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This healthcare service has 1 current healthcare service locations.
Nephrology Clinic, Pediatric - Alberta Kidney Care - South   at
Alberta Children's Hospital
Specialty: Pediatric Nephrology
Connect Care Department: CGY ACH PED NEPHROLOGY CL
Estimated time to routine appointment: Within 12 months
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
Comprehensive medical services including consultation, assessment, diagnosis, treatment and follow-up care for children with kidney disorders.Services provided include:
  • General nephrology clinic
  • Chronic kidney disease (CKD) clinic (children with CKD stages 3, 4 or 5 and/or requiring hemodialysis or peritoneal dialysis)
  • Kidney transplant clinic
  • Cystinosis clinic
  • Combined nephrology and rheumatology clinic
  • Combined nephrology and urology clinic
  • Prenatal consultations for fetal kidney abnormalities
  • Rural outreach general nephrology clinics in Medicine Hat and Lethbridge
  • 24 h ambulatory blood pressure monitoring and analysis
Comprehensive medical services including consultation, assessment, diagnosis, treatment and follow-up care for children with kidney disorders.Services provided include:
  • General nephrology clinic
  • Chronic kidney disease (CKD) clinic (children with CKD stages 3, 4 or 5 and/or requiring hemodialysis or peritoneal dialysis)
  • Kidney transplant clinic
  • Cystinosis clinic
  • Combined nephrology and rheumatology clinic
  • Combined nephrology and urology clinic
  • Prenatal consultations for fetal kidney abnormalities
  • Rural outreach general nephrology clinics in Medicine Hat and Lethbridge
  • 24 h ambulatory blood pressure monitoring and analysis
ELIGIBILITY REQUIREMENTS
  • Children 0-18 years.
  • Pregnant women with kidney anomalies of the fetus
Note: Referrals for patients aged 17.5 – 18 years old will be triaged by pediatric Nephrology but may be re-directed to adult services.
  • Children 0-18 years.
  • Pregnant women with kidney anomalies of the fetus
Note: Referrals for patients aged 17.5 – 18 years old will be triaged by pediatric Nephrology but may be re-directed to adult services.
REFERRAL SUBMISSION INSTRUCTIONS
Follow these steps before sending a referral. Failure to include required information may result in a referral being returned for missing information.
  1. Review the Service Description, Eligibility Requirements, Pathways and Advice options to ensure your patient is appropriate for this service.
  2. Click the (+) icon in the Referral Guidelines table to view the required information and investigations that must accompany the referral.
  3. Follow the applicable Referral Process and submit referral.
  4. Failure to include required information may result in a referral being returned for missing information.
Urgent Referrals: Please call ACH switchboard (403-955-7211) and ask to speak with the Pediatric Nephrologist on call AND submit a referral.
Follow these steps before sending a referral. Failure to include required information may result in a referral being returned for missing information.
  1. Review the Service Description, Eligibility Requirements, Pathways and Advice options to ensure your patient is appropriate for this service.
  2. Click the (+) icon in the Referral Guidelines table to view the required information and investigations that must accompany the referral.
  3. Follow the applicable Referral Process and submit referral.
  4. Failure to include required information may result in a referral being returned for missing information.
Urgent Referrals: Please call ACH switchboard (403-955-7211) and ask to speak with the Pediatric Nephrologist on call AND submit a referral.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Complete the referral form and fax it to the service using the contact information in this profile.
Complete the referral form and fax it to the service using the contact information in this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Nephrology, enter CGY ACH PED NEPHROLOGY CL in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Nephrology, enter CGY ACH PED NEPHROLOGY CL in the “To Department” section and complete order.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Wait list status update every 90 days.
  • Appointment outcome to referral source within 30 days.
 
CLICK + TO VIEW REFERRAL GUIDELINES
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
Congenital anomaly of the kidney
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Renal bladder ultrasound
 
Within 3 months
  • Consider refer to pediatric urology (not nephrology)
  • Referral may be redirected to urology if deemed more appropriate

Congenital anomaly of the urinary tract
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Renal bladder ultrasound
 
Within 3 months
  • Consider refer to pediatric urology (not nephrology)
  • Referral may be redirected to urology if deemed more appropriate

Congenital cystic disease of kidney
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Albumin
 
