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Day Medicine   at
Medicine Hat Regional Hospital
Specialty: Day Medicine
Connect Care Department: MED MHRH DAY MEDICINE CL
Estimated time to routine appointment: Not Available
Alberta Health Services - South Zone
SERVICE DESCRIPTION
Provide episodic care for ambulatory adults who need treatment in a hospital setting but do not need to stay overnight.Provide episodic care for ambulatory adults who need treatment in a hospital setting but do not need to stay overnight. Services may include:
  • administration of blood products
  • IV therapy
  • medication infusions
  • therapeutic phlebotomy
  • dressing changes, suture staple removals
  • cathetor insertions
  • post-void residuals
  • recovery from approved diagnostic interventions
Provide episodic care for ambulatory adults who need treatment in a hospital setting but do not need to stay overnight.Provide episodic care for ambulatory adults who need treatment in a hospital setting but do not need to stay overnight. Services may include:
  • administration of blood products
  • IV therapy
  • medication infusions
  • therapeutic phlebotomy
  • dressing changes, suture staple removals
  • cathetor insertions
  • post-void residuals
  • recovery from approved diagnostic interventions
ELIGIBILITY REQUIREMENTS
Prescribers must have admitting privileges at the Medicine Hat Regional Hospital. To obtain privileges they need to go through Medical Affairs.

IV Iron inclusion criteria:
  • Documented anemia:
    • Female Hgb < 120g/L or <110g/L in pregnancy 3rd trimester
    • Male Hgb < 135 g/L
  • Documented iron deficiency: (Must include all 3 - MCV, Ferritin and TSAT)
    • MCV less than 80
    • Ferritin not greater than 500
    • TSAT less than 20
  • Indication for IV iron:
    • Oral iron trial of at least ONE month
    • Hgb continues to fall to LESS than 90 g/L OR Hgb failed to rise by 10 g/L in 4-6 weeks of oral therapy
    • Patients known to have a medical condition where IV iron is more frequently indicated (Must still meet anemia and iron deficiency criteria)
    • Medical conditions where IV iron is more frequently indicated:
      • Heart failure
      • Peri-operative anemia
      • Pregnancy is greater than 14 weeks gestational age
      • Chronic gastrointestinal conditions (Celiac disease, inflammatory bowel disease, bariatric surgery)
      • Ongoing blood loss (GI bleed, menorrhagia, cancer)
      • Chronic kidney disease (non-dialysis and dialysis)
Adult Day Medical Clinic - pediatric patients need to be referred to pediatric Day Medicine.
Prescribers must have admitting privileges at the Medicine Hat Regional Hospital. To obtain privileges they need to go through Medical Affairs.

IV Iron inclusion criteria:
  • Documented anemia:
    • Female Hgb < 120g/L or <110g/L in pregnancy 3rd trimester
    • Male Hgb < 135 g/L
  • Documented iron deficiency: (Must include all 3 - MCV, Ferritin and TSAT)
    • MCV less than 80
    • Ferritin not greater than 500
    • TSAT less than 20
  • Indication for IV iron:
    • Oral iron trial of at least ONE month
    • Hgb continues to fall to LESS than 90 g/L OR Hgb failed to rise by 10 g/L in 4-6 weeks of oral therapy
    • Patients known to have a medical condition where IV iron is more frequently indicated (Must still meet anemia and iron deficiency criteria)
    • Medical conditions where IV iron is more frequently indicated:
      • Heart failure
      • Peri-operative anemia
      • Pregnancy is greater than 14 weeks gestational age
      • Chronic gastrointestinal conditions (Celiac disease, inflammatory bowel disease, bariatric surgery)
      • Ongoing blood loss (GI bleed, menorrhagia, cancer)
      • Chronic kidney disease (non-dialysis and dialysis)
Adult Day Medical Clinic - pediatric patients need to be referred to pediatric Day Medicine.
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.
Complete the referral form and fax, it to the service using the contact information in this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Day Medicine, type MED MHRH DAY MEDICINE CL in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Day Medicine, type MED MHRH DAY MEDICINE CL in the “To Department” section and complete order.
 
