NT HOSPITALS 3
TOP END SPECIALIST AND REFERRAL DIRECTORY Produced by GP - Hospital Liaison Project RDH Updated October 2014 NT HOSPITALS Darwin Private Admissions 3 3 CARDIOLOGY Warfarin Initiation 14 14 34 OBSTETRIC CARE - PUBLIC RHEUMATOLOGY 38 39 RDH LIAISON and ENQUIRIES 4 DERMATOLOGY REFERRAL INFORMATION ENDOCRINOLOGY& DIABETES 16 MENTAL HEALTH 6 EXERCISE AND SPORTS Psychology and Counselling services39 6 GASTROENTEROLOGY - Procedural, IBD and General Gastroenterology Clinics 18 INTERPRETER SERVICES ABORIGINAL INTERPRETER SERVICE 5 TRANSLATING AND INTERPRETING SERVICE (TIS) NATIONAL 7 15 NT RESPIRATORY & SLEEP OUTPATIENTS SERVICES 18 GENETICS 19 GERIATRICS 20 Darwin Psychological Directory- Darwin Directory of Psychological Services39 Alice Springs Psychological DirectoryAlice Springs Directory of Psychological Services 39 PSYCHIATRY 43 RESULTS 8 HAEMATOLOGY 23 Pathology 8 HEPATOLOGY –Liver Clinic 24 Radiology 9 HOSPITAL IN THE HOME 25 IMMUNOLOGY and ALLERGY 26 INFECTIOUS DISEASES 27 Urodynamic assessment for women 47 Colposcopy EMERGENCY DEPARTMENT 10 INTENSIVE CARE MEDICINE 11 CDC 27 MEDICINE 12 Notifications 27 ACUTE and GENERAL MEDICINE12 NEUROLOGY 28 ALCOHOL and OTHER DRUGS ONCOLOGY 29 S8 prescribing Darwin Withdrawal Service ALLERGY 13 13 13 14 PALLIATIVE CARE 31 REHABILITATION AND MEDICAL PAIN SERVICE 32 RENAL 33 MATERNAL & CHILD HEALTH 45 GYNAECOLOGY 45 47 SEXUAL & REPRODUCTIVE HEALTH 48 51 GP Shared Care 51 Antenatal Clinic 52 Midwife Care 52 Medical Obstetric Antenatal Clinics 53 RDH Delivery Suite 53 Home Birth Options 54 OBSTETRIC CARE - PRIVATE 55 OTHER PREGNACY RELATED SERVICES/CLINICS 56 Pregnancy Counselling 56 Healthdirect Australia 56 Anti-D 56 Early Pregnancy Loss Clinic RDH57 Surgical Termination of Pregnancy (STOP) 58 PAEDIATRICS 59 Reproductive Medicine Unit 48 SURGERY 62 Family Planning Welfare NT 48 GENERAL 62 Clinic 34 48 ENDOSCOPY 64 HAND SURGERY 66 Mobile Outreach Services (MOS)48 Mandatory Reporting 49 HEAD AND NECK SURGERY 67 LAPROSCOPIC BANDING SURGERY 67 MAXILLOFACIAL and HEAD AND NECK SURGERY 68 NEUROSURGERY 69 PLASTIC AND RECONSTRUCTIVE75 OPHTHALMOLOGY 70 SPORTS MEDICINE 76 UROLOGY 77 VASCULAR 77 OTOLARYNGOLOGY (Ear, Nose and Throat) 73 ORTHOPAEDIC or TRAUMA DEPARTMENT OF SURGERY Visiting Specialists 74 Page 2 Every effort is made to ensure this information is correct at the time of printing. Please email any changes to [email protected] 78 NT HOSPITALS Royal Darwin Hospital Royal Darwin Hospital PO Box 41326 CASUARINA NT 0811 Ph: 8922 8888 Fax: 8922 8286 Download: Royal Darwin Hospital Campus Map Darwin Private Hospital PO Box 42571 CASUARINA NT 0811 Ph: 8920 6011 Admissions Manager 0499 513 860 Fax: 8920 6008 Alice Springs Hospital PO Box 2234 ALICE SPRINGS NT 0871 Ph: 8951 7777 Fax: 8951 7988 PO Box 421 GOVE NT 0881 Ph: 8987 0211 Fax: 8987 0399 PMB 73 KATHERINE NT 0851 Ph: 8973 9211 Fax: 8973 9000 PO Box 346 TENNANT CREEK NT 0861 Ph: 8962 4399 Fax: 8962 4311 Alice Springs Hospital Gove Hospital Gove District Hospital Katherine Hospital Katherine Hospital Tennant Creek Hospital Tennant Creek Hospital Darwin Private Admissions Back to index Call DPH Admissions Manager 0488 513 860. Provide patient name, DOB, Health fund details and reason for admission. DPH will find a suitable consultant and contact your practice to arrange transfer. RDH LIAISON & ENQUIRIES General Enquiries Fax request to Community Liaison on 8922 7865 All requests must be accompanied by: patient’s consent; reference to the specific information that you want to receive; and a return to sender fax number. Note: The Community Liaison Nurse only works from 8.00am - 4.00pm. Therefore information requests requiring same day attention needs to be faxed before 1.00pm. Otherwise allow 24 - 48 hours for information requests to be actioned. Urgent requests should be accompanied by a phone call to Community Liaison Nurse through the RDH switchboard on 8922 8888, pager 427, or if she is not available to the CNC of the Discharge Planning Resource Unit via mobile 0401 110 401. Form - Authority to Obtain Medical Information Mental Health Services requests for Information Fax Community Liaison Nurse on 89426568 All requests must be accompanied by: a signed patient’s consent; reference to the specific information that you want to receive; and a return to sender fax number. For in-patient discharge planning and summaries contact Martin Musco, Community Liaison Nurse, on 892 27628 or mobile 0401 116 080. Marty works from the In-patient Unit and has extensive networks across the Top End For all other requests, a signed release of information form should be forwarded to the Director of Psychiatry's Office Ph: 8922 7921 or Fax: 8922 7742) Back to Mental Health Back to index REFERRAL INFORMATION Adequate and timely information exchange between treating doctors is essential for safe and effective patient care. However, studies of referral letters have