland Hospital
Referral criteria
•
•
•
•
•
ELFT (blood)
FBC
Urine albumin: creatine ratio
Relevant scan reports (e.g. renal ultrasound)
For transplant recipient: calcineurin inhibitor trough level (e.g. Tacrolimus or Cyclosporin level)
Specialists
Logan:
Dr Ken-Soon Tan (Director)
(BB)
Dr Elizabeth Jarvis (BB)
Dr Jeremy Frazier (BB)
Dr Richard Baer (BB)
PAH:
Prof. David Johnson (BB)
Dr Scott Campbell (BB)
Dr Carmel Hawley (BB)
Dr Nikky Isbel (BB)
Dr David Mudge (BB)
Dr Carolyn Van Eps (BB)
Dr Ross Francis (BB)
Dr Magid Fahim (BB)
Dr Yeoungjee Cho (BB)
Dr Michael Burke (BB)
Redland:
Dr David Mudge (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
54
Neurology
Locations
•
•
•
•
Logan Hospital
Redland Hospital
Referral criteria
•
•
•
•
•
•
Presence and duration of neurological symptoms
EEG
EMG
X-rays
nerve condition studies if relevant
CT scan results only if available
For Headaches:
•
ESR (A high ESR in an older person with systemic symptoms may indicate temporal arteritis. Such a patient
requires prompt assessment and treatment).
For First Seizure Clinic (Private Practice Clinic, PAH):
•
Named referral to Dr Michael Walsh
Specialists
Logan:
Dr Alexander Lehn (BB)
PAH:
Dr Helen Brown (BB)
Dr Simone Headrick
Dr Michael Walsh (BB)
Dr Caroline Airey (BB)
Dr Stefan Blum (BB)
Dr Alex Lehn (BB)
Dr Cullen O’Gorman (BB)
Dr Sasha Dioniso
Dr Nabeel Sheikh (Stroke)
(BB)
QEII:
Dr Helen Brown (BB)
Redland:
Dr Caroline Airey (BB) –
Currently on leave
Dr O’Gorman
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
55
Neurosurgery
Locations
•
Referral criteria
•
•
•
•
•
•
•
•
Presence and duration of neurological signs and symptoms
Work status
Weight loss / appetite / lethargy
Fever and sweats
CT scan and MRI results
Treatment to date
hHstory of malignant disease
General medical condition
For Pituitary Tumours:
Please refer in the first instance to Endocrinology.
•
Hormone levels including anterior pituitary function tests, PRL, cortisol, IGF1/GH, T4, FSH/LH Prolactin. CT
and MRI results
For Brain and Vascular Disorders:
For any malignant brain tumour please contact the on call registrar rather than refer to general neurosurgery clinic. The
patient will be reviewed urgently at brain tumour clinic.
•
Please obtain a CTA for Vascular disorders such as Aneurysm and patients must bring the scans with them to
appointment
For Brain Trauma:
•
Please include an up to date CT Scan
For Movement Disorders such as benign essential tremor, Parkinson disease and dystonia:
Please refer in the first instance to Neurology – the referral will be forwarded to Neurosurgery if appropriate for surgery.
For Trigeminal Neuralgia and other Cranial Nerve abnormalities:
•
•
Provide details of severity of pain and other symptoms to assist in triage of appointment (ability to eat/drink,
weight loss, triggers, maintenance of hygiene, CT)
Patients must bring scans
For Spine:
•
•
•
Plain film and CT/MRI, FBC, ELFT, ESR, rheumatoid serology in specific cases.
Any weakness, myelopathy or cauda equina signs must be documented so they may obtain urgent review
For any lumbar spondylolisthesis plain lateral standing films in flexion and extension are helpful in addition to
the CT/MRI
For Peripheral Nerves:
•
nerve conduction studies (all NCS referrals to Princess Alexandra Hospital Neurology Department) should be
completed prior to review
For Acoustic Neuromas:
•
CT and MRI results and hearing tests required. Please included size and neurology in referral.
Note: PAH also has a physiotherapist-led Specialised Spinal Physiotherapy Screening Clinic.
Continued over
56
Specialists
PAH:
Dr Bruce Hall (Chair)
Dr Jefferson Webster
Dr Richard Laherty
Dr Robert Campbell
Dr Sarah Olson
Dr Damian Amato
Dr Rumal Jayalath (BB)
Dr Ananthababu Sadasivan
(locum)
Dr Antonia Tsahtsarlis
Assoc/Prof Michael
Weidmann
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
57
Ophthalmology
Locations
•
•
Referral criteria
•
•
•
•
•
•
•
•
•
Past ocular history –trauma/operations
General medical history, e.g. diabetes, hypertension, asthma
Relevant psychosocial and social issues impacting on activities of daily living ,e.g. driving, work, leisure,
mobility
Any social support or if the patient lives alone
Note if the patient is a contact lens user
Visual acuity and best corrected visual acuity with glasses
Optometry report if available
Computerised perimetry results if available
If diabetic, indication of recent control of BSL e.g. HbA1c
Note: Referrals containing insufficient information or that are illegible will be returned to the Central Referral Hub. This
may result in delayed appointment/treatment for your patient.
Note: Patients are expected to be able to sit in an examination chair for Slit Lamp inspection of eyes. It needs to be
stated if this is not possible, so that other options are prepared.
Specialists
PAH:
Dr Phung Vu
(Chair)
Dr Andrew Apel
Dr Albert Aralar
Dr Russell Bach
Dr Mark Donaldson
Dr John Harrison
Dr Lily Ooi
Dr Andrew Smith
Dr Kate Slaughter
Dr Stephen Ohlrich
Dr Kevin Vandeleur
Dr Ken Hutchinson
Dr Alan Hilton
Dr Joshua Hann
Dr Judy Ku
Dr Michael Hogden (July
2016)
QEII:
Dr Oswald Rumbach
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
58
Orthopaedics
Locations
•
•
•
•
Logan Hospital
Redland Hospital
Referral criteria
•
•
•
•
•
•
X-ray, CT, EMG
For bone/joint pain (including shoulders): plain x-ray - 2 planes AP and lateral
For shoulders with rotator cuff tear: ultrasound results
For soft tissue swelling: ultrasound if diagnosis uncertain
For nerve entrapment: results of nerve conduction studies
For inflammatory disease: FBC, ESR, CRP, rheumatoid factor, ANA
Note:
•
•
All Orthopaedic Oncology should be directed to Princess Alexandra Hospital.