PHONE
403-502-8630
FAX
403-529-8945
REFERRAL PHONE
403-502-8630
REFERRAL FAX
403-529-8945
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
+-
Change of dressing
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
+-
Intravenous infusion of iron
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Must be included on the referral:
  • Documented anemia:
    • Female Hgb < 120g/L or <110g/L in pregnancy 3rd trimester
    • Male Hgb < 135 g/L
 
N/A
Must be included on the referral:
  • Documented iron deficiency: (Must include all 3 - MCV, Ferritin and TSAT)
    1. MCV less than 80
    2. Ferritin not greater than 500
    3. TSAT less than 20
 
N/A
Clinical assessments of IV iron dosing will be performed according to:
Dose in mg = actual body weight (kg) x (target Hgb – actual Hgb in g/L) x 0.24 + body iron stores (mg)
  • Target Hgb: 120 g/L for females and 135 g/L for males
  • Body iron stores: weight 35 kg or less = 15 mg/kg, weight more than 35 kg = 500 mg
  • Maximum total dose in two weeks: 1200 mg
+-
Medication administration: intravenous
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Must be included on the referral:
  • Medication
  • Dosage
  • Route
  • Interval
  • Duration
  • Number of doses remaining
 
N/A
+-
Peripherally inserted central catheter care
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Please include as much information as possible:
  • Diagnosis
  • Site/Unit making the request
  • Primary reason for insertion
  • INR status
  • Are they on an anticoagulant
  • Signed Consent
  • General Medical History
  • If there is an existing line or not
 
N/A
+-
Phlebotomy
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Please indicate the following/necessary information::
  • Diagnosis
  • Volume (ml)
  • Frequency
 
N/A
Please do phlebotomy to keep:
  • Hemoglobin: Greater or equal to -
  • Ferritin: Less than or equal to -
  • Hematocrit (Polycythemia) less than or equal to -
+-
Removal of suture
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
+-
Urgent 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
+-
Transfusion of blood product
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
Patients must contact Day Medicine staff if an appointment is missed.
Patients must contact Day Medicine staff if an appointment is missed.
 
HOURS OF OPERATION
Monday: 7:45 am - 4:00 pm
Tuesday: 7:45 am - 4:00 pm
Wednesday: 7:45 am - 4:00 pm
Thursday: 7:45 am - 4:00 pm
Friday: 7:45 am - 4:00 pm
Description:
Closed on statutory holidays.
   
 
ADDRESS
666 5 Street SW
Medicine Hat Alberta
T1A 4H6
PATIENT APPOINTMENT INSTRUCTIONS
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at the Day Medical Clinic on Level 2 15 minutes prior to your scheduled appointment.
  • Please ensure you have someone with you if you do not speak English.
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at the Day Medical Clinic on Level 2 15 minutes prior to your scheduled appointment.
  • Please ensure you have someone with you if you do not speak English.
 
DIRECTIONS
The Day Medical Clinic is located in the Medicine Hat Regional Hospital and registers their own patients.
The easiest access is by entering the hospital through the East entrance located on 6th Avenue SW.
Take the elevators to the 2nd floor and follow the signage to Day Medical.
The Day Medical Clinic is located in the Medicine Hat Regional Hospital and registers their own patients.
The easiest access is by entering the hospital through the East entrance located on 6th Avenue SW.
Take the elevators to the 2nd floor and follow the signage to Day Medical.
 
PHONE
403-502-8630
 
PARKING INSTRUCTIONS
There is paid parking available on the east side of the hospital at the 6th Ave SW entrance. 
There is also metered street parking.
There is paid parking available on the east side of the hospital at the 6th Ave SW entrance. 
There is also metered street parking.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
PARKING MAP
 
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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