consistently reported that specialists are dissatisfied with their quality and content. The concerns most often expressed are the frequent absence of an explanation for referral, medical history, clinical findings, test results and details of prior treatment. Good quality referral helps to reduce the unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners. (eMJA: Improving doctors' letters) What is a referral? Summary Referral Information for GPs.pdf Sub-specialty list for Royal Darwin Hospital Checklist for written referrals Referral urgency triage categories Waiting List for Outpatient Appointments at RDH (current as of June 2014) Back to index INTERPRETER SERVICES ABORIGINAL INTERPRETER SERVICE Aboriginal Interpreter Service The Aboriginal Interpreter Service provides a 24 hours 7 days a week central booking service for government and non-government agencies that require on-site Aboriginal languages interpreters. Bookings should be made with as much notice as possible – a week is preferred, especially if the assignment will entail arranging travel for the interpreters. Darwin Telephone: 08 8999 8353 Fax: 08 8999 8855 Office Hours: 8:00am - 4:30pm After hours service Ph: 08 8999 8353 Location: Ground Floor, RCG House, 83-85 Smith St, DARWIN Postal Address: PO Box 4450, DARWIN, NT 0801 Alice Springs Telephone: 08 8951 5576 Fax: 08 8951 5244 Office Hours: 8:00am - 4:30pm After hours service Ph: 08 8999 8353 Location: Leichardt Building, 21 Gregory Terrace, ALICE SPRINGS Postal Address: PO Box 1596, ALICE SPRINGS NT 0871 AIS at Royal Darwin Hospital (RDH): The Aboriginal Interpreter Service provides interpreters for five mornings per week at RDH. The interpreters undertaking this work are organised on a rotating roster to provide a variety of language coverage in any given month. Wherever possible the interpreters are chosen to reflect the dominant languages represented at the hospital in that week. Payment Payment for use of the AIS is made from a health budget provided specifically for the AIS (Other Government services and departments also have their own budget). Payment for the service does not come out of existing health budgets. Back to index TRANSLATING AND INTERPRETING SERVICE (TIS) NATIONAL Translating and Interpreting Service (TIS) National The Department of Immigration and Citizenship (DIAC) provides the TIS National interpreting service with over 170 languages/ dialects available. TIS National is available 24 hours a day, seven days a week. To use an interpreter over the telephone. Telephone: 131 450 To book an on-site interpreter to attend an appointment. See: On-Site Interpreter Booking Form To pre-book a telephone interpreter. See: Telephone Interpreter Pre-Booking Form For Medical Practitioners to register for free interpreting services. See: Medical Practitioners Free Interpreting Registration Form Back to index RESULTS Sending results to NT Hospitals - GPs are requested to ask for a copy of results to be sent to Jade Care Clinical when requesting tests for patients they are referring to Royal Darwin Hospital (RDH). This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH. Addressing Referrals to RDH - For Medicare purposes it is requested that GPs also nominate the Specialist by name when referring for hospital appointments. Pathology RDH Pathology results 8922 8299 Maine Health results 136 199 (24/24 hotline) or 8945 2377 Pre-test Collection Information Healthscope results 1300 134 111 Sullivan Nicolaides results 8920 2111 Radiology RDH Radiology results 8922 8512 NT Medical Imaging results 8923 3999 Darwin Medical Imaging 8948 1166 Territory Ultrasound & Xray 8988 3582 (Humpty Doo) Territory Xray 1300 689 729 (name changing to Regional Imaging) 8971 9595 (Katherine) Diagnostic Imaging Pathways - A clinical decision support tool and educational resource for diagnostic imaging. InsideRadiology – Clinical and technical information for health professionals about radiology tests and image – guided treatments plus information about radiology tests and procedures for health consumers. Back to index EMERGENCY DEPARTMENT Dr Didier Palmer (Director) Dr James Fordyce Dr Nadi Pandithage Dr Kerrie Jones Dr Will Sargent Dr Mark De Souza Dr Sandra Brownlea Dr Adrienne Deans Dr Kirsten Hrabar Dr Justine Miller Dr Mark Ross (also 0.5fte careflight) Dr Sander Manders (also 0.5fte careflight) RDH Emergency Dept Triage Ph: 8922 8125 Referral to ED Fax: 8922 8904, or send with patient. healthdirect Australia is a FREE 24-hour telephone health advice line staffed by Registered Nurses to provide expert health advice and direct patients, as appropriate, to local health services. Afterhours, and in preference to contacting the Emergency Department at their regional hospital, GPs should advise their patients to call healthdirect Australia on 1800 022 222. Use GP ACCESSLINE 8922 7900 to speak directly to the lead ED registrar or consultant. Duty