Spine Referrals should be directed to PAH and Logan
Sub-Specialties:
•
•
•
•
•
Orthopaedic Fracture Clinic
Upper Limb Clinics
Lower Limb Clinics
Spinal Clinics (PAH and Logan)
Orthopaedic Oncology Clinic (PAH)
Allied Health Screening Clinics:
•
•
Orthopaedic Physiotherapy Screening Clinics (Logan and PAH)
Orthopaedic Podiatry Triage Clinic (OPodTC)
Specialists
Logan:
Dr Iulian Nusem (Director)
(BB)
Dr Corrie Burger (BB)
Dr Abdullah Shamimudeen
(BB)
Dr Joerg Rhau
Dr Ian Cheung
Dr Nick Shortt
PAH:
Spine:
Dr John Albietz (BB)
Dr Dihan Aponso
Dr Ian Cheung
Dr Richard Williams
Dr Kate Campbell (BB)
Upper Limb:
Dr Ken Cutbush
Dr Ian Dickinson
Dr John North
Dr Steven Frederiksen
Dr Alok Jhamb (on LSL)
Dr Mark P Robinson (May
2016)
Dr Mark W Robinson
Dr Mark Ross
Dr Scott Sommerville
Dr Peter Steadman
Dr Benjamin Hope
Lower Limb:
Dr Cameron Cooke
(BB)(Director)
Dr Mark Dekkers (BB)
Dep Director
Dr Matthew Hope (BB)
Dr Doug KingDep Director
Dr Nicola Ward (BB)
(Dep Director)
PAH continued:
Dr Xenia Caney (Ortho
Med)
Tumour:
Dr Ian Dickinson
Dr Scott Somerville
Dr Peter Steadman
Redland:
Dr Robert Din
Dr Corrie Burger
Dr Shyan Goh
Dr Nick Shortt
Dr Robert Ivers
Trauma:
Prof Michael Schuetz
Plastics:
Dr Michael Wagels
Dr Shireen Senewiratne
QEII:
Dr Christopher Bell
(Director) (BB)
Dr Phil Dalton
Dr Tyson Doneley
Dr Prue Fitzpatrick
Dr Peter Johnstone
Dr Ross Kennedy
Dr Gary Nielsen
Dr Glenn Davies
Dr Dale Rimmington
59
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
60
Occupational Therapy – Driving Assessment
Locations
•
•
•
Community clinics
Referral criteria
The Occupational Therapy driving assessment and rehabilitation service will:
•
•
•
Provide Occupational Therapy Driving assessments in manual or automatic cars.
Facilitate Occupational Therapy Driving Rehabilitation programs in cars.
Prescription of car modifications.
Referrals are accepted from any health professional on the condition the referral has a doctor’s signature to medically
clear a patient to complete the Occupational Therapy Driving Assessment.
Note: A client cannot be accepted for an occupational therapy driving assessment if any of the following apply:
•
Doctor has not signed the referral form to state the Client is medically fit to undertake the assessment, or
•
Heavy vehicles referrals
•
Motor cycles referrals
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
61
Occupational Therapy – Hand Clinic (QEII/Redland)
Locations
•
•
•
Redland Hospital
Referral criteria
Please include:
•
•
•
•
•
•
•
•
•
•
•
Patient details : Name, DOB, postal address, phone number(s)
Referring doctor’s / therapist’s details
Any interpreter requirements
Medical diagnosis
Reason for referral
History of present complaint (including duration of symptoms)
Relevant medical / surgical history
Current medications
Results of investigations (x-rays, pathology etc.)
Previous treatment for condition referred for including outcome.
Any restrictions / limitations to treatment e.g.: precautions, ROM restrictions.
When indicated:
•
•
Operation notes
Post-operative instructions / protocol
Note: For QEII Hospital, no paediatric clients (under 14 years old) are accepted. Redland Hospital accepts paediatric
clients.
Note: Shoulder injuries are excluded.
Note: Clients in the Logan and Beaudesert areas should be referred to the Logan Hospital Hand Elbow Wrist Therapy
Clinic (see p. 61).
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
62
Occupational Therapy/Physiotherapy – Hand Elbow
Wrist Therapy Clinic (Logan/Beaudesert)
Locations
•
•
Beaudesert Hospital
Logan Hospital
Referral criteria
Please include:
•
•
•
•
Medical diagnosis
•
Reason for referral
•
•
•
Current medications
•
•
•
Results of investigations (x-rays, pathology etc.)
Any restrictions / limitations to treatment e.g.: precautions, ROM restrictions.
When indicated:
•
•
Operation notes
Note: Logan Hospital accepts referrals for all paediatric musculoskeletal conditions providing the patient has no, or is
not at risk of, neurodevelopmental delay requiring specialist paediatric intervention.
Note: Chronic conditions > 6 months duration are not accepted, unless the patient has received some active medical
intervention, e.g. surgery or injection therapy.
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
63
Occupational Therapy – Lymphoedema Service
Locations
•
•
•
Redland Hospital
Referral criteria
•
•
•
Cancer diagnosis
Previous/ current cancer treatment
Previous/ current lymphoedema treatment.
Eligibility criteria:
•
•
Have lymphoedema:
 Have a previous diagnosis of cancer
 Have had cancer treatment or cancer affecting the area of swelling. For example:
 Breast cancer with an axillary clearance to the right axilla with lymphoedema in the right arm or
breast
 Melanoma to the left leg with radiotherapy to the left groin with lymphoedema in the left leg
 SCC removed from the right leg with lymphoedema in the left arm
 Bilateral leg lymphoedema, removal of BCC to face
Are a patient of Metro South Hospital and Health Service
 Reside in Metro South catchment, or
 Have undergone cancer treatment at Princess Alexandra Hospital within the past 6 months.
 Not in Redlands/Wynnum catchment
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
64
Occupational Therapy – Vascular Therapy Clinic
Locations
•
•
•
Community clinics
Referral criteria
Please include:
•
•
•
•
•
•
•
•
•
•
•
•
Doppler/ABPI results should accompany referral or a referral for these investigations is preferred.
Medical diagnosis
Reason for referral (if for garment prescription to include mmHg rating and preferred length)
Current medications
Results of investigations (x-rays, pathology etc)
Any restrictions / limitations to treatment eg: precautions, ROM restrictions.
Note: PAH does not provide vascular service for non-cancer patients.
Note: QEII accepts referrals for peripheral oedema management and post-DVT management. Does not provide ulcer
management or lymphedema management. Medical officer referral only.
