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Hyperbaric Oxygen Therapy Clinic   at
Arthur J.E. Child Comprehensive Cancer Centre
Specialty: Pulmonology
Connect Care Department: CGY ACCC HYPERBARIC OXY THRPY
Estimated time to routine appointment: Greater than 18 months
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
Hyperbaric oxygen therapy is the use of 100% oxygen at higher air pressure than is normal to treat some medical problems. It is used in conjunction with a variety of other treatments such as, antibiotics, dressing changes and surgery, to improve healing.Offers 100% oxygen at high atmospheric pressure to treat a specified list of conditions approved by Alberta Health and the College of Physicians and Surgeons of Alberta. This treatment increases blood oxygen levels, which can prevent tissue death, promote healing, and help fight infection.
Hyperbaric oxygen therapy is the use of 100% oxygen at higher air pressure than is normal to treat some medical problems. It is used in conjunction with a variety of other treatments such as, antibiotics, dressing changes and surgery, to improve healing.Offers 100% oxygen at high atmospheric pressure to treat a specified list of conditions approved by Alberta Health and the College of Physicians and Surgeons of Alberta. This treatment increases blood oxygen levels, which can prevent tissue death, promote healing, and help fight infection.
ELIGIBILITY REQUIREMENTS
Only certain health conditions are eligible for treatment with hyperbaric oxygen therapy (see below). Please consult with a physician at HBO Clinics for further information.
Only certain health conditions are eligible for treatment with hyperbaric oxygen therapy (see below). Please consult with a physician at HBO Clinics for further information.
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.
All HBO referrals will be reviewed and prioritized by the HBO physician at time received.
Referrals may be accepted from physicians, dental surgeons, enterostomal therapists, and chiropodists.
Urgent Referrals: Any atypical problems or uncertain diagnoses can be discussed with the hyperbaric physician responsible for triage by calling 403-944-6645 or through ROCA.
In the referral please rate the Urgency within connect care or via fax.
Complete the referral form and fax it to the service using the contact information in this profile.
All HBO referrals will be reviewed and prioritized by the HBO physician at time received.
Referrals may be accepted from physicians, dental surgeons, enterostomal therapists, and chiropodists.
Urgent Referrals: Any atypical problems or uncertain diagnoses can be discussed with the hyperbaric physician responsible for triage by calling 403-944-6645 or through ROCA.
In the referral please rate the Urgency within connect care or via fax.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Pulmonology, type CGY ACCC HYPERBARIC OXY THRPY in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Pulmonology, type CGY ACCC HYPERBARIC OXY THRPY in the “To Department” section and complete order.
COMMUNICATION PROCESS
  • Wait list status update every 90 days.
 
PHONE
587-231-5475
FAX
587-231-5477
REFERRAL PHONE
587-231-5475
REFERRAL FAX
587-231-5477
REFERRAL FORM
LINKED SPECIALISTS
CLICK + TO VIEW REFERRAL GUIDELINES
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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
+-
Air embolism
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
severity of symptoms
 
Current
Considered Emergent, contact HBO physician on call in ROCA
+-
Carbon monoxide poisoning
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
describe symptoms & severity
 
Current
Considered Emergent, contact HBO physician on call in ROCA
+-
Decompression sickness
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
severity of symptoms
 
Current
Considered Emergent, contact HBO physician on call in ROCA
+-
Dental surgery after significant radiation exposure
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Course of treatment
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
Requests for prevention of ORN in setting of needed dental/oral surgery after high risk radiation exposure has been supported in setting of need for significant implants in area of significant prior radiotherapy. The evidence would not suggest or benefit for HBO prior to simple extractions. Approval requires support by radiation oncology and oral/maxillofacial surgery. Approval for 20/10 treatments pre/post.
+-
Dermatosis caused by therapeutic ionizing irradiation
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Course of treatment
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
Severity of symptoms
 
Within 1 month
Radiation related disorders of the skin & subcutaneous tissue -
Requests will require support of radiation oncology. If surgery contemplated should be coordinated to allow for pre/post HBO planning. Up to 40 treatments would be considered.
+-
Diabetic foot ulcer
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
Wound assessment glycemic control. Details of wound care.
 
Within 3 months
Diabetic foot wounds - History should include prior treatments and adjuvant treatments such as antibiotics, revascularization procedures, surgeries, steroids.
Prior HBOT therapy & response should be included. Patients with complex wounds should have vascular assessment.
+-
Graft failure due to prolonged ischemia
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
severity of symptoms
 
Within 1 month
Requires support from Plastic Surgery section chief.
+-
Hyperbaric oxygen therapy
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
+-
Osteomyelitis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
severity of symptoms
 
Within 1 month
Referral for adjunctive therapy for chronic osteomyelitis requires referral from podiatry, plastics, ortho, oral/maxillofacial surgery or vascular surgery with evidence of adequate course of antibiotic therapy and sufficient vascular supply & surgical interventions if needed prior to consideration for HBO
+-
Osteoradionecrosis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
severity of symptomssurgical plan
 
