Intravenous (IV) Therapy Clinic   at
Fort Saskatchewan Community Hospital
Specialty: IV Therapy
Connect Care Department: FTS FSCH IV THERAPY
Estimated time to routine appointment: Within 1 month
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
Provides a variety of intravenous (IV) therapies to outpatients.Provides IV Therapy for outpatients who are able to mobilize independently or are accompanied by a capable caregiver
  • Outpatient Antimicrobial Therapy Clinic
  • blood & blood product transfusions
  • day medicine infusions
Provides a variety of intravenous (IV) therapies to outpatients.Provides IV Therapy for outpatients who are able to mobilize independently or are accompanied by a capable caregiver
  • Outpatient Antimicrobial Therapy Clinic
  • blood & blood product transfusions
  • day medicine infusions
ELIGIBILITY REQUIREMENTS
Please review the Referral Guidelines table below to ensure all required information is included so the referral can be accepted without delays.
  • Adults (18 years or older)
  • May take patients 12 years and older at discretion of nurse practitioner.
  • All referrals must go to our Nurse Practitioner, this includes Physicians with site privileges.
  • Will accept patients from community providers but must go through ARD referral process.
Intravenous iron infusions criteria:
  • Criteria for accepting non-pregnant, non-perioperative patients are based on current evidence-based guidelines and in consultation with hematology zone leaders. Our current parameters for acceptance are: 
    • Hemoglobin <100 AND ferritin <30 
  • Criteria for accepting perinatal patients are based on current evidence-based guidelines and in consultation with hematology zone leaders. Our current parameters for acceptance are:
    • Hemoglobin <110 AND ferritin <30 after 24 weeks gestation
    • Acceptance after 14 weeks gestation can be considered with one or more of the following:
      • Severe iron deficiency anemia (Hb <80 g/L and ferritin <30 ug/L)
      • Failed an adequate trial of oral iron indicated by:
        • Hgb increase of <20 g/L in 4 weeks
        • Unable to tolerate oral iron (proof of trial required)
        • Unable to absorb oral iron (e.g., clinical active inflammatory bowel disease, bariatric surgery, etc.)
Please review the Referral Guidelines table below to ensure all required information is included so the referral can be accepted without delays.
  • Adults (18 years or older)
  • May take patients 12 years and older at discretion of nurse practitioner.
  • All referrals must go to our Nurse Practitioner, this includes Physicians with site privileges.
  • Will accept patients from community providers but must go through ARD referral process.
Intravenous iron infusions criteria:
  • Criteria for accepting non-pregnant, non-perioperative patients are based on current evidence-based guidelines and in consultation with hematology zone leaders. Our current parameters for acceptance are: 
    • Hemoglobin <100 AND ferritin <30 
  • Criteria for accepting perinatal patients are based on current evidence-based guidelines and in consultation with hematology zone leaders. Our current parameters for acceptance are:
    • Hemoglobin <110 AND ferritin <30 after 24 weeks gestation
    • Acceptance after 14 weeks gestation can be considered with one or more of the following:
      • Severe iron deficiency anemia (Hb <80 g/L and ferritin <30 ug/L)
      • Failed an adequate trial of oral iron indicated by:
        • Hgb increase of <20 g/L in 4 weeks
        • Unable to tolerate oral iron (proof of trial required)
        • Unable to absorb oral iron (e.g., clinical active inflammatory bowel disease, bariatric surgery, etc.)
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.
Please connect with the Unit to speak with the Nurse Practitioner regarding acceptance of patient for same day or next day treatments. 
Please indicate upon referral if this patient is to be considered urgent.
Complete the referral form and fax it to the service using the contact information in this profile.
Please connect with the Unit to speak with the Nurse Practitioner regarding acceptance of patient for same day or next day treatments. 
Please indicate upon referral if this patient is to be considered urgent.
REFERRAL PROCESS - FOR CONNECT CARE USERS
All Internal Referrals must be sent to our Nurse Practitioner via Connect care. Please follow below steps:
  1. “Add Order”
  2. Type in “AMB ref”
  3. Ambulatory referral to OPAT
  4. Type in FTS FSCH IV THERAPY
All Internal Referrals must be sent to our Nurse Practitioner via Connect care. Please follow below steps:
  1. “Add Order”
  2. Type in “AMB ref”
  3. Ambulatory referral to OPAT
  4. Type in FTS FSCH IV THERAPY
ADDITIONAL SERVICE DETAILS
Provides variety of Intravenous (IV) therapies to outpatients and post care for procedures such as:
  • Outpatient Antimicrobial Therapy
  • Blood and Blood products transfusion
  • Acute and Chronic disease medication infusion
  • Bladder instillations
  • Outpatients subcutaneous/intramuscular injections
  • iron infusions
  • phlebotomies
  • IVIG infusions
  • WinRho
  • IV antiemetic therapy
  • Crystalloid Infusions
  • Electrolyte Replacement
  • Steriod Courses
  • Pamidronate
  • Zoledronic Acid
*Please note: we do not offer paracentesis service at the Fort Saskatchewan location.
Provides variety of Intravenous (IV) therapies to outpatients and post care for procedures such as:
  • Outpatient Antimicrobial Therapy
  • Blood and Blood products transfusion
  • Acute and Chronic disease medication infusion
  • Bladder instillations
  • Outpatients subcutaneous/intramuscular injections
  • iron infusions
  • phlebotomies
  • IVIG infusions
  • WinRho
  • IV antiemetic therapy
  • Crystalloid Infusions
  • Electrolyte Replacement
  • Steriod Courses
  • Pamidronate
  • Zoledronic Acid
*Please note: we do not offer paracentesis service at the Fort Saskatchewan location.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 14 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Wait list status update every 7 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
780-342-3117
FAX
780-342-3332
REFERRAL PHONE
780-342-3117
REFERRAL FAX
780-342-3332
REFERRAL FORM
LINKED SPECIALISTS
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
Administration of electrolytes
< 2 Weeks
Medication List (dose, frequency, route)
 