Note: Redland and Wynnum does not provide vascular service by Occupational Therapy. A Physiotherapy vascular
service is available in the community.
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
65
Paediatrics
Locations
•
•
•
Beaudesert Hospital
Logan Hospital
Redland Hospital
Referral criteria
If relevant:
•
•
•
Relevant Medical/Surgical History – Standard history plus include any antenatal or perinatal factors such as
drug/alcohol exposure, pre-term delivery or low birth weight
Recent Investigations –Please summarise basic audiometry and vision test reports. Organise these to be
completed if not already.
Relevant Social History – indicate parental relationship issues, mental illness, substance abuse or disability;
family in crisis; Child Protection/DOCS involvement; literacy/language considerations for parent/carer or other
relevant information.
For Paediatric Development (Logan and Redland Hospitals):
•
•
Under 5 years of age and currently not attending Prep
Chronic ongoing conditions with medical needs or significant delays in two or more developmental domains
(Fine motor; Gross motor; Social/Emotional; Language and Cognitive) – most likely Intellectual Impairment.
Failure to Thrive Referrals (FTT):
•
All available weights including birth weight need to be recorded. Include a copy of the growth chart and if
possible head circumference and length measurements ideally in a chart format.
Note: For Logan Hospital: General Paediatrics up to 16 years of age. Referrals for Paediatric Surgery should be
directed to the Department of Surgery. Referrals for Paediatric ENT should be directed to the Department of ENT.
Note: For Redland Hospital: General Paediatric, paediatric respiratory, and paediatric private practice clinics, up to 16
years old. No paediatric surgical or ENT services.
Specialists
Beaudesert
Dr Ryan Mills (BB)
Logan:
Dr Jan Cullen (Director)
(BB)
Redland:
Dr Vishal Kapoor (Director)
(BB)
Dr Shivanand
Hebbandi (BB)
Dr Haseena Mohamed
(BB)
Dr Jagriat Nayak (BB)
Dr Gregory Pallas
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
66
Palliative Care
Locations
•
•
•
•
•
•
•
Beaudesert Hospital
Logan Hospital
Redland Hospital
Community clinics / home visits
Referral criteria
•
•
Please triage the urgency for the patient according to the following categories:
o Urgent – needs to be contacted within 24 hours
o Priority – needs to be contacted within 3 days
o Routine – needs to be contacted within 7 days
All referrals are reviewed by the nurse daily and the Palliative Care Service can visit at home if the patient is
too ill to attend the clinic.
Due to the acute urgency of some palliative care patients, referrals must be sent direct to the treating site. All
contact numbers are:
Logan Community Centre
Phone: 3089 2070
Fax: 3089 2090
Redland Hospital & Wynnum
Health Service
Phone: 3488 3693
Fax: 3488 3650
Brisbane South Centre (Corinda) &
Residential Aged Care Facilities
Phone: 3710 2201
Fax: 3710 2230
Specialists
Logan:
Dr Clive Eakin (BB)
Redland:
Dr Therese Engeler (BB)
QEII:
Dr Greg Parker(Director)
(BB)
Dr Shelley Goodson (BB)
Corinda:
Prof. Liz Reymond (Deputy
Director MS Pall Care)
(BB)
Dr Greg Parker
(Director MS Pall Care)
(BB)
Dr Clive Eakin (BB)
Dr Mark Deuble (PAH)
Beaudesert:
Dr Clive Eakin (BB)
67
Persistent Pain Management
Locations
•
•
Community clinic
Referral criteria
•
Reason for referral
•
History of patient’s pain condition e.g. when/how did it start and pain characteristics such as dull, radiating,
burning or stabbing pain
•
Investigations undertaken, copies of relevant investigations and specialist reports
•
Medications, dosage and adverse reactions
•
Previous treatment to include allied health treatment, other procedures, surgery, pain specialist procedures
Note: The geographical area covered by the Persistent Pain Management Service (PPMS) is broader than Metro
South as it includes suburbs within West Moreton District. Please refer to the Central Referral Hub for more
information.
Other Queensland persistent pain management services
•
The Professor Tess Cramond Multidisciplinary Pain Centre
Level 4, Dr James Mayne Building, The Royal Brisbane and Women’s Hospital, Herston Qld 4029
Phone: (07) 3646 6141 Fax (07) 3646 6142
•
Gold Coast Persistent Pain Management Service
Suite 3, Campus Alpha, 2 Investigator Drive, Robina Qld 4226
Phone: (07) 5668 6825 Fax: (07) 5680 9539
•
Sunshine Coast Persistent Pain Management Service
6-8 Waterfall Road, Nambour Qld 4560
Phone: (07) 5470 6785 Fax: (07) 5370 3587
•
North Queensland Persistent Pain Management Service
Medilink Retail Building, 2nd Floor,The Townsville Hospital, 100 Angus Smith Drive, Douglas Qld 4810 PO
Box 670 Townsville Qld 4810
Phone: (07) 4433 2218 Fax: (07) 4433 2223
Specialists
PAH:
Dr Aston Wan (Director)
(BB)
Dr Joann Rotherham (BB)
Dr Geraldine Chew (BB)
Dr Leah Goodwin (BB)
Dr Damien Daniel
Continued over
68
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
69
Physiotherapy – Continence and Women’s Health
Clinic
Locations
•
•
•
•
Beaudesert Hospital
Logan Hospital
Redland Hospital
Referral criteria
Please include:
•
•
•
•
•
•
•
•
•
•
•
Name
Date of birth
Address
Contact number
Reason for referral
Length of time of the condition/symptoms
Any significant investigations
Any medications
Any plans for adjunctive services/surgical input/investigations
Referring clinician’s clinical assessment
Social history
Specific hospital intake criteria:
Logan Hospital:
•
Female adults only
Beaudesert Hospital:
•
•
•
•
•
•
Maternity services only
Female adults only
Nil Pregnancy related Musculoskeletal pain (pre or post natal).
Not for pelvic floor dysfunction (incontinence, pelvic organ prolapse, post gynaecological surgery, post
gynaecological surgery and pelvic pain conditions.)
