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 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:
• Urogynecology also available.