Referrals to specialist outpatient services within Redland Hospital and Wynnum Health Service 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 post menopausal bleeding - pelvic ultrasound mandatory. Mark as URGENT.
• for ovarian cyst - ultrasound and:
for patients > 35 years include CA 125, CEA, CASA
for patients < 35 years include hCG, AFP, LDH, CA-125, CEA
•for menorrhagia - pelvic ultrasound, FBC, TSH if signs and symptoms of thyroid disease
•for postcoital bleeding - pap smear, HVS, chlamydia and gonorrhoea PCR
•intermenstrual bleeding - pelvic USS, pap smear, HVS, chlamydia and gonorrhoea PCR
•for abnormal pap smear - refer to colposcopy
•for pelvic pain - pelvic ultrasound, HVC, chlamydia and gonorrhoea PCR
•for infertility - pelvic USS, seminal fluid analysis of partner, chlamydia and gonorrhoea PCR
•for prolapse - if stress incontinence present patient should be referred for 3 months pelvic floor exercises, prior to referral
Note:
•For Redland Hospital only: Greater than 12 years old only. Excludes essure, reversal of sterilisation.