Nil post mastectomy and axillary node or lymphoedema services
Nil obstetric anal sphincter injuries
QEII Hospital:
•
Nil Paediatric services
Redlands Hospital:
•
Female adult patients only
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
70
Physiotherapy – Musculoskeletal Clinic
Locations
•
•
•
•
•
•
•
Beaudesert Hospital
Logan Hospital
Redland Hospital
Community clinics
Referral criteria
Please include:
•
•
•
•
•
•
•
•
•
•
•
Patient details: Name, DOB, postal address, phone number(s)
Referring doctor’s / physiotherapist’s details
Medical diagnosis
Reason for referral
Current medications
Results of investigations (x-rays, USS, pathology etc)
Previous treatment for condition referred for including outcome
Any restrictions / limitations to treatment e.g. WB status, precautions, ROM restrictions
When indicated:
•
•
Operation notes
Post operative instructions / protocol
Age eligibility:
•
•
•
QEII, Redland and Wynnum accept referrals for patients aged 12 years or older.
PAH accepts referrals for patients aged 16 years or older.
Logan and Beaudesert accept referrals for all paediatric musculoskeletal conditions providing the patient has
no, or is not at risk of neurodevelopmental delay requiring specialist paediatric intervention.
Logan Hospital chronic referrals:
•
•
•
Chronic conditions > 6 months duration are not accepted, unless the patient has received some active
medical intervention, eg. surgery or injection therapy.
A pre-operative trial of physiotherapy or pre-operative strengthening programme is also eligible.
All chronic paediatric (under 18 years old) musculoskeletal referrals are accepted.
Logan Hospital hand therapy:
•
Inter hospital referrals for hand therapy conditions are currently not accepted at Logan currently unless the
medical follow care is transferred also.
Respiratory conditions:
Referrals for respiratory conditions accepted and treated within musculoskeletal outpatients at:
•
•
PAH
Redland and Wynnum
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
71
Physiotherapy – Oncology Clinic
Locations
•
•
•
•
Redland Hospital
Referral criteria
Please include:
•
•
•
•
•
•
•
•
•
•
•
Medical diagnosis
Reason for referral
Current medications
Results of investigations (x-rays, USS, pathology etc)
Previous treatment for condition referred for including outcome
Any restrictions / limitations to treatment e.g. WB status, precautions, ROM restrictions
When indicated:
•
•
Operation notes
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
72
Physiotherapy – Rehabilitation Clinic
Locations
•
•
Redland Hospital
Referral criteria
Please include:
•
•
•
•
•
•
•
•
•
•
•
•
Medical diagnosis
Reason for referral
Current medications
Results of investigations (including x-rays, pathology)
Functional mobility statue
Falls history: frequency, circumstance, injuries
Social history: community services, family support, mode of transport
When indicated:
•
•
Operation notes
Note: PAH and Redland Physiotherapy Rehabilitation services accept referrals for patients 17 years or older.
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
73
Plastic Surgery
Locations
•
•
Redland Hospital
Referral criteria
•
•
•
For Skin Lesions: biopsy results, details of site and size of the lesion
For Chronic sores and ulcers: include photo as appropriate
Congenital or acquired deformities: attach a photo as appropriate
Note: Plastic surgery referrals for Hand Surgery are categorised separately through the Orthopaedic Outpatient
department (Dr Senewiratne)
Note: Spinal Cord Injury: are triaged in plastics but seen in a Spinal Injuries clinic only if a previous patient of the
Queensland Spinal Cord Injury Service.
Note: Benign cysts and lumps on trunk and limbs AND Benign moles not on face can be redirected to General Surgery
if shorter waiting time.
Specialists
PAH:
Dr David Theile Jnr
(Chair) (BB)
Dr Daniel Rowe
Dr Paul Belt
Dr Theo Birch
Dr Shireen Senewiratne
Dr Lily Vrtik
Dr James Emmett
Dr Gerard Bayley
Dr Michael Wagels
Dr Sam Yang
Redland:
Melanoma Clinic:
Dr Gerard Bayley
Dr Mark Smithers
Dr Andrew Barbour
Dr Sam Yang
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
74
Prosthetic/Orthotic and Podiatry
Locations
•
Referral criteria
Prosthetic/Orthotic Service:
Services are available primarily to residents of the Metro South Health catchment. This service is available to patients
referred from all Queensland health services, General Practitioners or Medical Specialists.
Podiatry Service:
This service treats outpatients identified with ’acute complications’ primarily of the Metro south Health catchment. This
service is available to patients referred from all Queensland health services, General Practitioners, Medical Specialists
and Podiatrists.
Eligibility for podiatry services is based on the risk classification outlined below:
Category
Indications
Waiting period
1
Acute complication—current foot ulcer with
or without infection; charcot / neurathropathic
joint; dry gangrene; acute ischaemia
< 2 weeks
4
Low risk foot
Not eligible
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
75
Radiation Oncology
Locations
•
Referral criteria
•
•
•
•
Scan and x-ray results
Histology
Operative reports
Previous radiation treatment
Specialists
PAH:
Dr Bryan Burmeister (BB)
Dr Margot Lehman (BB)
Dr Jennifer Harvey (BB)
Dr Sandro Porceddu (BB)
Dr Tao Mai (BB)
Dr Matthew Foote (BB)
Dr David Pryor (BB)
Dr Andrew Puller (BB)
Dr Mark Pinkham (BB)
Mater:
Dr Brigid Hickey (BB)
Dr Guy Bryant (BB)
Dr Jonathan Ramsay (BB)
Dr Judith Cox (BB)
Dr Kumar Gogna (BB)
Dr Maria Peres (BB)
Dr Michael Poulsen (BB)
Dr Robyn Cheuk (BB)
Dr Samantha Barbour (BB)
Dr Tanya Holt (BB)
Dr Tiffany Daly (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
76
Rehabilitation Medicine
Locations
•
Logan Hospital
Referral criteria
•
•
•
•
•
•
•
•
•
•
•
•
Adults aged over 18 years usually with cognitive impairment and/or physical disability
Functional problems requiring assessment for rehabilitation management
Difficulty with activities of daily living with potential for improvement with therapeutic intervention from a
specialised multidisciplinary team
Resident in the community
Medical history
Current living arrangements
Community services currently in place
CT scan films
Recent results: FBC, E/LFT, B12, folate, TSH, MSU
Medication list
Home access issues
Name and contact details of patient’s carer
Note:
Patients should:
•
•
•
•
•
Bring all usual medications
Wear usual footwear
Bring usual walking aids/spectacles/hearing aids
Be accompanied by usual carer (if applicable)
A referral letter from their general practitioner
Conditions not seen:
•
•
•