consultant available via Accessline til midnight weekdays and 1800hrs on weekends and via switchboard after those hours NOTE: Please do not give Accessline number to patients; it is for doctor (or doctor’s delegate) to doctor communication. If patients are referred to RDH /Emergency Department please: Do not indicate to patients they will be admitted but rather that they will be assessed at the Emergency Department. ED has access to range of investigations and treatments and a short stay unit that may make admission to the main hospital unnecessary. It is also possible for them to be referred for admission to Hospital in the Home. Ask about whether patients have private insurance or are keen to be assessed privately as this can save unnecessary delays and extend waits in the Emergency Department. Remember other options such as the acute medical clinic or early pregnancy clinic On arrival, the triage nurse will priority triage patients according to the assessment of time the patient can wait to be seen. Back to index INTENSIVE CARE MEDICINE Dr Dianne Stephens (Director) Co-Director Surgery and Critical Care Dr Paul Goldrick Dr Sarah Collins Dr Peter Harbison Dr David Closey Dr Sidharth Agarwal Dr Lewis Campbell Dr Gabby Weidman ANAESTHETICS Dr Brian Spain (Director) Dr Philip Blum Dr Fiona Barron Dr Keen Cheah Dr Andrew Fenton Dr Clare Hayes-Bradley Dr Saskia Hensen Dr Hamish Holland Dr Daniel Holmes Dr Daniel Jolley Dr David Koskuba Dr Indra Kumarasena Dr Nicholas Lerch Dr Andrew Magness Dr Andrew Mitchell Dr Michael Purvis-Smith Dr Susie Nou Dr Fiona Readon Dr Jonathon Stacey Dr Helge Suhr Dr Stanley Tay Dr Helen Wardill NATIONAL CRITICAL CARE &TRAUMA RESPONSE CENTRE Dr Len Notaras Dr Ian Norton Director Dr Malcolm Johnston-Leek Back to index Director Disaster Preparedness and Response Director Pre-Hospital Services Medical Director St Johns Ambulance Level 8 Royal Darwin Hospital Ph: 8944 8277 Fax: 8922 6966 MEDICINE Medical referral should be to the relevant subspecialist by name. Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Medical Clinics are held at both RDH and Palmerston with a visiting service to remote and regional centres RDH provides 3 acute medical clinics/week which are an alternative to ED referral and can provide “urgent appointments” in the registrar clinics. Note: Where patients are referred privately a fee may be charged for private consultation. A reduced fee or bulkbilling may be negotiated for some patients. It is therefore advisable for patients to have their Medicare card available. ACUTE and GENERAL MEDICINE - Public Patients seen at Outpatients Department RDH with some clinics also held at Palmerston Acute medical clinic Dr Elio Gagliardo, ® General Physician Public/private® (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) General medical clinic ® =Rights of private practice at RDH Back to index The acute medical outpatient clinic provides fast access for patients who need an urgent physician assessment but do not require admission. Refer in circumstances where early intervention may alter the outcome and prevent admission or reduce patient complications, morbidity and mortality. Examples of suitable referral may include acute medical problems such as TIA or acute or chronic conditions where the patient is not responding to GP treatment- exacerbation of COPD, decompensating CCF. Appointments are made directly by discussing the clinical case with Dr Elio Gagliardo – contact via hospital switchboard. Send referral to Dr Elio Gagliardo OPD: Fax 8945 3068 Dr Michael Lowe® Dr Erana Gray® Private, General Physician Service Referrals to NT Medical Specialist, 21 Vanderlin Drive, Wanguri, NT 0810 Tel: 08 8927 7026 Fax: 08 8927 7038 Email: [email protected] Public/private® Refer to Dr Lowe or Dr Gray General Medical Clinic patients where Subspecialty referral is not indicated. Send referral to OPD: or Fax: 8945 3068 General Medical clinics are held at both RDH and Palmerston ALCOHOL and OTHER DRUGS – Patients are seen in Building 9 North, Royal Darwin Hospital Public Dr Maria San Pedro Dr Shirley Hendy S8 prescribing For further information see Poison Control website Schedule 8 Substances Introduction Information Fact Sheets RDH OPD Appointments Ph: 8922 8399 Fax: 8922 8403 Patients are seen in: Building 9 North, Rehabilitation Building In the Northern Territory prescribing and supply of Schedule 8 medicines is controlled by the Poisons & Dangerous Drugs Act & Regulations. The prescribing and supply of Schedule 8 substances must conform with these Schedule 8 and Restricted Schedule 4 Clinical Practice Guidelines as required under section 31X of the Poisons and Dangerous Drugs Act. Poisons Control 2nd Floor, Casuarina Plaza, 258 Trower Road, Casuarina NT PO Box 40596, Casuarina NT 0811 Forms for Medical Practitioners Darwin Withdrawal Service Outpatient and outreach withdrawal services are available for individuals