Referrals to specialist outpatient services within Queen Elizabeth II Jubilee Hospital must be in writing, and as a minimum contain the following:
• 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.
For macroscopic haematuria:
• MSU for MCS, cytology x 3
• ELFT's, FBC, ESR
• CT: non-CON, CON, delayed excretory
For microscopic haematuria:
• < 50 non-smokers: MSU for MCS, cytology x 3,renal USS + KUB
• all others: MSU for MCS, cytology x3, ELFT's, CT:non-CON, CON, delayed excretory
• for renal / staghorn / ureteric calculi:
o MSU for MCS
o ELFT's, FBC, ESR
o KUB + non-contrast CT
o for ureteric stones - please repeat CT + KUB 2/52 after first presentation or 1/52 prior to appointment to confirm stone is still present
• For elevated PSA / prostate disease:
o MSU for MCS
o previous PSA results
o ELFT's
o FBC
o ESR
o medical / surgical history
o family history
• For bladder outlet obstruction / LUTS:
o MSU for MCS
o PSA, ELFT's, FBC, ESR
o IPSS
o renal USS with residual
o pharmacological history
• For urethral stricture:
o MSU for MCS
o renal USS with residual
o pharmacological history
o surgical / medical history
o ascending and descending urethrogram
• For incontinence:
o MSU for MCS
o ELFT's
o time and volume chart
o residual volumes (USS)
o medical / surgical / social history
• For renal lesions / cysts:
o MSU for MCS
o FBS
o ELFT's
o ESR
o renal USS
o cytology x 3
o triple phase CT (if solid lesion or suggested by USS) for urinary tract infection:
o MSU for MCS
o previous MSU results
o renal tract USS with post void residual
o pharmacological history
• For testicular tumour / mass:
o MSU for MCS
o ELFT's
o FBS
o ESR
o a-fetoprotein (aFP)
o -hCG, LDH
o USS testes, CXR
o medical / family history
• For penile Ca+ / penile discharge / erectile dysfunction:
o MSU for MCS, cytology x 3
o urethral swab
o sexual health history
o medical / surgical history