Acute medical conditions which would be safer managed in medical specialist clinics or ED such as acute
coronary syndrome or cerebrovascular accidents
Fitness to drive assessment
Work Cover claims/assessments
Specialists
Logan:
Dr Leslie Gan
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
77
Respiratory
Locations
•
•
•
•
Logan Hospital
Redland Hospital
Referral criteria
•
•
•
Degree of functional impairment i.e. the degree that the presenting problem is affecting activities of daily living,
e.g. breathlessness
The information provided to the patient (if possible), e.g. possible lung cancer diagnosis
X-ray and CT scan reports (most important for suspected malignancy)
Additional valuable information for triage:
•
•
•
Recent pathology - FBC, E/LFT, ABGs if applicable; and any recent results of specific tests, e.g. pertussis,
legionella, mycoplasma
Smoking history
Spirometry (only if available)
Note: Patients are required to bring any radiology images with them to the appointment
Specialists
Logan:
Dr Khoa Tran (BB)
Dr Veenu Mubarak (BB)
Dr Timothy Ryder (BB)
PAH:
Dr Craig Hukins (BB)
Dr John Upham (BB)
Dr Theron Sather (BB)
Dr Geoff Eather (BB)
Dr Greg Keir (BB)
Dr Michelle Murphy (BB)
Dr Michael Fanning (BB)
Dr Aalia Thasneem
QEII:
Dr Gregory Keir (BB)
Redland:
Dr Tim Ryder (BB)
Dr Seneviratna
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
78
Rheumatology
Locations
•
•
Referral criteria
•
•
•
•
ESR
CRP
FBC
E/LFT
For Ankylosing Spondylitis:
•
•
Family History, Nature of backpain & Xray Pelvis
FBC, ESR/CRP, E/LFT, HLA - B27
If Clinically appropriate:
•
•
•
Rheumatoid Factor and anti-CCP antibodies
CCP antibodies / ANA / DNA / ENA
CK & Urinalysis
Specialists
PAH:
Dr Chin Soon Ng (BB)
Dr Rajeny Thomas
Dr Martin Devereaux
Dr Phillip Vecchio (BB)
Dr Peter Lansberg
Dr Helen Benham (BB)
Dr Louise McCormack
QEII:
Dr Louise McCormack
Ankylosing Spondylitis:
Prof Matthew Brown
Dr Sateesh
Shankaranarayana
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
79
Sexual Health
Locations
•
•
Logan Hospital
Referral criteria
Note: A referral is not necessary, however conditions requiring immediate treatment are to be faxed immediately to
Sexual Health on (07) 3176 5540.
Specialists
Logan:
Dr Cheryn Palmer
PAH:
Dr Cheryn Palmer (HIV)
Dr David Seibert
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
80
Sleep Disorders
Locations
•
Referral criteria
•
•
•
Patient’s current occupation
Details of any driving impairment related to sleep symptoms
Full results of all previous sleep investigations
Note: Referrals should be made on the specific Sleep Disorders Centre Referral Form (available on request from the
Central Referral Hub).
Specialists
PAH:
Dr Craig Hukins (BB)
Dr Geoff Eather (BB)
Dr Greg Keir (BB)
Dr Michelle Murphy (BB)
Dr Khoa Tran (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
81
Speech Pathology
Locations
•
•
•
•
•
•
Beaudesert Hospital
Logan Hospital
Redland Hospital
Referral criteria
Details required on the referral should include:
•
•
•
•
•
•
•
•
Patient’s full name and address
Telephone contact number – home and mobile (if available)
DOB
Relevant hospital UR numbers
Preferred language and interpreter requirement (desirable if ESL)
Medicare number
Referring practitioners full name, address, phone contact, provider number, signature
Date of referral
Relevant information relating to the patient’s condition:
•
•
•
•
•
•
•
•
Reason for referral
Presenting symptoms (evolution and duration)
Diagnosis
Details of previous interventions & treatments pertaining to presenting condition, (eg Ba swallows, modified
barium swallows)
Details of medical/surgical history
Current medications
In the case of Referral for Voice/Dysphonia – mandatory requirement for ENT review prior to speech
pathology assessment
Other referrals made to allied health clinicians, community services and ,relevant specialists
Relevant information relating to psychosocial elements impacting on or relating to current condition:
•
•
•
•
•
Employment
Education
Home
ADL’s
Other functional impact on life
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
82
Spinal Cord Injury (Paraplegia and Tetraplegia)
Locations
•
Referral criteria
•
•
•
•
•
•
•
Level of spinal cord injury
Date of spinal cord injury
Co-morbidities and status of conditions
Bladder management (spontaneous, IDC, SPC, CISC, other)
Bowel management (relevant aperients)
Medication list
Any relevant medical history
Eligibility:
•
•
•
Adult patients with spinal cord damage from traumatic and non-traumatic causes
Cauda equine syndrome
Adult spina bifida
Plastics clinic eligibility:
•
•
Existing patients of Spinal Injuries Service
Must have had a prior review in a general clinic
Note: Only people with neurological impairment are seen at this clinic. Patients with back pain and disc disease should
be referred to Orthopaedic/Neurosurgery Spinal clinics.
Note: Acute spinal cord problems such as autonomic dysreflexia/sepsis should be referred to the nearest emergency
department.
Specialists
PAH:
Dr Sridhar Atresh (BB)
Dr Timothy Geraghty (BB)
Dr Susan Urquhart (BB)
Dr Melvin Malte (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
83
Social Work (Sexual Assault Response/Beaudesert
Hospital)
Locations
•
•
Beaudesert Hospital
Logan Hospital (Sexual Assault Response Team only)
Referral criteria
Sexual Assault Response Team (SART) will accept referrals, including self-referral, for this service if:
•
•
•
•
Sexually assaulted within the last two years
14 years and over
Male or female
Live within Metro South’s catchment area.
Note: Referrals for under 14 year olds should be made to Dept of Child Safety (DOCS):
•
•
During business hours: Phone 1300 682 254
After hours or on weekends: Phone 1800 177 135 or 3235 9999
Whilst SART is based at Logan Hospital, appointments can be arranged at other health facilities within Metro South.
Referrals from the Police Support Link and Metro North Health Service will continue to go directly to SART as these
referrals require a response within 48 hours as per MOU.
Beaudesert Hospital will accept referrals from general practitioners, other health professionals and self-referrals
relating to health. Inclusion for this service would be:
•
•
•
•
•
•
•
•
•
•
•
Adjustment to illness
Loss and grief
Linking into appropriate services for:
Domestic violence
Sexual assault
Substance Abuse
Homelessness
Practical issues
Emergency relief
Advocating to government and non-government agencies
Support with transition from home to residential aged care facilities
Note: Social work services at other hospitals are only available for internal referrals.