who wish to withdrawal from alcohol, opiates, cannabis, amphetamines and Benzodiazepines. Clients are assessed by a medical team to identify the best withdrawal option. The ADS Withdrawal Services team then provides medication (if needed), support and counselling. Withdrawal may take place at the Royal Darwin Hospital (for high risk clients), in supported accommodation (e.g. CAAPS, Banyan House or the Salvation Army) or include home visits. Darwin Withdrawal Services are open five days/week from 8am to 4.30pm; Building 9 North, Royal Darwin Hospital Ph: 08 8922 8399 Fax: 08 8922 8403 Postal Address: PO Box 40596, Casuarina NT 0811 Drug and Alcohol Clinical Advisory Service (DACAS) 24 hour clinical advice to medical practitioners, pharmacists and other health professionals phone 1800 111 092 Alcohol and Drug Information Service (ADIS) ADIS is a 24 hour, 7 day a week confidential telephone service, offering information, advice, referral and crisis counselling for people with problems related to drugs and alcohol. Phone:1800 131 350 Back to index ALLERGY Dr Peter Bourke® Public/private ® See Immunology and Allergy CARDIOLOGY - All patients seen at NT Cardiac Services. All referrals should be sent to NT Cardiac Services. Dr Marcus Ilton® Dr Nadarajah Kangaharan® (Kanga) Dr Colin Farquharson® Dr Robert Minson (visiting) NT Diagnostic Services (NT Cardiac Services) Cardiology Public/private® and private Exercise Stress Test Holter Monitor Pacemaker check ECG Echocardiogram All patients are seen at DPH – all referrals public and private sent to NT Cardiac Services (First floor Darwin Private Hospital, adjacent to Corella Ward). A rotating service from Flinders Medical Centre compliments the existing local service. Address to Cardiologist by name Appointments: Fax to NT Cardiac Services: 8945 1365 Ph: 8920 6250 Appointments: Phone: 8920 6250 Please also fax referral to NT Cardiac Services: 8945 1365 NT Diagnostic Services patient information sheet Book 8922 28468 RDH Stress testing Exercise fitness testing Katherine Hospital Gove Hospital Warfarin Initiation Protocol Exercise stress test Public Fitness Testing: Stress Private tests and medicals. Outpatient appointments: 8973 9218 Holter Monitor: 8973 9295, 8973 9188 Outpatient appointments: 8987 0295 Echocardiogram: 8920 6250 Stress Test: 8987 0295 Holter Monitor: 8987 0295 The protocol suggests a range of doses suitable for the initiation and management of patients on warfarin. The prescribing doctor should consider patient factors and use their clinical judgment when selecting a dose within the range suggested. Warfarin Initiation Protocol RDH ® =Rights of private practice at RDH Back to index See Exercise Stress Testing for referral process, referral form and patient information. See EXERCISE AND SPORTS DERMATOLOGY - Patients are seen at OPD RDH Dr Bruce McGeorge ® Dermatologist Public/private® and private Send public/private® referral by fax to RDH Dr McGeorge Dermatology OPD on Fax: 8945 3068. Patients are seen at RDH. Please identify urgency and any relevant patient factors. Specialist will review referrals and referrals will be waitlisted accordingly (as per other OPD clinics) Urgent referrals: please mark referral as urgent or Category 1. Dr McGeorge currently conducts one minor ops theatre per week. Private Rooms, Territory Medical Group, Nightcliff Woolworths Complex 159 Dick Ward Drive Nightcliff, NT 0810 Ph: 8948 4333 Fax: 8948 4322 E: [email protected] W: www.nightcliffmedical.com Dr Lachlan Warren Visiting service to RDH and Public Katherine Hospital Visiting service from Adelaide every 6-8 weeks. All patients are now seen at RDH. Dr Jenny Menz Visiting service to RDH and Gove Hospital Send referral to Consultant by name, Dermatology OPD via SEMS or Fax: 8945 3068 Dr Vincent O’Brien Visiting service rotating Referrals will now be prioritised as above. Dr Emma Hiscutt Visiting Private Referrals to NT Medical Specialist 21 Vanderlin Drive, Wanguri, NT 0810 PO Box 43347, Casuarina NT 0810 Tel: 08 8927 7026 Fax: 08 8927 7038 Email: [email protected] ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index ENDOCRINOLOGY& DIABETES - Public Patients seen at RDH Outpatients and Palmerston RDH Public clinics (monthly Palmerston Diabetes Clinic) (monthly Danila Dilba Main Clinic and Men’s Clinic) Endocrinology- general and diabetes, thyroid Public/private® Send public/private® referral to relevant Consultant by name, Endocrinology OPD Appointments via SEMS or Fax: 8945 3068 Please note Palmerston Clinic referral preference, all referrals should be addressed to Dr Louise Maple-Brown or Dr Sridhar Chitturi or both. Three clinics at RDH per week: Diabetes clinic- 2 specialists and registrar Diabetes Services Available via RDH (current October 2010) Endocrinology clinic – 2 specialists and registrar Thyroid clinic – 1 specialist and registrar One clinic at Palmerston – Diabetes only, first