Within 3 months

CBC
 
Within 3 months

Calcium, Magnesium, Phosphate
 
Within 3 months

Creatinine
 
Within 3 months

Electrolytes
 
Within 3 months

Family history and genetic studies if available
 
Within 3 months

First morning void urine protein to creatinine ratio
 
Within 3 months

Urea
 
Within 3 months

Urinalysis with microscopy
 
Within 3 months
Office blood pressure reading if available

Hematuria
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Albumin
 
Within 3 months

CBC
 
Within 3 months

Calcium, Magnesium, Phosphate
 
Within 3 months

Creatinine
 
Within 3 months

Electrolytes
 
Within 3 months

First morning void urine protein to creatinine ratio x 3
 
Within 3 months

Office blood pressure reading
 
Within 1 month

Renal bladder ultrasound
 
Within 3 months

Urea
 
Within 3 months

Urinalysis with microscopy x 3
 
Within 3 months

Urine calcium to creatinine ratio x 3
 
Within 3 months
Red flags include:
  • Urine protein to creatinine ratio > 200 mg/mmol
  • Elevated blood pressure for age sex, and height
  • Elevated creatinine for age and sex
If lower urinary tract hematuria is suspected:
Refer to pediatric urology (not nephrology)

If isolated hematuria:
Consider collecting urinalyses on parents

Hydronephrosis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Renal bladder ultrasound
 
Within 3 months
Consider refer to pediatric urology (not nephrology)
Referral may be redirected to urology if deemed more appropriate

Hypertension
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

First morning void urine protein to creatinine ratio
 
Within 3 months

Office blood pressure readings x 3 demonstrating Stage 1 HTN
 
Within 3 months

Renal bladder ultrasound with doppler
 
Within 3 months

Urinalysis with microscopy
 
Within 3 months
Suspected white coat HTN:
May refer for 24 hour ambulatory blood pressure monitor and assessment only

While awaiting appointment, trial:
  • Low salt (DASH) diet
  • Moderate to vigorous physical activity 3-5 d/week
Stage 1 HTN definition:
  • Children 1-13 y: ≥ 95th percentile to < 95th percentile+12 mmHg for age, sex and height
  • Children ≥ 13 y: 130/80 to 139/89
  • Normative values available online

Kidney stone
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Renal bladder ultrasound
 
Within 3 months

Supplement list (dose, frequency, route)
 
Within 1 month

Urinalysis with microscopy
 
Within 3 months

Urine calcium to creatinine ratio x 3
 
Within 3 months
For initial or acute management:
  • Refer to pediatric urology (not nephrology)
While awaiting appointment, trial:
  • Increase hydration

Nephrocalcinosis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Renal bladder ultrasound
 
Within 3 months

Supplement list (dose, frequency, route)
 
Within 1 month

Urinalysis with microscopy x 3
 
Within 3 months

Urine calcium to creatinine ratio x 3
 
Within 3 months
If history of prematurity in an infant < 1 year old:
Repeat ultrasound in 12 months and only refer if nephrocalcinosis has not improved.

Nephrotic syndrome
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Albumin
 
Within 1 month

CBC
 
Within 1 month

Calcium, Magnesium, Phosphate
 
Within 1 month

Creatinine
 
Within 1 month

Electrolytes
 
Within 1 month

First morning void urine protein to creatinine ratio
 
Within 1 month

Urea
 
Within 1 month

Urinalysis with microscopy
 
Within 1 month
Nephrotic range proteinuria is defined as:
Urine protein to creatinine ratio greater than 200 mg/mmol on a first morning urine sample

If relapse or new onset nephrotic syndrome:
Consider urgent referral

Persistent abnormal electrolytes
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Albumin
 
Within 3 months

CBC
 
Within 3 months

Calcium, Magnesium, Phosphate
 
Within 3 months

Creatinine
 
Within 3 months

Electrolytes x 2
 
Within 3 months

Urea
 
Within 3 months

Urinalysis with microscopy
 
Within 3 months

Proteinuria
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Albumin
 
Within 3 months

CBC
 
Within 3 months

Calcium, Magnesium, Phosphate
 
Within 3 months

Creatinine
 
Within 3 months

Electrolytes
 
Within 3 months

First morning void urine protein to creatinine ratio x 3
 
Within 3 months

Office blood pressure reading
 
Within 1 month

Urea
 
Within 3 months

Urinalysis with microscopy x 3
 
Within 3 months
Urine samples must be from a first morning void

Proteinuria is defined as:
  • Urine protein to creatinine ratio greater than 25 mg/mmol on a first morning urine sample

Red flags include:
  • Urine protein to creatinine ratio > 200 mg/mmol
  • Microscopic hematuria
  • Elevated blood pressure
  • Elevated creatinine

Recurrent urinary tract infection
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Renal bladder ultrasound
 
Within 3 months

Summary of treatment to date
 
Within 1 month

Urinalysis with microscopy x 3
 
Within 3 months
While awaiting appointment, trial:
  • Treat constipation
  • Increase frequency of voiding, aiming for 6-7 times/day
  • Optimize fluid intake

