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Emergency Department

 

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ED Consultant 9784 7196
Frankston Fax 9784 7284
Frankston Patient Enquiries 9784 7777
Rosebud Phone 5986 0624
Rosebud Fax 5986 0728

REFERRAL TO THE EMERGENCY DEPARTMENT

AVOIDING REFERRAL TO THE EMERGENCY DEPARTMENT

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REFERRAL TO THE EMERGENCY DEPARTMENT

When referring to ED, phone calls to the admitting officer and referral letters with an accurate medication list and copies of test results are very helpful.

  • The guidelines are a joint initiative between the Victorian state wide burns services at The Alfred hospital and Royal Children’s Hospital which aims to provide a more consistent standard of burns management, particularly in the early stages post injury, in order to improve outcomes for those who are injured. The guidelines are based on evidence where available and consensus expert opinion.

    The aim of these guidelines is to provide direction to health care professionals caring for adults or children with burn injuries in the primary care setting in Victoria. This includes emergency department staff, general practitioners, physicians, general surgeons, nurses and paramedics.

    The guidelines include:

    • Transfer criteria
    • Initial management of patients with severe burn injuries
    • Burns assessment
    • Management of patients with a minor burn injury

    • AVOIDING REFERRAL TO THE EMERGENCY DEPARTMENT

    Some conditions which in the past have been managed by referral to ED can be managed using other Peninsula Health services minimising waiting times and disruption for your patients. See below…

    • Deep Vein Thrombosis (DVT)

    Most patients who present with DVT to the Emergency Department are not admitted into a Frankston hospital bed but are managed at home by Hospital-In-The-Home (HITH) or their GP.  Read on to find out more…

    Management of DVT at Peninsula Health Flow Chart.

    DVT Best Practice Treatment Guidelines

    http://bestpractice.bmj.com/best-practice/monograph/70/treatment/guidelines.html

    These guidelines include DVT prevention, diagnosis, treatment, follow up and resources including patient information

    • Blood Transfusion Options

     Peninsula Health Blood Transfusion Service Options

    Most patients requiring semi-urgent or non-urgent blood transfusions, including those who are in residential care,  can avoid presentation to ED.

    •  Women’s Health Ambulatory Clinic

    New clinic that provides timely and appropriate care for women experiencing pregnancy related problems such as suspected or confirmed pregnancy loss or decreased fetal movements without the need for them to attend ED. The clinic is also suitable for women who require  follow up post gynaecological admission at Peninsula Health. Referrals can be made by phone on 0417 340 535.

    There is no out-of pocket expense. Exclusion criteria include eclampsia, haemodynamically unstable patients, patients requiring fluid resuscitation, likely ectopic pregnancy and general gynaecology complaints.

    • Referral to HITH

    Common conditions referred to HITH are cellulitis, DVTs, infections, complex dressings and patients requiring subcutaneous transfusions. Other individual cases can be considered after discussion.    

    • Referral to ROSS 

    In Residential care facilities, ROSS can provide wound consultation, assessment and management, specialist falls assessment, prevention and management, acute hospital liaison and advice for GP’s, PEG tube register and clinical support, clinical support for catheter care,  infection control  support and where appropriate direct  sub-acute admission.

     

    Emergency Department Referral Template


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