Wednesday of the month commencing 6 October 2010. Held at the Palmerston Health Precinct, cnr Roystonea Ave and Temple Tce Palmerston NT 0830 Download Map Referral for the Danila Dilba Main Clinic and Men’s Clinic is via Danila Dilba Phone: 08 8942 3444. Dr Louise Maple-Brown® Diabetes only Public/private® Send public/private® referral to Dr Louise Maple-Brown RDH OPD Appointments via SEMS or Fax: 8945 3068 Dr Louise Ciin® Diabetes/Endocrinology (both General Endocrine and Thyroid) Endocrinology/ Diabetes/Obstetric Medicine Public/private® Send public/private® referral to Dr Ciin at RDH OPD Appointments via SEMS or Fax: 8945 3068. Public/private® Endocrinology/Diabetes – send public/private® referral to Dr Sridhar Chitturi RDH at Endocrinology OPD Appointments via SEMS or Fax: 8945 3068 (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Dr Sridhar Chitturi® Obstetric Medicine – send referrals to Medical Obstetric Antenatal Clinics Fax referrals to: 08 8922 6750. Private Please fax referrals to: 08 8945 5700 Specialist Suites Darwin Private Hospital Rocklands Dr, Tiwi, NT 0810 Ph: 8945 5000 Fax: 8945 5700 Email: [email protected] Dr Diane Howard Diabetes Foot clinic General Endocrinology/ Diabetes/Thyroid Private referral only All clinics are held in Darwin Private Hospital Referrals: Fax: 8920 6183 or Email: [email protected] Patients will be contacted with appointment details by receptionist, after prioritisation by Dr Howard. Public Diabetes Foot clinic – For review and management of diabetic ulcers. GPs can also request that the Registrar review patient and provide recommendations on diabetes management while patient attends at this clinic. Send referral to RDH Foot Clinic OPD Appointments via SEMS or Fax: 8945 3068 ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index EXERCISE AND SPORTS Private service only held at Territory Sports Medicine Dr Geoff Thomson Dr Stuart Down Exercise and Sports Physician Private only Territory Sportsmedicine 8 Parap Place, Parap For appointments contact Territory Sportsmedicine on Ph: 8941 6677, Fax: 8981 4155 or email: [email protected] Services offered: Sports Physicians including assessment of those with medical needs such as asthma, diabetes and cardiac problems. Fitness Testing: Stress tests and medicals. GASTROENTEROLOGY - Procedural, IBD & General Gastroenterology Clinics Public Patients seen at Outpatients Department RDH Dr Edmund Tse® Public/private® & Private Dr Suresh Sivanesan® Public/private® & Private Dr Guru Iyngkaran® Public/private® & Private, visiting service to Katherine Hospital. Dr Viet Pham Nam (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Public/private® Send referral via Secure Electronic Messaging Service SEMS to Consultant by name Gastroenterology OPD or referrals to be faxed on 8945 3068. Please refer to general surgeons (endoscopy) or open access gastroscopy where appropriate. Please indicate if referral is for Procedural, Inflammatory Bowel Disease IBD & General Gastroenterology clinic Private Referrals to NT Medical Specialist 21 Vanderlin Drive, Wanguri, NT 0810 PO Box 43347, Casuarina NT 0810 Tel: 08 8927 7026 Fax: 08 8927 7038 Email: [email protected] Breath tests and Capsule Endoscopies available on site. See ENDOSCOPY ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index GENERAL MEDICINE Public Patients seen at Outpatients Department RDH See ACUTE and GENERAL MEDICINE (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) GENETICS - Public Patients seen at Outpatient Department RDH Please refer to appropriate specialty area who can arrange interstate assessment if considered necessary. ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index GERIATRICS - Public Patients seen at Outpatient Department RDH and Palmerston Dr Michael Lowe® Dr John Death® Dr David Fonda® Geriatrics Assessment. Support to ACAT. Public/private® Send public/private® referral to Dr Michael Lowe/John Death, Geriatrics at RDH OPD via SEMS or Fax: 8945 3068 Memory Clinic Dr Michel Lowe® Public/private® Send public/private® referral to Dr Michael Lowe OPD via SEMS or Fax: 8945 3068, Referrals can also be forwarded via ACAT see below (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Memory clinics are held every two weeks at RDH General and at Palmerston Specialist Clinic from time to time – same referral pathways – OPD and ACAT but please note on referral that patient would like to be seen at Palmerston Dr David Fonda ® (visiting) Geriatric continence clinic Dr Phillip Morris (visiting) Psychogeriatrician Public/private® RACGP guidelines on dementia recommend the following tests as part of the work up of the demented patients and should be completed prior to referral: ● Hb,WBC, ESR ● renal function/electrolytes ● liver function ● thyroid function ● blood sugar ● serum calcium and phosphate ● urine – WBC, protein, sugar (culture if delirium) ● serum B12, folate levels ● CT