Anchors issue

• Drop consult to endoscopy
• Let reg know you are requesting/dropping the consult
• Contact Dr Skelly if urgent via switch

• Use e-referral system
• E-referral only but call the registrar/consultant covering consults for endocrine emergencies

• Contact Rheum reg.
• Leave generic consult form in chart

• Alternate weeks O’Brien/Casserly
• Check with teams to see who is on consults
• Bleep reg.
• Generic consult form in chart and e-referral

• Contact the haematology reg on-call
• Drop consult to secretary’s office. This is located in the “Modular Building”.
  • Leave CERC, go up the steps, turn left and walk towards the car park. Grey building on your left.

• Fax consult to secretary (fax 2517/ 482517)
• Secretary phone no. is 061 482900 to confirm receipt

• Fax consult to secretary (5919)
• Phone secretary to confirm (5901)

• Only request a neurology consult only if specifically requested by admitting consultant
• Use e-referral system
• Detailed consult expected, including collateral (e.g. witnessed collapse).
• Bleep the Reg if urgent

General Consults

Consults are sent depending on the patient's address corresponding to the rehab units:

1. Lyons - Camillus - Limerick City
2. O’Connor - St Itas - West Limerick
3. Peters - Thurles - Tipperary

• Locate a PC with the EPMS (Filemaker) referral system installed on it. Fill out consult to the appropriate consultant, then bleep their registrar.
  • EPMS found on PCs on 1D, 3D, 3A, 1B, 3B, 3C, 4C (red sticker on PC)
• Social history is important (baseline mobility, independence, and cognitive collateral - see IQCODE)

Rehab St Camillis: (Limerick City and environs)

• E referral and call Prof Lyons reg.

Rehab St Itas, New Castle West: (Anywhere West Limerick, Killmallock-Patrickswell/Kildimo/Abbeyfeale)

• E referral and contact Dr O’Connors Reg.
• Text Rehab CNS Eileen McSweeney 086-8064408 with patients' details. Visits Mondays.
• Patients listed at Tues am meeting

Rehab Thurles: North Tipp (From Bird Hill, Rear Cross & Thurles)

• E Referral and contact Dr Peters’ Reg.
• Fax number is on the referral form (from ward clerk)

Rehab St Josephs: Clare/Ennis

• Specific referral form to be filled and faxed (see form for fax no.) to Dr Boland. Forms can be found on 3B
• Discussed on Wednesdays

• Bleep reg with patient history
• Leave consult in chart
• For urgent consults contact Dr Casserly or Prof Stack via switchboard
• For suspected cases of glomerular disease or where kidney biopsy might be warranted, contact Dr Casserly or a member of his team.
• Specific forms available e.g. AKI from on ward
• Check notes to see if known Renal patient of Prof Stack and Dr Casserly (look through clinic letters)
• Urine Dipstick for blood/protein before contacting Renal Reg. Specialist

• National Palliative Care Referral form used available on wards and at www.hse.ie/palliativecareprogramme under resources
• Bleep the palliative care nurse with consult request

• Use e-referral system
• Very approachable team, if you have any queries just bleep the pain team CNS on 330

• Contact Reg on bleep 626 or the secretary at 5099
• Consultant to consultant out of hours
• Detailed history vital; admission, bloods, antibiotics used and response, vitals, culture/swab results (esp previous results), type of surgery, prosthesis or pacemakers, indwelling catheters/drains, MRSA/KPC/ CRE contact
• Have their vitals to hand and know whether they are clinically well or not

• Use e-referral system
• Completed before 11 am will be seen that day
• After 11 am will be seen the next day
• Fill out forms with the relevant information

• Fax consult to secretary - 5114
• Call the secretary on 5092 to confirm
• Old age Psych fax for referrals – 061 48 3781

• Bleep Dermatology Reg. discuss the case.
• Drop consult into Dermatology department, 5th floor new building, near canteen.
• Dermatology has requested all consults to go via consultant to consultant. They sometimes accept from a Reg. If it is urgent don’t be afraid to contact the Reg.