Within 1 month
Osteoradionecrosis of other sites- Requests will require support from radiation oncology section lead. Approval will be for up to 30 treatments. If surgery required will need to ensure that timing relative to surgery is confirmed for up to 20/10 pre/post HBO treatments.
+-
Osteoradionecrosis of jaw
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
Severity of symptoms
 
Within 1 month
Osteonecrosis referral requires referral from head & neck surgeon/oral maxillofacial surgeon or plastic surgeon involved with support from radiation oncologist. Timing should be specified relative to required surgery to allow for timing of pre/post HBO sessions. In general appropriate for 30 treatments plus or minus 10 post surgery.
+-
Radiation proctitis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
Severity of symptoms
 
Within 1 month
Radiation proctitis/colitis - requires support of radiation oncology & gastroenterology/surgery. Support for treatment of ongoing/refractory moderate or severe symptoms in setting of pelvic irradiation.
+-
Recurrent venous ulcer of lower limb
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Course of treatment
 
Within 3 months
History & severity of symptoms
 
Greater than 12 months
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
Chronic non-diabetic wounds/ Peripheral vascular disease wounds -  Referrals from podiatry/plastics/vascular surgery of non-healing wounds not in setting of diabetes will require input from vascular assessment & vascular surgery priot to proceeding and likely would need evidence that vascular supply and sufficient wound care provided for at least 30 days without healing. TCOM measure would be required and would be supported by significant wound hypoxia with response to oxygen.
+-
Sudden sensorineural hearing loss
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Course of treatment
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
Severity of symptoms
 
Within 1 month
Acute sensorineural hearing loss - ideally requires intervention within 4 weeks but some data suggesting benefit within 12 weeks along with steroid therapy.
Referral should be supported by Otolaryngology or Neurology.
+-
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
+-
Hemorrhagic cystitis
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Identify (if relevant) any co-morbidity information:* Diabetes* COPD* Asthma* Malignancy* Chronic ear or sinus condition
 
Current
Identify (if relevant) specific symptom or patient information:* History of pneumothorax* Smoking* History of chest surgery* Chemotherapy(specify)* History of seizures
 
Current
Severity of symptoms
 
Within 1 month
+-
Emergent Reason for Referral
Additional Details
+-
Air embolism
Considered Emergent, contact HBO physician on call in ROCA.
+-
Carbon monoxide poisoning
Considered Emergent, contact HBO physician on call in ROCA.
+-
Clostridial myonecrosis
Considered Emergent, contact HBO physician on call in ROCA.
+-
Compartment syndrome
Considered Emergent, contact HBO physician on call in ROCA.
+-
Crushing injury
Considered Emergent, contact HBO physician on call in ROCA.
+-
Decompression sickness
Considered Emergent, contact HBO physician on call in ROCA.
+-
Necrotizing soft tissue infection
Considered Emergent, contact HBO physician on call in ROCA.
PATIENT APPOINTMENT INFORMATION
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MISSED APPOINTMENT GUIDELINES
If you need to cancel an appointment, let us know as soon as possible by calling 587-231-5475.
If you need to cancel an appointment, let us know as soon as possible by calling 587-231-5475.
 
HOURS OF OPERATION
Monday: 7:00 am - 6:00 pm
Tuesday: 7:00 am - 6:00 pm
Wednesday: 7:00 am - 6:00 pm
Thursday: 7:00 am - 6:00 pm
Friday: 7:00 am - 6:00 pm
   
 
ADDRESS
3395 Hospital Drive NW
Calgary Alberta
T2N 5G2
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 try 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 try to have someone with you if you are unable to communicate in English.
 
DIRECTIONS
Clinic Directions: The Hyperbaric Oxygen Therapy Clinic is situated in the Arthur JE Child Comprehensive Cancer Centre on level LC/P2. Please proceed to the Radiation Therapy Main Reception check-in desk. After checking in, head to the HBO department and ring the doorbell for entry.

Arthur J.E. Child Comprehensive Cancer Centre is located on Hospital Dr NW and 29 St NW

Transit:
Public transportation is available to this facility.
Clinic Directions: The Hyperbaric Oxygen Therapy Clinic is situated in the Arthur JE Child Comprehensive Cancer Centre on level LC/P2. Please proceed to the Radiation Therapy Main Reception check-in desk. After checking in, head to the HBO department and ring the doorbell for entry.

Arthur J.E. Child Comprehensive Cancer Centre is located on Hospital Dr NW and 29 St NW

Transit:
Public transportation is available to this facility.
 
PHONE
587-231-5475
 
PARKING INSTRUCTIONS
Use under Ground Parking in the Arthur JE Child Comprehensive Cancer Centre. Public parking is on level 1,2, & 3.
Use under Ground Parking in the Arthur JE Child Comprehensive Cancer Centre. Public parking is on level 1,2, & 3.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
Virtual services are not available.
Virtual services are not available.
 
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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