scan without contrast ● CXR (if delirium) ● syphilis serology (if indicated – usually indicated in NT) ● HIV testing (if specific indications). Referrals public/private® will be via the continence link nurses at community health centres. Dr Fonda will do clinics every 3 months at Palmerston Health Precinct. Corner Roystonea Avenue and Temple Terrace Download Map Referral via the psychogeriatric team at the ACAT offices. Form – Psychogeriatric Service Referral Aged Care Assessment Team (ACAT) ACATs provide information on suitable care options and can help arrange access or referral to appropriate residential or community care services such as Home and Community Care (HACC). An ACAT assessment and approval is required before people can access residential aged care, Community Aged Care Packages (CACPs) or Extended Aged Care at Home (EACH) Packages If you wish Doctor Lowe to see a patient as part of their ACAT work up please include a medical referral with your ACAT referral--including your provider number, list of current medications etc. Clients may be referred to the ACAT team by any concerned person – not necessarily by doctors. If the ACAT team considers that Doctor Lowe needs to see such clients, they will contact the GP for a referral if the GP sees appropriate. Occasionally the ACAT team is called in situations where it is very difficult to find out who the GP is. In these situations we will do our best to keep the GP informed once we find out who they are. Form – Aged Care Assessment Team (ACAT) Referral Location Alzheimer's Australia offers a range of support, information, education and counselling services. Contact the National Dementia Helpline on 1800 100 500 or see relevant information on NT web site. Phone Fax Darwin 8922 7392 8922 7392 Darwin Rural 8944 8651 8944 8651 Katherine 8973 8503 8973 8503 Nhulunbuy 8987 0432 8987 0432 Alice Springs Urban 8951 6735 8951 6735 Alice Springs remote 8951 5047 8951 5047 Barkly Team 8962 4201 8962 4201 Dementia Monitoring Program provides individualised practical help for people with memory problems who live alone, or who have minimal family or other social support. This assistance can be very flexible, and may include transportation, help with budgeting and bill-paying, an occasional outing or visit to the home. It also includes a weekly exercise group for those who are physically active and keen to maintain their fitness. A major benefit of this scheme is that it can maintain a regular check of the client's needs, and report back to GP if there is a problem. The Living With Memory Loss program is available to people dealing with dementia or memory loss, and their family members and/or friends. The program is conducted by Alzheimer’s Australia NT at various locations in the Territory. For further information, or to find out when the next course will be held, contact Darwin Support Services on Ph: 08 8948 5228 or Alice Springs Support Services on Ph: 08 8952 979. Dementia Behaviour Management Advisory Service (DBMAS) is a nationwide network of services funded by the Australian Government that provides clinical support for people caring for someone with dementia who is demonstrating behavioural and psychological symptoms of dementia (BPSD) which are impacting on their care. The NT DBMAS office is staffed between 8.00am and 4.30pm (CST) on weekdays. After hours support and assistance is available on 1800 699 799, the national after hours telephone service. Contact DBMAS 24/7 on freecall 1800 699 799 DBMAS is a government funded program and there is no cost to accessing the service. DBMAS will make appropriate referrals to other support services as required. NT DBMAS Brochure. Adult Guardianship Darwin Executive Office of Adult Guardianship Level 1, Health House 87 Mitchell Street Darwin NT 0800 Ph: (08) 8922 7343 Fax: (08) 8922 7304 Office of Public Guardian Ground Floor, Casuarina Plaza Cnr Trower Road and Vanderlin Drive Casuarina NT 0810 Ph: (08) 8922 7116 Advice about Adult Guardianship can be obtained from the following: Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index Alice Springs Executive Office of Adult Guardianship Territory Housing Building 2/21 Gregory Terrace Alice Springs NT 0870 Ph: (08) 8951 6028 Fax: (08) 8952 4395 Office of Public Guardian Flynn Drive Alice Springs NT 0870 Ph: (08) 8951 6741 HAEMATOLOGY - Public Patients seen at Outpatient Department RDH Dr Ferenc Szabo® Dr Akash Kalro® Dr Tina Noutsos® Haematology Thrombosis Clinic ® Provides specialist advice in thrombosis related issues. Difficult cases will be discussed in a multidisciplinary forum. Dr Ferenc Szabo, Dr Akash Kalro or Dr Tina Noutsos. Public/private® Send public/private® referral to specialist by name Haematology OPD via SEMS or Fax : 8945 3068 (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Public/private® Please note that this is NOT a Warfarin Clinic. (See Warfarin Initiation Protocol RDH ) Appropriate Referrals would include: 1. Length of anticoagulation in newly diagnosed patients with Deep Vein Thrombosis (DVT) and/or Pulmonary Embolism (PE). 