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Malnutrition Clinic   at
Royal Alexandra Hospital
Specialty: Gastroenterology
Connect Care Department: EDM RAH ATC MALNUT
Estimated time to routine appointment: Within 3 months
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
The Malnutrition Clinic provides patients who are assessed as at risk and need additional support to achieve adequate nutritional intake. Provides support to patients who may have unintentional weight loss as a result of chronic medical conditions.Patients may be referred to manage intestinal failure. Treatment is provided by a multidisciplinary team and may include recommendations to initiate enteral or parenteral nutrition therapy. Patients with weight loss as a result of food insecurity or mental health-related issues should be referred to appropriate services instead to manage these concerns. Patients that are palliative should be followed by the appropriate services (Cross Cancer, palliative care team) and are not candidates for the Malnutrition Clinic services.
The Malnutrition Clinic provides patients who are assessed as at risk and need additional support to achieve adequate nutritional intake. Provides support to patients who may have unintentional weight loss as a result of chronic medical conditions.Patients may be referred to manage intestinal failure. Treatment is provided by a multidisciplinary team and may include recommendations to initiate enteral or parenteral nutrition therapy. Patients with weight loss as a result of food insecurity or mental health-related issues should be referred to appropriate services instead to manage these concerns. Patients that are palliative should be followed by the appropriate services (Cross Cancer, palliative care team) and are not candidates for the Malnutrition Clinic services.
ELIGIBILITY REQUIREMENTS
Patient must be 18 years of age, require support to achieve adequate nutritional intake, and have been previously assessed by a Registered Dietitian.
Patient must be clinically stable.
Patient should have a current family physician or nurse practitioner who is responsible for general medical follow up.
Patient must live in a suitable residence.
Patient must be 18 years of age, require support to achieve adequate nutritional intake, and have been previously assessed by a Registered Dietitian.
Patient must be clinically stable.
Patient should have a current family physician or nurse practitioner who is responsible for general medical follow up.
Patient must live in a suitable residence.
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 a referral letter and fax it to the service using the contact information in this profile.
Referrals from a Registered Dietitian will be accepted if they are accompanied by a physician referral letter, notes and nutrition interventions should be included in referral package (if not on Connect Care).
Complete a referral letter and fax it to the service using the contact information in this profile.
Referrals from a Registered Dietitian will be accepted if they are accompanied by a physician referral letter, notes and nutrition interventions should be included in referral package (if not on Connect Care).
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology type EDM RAH ATC MALNUT in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology type EDM RAH ATC MALNUT in the “To Department” section and complete order.
ADDITIONAL SERVICE DETAILS
Appointments are booked based on clinic availability. Appointments can be up to 2 hours in length due to multiple assessors.

There is no urgent/emergency referral process. Patients should be referred to the nearest Emergency Department or Urgent Care Facility.
Appointments are booked based on clinic availability. Appointments can be up to 2 hours in length due to multiple assessors.

There is no urgent/emergency referral process. Patients should be referred to the nearest Emergency Department or Urgent Care Facility.
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.
  • Wait list status update every 90 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
780-735-4289
FAX
780-735-5650
REFERRAL PHONE
780-735-4289
REFERRAL FAX
780-735-5650
REFERRAL FORM
A physician letter is accepted.
A physician letter is accepted.
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
+-
Chronic intestinal failure
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Previous GI consults, investigations, and labs not available on Netcare or Connect Care
 
At time of referral
+-
Malnutrition
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Previous GI consults, investigations, and labs not available on Netcare or Connect Care
 
At time of referral
+-
Parenteral nutrition
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Previous GI consults, investigations, and labs not available on Netcare or Connect Care
 
At time of referral
+-
Tube feeding
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Previous GI consults, investigations, and labs not available on Netcare or Connect Care
 
At time of referral
+-
Unexplained weight loss
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Previous GI consults, investigations, and labs not available on Netcare or Connect Care
 
At time of referral
PATIENT APPOINTMENT INFORMATION
Email
Print
 
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.
 
HOURS OF OPERATION
Monday: 9:00 am - 11:30 pm
Tuesday:
Wednesday:
Thursday:
Friday: 12:30 am - 3:30 pm
Description:
Alternating Friday afternoons

Please fax referral directly to Physician's office.
   
 
ADDRESS
Active Treatment Centre - Outpatient Department B410
10240 Kingsway NW
Edmonton Alberta
T5H 3V9
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
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
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
 
PHONE
780-735-4289
 
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.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
Not applicable.
Not applicable.
 
 
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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