Within 1 month

Pertinent blood work
 
Within 1 month

Past medical history
 
Within 1 month

Provide the following information:
  • Appropriate bloodwork within 1 week of requested therapy
  • Dosing guidelines and interval
  • Maximum MgSO4 will be 4 grams per day
  • Follow up plan
 
N/A
Electrolyte Replacement

Fluid replacement
2 Weeks
Medication List (dose, frequency, route)
 
Within 1 month

Pertinent blood work
 
Within 1 month

Past medical history
 
Within 1 month

Must include the following information:
  • Indication
  • Max 2000mls per day
  • Short term therapy only (< 3 months) unless indicated otherwise
 
N/A
Crystalloid Infusions

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

Pertinent blood work
 
Within 1 month

Past medical history
 
Within 1 month

Please inquire prior to referral
 
N/A
Additional infusion or injection needs
Referring provider must inquire prior to referral

Intravascular infusion human rho(D) immunoglobulin
< 1 Week
Medication List (dose, frequency, route)
 
Within 1 month

Pertinent blood work
 
Within 1 month

Past medical history
 
Within 1 month

Provide the following information:
  • RH eligibility
  • Gestational Age at time of referral
 
Current
WinRho

Intravenous antibiotic therapy
< 1 Day
Medication List (dose, frequency, route)
 
Within 1 month

Pertinent blood work
 
Within 1 month

Past medical history
 
Within 1 month
Intravenous Antibiotic Therapy
  • Please contact the Unit directly for a "Provider to Provider" referral.

Intravenous infusion of human immune serum globulin (IVIg)
< 1 Month
Medication List (dose, frequency, route)
 
Within 1 month

Pertinent blood work
 
Within 1 month

Past medical history
 
Within 1 month

Provide the following information:
  • Indication
  • Transfusion parameters with dose and duration of therapy
  • Follow up plan
  • Current weight
 
Current
IVIG 

Intravenous infusion of iron
< 1 Month
Medication List (dose, frequency, route)
 
Within 1 month

Pertinent blood work
 
Within 1 month

Past medical history
 
Within 1 month

  • Documented evidence of a minimum 3-month trial of PO iron supplementation must be present on Netcare.
    • In the absence of a PO iron trial, clinical evidence of intolerance or indication for parenteral iron therapy must be provided.
     
    N/A

    Recent bloodwork is required:
    • Iron studies including ferritin and TSATs
    • CBC
    • Current weight
     
    Within 3 months
    Intravenous Iron Infusion
    Includes Iron Sucrose (covered by AH) or ferric derisomaltose (Monoferric) infusions
    • Ferric derisomaltose Rx will need to be provided by the patient at time of arrival to clinic. Pt to fill at community pharmacy and bring to appointment.

