COVID-19 Update: Estimated wait times in the Alberta Referral Directory may not be applicable at this time. Information for Community Physicians
Early Pregnancy Assessment   at
Foothills Medical Centre

Alberta Health Services - Calgary Zone



Estimated time to routine appointment: Within 1 week
SERVICE DESCRIPTION
This clinic provides expectant, medical, or surgical options for the management of an incomplete miscarriage (under 12 weeks gestation), or pregnancy of unknown viability. We do not manage pregnancy of unknown location (ectopic pregnancy)
This service provides:
  • confirmation of miscarriage for women under 12 weeks gestation including diagnostic investigations
  • information and options for expectant, medical, or surgical managment of an incomplete miscarriage (under 12 weeks gestation)
  • psychosocial support and education for miscarriage
For helpful information and support resources, visit our Early Pregnancy Assessment Program website or see our grief support program information on the Pregnancy and Infant Loss Program website.
EMERGENCY REFERRAL PROCESS
If patient is unstable or situation is urgent please follow existing site specific processes in either Emergency or by Gynaecologist on call.
If patient is unstable or situation is urgent please follow existing site specific processes in either Emergency or by Gynaecologist on call.
URGENT REFERRAL PROCESS
If patient is unstable or situation is urgent please follow existing site specific processes in either Emergency or by Gynaecologist on call.
If patient is unstable or situation is urgent please follow existing site specific processes in either Emergency or by Gynaecologist on call.
ROUTINE REFERRAL PROCESS
Following an ultrasound with suspected/confirmed pregnancy loss of under 12 weeks.  
Fax referral to 403-944-1111.
Following an ultrasound with suspected/confirmed pregnancy loss of under 12 weeks.  
Fax referral to 403-944-1111.
ELIGIBILITY REQUIREMENTS
High degree of suspicion of miscarriage under 12 weeks of gestation.

This clinic is wheelchair accessible, but patient must be able to transfer themselves to the exam table, or bring a companion to the appointment.
High degree of suspicion of miscarriage under 12 weeks of gestation.

This clinic is wheelchair accessible, but patient must be able to transfer themselves to the exam table, or bring a companion to the appointment.
REFERRAL PHONE
403-944-4460
REFERRAL FAX
403-944-1111
PHONE
403-944-4460
FAX
403-944-1111
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
Fetal demise from miscarriage
Medication List (dose, frequency, route)
Within 1 month

Past medical history
Within 1 month

Blood type and Rh and antibody screening
Current

Language barriers
Current

Parity, LMP
Current

Rhogam - please indicate status whether given or not, if given, indicate date
Current

Suspected or confirmed fetal demise from miscarriage
Current

Trans Vaginal Ultrasound (all scans);*Fetal pole with Crown Rump Length (CRL) of >7mm without fetal heart activity*Mean Gestational Sac Diameter (MSD) >25mm without yolk sac or fetus
Current
ADDITIONAL SERVICE DETAILS
The Calgary Zone offers assessment and management of confirmed or suspected loss of pregnancy less than 12 weeks gestational age as diagnosed by ultrasound.  All referrals are managed through the EPA Central Referral and Triage Process.  Services are offered at Foothills Medical Centre and South Health Campus.

Please include current patient contact information, date of birth, health care number and printed name of referring doctor with PRACID #.

The clinic staff will contact patient to book appointment.  Patients are assessed during this appointment and are offered conservative, medical, or surgical management.  We do not arrange for surgical management prior to assessment in our clinic.

Referral rejection/exclusion criteria:
  • Pregnancy of unknown location or confirmed ectopic pregnancy
  • Retained products of conception (without a gestational sac)
  • Patients with confirmed or suspected loss of pregnancy greater than 12 weeks gestational age by ultrasound
These patients will be managed by existing site specific processes in either Emergency or by Gynaecologist on call as appropriate.

Pregnancy & Infant Loss Support:
We offer individual, couple, and group counselling.  Memorial and Remembrance service events are held throughout the year.  Self-referrals are accepted.  Phone: 403-944-2274  Website: Pregnancy & Infant Loss - Grief Support Women's Health Ambulatory Care, Foothills Medical Centre



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
Located at the intersection of 16 Avenue NW and 29 Street NW.

Transit:
Public transportation is available to this facility.  
Located at the intersection of 16 Avenue NW and 29 Street NW.

Transit:
Public transportation is available to this facility.  
PARKING INSTRUCTIONS

Parking payment due in advance.Any pay station can be used to pay for any lot.
Pay stations are located in all parking areas and most building entrances.
Parking pay stations accept coin and all major credit cards. Accessible parking is available in all public parking lots and secondary surface lots.
Parking rates apply 24 hours per day, and are in effect for all public parkers including those with provincially issued placards for persons with disabilities. 

Parking payment due in advance.Any pay station can be used to pay for any lot.
Pay stations are located in all parking areas and most building entrances.
Parking pay stations accept coin and all major credit cards. Accessible parking is available in all public parking lots and secondary surface lots.
Parking rates apply 24 hours per day, and are in effect for all public parkers including those with provincially issued placards for persons with disabilities. 

ADDRESS
Women's Health Centre, Room 185
1403 29 Street NW
Calgary Alberta
T2N 2T9
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
   
WHEELCHAIR ACCESSIBILITY
Yes
EMAIL

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.

 

V4.7