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
84
Stomal Therapy and Wound Consultancy (Nurse Led)
Locations
•
•
•
Logan Hospital
Referral criteria
•
•
•
•
•
•
•
Medical history
Medication list
Pathology results eg. Biopsies/swabs
Current wound care regimen
Xray/Doppler/ultrasound reports
Duration of wound
If for stoma:
o Surgical history
o Type of stoma if known
Note: Please phone to arrange an appointment. Urgent cases are seen on the day of referral where possible.
Note: QEII Hospital runs an inpatient service however referrers can also refer to the Emergency Department and the
Stomal Therapist with review the patient.
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
85
Thoracic Surgery
Locations
•
Referral criteria
•
•
•
•
chest x-ray
U&E’s/LFT’s
ECG
FBC
Specialists
PAH:
Dr Wingchi Lo (BB)
Dr Christopher Cole (BB)
Dr Masashi Ura (BB)
Dr Julie Mundy (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
86
Urology
Locations
•
•
•
Redland Hospital
Referral criteria
Please include all of the general referral criteria listed on page 9, and the results of the following relevant investigations:
Bladder outlet obstruction / LUTS:
•
•
•
MSU for MCS
ELFT’s, FBC
Desirable information:
o Cytology x 3 for urgency/frequency
o Renal USS with residual
o Pharmacological history
Elevated PSA / prostate disease:
•
•
PSA results
o MSU for MCS
o ELFT’s
o FBC
o Medical / surgical history
o Family history
Incontinence:
•
•
•
MSU for MCS
ELFT’s
o Residual volumes (USS)
o Time and volume chart
o Medical / surgical / social history
Macroscopic haematuria:
•
•
•
MSU for MCS, cytology
ELFT’s,
CT: non-CON, CON, delayed excretory or any available imaging
Note: CT to be performed only if patient has normal creatinine EGFR >60 If <60 Renal USS and KUB should be
conducted as an alternative
Microscopic haematuria:
•
•
< 50 non-smokers: MSU for MCS, cytology renal USS + KUB
all others: MSU for MCS, cytology x3, ELFT’s, CT: non-CON, PV Con, delayed excretory
Note: CT to be performed only if patient has EGFR >60. If <60 Renal USS and KUB should be arranged
Penile cancer:
•
•
•
•
•
No minimum information requirements
MSU for MCS, Cytology x 3
Urethral swab
Sexual health history
Medical /surgical history
Penile discharge:
•
•
•
Consider redirecting referral to Sexual Health
Urine PCR for NG/Chlamydia
Sexual health history
Continued over
87
Erectile dysfunction:
•
Medical / surgical history/ medication list
Renal / staghorn calculi :
•
•
•
MSU for MCS
ELFT’s, FBC
KUB + non-contrast CT
Ureteric stones:
•
•
•
MSU for MCS
ELFT’s, FBC
KUB + non-contrast CT or any available imaging
Please repeat KUB (if visible on plain film) or CT2/52 after first presentation or 1/52 prior to appointment to confirm
stone is still present
Renal lesions / Complex cysts:
•
•
•
•
•
•
•
MSU for MCS
FBS
ELFT’s
CRP
Renal USS
Cytology
Triple phase CT (if solid lesion or suggested by USS)
Urethral stricture:
•
•
•
•
MSU for MCS
Renal USS with residual
Surgical / medical history
Ascending and descending urethrogram
Urinary tract infection:
•
•
•
•
MSU for MCS
Previous MSU results
Renal tract USS with post void residual
Pharmacological history
Testicular tumour / mass:
•
•
•
•
•
•
•
MSU for MCS
ELFT’s
FBC
Alfafetoprotein (aFP)
B-hCG, LDH
USS testes, CXR
Medical / family history
Specialists
PAH:
Dr Simon Wood (Director)
(BB)
Dr Eric Chung
Dr Greg Malone
Dr Ian Vela (BB)
Dr Peter Heathcote
Dr John Preston
Dr Handoo Rhee
Dr Malcolm Lawson (BB)
Dr Janelle MunnsDr Peter
Mactaggart (Urol Spinal)
Urology/Surgical:
Dr David Gotley
Dr Iain Thomson (BB)
Urology/Spinal:
Dr Peter Mactaggart
QEII:
Dr Jason Paterdis(Director)
(BB)
Dr Andrew Hadley
Dr Peter MacTaggart (BB)
Dr Malcolm Lawson
Dr Hans Goosen
Dr Roger Hinsch
Dr Peter Burke
Dr Handoo Rhee
Dr Anthony Kiosoglous
Redland:
Dr Ian Vela (BB)
Dr Preston
CNC Continence Advisor:
Colleen Marsh
88
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
89
Vascular Medicine and Wound Clinic
Locations
•
Referral criteria
For Vascular Medicine Clinic:
•
•
•
•
•
Referral to include:
o History & comorbities (diabetes, thyroid disease, CAD, PAD, CVA/TIA, renal disease, smoker)
o Current medications with dosage
For Thromboembolism:
o US assessment for DVT
o CTPA for PE
For Hypertension:
o Home or 24-hour BP monitoring
o Secondary HTN: renal artery stenosis screening, cortisols, rennin/aldosterson, urinary
catecholamines
For Renovascular disease:
o BP measurement
o Recommended tests: Renal Artery Duplex US, CTA, Lipids, glucose, creatinine, electrolytes
For Claudication:
o Cardiovascular risk factors
o Recommended tests: Ankle-brachial index, Duplex US, CT angiography
Nurse-Led Venous Leg Ulcer Wound Clinic:
Only venous leg ulcers are to be referred to the nurse led wound clinic.
Prior to triage the patient must have:
•
•
•
Been assessed by either a vascular surgeon or vascular physician to be the medical officer that the patient is
under
a duplex scan determining that there is no arterial disease
Ankle brachial index of 0.8 -1.2
PAH Allied Health Lymphoedema Clinic:
•
Refer to Occupational Therapy Lymphoedema guidelines on p. 62.
Specialists
PAH:
Dr Andrew McCann (BB)
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
90
Vascular Surgery
Locations
•
Referral criteria
Conditions not seen: Uncomplicated varicose veins
Please include all of the general referral criteria listed on page 9, and
•
Any relevant investigations that have been performed eg CT scan
•
Details of investigations especially CT scans, MR Scans, duplex US studies
Specialists
PAH:
Dr John Quinn (Director)
(BB)
Dr Tim McGahan
Dr Toby Cohen
Dr Andrew Cartmill
Dr Peter Hansen
Dr Juanita Muller
Send referral to
Phone: 1300 364 155
Fax: 1300 364 248
Secure e-Transfer
91
92
Metro South Addiction and Mental Health Services
Metro South Addiction and Mental Health Services offers community, inpatient and acute care services which may be
undertaken in the client’s home, in GP surgeries or in emergency departments.