2. Anticoagulation in patients with recurrent DVT and/or PE. 3. Anticoagulation in pregnancy. 4. Anticoagulation pre and post-surgery in patients on anticoagulants or at risk of DVT/PE. 5. Thrombophilia screening and interpretation of results. 6. Risk assessment of family members of patients with history of DVT/PE. 7. Risk assessment of individuals who work in special environment. ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index HEPATOLOGY –Liver Clinic – Public Patients are seen at Outpatient Department RDH or Clinic 34, Health House, Darwin Dr Erana Gray ® Dr Christine Marshall® (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Liver Clinic and visiting service to Gove and Katherine Hospitals Public/private® & Private Send public/private® referral to Specialist by name or Consultant Physician Hepatology at OPD via SEMS or Fax: 8945 3068 All referral sent to RDH will now be seen at RDH and won’t be redirected to Clinic 34. Patients can be directly referred to clinic 34 for HCV if desired, or equally to RDH. Liver Registrar assists in the liver clinic, and thus patients may be seen by them, under specialist supervision. Clinic also provides a liver biopsy service at RDH. Liver Clinic Pre-referral work up recommendations Appropriate referrals: Proven or suspected cirrhosis HBV likely to need Rx (see CARPA) HCV PCR positive Haemochromatosis Proven or suspected autoimmune liver disease Discouraged referrals: Uninvestigated raised LFTs Mildly raised LFTs and likely NAFLD Surgical problems – biliary colic, gallstones, post-op problems (Surgical OPD) HCV antibody positive, PCR negative Luminal gastro problems (Visiting gastroenterologists) ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index HOSPITAL IN THE HOME (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Infectious Diseases & General Physician Public/private® GPs can now refer directly to RDH hospital-in-the-home (HITH) programme ( i.e. GPs no longer need to refer via ED) HITH treatment is safe and is associated with high levels of patient satisfaction, with less disruption to normal life and without a potentially prolonged wait in the emergency department first. Once a patient is admitted to HITH, the Hospital takes full responsibility for all medical and nursing issues until the patient is discharged back to the care of the GP. Patients that deteriorate whilst on the HITH programme will be admitted to Royal Darwin Hospital. GPs can refer during weekday working hours by telephoning the Infectious Diseases Physician on call via Royal Darwin Hospital switchboard Ph: 8922 8888. Afterhours referral via ED. The Darwin and Palmerston metropolitan areas are covered as far as Humpty Doo. (If your patient lives in the Darwin Rural Area, still consider a referral as arrangements can often be made.) Suitable Patients are those who are medically stable, have appropriate social supports (including a designated support person, telephone, safe and hygienic home environment and able to communicate effectively) and are able to consent to home-based therapy may benefit from a direct referral. Common indications for HITH include: Cellulitis and other skin and soft tissue infections Uncomplicated diabetic foot infections Deep venous thrombosis Others – call if you think you have a suitable candidate Referral Information Back to index IMMUNOLOGY and ALLERGY - Public Patients are seen at Outpatient Department RDH Dr Peter Bourke® Adult and Paediatric service Public/private® Public/private® referral to Dr Peter Bourke OPD via SEMS or Fax: 8945 3068 Patients either seen at RDH OPD or Palmerston Health Precinct. Corner Roystonea Avenue and Temple Terrace. Download Map ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index INFECTIOUS DISEASES – Public Patients are seen at Outpatient Department RDH Dr Bart Currie® Dr Nick Anstey® Dr Nick Coatsworth® Dr Erana Gray® Dr Sarah Huffam® Dr Ric Price® Dr Anna Ralph® Dr Emma Spencer® Dr Steven Tong® Infectious Diseases CDC Surveillance of selected communicable diseases and outbreak investigation; initiation of appropriate control measures; development and monitoring of immunisation programs; reports on outbreaks of communicable diseases of public health importance to health professionals and the general community The Notifiable Diseases Act requires doctors to notify diseases which are scheduled under the Act. Download Notifiable conditions to be reported in the NT Communicable Diseases Centre Building 4 RDH Notifications Public/private® Some of the diseases are designated as urgently notifiable (marked with a phone symbol ) and some are non-urgent. Clinic 34 ® =Rights of private practice at RDH Back to index Sexual Health & Infectious diseases clinics (sexual health/viral hepatitis and HIV) Specialist clinic conducted by ID specialist on call on rotational basis Send referral to Specialist by name or Dr Currie and colleagues Infectious Diseases at OPD via SEMS or Fax: 8945 3068 Address Dr Vicki Krause Director CDC Darwin CDC Katherine CDC Nhulunbuy Phone 8922 8510 8922 8044 8973 9049 8987 0359 Fax 8922 8310 8922 8310 8973 9048 8987 0355 There are two ways to notify a disease: 1. Telephone local CDC number - any of the diseases on the list can be notified by telephone. 