Specialist outpatient service for patients with medical complications on dialysis or new patients commencing dialysis. Includes Haemodialysis and Peritoneal Dialysis.
Referrals
Referral addressed to named head of unit is preferred.
E-referral using the GP Referral Template located within the Mastercare Referralnet system is preferred.
For faxed referrals: FAX 9125 9846
Categories for appointment
| Clinical description | Timeframe | |
|---|---|---|
| Category 1 Urgent | – New dialysis patient Disequilibrium syndrome – Significant concerns regarding hypotension or hypertension – Vascular access problems preventing adequate dialysis – Unestablished target weight Increasing SOB despite reduction to target weight – Anaemic patients not responding to Iron and ESA therapy who are symptomatic – Clients wanting to discuss end of life care / termination of dialysis treatments – Ongoing review and Management of End Stage – Renal Disease – Medication Review – Dialysis Prescription Review | Contact consultant or registrar for phone advice before referral or for clinical advice and urgent follow up. Ideally, these clients should be seen within 1 month |
| Category 2 Routine | – Dialysis access issues, not compromising treatment – Fluid assessments – Management of signs and symptoms of dialysis | 1-4 months depending on problem Regular review 3-4 monthly |
| Emergency | – Acute illness requiring immediate attention eg chest pain, collapse, unstable diabetes, reduced mobility or infective illness requiring isolation, acute pulmonary oedema. – Rapid deterioration in client condition eg. functional status, mental decline – Non-functioning dialysis access – Bleeding from AFV fistula, graft or CVC site – Peritoneal Patient with suspected exit site, tunnel or peritoneal infection – No bruit or thrill in AVF/Graft | Immediate via Emergency Department. Advise patient to call an ambulance on 000 Contact the consultant Nephrologist on duty at Frankston Hospital immediately |
Eligibility criteria
- Current referral from renal team following transfer of patient to unit
- Current referral from GP – preferably indefinite
- Referral from other medical professional requesting transfer of care
- Haemodialysis patients of Peninsula Health – chronic patients who either dialyse in-centre or at home
- Peritoneal dialysis patients of Peninsula Health
Exclusions
Medical Emergencies
- Non-Peninsula Health clients – Advise client to contact their usual dialysis unit or parent hospital
- >18 years (under 18 years Monash Medical Centre Paediatric Renal Unit)
Alternative referral options
Drop in services are available for patients at Rosebud and Frankston
hospital after phone referral or self- referral if clinical situation is appropriate
(see contact details below)
- Dialysis patient requiring blood tests on non-dialysis day (eg cross
match for blood transfusion; INR; pre surgery bloods) - Dialysis -related wound care or suture removal on non-dialysis day
- Administration of medications (eg. antibiotics, eye drops) to dialysis
client on non-dialysis day - Planned removal of central venous catheter
- Phone consultations for blood pressure or blood sugar levels review,
post dialysis follow up, medication reviews - PICC line dressing for chemotherapy clients
- Pathology tests for cytotoxic bloods:
- Dressings and heparin relock to CVC
- Peritoneal dialysis adequest test
- Peritoneal dressings
- Review of tenchkoff catheter exit site
Clients may also make an appointment with a Nephrologist in their private rooms. Wait times may be longer and a separate referral will need to be made by their GP. Clients will need to make their own appointment.
Make a referral
All referrals to this clinic must contain the following information.
Referral: Date of referral, Speciality, Referring practitioner, Provider Number, Referrer’s signature.
Patient Demographic: Full name, Date of birth, Postal address, Contact numbers, Medicare Number, Interpreter required.
Clinical: Reason for referral, Duration of symptoms, Management to date, Past medical history, Current medications, Allergies, Diagnostics as per referral guidelines X-ray results/reports must be within the last 6 months.
Clinic information
Frankston and Rosebud Hospitals
Rosebud Clinic runs 2nd, 3rd and 4th Tuesdays of the month, 0900-1200.
Rosebud Community Health
38 Braidwood Avenue
Rosebud West
Rosebud Dialysis Unit 5986 0655
Frankston Clinic
1st, 3rd and 4th Thursday of the month, 0900-1200.
Outpatient Area 3
Hastings Road, Frankston
PH 9784 2600
Last update: