Stroke Prevention Clinic   at
University of Alberta Hospital
Connect Care Specialty: Neurology
Connect Care Department: EDM UAH WMC STROKE PREVENTION
Estimated time to routine appointment: Within 1 month
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
A secondary stroke prevention clinic that offers services for people who have had a stroke, mini-stroke (also called a transient ischemic attack/TIA) or ocular stroke.Provides the services below:
  • investigation, diagnosis, and referral
  • monitoring and follow-up
  • education and support regarding stroke, risk factors, and prevention
  • opportunity to participate in research
  • carotid Doppler ultrasound and TCD Monitoring (U of A Hospital only)
Aims to reduce stroke risk for individuals who are at high risk.
A secondary stroke prevention clinic that offers services for people who have had a stroke, mini-stroke (also called a transient ischemic attack/TIA) or ocular stroke.Provides the services below:
  • investigation, diagnosis, and referral
  • monitoring and follow-up
  • education and support regarding stroke, risk factors, and prevention
  • opportunity to participate in research
  • carotid Doppler ultrasound and TCD Monitoring (U of A Hospital only)
Aims to reduce stroke risk for individuals who are at high risk.
ROUTINE REFERRAL PROCESS
Fax completed referral form to a Stroke Prevention Clinic. Patients coming from a distance may chose follow-up through Telestroke - please check the box on the referral form.

Please refer to the linked algorithm to the right under 'Pathways' for referrals made to clinics in the Edmonton Zone regarding patients with suspected Transient Ischemic Attack and Non-Disabling Stroke. Diagnostics indicated on the algorithm are required to be completed before patients will be seen.
Fax completed referral form to a Stroke Prevention Clinic. Patients coming from a distance may chose follow-up through Telestroke - please check the box on the referral form.

Please refer to the linked algorithm to the right under 'Pathways' for referrals made to clinics in the Edmonton Zone regarding patients with suspected Transient Ischemic Attack and Non-Disabling Stroke. Diagnostics indicated on the algorithm are required to be completed before patients will be seen.
URGENT REFERRAL PROCESS
RAAPID North (1-800-282-9911) can also assist in directing an urgent TIA patient to the nearest Stroke Prevention Clinic (SPC) for an available “urgent” follow-up appointment.

For urgent stroke follow-up, fax completed referral form marked Urgent and call the Stroke Prevention Clinic to discuss.
RAAPID North (1-800-282-9911) can also assist in directing an urgent TIA patient to the nearest Stroke Prevention Clinic (SPC) for an available “urgent” follow-up appointment.

For urgent stroke follow-up, fax completed referral form marked Urgent and call the Stroke Prevention Clinic to discuss.
EMERGENCY REFERRAL PROCESS
If acute stroke or emergent TIA is suspected or the following symptoms such as transient motor weakness, or speech deficit; contact 911 and send patient to nearest Stroke Centre Emergency Department (UAH, GNH).

The following situations are considered Emergent/Urgent. Patients should be seen within the same day:
  • Transient motor weakness or speech deficit within the last 48 hours - send to nearest Emergency Department for urgent assessment. After assessment refer the patient to the Stroke Prevention clinic.
  • Any possible TIA symptoms within the last 48 hours in patients with known Atrial Fibrillation and not currently anti-coagulated - send to nearest Emergency Department for urgent assessment. After assessment refer the patient to the Stroke Prevention clinic.
If acute stroke or emergent TIA is suspected or the following symptoms such as transient motor weakness, or speech deficit; contact 911 and send patient to nearest Stroke Centre Emergency Department (UAH, GNH).

The following situations are considered Emergent/Urgent. Patients should be seen within the same day:
  • Transient motor weakness or speech deficit within the last 48 hours - send to nearest Emergency Department for urgent assessment. After assessment refer the patient to the Stroke Prevention clinic.
  • Any possible TIA symptoms within the last 48 hours in patients with known Atrial Fibrillation and not currently anti-coagulated - send to nearest Emergency Department for urgent assessment. After assessment refer the patient to the Stroke Prevention clinic.
ELIGIBILITY REQUIREMENTS
Physician/Nurse Practitioner referrals only. All patients with stroke or TIA.
Physician/Nurse Practitioner referrals only. All patients with stroke or TIA.
ADDITIONAL SERVICE DETAILS
Episodes of pre-syncope, loss of consciousness, memory loss or recurrent episodes of dizziness are unlikely to be TIAs and should be followed up in the Urgent Neurology Clinic (phone: 780-407-1415).