Services are provided for all age groups across a range of programs from child and youth, to adult, to older persons, to
specialist programs.
Contact information / referrals
For more information and referrals, please contact one of the following telephone numbers.
•
•
•
•
1300 MH Call: 1300 64 22 55
Bayside Mental Health Service: (07) 3825 6000
Logan-Beaudesert Mental Health Service: (07) 3089 2176
Princess Alexandra Mental Health Service: 1300 858 998.
Other helpful numbers
•
•
•
•
Alcohol & Drug information services (24 hours): 1800 177 833
Homeless Persons Information Queensland Housing advice and support: 1800 47 47 53
Suicide-call back service (free telephone counselling): 1300 659 467
After Hours Suicide Support Service: 1800 859 585
93
Acute Care Teams (ACT)
Profile
The Acute Care Teams provide the point of access to the public mental health service for individuals with acute
mental health illness.
•
•
•
•
•
•
accept referrals into the service (from both self and others),
gather information from individuals
provide mental health assessments and treatments
coordinate admissions to mental health inpatient units
refer the individual, carer and family to the appropriate service providers both within and outside the mental
health service
provides an after-hours/24 hour service for all mental health community teams.
Any individual (between 18 and 65 years of age) that may be presenting with acute mental health signs and
symptoms.
Following triage the team will determine the service response time and the most suitable pathway of care. This may
include contact within 24 hours or notification of a scheduled appointment for assessment, and development of a
management plan.
For individuals with an acute mental health crisis, service provision is prioritised in collaboration with emergency
services as the need for service and urgency is established.
Contact
For new and existing consumers:
•
•
•
Cleveland: 3825 6000
Logan-Beaudesert: 3299 2176
Woolloongabba: 1300 858 998
94
Mood Academic Clinical Unit (ACU)
Profile
The Mood ACU provides specialist assessment and treatment for consumers between 18 and 65 years of age who
experience severe and complex disorders of mood, anxiety and personality. Community and inpatient services are
available according to consumer and family assessment of needs.
All new referrals are to be directed to the local Acute Care Team who determines the appropriate pathway for the
individual.
Appropriate referrals will then be made to the Mood ACU for the ongoing support and treatment of individuals
presenting with a mood disorder.
Information provided at the time of referral, in consultation with the Mood ACU will determine the service response
time.
Contact
For new consumers:
•
•
•
For existing consumers:
•
•
•
•
•
•
•
Beenleigh: 3827 9855
Browns Plains: 3412 3200
Inala: 3714 1555
Logan Central: 3290 8999
Macgregor: 3167 8311
Woolloongabba: 3176 1009
95
Psychosis Academic Clinical Unit (ACU)
Profile
The Psychosis ACU provides specialist assessment and treatment for consumers between 18 and 65 years of age
who experience psychosis, schizophrenia and other psychotic disorders.
Community and inpatient services are available that cater to the needs of the consumer and their carers that include
the family.
All new referrals are to be directed to the local Acute Care Team that will determine which is the appropriate pathway
for the individual.
Appropriate referrals will then be made to the Psychosis ACU for the ongoing support and treatment of individuals
presenting with symptoms of psychosis.
Information provided at the time of referral, in consultation with the Mood ACU will determine the service response
time.
Contact
For new consumers:
•
•
•
•
•
•
•
•
•
•
Beenleigh: 3827 9855
Browns Plains: 3412 3200
Inala: 3714 1555
Macgregor: 3167 8311
96
Rehabilitation Academic Clinical Unit (ACU)
Profile
The Rehabilitation ACU is a highly responsive, assertive recovery orientated multidisciplinary service, aimed at
improving functional outcomes for consumers who are between 18 and 65 years of age with a mental illness and
would benefit from a specialised rehabilitation service.
This service focuses on mental health rehabilitation with an explicit belief that people can and do recovery from mental
illness.
All new referrals are to be directed to the local Acute Care Team that will determine which is the appropriate pathway
for the individual.
Appropriate referrals typically will be made to the Rehabilitation ACU, from another Academic Clinical Unit within Metro
South Addiction and Mental Health Services.
Contact
For new consumers:
•
•
•
•
Community Care Unit Coorparoo: 3727 7200
•
Mobile Intensive Rehabilitation Teams:
o Logan: 3089 4030
o Macgregor: 3167 8430
•
Early Psychosis Service: 3167 8444
•
Transitional Housing Team: 3339 4646
97
Resource and Access Services Academic Clinical Unit
(ACU)
Profile
The Resource and Access Services ACU, as well as providing Acute Care Services, can offer access to a further range
of supports and programs.
Acute Care Team
Refer to above section
Recovery, Resources and Partnership Team (RRPT)
These teams are engaged in a wide array of activities aimed at improving consumer’s mental health and their access to
other health and community services through strengthening the partnerships between the Mental Health Service and
community based services.
Homeless Health Outreach Team (HHOT)
HHOT is a multidisciplinary team providing a health service to people within the Logan-Beaudesert region who are
experiencing homelessness, mental health issues and substance misuse issues.
Alternatives to Admission/Hospitalisation
Alternatives to Admission/Hospitalisation provides safe, sub-acute alternatives to care for people who are experiencing
severe and acute mental health illness who would otherwise be likely to require admission or increased hospital stay.
For information about how to access any of these programs please contact our numbers listed for the individual teams.
Contact
•
•
•
•
Acute Care Teams (ACT):
o Cleveland: 3825 6000
o Logan-Beaudesert: 3299 8552
o Woolloongabba: 1300 858 998
Recovery, Resource and Partnership Teams (RRPT):
o Logan-Beaudesert: 3089 4130
o Woolloongabba: 1300 858 998
Homeless Health Outreach Team (HHOT): 3089 4020
Alternatives to Admission/Hospitalisation:
o Upper Mt Gravatt: 3339 4646
o Logan: 3089 4130
98
Consultation Liaison Psychiatry Services Academic
Clinical Unit (ACU)
Profile
Consultation Liaison and Psychiatry Services (CLPS) Academic Clinical Unit (ACU) are specialised mental health
teams who provide comprehensive mental health specialist assessment, feedback and brief intervention to
adult inpatients of the general hospital. The CLPS team assists the medical treating staff by providing diagnostic,
management and referral advice for their patients who are suffering from a mental health illness or disorder or
psychological distress.
