Pulmonary Care Clinic   at
Royal Alexandra Hospital
Connect Care Specialty: Pulmonology Connect Care Department: EDM RAH ATC PULMONARY OP
Alberta Health Services - Edmonton Zone





Estimated time to routine appointment: Not Available
SERVICE DESCRIPTION
Provides assessment, treatment, follow up care and education for patients with Pulmonary conditions / disease.
The Pulmonary clinic provides diagnostic assessment treatment and follow up care for patients with Pulmonary conditions or disease. Conditions seen may include:
  • general respirology
  • asthma
  • chronic obstructive pulomary disease
  • shortness of breath
  • chronic cough
  • post COVID
  • interstitial lung disease
  • cystic fibrosis
  • pulmonary hypertension
  • allergies
  • sleep disorders
  • lung transplant
  • tuberculosis
  • hereditary hemorrahagic telangiectasia
  • pleural effusion (Royal Alexander Hospital)
  • interventional pulmonary medicine (Royal Alexander Hospital)
EMERGENCY REFERRAL PROCESS
Patients should be referred directly to an Emergency Department
or
Contact RAAPID North (for patients north of Red Deer, Alberta)
1-800-282-9911
Patients should be referred directly to an Emergency Department
or
Contact RAAPID North (for patients north of Red Deer, Alberta)
1-800-282-9911
URGENT REFERRAL PROCESS
For URGENT advice contact the Respirologist on call at 780-407-8822
For URGENT advice contact the Respirologist on call at 780-407-8822
ROUTINE REFERRAL PROCESS
Professional Referral Required.

Referrals are sent directly to the physicians offices.  It is recommended to include a past medical history, current medication list and any tests that are not included on netcare.
Professional Referral Required.

Referrals are sent directly to the physicians offices.  It is recommended to include a past medical history, current medication list and any tests that are not included on netcare.
ELIGIBILITY REQUIREMENTS
Eligibility will depend on the tests completed as part of the referral process.
Eligibility will depend on the tests completed as part of the referral process.
REFERRAL FORM
Connect Care Referral Form

1. If referral for Thoracic Oncology fax the Thoracic Oncology Referral Form and required reports and investigations to 780.735.3971.  See Information at Alberta Thoracic Oncology Program

2. If Referral is for a Sleep Specialist Consultation - See Information on the Sleep Disorders Lab  and fax referral to  780.342.8323.

3. If Referral is for Pulmonary Rehabilitation - See information on the Pulmonary Rehabilitation Program  and fax referral to 780.342.8980.
Connect Care Referral Form

1. If referral for Thoracic Oncology fax the Thoracic Oncology Referral Form and required reports and investigations to 780.735.3971.  See Information at Alberta Thoracic Oncology Program

2. If Referral is for a Sleep Specialist Consultation - See Information on the Sleep Disorders Lab  and fax referral to  780.342.8323.

3. If Referral is for Pulmonary Rehabilitation - See information on the Pulmonary Rehabilitation Program  and fax referral to 780.342.8980.
REFERRAL FAX
780-735-4525
PHONE
780-735-4450 (Outpatient Department)
REFERRAL GUIDELINES
Emergent Reason for Referral
Additional Details
+-
Hemoptysis
Active &>2 TBSPs (30cc)/day REFER PATIENT DIRECTLY TO AN EMERGENCY DEPARTMENT.

+-
Hypoxemia
RESTING O2 SAT <85% REFER PATIENT DIRECTLY TO AN EMERGENCY DEPARTMENT

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
Asthma education
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

History of
| Within 6 months

Bronchiectasis
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

History of
| Within 6 months

COPD - Chronic obstructive pulmonary disease
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 3 months

X-ray of chest and ribs
| Within 3 months

Cancer metastatic to lung
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 1 month

Referral to
| Within 1 month

Copd clinic service
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

Education
| Within 6 months

Treatment completed
| Within 3 months

Cough
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

Chest X-ray
| Within 3 months

Chronic
| Within 3 months

Duration of symptom
| Within 3 months

Not on ACE Inhibitors
| Within 1 month

Cystic fibrosis
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 3 months

Chest X-ray
| Within 3 months

Family history of
| Within 3 months

Dyspnea
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

Chest X-ray
| Within 3 months

Hemoptysis
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

Amount of hemolysis
| Within 1 month

Durations
| Within 1 month

Urgent
| Active and >2 tbsps per day
Active and >2 tbsps. (30cc) per day - URGENT SEND PATIENT DIRECTLY TO THE EMERGENCY DEPARTMENT