Serum creatinine raised
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Albumin
 
Within 3 months

CBC
 
Within 3 months

Calcium, Magnesium, Phosphate
 
Within 3 months

Creatinine x 2
 
Within 3 months

Electrolytes
 
Within 3 months

First morning void urine protein to creatinine ratio
 
Within 3 months

Renal bladder ultrasound
 
Within 3 months

Urea x 2
 
Within 3 months

Urinalysis with microscopy
 
Within 3 months
Creatinine persistently elevated on more than one measurement

Voiding dysfunction
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history including management to date
 
Within 1 month

Pediatric consult
 
Within 3 months

Urinalysis with microscopy
 
Within 3 months
  1. Refer to pediatrician first
  2. Referral from pediatrician to pediatric nephrology must include the required information/investigations.

While awaiting appointment, trial:
  • Treat constipation
  • Increase frequency of voiding, aiming for 6-7 times/day
  • Optimize fluid intake
Urgent Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
Hematuria
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Albumin
 
Within 3 months

CBC
 
Within 3 months

Calcium, Magnesium, Phosphate
 
Within 3 months

Creatinine
 
Within 3 months

Electrolytes
 
Within 3 months

First morning void urine protein to creatinine ratio x 3
 
Within 3 months

Hematuria with any of the following:
  • Urine protein to creatinine ratio > 200 mg/mmol
  • Elevated blood pressure for age sex, and height
  • Elevated creatinine for age and sex
 
Current

Office blood pressure reading
 
Within 3 months

Renal bladder ultrasound
 
Within 3 months

Urea
 
Within 3 months

Urinalysis with microscopy x 3
 
Within 3 months

Urine calcium to creatinine ratio x 3
 
Within 3 months
Red flags include:
  • Urine protein to creatinine ratio > 200 mg/mmol
  • Elevated blood pressure for age sex, and height
  • Elevated creatinine for age and sex
If lower urinary tract hematuria is suspected:
Refer to pediatric urology (not nephrology)

If isolated hematuria:
Consider collecting urinalyses on parents

Proteinuria
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Albumin
 
Within 3 months

CBC
 
Within 3 months

Calcium, Magnesium, Phosphate
 
Within 3 months

Creatinine
 
Within 3 months

Electrolytes
 
Within 3 months

First morning void urine protein to creatinine ratio x 3
 
Within 3 months

Office blood pressure reading
 
Within 3 months

Proteinuria with any of the following:
  • Urine protein to creatinine ratio > 200 mg/mmol
  • Microscopic hematuria
  • Elevated blood pressure
  • Elevated creatinine
 
Current

Urea
 
Within 3 months

Urinalysis with microscopy x 3
 
Within 3 months
Urine samples must be from a first morning void

Proteinuria is defined as:
  • Urine protein to creatinine ratio greater than 25 mg/mmol on a first morning urine sample
Red flags include:
  • Urine protein to creatinine ratio > 200 mg/mmol
  • Microscopic hematuria
  • Elevated blood pressure
  • Elevated creatinine
Emergent Reason for Referral
Additional Details
+-
Anuria

+-
Electrolytes abnormal
Severe electrolyte abnormalities

+-
Oliguria

+-
Raised blood pressure
BP ≥95th percentile + 12mmHg or >140/90 with target organ damage or symptoms.

+-
Serum creatinine raised
Serum creatinine 2 times the upper limit of normal for age and sex
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
Missed appointments may require a re-referral after two missed appointments.
Missed appointments may require a re-referral after two missed appointments.
 
HOURS OF OPERATION
Monday: 8:00 am - 4:00 pm
Tuesday: 8:00 am - 4:00 pm
Wednesday: 8:00 am - 4:00 pm
Thursday: 8:00 am - 4:00 pm
Friday: 8:00 am - 4:00 pm
   
 
ADDRESS
Level 3, Nephrology Clinic
28 Oki Drive NW
Calgary Alberta
T3B 6A8
PATIENT APPOINTMENT INSTRUCTIONS
  • Bring your child’s Alberta health care card
  • Check in at reception 15 minutes prior to your scheduled appointment time
  • Bring your child’s Alberta health care card
  • Check in at reception 15 minutes prior to your scheduled appointment time
 
DIRECTIONS
Located on the corner of 24 Avenue NW and West Campus Drive NW
Located on the corner of 24 Avenue NW and West Campus Drive NW
 
PHONE
403-955-2980
VIRTUAL APPOINTMENT INFORMATION
Virtual appointments are offered for this service
Virtual appointments are offered for this service
 
 
WHEELCHAIR ACCESSIBILITY
Yes

This facility is wheelchair accessible and has an elevator on site


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

V6.6