Any patient admitted to a medical or surgical ward of the Metro South Health Service can be referred to the CLPS
ACU by a medical staff member from the treating medical team for an assessment of significant mental health
problems.
All referrals to the CLPS ACU undergo a triage process to assess acuity and risk of harm to self and others.
Contact
•
3176 2831 (all sites: Princess Alexandra Hospital, Logan Hospital and Redland Hospital)
99
Addiction Academic Clinical Unit (ACU)
Profile
The Addiction ACU strives to achieve a specialist service, within a harm minimisation policy with a “no wrong door”
philosophy, where individuals directly or indirectly affected by their own or another’s alcohol and/or drug use,
can access a comprehensive alcohol and drug assessment and a range of specialist interventions.
Individuals can self-refer to the Addiction ACU by phone or in person, or can be referred from other ACUs, services or
agencies.
On referral an intake form will be completed to gather personal demographics and relevant clinical information. This
information will be discussed at a Multidisciplinary Team meeting on the next business day and will be allocated to an
Addiction ACU clinician to follow up.
Urgency is assessed at the time of referral.
Contact
•
•
•
Bayside Community Mental Health Building: 3825 6060
Inala Community Health: 3275 5300
Logan Community Health: 3089 4084
Provide services and outreach clinics to:
•
Browns Plains
•
Beaudesert
•
Carole Park
•
Eight Mile Plains
•
South Brisbane
•
Stradbroke Island
•
Wynnum
After hours assistance is available via the Alcohol and Drug Information Service with is a free confidential 24/7
telephone counselling service: 1800177833 or 38375989.
100
Child and Youth Academic Clinical Unit (ACU)
Profile
The Child and Youth ACU is comprised of specialised mental health teams that provide a comprehensive response
to the varying needs of infants, children and young people with mental health problems or mental disorders
and their families/ carers in the community.
Targets mental health problems and disorders in infants, children and adolescents (aged 0 to 18 years) that are:
•
•
•
•
•
•
•
severe and/or complex
likely to represent emerging or diagnosable mental disorders
not responding to reasonable interventions at other levels of care
severely compromising quality of life and developmentally appropriate functioning
not amenable to treatment through alternative, equally appropriate, or more appropriate services
requiring coordination/ integration across multiple services
likely to benefit from the range of interventions our service offers.
Contact
For new consumers:
•
•
Inpatient Services
•
Logan Hospital: 3299 8482
•
Community Services:
o Browns Plains: 3412 3100
o Beenleigh: 3827 9866
o Logan Central: 3089 4100
We also provide an outreach clinic to Beaudesert Hospital.
Note: All services in the Princess Alexandra catchment are provided by the Mater Childrens’ Hospital. Please call (07)
3163 8111 for more information.
101
Older Adult Academic Clinical Unit (ACU)
Profile
The Older Adult Academic Clinical Unit (ACU) provides specialist mental health assessment and treatment for
people aged 65 years and over who have developed severe and/or complex psychiatric disorders.
Priority is given to those who may benefit from clinical interventions that are not usually able to be delivered by GPs or
other primary care providers. Community, inpatient and extended treatment services are available according to
assessed needs.
This service can provide clinical advice over the phone to support primary and aged care providers.
All new referrals are to be directed to the local Acute Care Team. It is very important to indicate if you think an urgent
response is required (e.g. immediate, within 24 hours, etc.) and why.
If relevant, referrals should involve the person’s appointed Guardian or Attorney for Health Matters if it is clear that the
person has lost the ability to understand and make healthcare decisions.
GP referrals preferred.
Contact
For new consumers:
•
•
•
Inpatient Services
•
Princess Alexandra Hospital (Grevillea Place): 3176 2609
Community Services
•
•
•
102
Acute Mental Health Inpatient Services Academic
Clinical Unit (ACU)
Profile
Acute mental health inpatient units are designed to provide care to individuals who are experiencing an acute episode
of mental illness to minimise the psychological distress of individuals, stabilises mental health status and prove
information and access to appropriate pathways of care.
If an individual is admitted to an acute inpatient unit it is often because their mental illness is not manageable in a less
restrictive setting, such as community based support.
It is preferable that consumers are admitted to inpatient services voluntarily, however on occasion admission under the
Mental Health Act 2000 may occur. The Mental Health Act 2000 provides for the involuntary assessment and
treatment, and the protection, of persons with mental illness.
Admission or referral to the acute mental health inpatient units can come from:
•
•
•
•
•
Other ACUs
Emergency Department presentations
Emergency Services
Private Hospitals
Other Health and Hospital Services.
This process is coordinated by the patient flow manager at each site during business hours. After hours this service is
provided by a mental health assessment team.
Contact
Acute mental health inpatient units are at the following locations:
•
Logan Hospital
o Ward 2A (Adolescent): 3299 8482
o Ward 2B (Adult): 3299 8798
o Ward 2C (Adult): 3299 8103
•
Redland Hospital
o Yugaipa Ward (Adult): 3488 3613
•
o East Wing (Adult): 3176 2662
o West Wing (Adult): 3176 5380
o Grevillea Place (Older Adults): 3176 2609
103
Transcultural Mental Health Academic Clinical Unit
(ACU)
Profile
The Transcultural Mental Health Academic Clinical Unit provides specialist state-wide consultation services for
culturally and linguistically diverse (CALD) individuals, families, communities and organisations to facilitate culturally
responsive mental health care with a focus on complex mental health problems across all age groups and continuum of
care.
Primary, secondary and tertiary consultation is provided at consumer, carer, clinician, support worker and
organisational levels. Includes specialist functions delivered in relation to service development, workforce education
and early intervention.
Referrals can be made by self, family, friend, multicultural sector agency, mental health service, other health services,
or any other service provider in consultation with consumers from all age groups and where possible their family.
Referral is for assessment of complex mental health problems, particularly where there are significant cultural
barriers and/or mental health problems that arise from complex interactions of settlement and adjustment issues and
pre or post migration trauma.
Contact
This state-wide service can be accessed by calling:
•
3167 8333 (in Brisbane)
•
1800 188 189 (free call outside Brisbane).
Note: The Transcultural Mental Health ACU is NOT able to respond to acute and emergency matters.
Document ends
104

GP Referral Directory 1 - Metro South Health

Transcription

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