Anchors issue

Rédigé le 26/09/2023
Sergio Miranda Carvalho


Specific Consults - Medical
Gastroenterology
  • Drop consult to endoscopy
  • Let reg know you are requesting/dropping the consult
  • Contact Dr Skelly if urgent via switch
Endocrinology
  • Use e-referral system
  • E-referral only but call the registrar/consultant covering consults for endocrine emergencies
Rheumatology
  • Contact Rheum reg.
  • Leave generic consult form in chart
Respiratory
  • Alternate weeks O’Brien/Casserly
  • Check with teams to see who is on consults
  • Bleep reg.
  • Generic consult form in chart and e-referral
Haematology
  • 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.
Oncology
  • Fax consult to secretary (fax 2517/ 482517)
  • Secretary phone no. is 061 482900 to confirm receipt
Radiotherapy
  • Fax consult to secretary (5919)
  • Phone secretary to confirm (5901)
Neurology
  • 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
Geriatrics

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
Renal
  • 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
Palliative Care Team
  • 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
Pain Team
  • Use e-referral system
  • Very approachable team, if you have any queries just bleep the pain team CNS on 330
Microbiology
  • 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
Cardio
  • 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
Psychiatry
  • Fax consult to secretary - 5114
  • Call the secretary on 5092 to confirm
  • Old age Psych fax for referrals – 061 48 3781
Dermatology
  • 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.