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This healthcare service has 1 current healthcare service locations.
Emergency Information 
Lumbar Puncture Clinic   at
Royal Alexandra Hospital
Specialty: Neurology
Connect Care Department: EDM RAH ATC LUMBAR PUNCTURE CL
Estimated time to routine appointment: Within 1 month
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
This clinic is provided as a means of determining a diagnosis (ruling in or out).This is a procedure clinic for a lumbar puncture. The patient will be educated, consent form signed and then will change into gown. The physician will collect a specimen of cerebrospinal (CSF) fluid from the lower back area, with the assistance of clinic staff. The physician will follow up with results at a later date. The patient will be assessed and cared for until discharge. Post procedure care and instructions will be provided.
This clinic is provided as a means of determining a diagnosis (ruling in or out).This is a procedure clinic for a lumbar puncture. The patient will be educated, consent form signed and then will change into gown. The physician will collect a specimen of cerebrospinal (CSF) fluid from the lower back area, with the assistance of clinic staff. The physician will follow up with results at a later date. The patient will be assessed and cared for until discharge. Post procedure care and instructions will be provided.
ELIGIBILITY REQUIREMENTS
A referral from a Neurologist is required.  Any referrals from a GP will be declined.

Exclusion Criteria:
  • is there a suspected intracranial mass lesion?
  • known coagulopathy; inherited, acquired or medication related?
  • local infection or structural abnormailty in the area where procedure is to be performed?
  • patient BMI is greater than 31
  • bedside lumbar puncture was attempted and unsuccessful
If answered yes to any of the above, the patient is not suitable for the LP clinic at this time.
If answered yes to BMI question or unsuccessful bedside LP attempt, please refer to fluorscopy dept at the Royal Alexandra Hospital.  Fax requisition to 780-735-6691 and mention "not candidtae for LP clinic due to elevated BMI or failed beside attempt".
A referral from a Neurologist is required.  Any referrals from a GP will be declined.

Exclusion Criteria:
  • is there a suspected intracranial mass lesion?
  • known coagulopathy; inherited, acquired or medication related?
  • local infection or structural abnormailty in the area where procedure is to be performed?
  • patient BMI is greater than 31
  • bedside lumbar puncture was attempted and unsuccessful
If answered yes to any of the above, the patient is not suitable for the LP clinic at this time.
If answered yes to BMI question or unsuccessful bedside LP attempt, please refer to fluorscopy dept at the Royal Alexandra Hospital.  Fax requisition to 780-735-6691 and mention "not candidtae for LP clinic due to elevated BMI or failed beside attempt".
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
A referral must be from a Neurologist.  Information to be included on the referral form includes:
  • indication/suspected diagnosis
  • any imaging or CSF studies that have been completed
  • all medications including anticoagulants
Complete the referral form and fax it to the service using the contact information in this profile.
A referral must be from a Neurologist.  Information to be included on the referral form includes:
  • indication/suspected diagnosis
  • any imaging or CSF studies that have been completed
  • all medications including anticoagulants
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 Neurology, type EDM RAH ATC LUMBAR PUNCTURE CL in the “To Department” section and complete order. 
Send an Internal Referral using the Ambulatory Referral Order to Neurology, type EDM RAH ATC LUMBAR PUNCTURE 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.
  • Appointment outcome to referral source within 30 days.
 
PHONE
780-735-4450
780-735-4451
FAX
780-735-4525
REFERRAL PHONE
780-735-4450
REFERRAL FAX
780-735-4525
REFERRAL FORM
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
+-
Diagnosis not made
6 Weeks
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
If you need to cancel your appointment, please give as much notice as possible.
You can contact the Outpatient dept at 780 735-4450 to communicate this.

If 2 no-shows occur a new referral will be required.
If you need to cancel your appointment, please give as much notice as possible.
You can contact the Outpatient dept at 780 735-4450 to communicate this.

If 2 no-shows occur a new referral will be required.
 
HOURS OF OPERATION
Monday:
Tuesday:
Wednesday:
Thursday:
Friday: 8:00 am - 11:30 am
   
 
ADDRESS
Outpatient department ATC B410
10240 Kingsway NW
Edmonton Alberta
T5H 3V9
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
The Lumbar Puncture clinic is located in the Main Building (Active Treatment Centre) of the Royal Alexandra Hospital.  It is on the basement level, in the Outpatient Dept.  Room B410.
The Lumbar Puncture clinic is located in the Main Building (Active Treatment Centre) of the Royal Alexandra Hospital.  It is on the basement level, in the Outpatient Dept.  Room B410.
 
PHONE
780-735-4450
780-735-4451
 
PARKING INSTRUCTIONS
The closest parking is available on the lower ramp located off Kingway Avenue.  The patient can be dropped off as well on the lower ramp outside of the Outpatient Dept.  

Pay parking machines are located inside the building.  Payment can be made using cash or credit card.  Please remember your license plate number to register when paying.
The closest parking is available on the lower ramp located off Kingway Avenue.  The patient can be dropped off as well on the lower ramp outside of the Outpatient Dept.  

Pay parking machines are located inside the building.  Payment can be made using cash or credit card.  Please remember your license plate number to register when paying.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
We do not offer virtual appointments.
We do not offer virtual appointments.
 
 
WHEELCHAIR ACCESSIBILITY
Yes

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.

 

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