    Intravenous steroids
    < 2 Weeks
    Medication List (dose, frequency, route)
     
    Within 1 month

    Pertinent blood work
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Include on the referral:
    • Indication, dose, and length of treatment
      • Reassessment plan
     
    N/A
    Steroid Courses

    Intravenous therapy
    < 3 Weeks
    Medication List (dose, frequency, route)
     
    Within 1 month

    Pertinent blood work
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Must include the following information:
    • Dose, dosing interval and duration of therapy
    • Patient must bring their own prescription
    • Follow up plan
     
    Current
    Pamidronate IV

    Intravenous therapy
    2 Weeks
    Medication List (dose, frequency, route)
     
    Within 1 month

    Pertinent blood work
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Must include the following information:
    • Indication
    • dosing guidelines and intervals
    • Short term therapy only (< 1 month)
     
    N/A
    Antiemetic Therapy

    Phlebotomy
    < 1 Month
    Medication List (dose, frequency, route)
     
    Within 1 month

    Pertinent blood work
     
    Within 1 month

    Past medical history
     
    Within 1 month

    • CBC and ferritin within 1 week of next scheduled phlebotomy
    • Hgb >110 Alberta-Hemochromatosis_CPG.pdf
    • Referral requires target ferritin or Hgb goal
    • Patient will require a standing order requisition for required bloodwork from referring provider
     
    Current
    Phlebotomy
    * We do not treat hemoglobin above 100

    Platelet transfusion
    1 Week
    Medication List (dose, frequency, route)
     
    Within 1 month

    Pertinent blood work
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Appropriate bloodwork within the last 30 days
     
    Within 30 days

    Provide the following information:
    • Indication
    • Transfusion parameters with dose and duration of therapy
    • Follow up plan
     
    Current

    Transfusion of PRBC
    1 Week
    Medication List (dose, frequency, route)
     
    Within 1 month

    Pertinent blood work
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Appropriate bloodwork within the last 30 days
     
    Within 30 days

    Provide the following information:
    • Indication
    • Transfusion parameters with dose and duration of therapy
    • Hgb >60 and hemodynamically stable
    • Follow up plan
     
    Current

    Transfusion of albumin
    1 Week
    Medication List (dose, frequency, route)
     
    Within 1 month

    Pertinent blood work
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Appropriate bloodwork within the last 30 days
     
    Within 30 days

    Provide the following information:
    • Indication
    • Transfusion parameters with dose and duration of therapy
    • Follow up plan
     
    Current

    Zoledronic acid therapy
    < 3 Weeks
    Medication List (dose, frequency, route)
     
    Within 1 month

    Pertinent blood work
     
    Within 1 month

    Past medical history
     
    Within 1 month

    Referral requires:
    • Dose
    • Patient must bring their own prescription
    • Follow up plan
    • Re-referral will be required for subsequent doses
     
    N/A
    Zoledronic Acid
    PATIENT APPOINTMENT INFORMATION
     
    MISSED APPOINTMENT GUIDELINES
    If patient is unable to attend a scheduled appointment, please notify clinic a minimum of 48 hrs in advance.
    2 cancelled/missed appointments will lead to cancellation of referral and will be discharged from the clinic.
    If patient is unable to attend a scheduled appointment, please notify clinic a minimum of 48 hrs in advance.
    2 cancelled/missed appointments will lead to cancellation of referral and will be discharged from the clinic.
     
    HOURS OF OPERATION
    Monday: 7:00 am - 3:00 pm
    Tuesday: 7:00 am - 3:00 pm
    Wednesday: 7:00 am - 3:00 pm
    Thursday: 7:00 am - 3:00 pm
    Friday: 7:00 am - 3:00 pm
    Saturday: 7:00 am - 3:00 pm
    Sunday: 7:00 am - 3:00 pm
       
     
    ADDRESS
    Main Floor
    9401 86 Avenue
    Fort Saskatchewan Alberta
    T8L 0C6
    PATIENT APPOINTMENT INSTRUCTIONS
    • Bring your Alberta health care card and a piece of government issued photo ID.
    • Check in at reception 15 minutes prior to your scheduled appointment time.
    • You may bring a family member or significant other during your consultation.
    • Please make sure to have someone with you if you are unable to communicate in English.
    • Bring your Alberta health care card and a piece of government issued photo ID.
    • Check in at reception 15 minutes prior to your scheduled appointment time.
    • You may bring a family member or significant other during your consultation.
    • Please make sure to have someone with you if you are unable to communicate in English.
     
    DIRECTIONS
    Check in at reception at the main entrance for directions.

    Fort Saskatchewan Community Hospital is located at the intersection of 94 Street and 86 Avenue
    Check in at reception at the main entrance for directions.

    Fort Saskatchewan Community Hospital is located at the intersection of 94 Street and 86 Avenue
     
    PHONE
    780-342-3117
     
    PARKING INSTRUCTIONS
    Free of charge public parking is available at the front of the hospital 24/7, including accessible parking stalls.
    Free of charge public parking is available at the front of the hospital 24/7, including accessible parking stalls.
     
    EMAIL
    VIRTUAL APPOINTMENT INFORMATION
    This service does not provide virtual appointments.
    This service does not provide virtual appointments.
     
    PARKING MAP
    There is currently no parking map available for this site.
    There is currently no parking map available for this site.
     
    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.

     

    V6.7