Patients should have a family physician to manage care post-clinic follow-up.
Episodes of pre-syncope, loss of consciousness, memory loss or recurrent episodes of dizziness are unlikely to be TIAs and should be followed up in the Urgent Neurology Clinic (phone: 780-407-1415).

Patients should have a family physician to manage care post-clinic follow-up.
COMMUNICATION PROCESS
  • Communication of referral receipt to referral source will occur within 7 calendar days.
  • Communication of appointment details or wait list status to patient and referral source will occur within 14 calendar days.
  • Communication of initial appointment outcomes to referral source will occur within 30 calendar 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
Timing
Additional Details
Stroke
Past medical history
 
Within 1 month

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

Please fax the following results with referral if available:¿tEchocardiogram¿tCT Scan ¿tMRI Scan ¿tCerebral Angiogram ¿tCarotid Ultrasound
 
Current

Symptoms/signs of event
 
Within 1 month
Include antiplatelet/anticoagulant therapy

Transient ischemic attack
Past medical history
 
Within 1 month

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

Symptoms/signs of event, including onset/duration of symptom
 
Within 1 month

Please fax the following results with referral if available:-Echocardiogram-CT Scan -MRI Scan -Cerebral Angiogram -Carotid Ultrasound
 
Current
Symptom Onset within past 48 hours, within 48 hours to 2 weeks or greater than 2 weeks ago.
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
Two missed appointments will require a repeat referral by the patient’s referring physician.
Two missed appointments will require a repeat referral by the patient’s referring physician.
 
HOURS OF OPERATION
Monday: 8:00 am - 4:15 pm
Tuesday: 8:00 am - 4:15 pm
Wednesday: 8:00 am - 4:15 pm
Thursday: 8:00 am - 4:15 pm
Friday: 8:00 am - 4:15 pm
Description:
Closed 12:00pm to 1:00pm
   
 
ADDRESS
Unit 1F2.16 Walter MacKenzie Centre, main floor, across from Bernard Snell Hall
8440 112 Street NW
Edmonton Alberta
T6G 2B7
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
University of Alberta Hospital is located between 83rd and  87th Avenue and between 112th Street an 114th Street in NW Edmonton.  Bus stops at both 112 St and 114 St
LRT Health Sciences station is located west across 114 St.
University of Alberta Hospital is located between 83rd and  87th Avenue and between 112th Street an 114th Street in NW Edmonton.  Bus stops at both 112 St and 114 St
LRT Health Sciences station is located west across 114 St.
 
PHONE
780-407-7363
PATIENT RESOURCES
 
PARKING INSTRUCTIONS

Rates apply 24 hours per day, and are in effect for all publicparkers, including those with provincially issued placards for personswith disabilities. Public parking is GST exempt.

Pay by Plate machines accept Canadian coins or credit card(Visa, MasterCard, American Express). Maximum 28 Canadian coins pertransaction, no pennies. Machines provide no change.

Pay on Foot machines accept Canadian coins and bills, or creditcard (Visa, MasterCard, American Express). These machines will providechange.

Parking Office accepts payment by cash, creditcard, debit or cheque.

Rates apply 24 hours per day, and are in effect for all publicparkers, including those with provincially issued placards for personswith disabilities. Public parking is GST exempt.

Pay by Plate machines accept Canadian coins or credit card(Visa, MasterCard, American Express). Maximum 28 Canadian coins pertransaction, no pennies. Machines provide no change.

Pay on Foot machines accept Canadian coins and bills, or creditcard (Visa, MasterCard, American Express). These machines will providechange.

Parking Office accepts payment by cash, creditcard, debit or cheque.

 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
 
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.

 

V5.0