Active and <2 tbsps. (30cc) per day - Attach required investigations to referral

Hypoxemia
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

Blood gases, arterial measurement
| Within 3 months

Chest X-ray
| Within 3 months

Chronic
| Within 3 months

Oxygen saturation measurement
| Send patient directly to the Emergency Department
If patient presents with Oxygen saturation levels is below 85% Send patient directly to the Emergency Department

Interstitial lung disease
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 12 months

Chest X-ray
| Within 12 months

Pulmonary function test
| Within 12 months
Please have patient bring CXR on CD if not available in Netcare

Lung cyst
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 1 month

Chest X-ray
| Within 1 month

Lung mass
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 1 month

Chest X-ray
| Within 1 month

Lymphadenopathy
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 3 months

Chest X-ray
| Within 3 months

Mediastinal mass
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 3 months

Mesothelioma
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 3 months

Chest X-ray
| Within 3 months

Neuromuscular disorder
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

Arterial blood gases
| Within 1 month

Chest X-ray
| Within 1 month

Primary malignant neoplasm of lung
Past medical history
| Within 1 month

History of
| Disease History

Treatment completed
| Within 3 months

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

CT of chest
| Within 1 month

Chest X-ray
| Within 1 month

Referral to
| Alberta Thoracic Oncology Program
ADDITIONAL SERVICE DETAILS
Hours of Operation: One clinic a month, calls need to be directed to the individual Physician’s offices.

Waiting period for appointment is based on the number of patients on each physicians waiting list.
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.
 
MISSED APPOINTMENT GUIDELINES
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
DIRECTIONS
Clinic is located at the Active Treatment Centre - Outpatient Department B410.

Royal Alexandra is located in Edmonton's inner-city. Just off of Kingsway NW and 101 St NW.Bus stop 111 Ave, 106 St NW
LRT station; Kingsway

Clinic is located at the Active Treatment Centre - Outpatient Department B410.

Royal Alexandra is located in Edmonton's inner-city. Just off of Kingsway NW and 101 St NW.Bus stop 111 Ave, 106 St NW
LRT station; Kingsway

PARKING INSTRUCTIONS
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, MasterCard, American Express). Maximum 28 Canadian coins per transaction, no pennies.
Machines provide no change.Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, MasterCard, American Express). These machines will provide change.
Parking Office accepts payment by cash, credit card, debit or cheque.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, MasterCard, American Express). Maximum 28 Canadian coins per transaction, no pennies.
Machines provide no change.Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, MasterCard, American Express). These machines will provide change.
Parking Office accepts payment by cash, credit card, debit or cheque.
ADDRESS
Active Treatment Centre - Outpatient Department B410
10240 Kingsway NW
Edmonton Alberta
T5H 3V9
HOURS OF OPERATION
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:


Description:
One clinic a month, calls need to be directed to the individual Physician’s offices.
   
WHEELCHAIR ACCESSIBILITY
Yes

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

The locations listed have 3 background colors:
  • Green means the service@location has referral information attached to it.
  • Brown means the service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the service@location's status to something other than Current
    • It was deleted if it is an ARD service@location.
Green  and Brown are always at the top of the list. These are the Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the 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 Service@Locations to ones that are current.

Common Scenario:
A Service moves from one location to another. In this case the IA Service@Location record will be made defunct (non-current) and a new 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 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 Service@Location to a current service@location.

Individual referral process
  1. Click on a non-current (Red) 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 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 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 Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Service@Location to the current one.
  6. Repeat these steps for each Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Service@Location with common referral info is with current status for this service; One or more Service@Locations where replaced by new one.
  1. Click on any current Service@Location whether it has referral info (Green) or not (Brown).
  2. The 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 Service@Locations for a 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 service locations.
Generally we want to replicate current common referral info to new or replaced 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 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 Service@Location to another.

 

V4.12