2. Notification Form - this form can be filled in and sent postage-free to the Centre for Disease Control or by fax . If CDC requires further information or if a public health response is required, we will always get in contact with you. Please contact us . Liver clinic referrals that require specialist input should all be referred to RDH.see Liver Clinic NEUROLOGY - Public Patients seen at Outpatient Department RDH (Please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Dr Jim Burrow® Neurology, Nerve Conduction studies Public/private® & Private Public/private® referral to Dr Jim Burrow or Consultant Physician Neurology OPD via SEMS or Fax: 8945 3068 or contact Samantha Dapiran - Division of Medicine on Ph: 8944 8098 or Fax: 8922 8463 Private Appointments via to Specialist Suites, DPH Please fax referral - Fax: 8945 5700 Ph: 8945 5000 Nerve Conduction Studies Dr Jim Burrow® Public/private® & Private Public/private® and Private Appointments are via Dr Jim Burrow’s private rooms Specialist Suites, DPH Please fax referral - Fax: 8945 5700 Ph: 8945 5000 EEG Dr Jim Burrow® Public/private® & Private EEG Nurse Elke Pohl Please fax referral – Fax: 8944 8388 Ph: 8922 8440 ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index ONCOLOGY - All Patients are now seen at the Alan Walker Cancer Care Centre - All referrals should be sent directly to the Alan Walker Care Centre by fax: 8944 8222. Ph: 8944 8220 Dr Narayan Karanth® Medical Oncology Public/private® Send public/private® referral to Consultant by name Oncology OPD via SEMS or Fax: 8945 3068 All Patients are now seen at the Alan Walker Cancer Care Centre. All referrals should be sent directly to the Alan Walker Cancer Care Centre by Fax: 8944 8222 or Ph: 8944 8220 Currently there are 3 consultant clinics & 3 registrar clinics and an urgent clinic on Thursday morning (short one). The regular clinics are done on Mon/ Wed/ Fri (all mornings). Clinics are supported by breast care nurse & cancer support nurse. In case of urgency, GPs should contact the medical oncology registrar through the hospital switch board. Consultant can be approached if registrar is not reachable. (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Dr Narayan Karanth® Medical Oncology Public/private® & Private Send Public/private® referral to NT Medical Specialist Ph: 08 8927 7026, Fax: 08 8927 7038, Email [email protected] Dr Siddhartha Baxi Radiation Oncologist Public Dr Sid Selva (visiting) Send referral to or Dr Baxi or Consultant Physician Radiation Oncology OPD via SEMS or Fax: 8945 3068 All Patients are now seen at the Alan Walker Cancer Care Centre. All referrals should be sent directly to the Alan Walker Cancer Care Centre by Fax: 8944 8222, Ph: 8944 8220 Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital The Alan Walker Cancer Care Centre (AWCCC) Radiation Oncology Medical Oncology Haematology Allied health support The AWCCC provides a comprehensive range of services including: radiation and medical oncology, haematology, chemotherapy nursing, and allied health ( social workers, physiotherapy, dietetics, Aboriginal liaison support) Referral to the medical oncology should be addressed to AWCC. Northern Territory Radiation Oncology (NTRO) provides the radiation oncology services to the AWCCC. The NTRO operates as an outpatient facility, Monday to Friday 8.00am to 4.30pm. NTRO is located on the premises of the Royal Darwin Hospital - see site map on NTRO website. NTRO is supported by the Royal Adelaide Hospital Cancer Centre and is staffed by radiation oncologists, physicists and radiation therapists. Treatments not supported at the AWCCC are paediatrics, stereotactic radiosurgery, total body irradiation, brachytherapy and positronic emission tomography. PATS services will still remain available for patients requiring, and still receiving, treatment outside of the Territory. Patients travelling from outside of the Darwin region for Radiation Oncology treatment will be offered unit-style accommodation at the Mirambeena Street Facility in Darwin. (Offers separate male / female accommodation wings or family rooms; access to domestic cooking facilities or the option of catered meals; and patient transport to the AWCCC.) Fax referrals to: 8944 8222, Ph: 8944 8220 Post- NT Radiation Oncology Pty Ltd , PO Box 41326, Casuarina, NT 0811 Please visit www.NTRO.com.au Radiation Oncology Clinical Radiation Oncology Patient Information. ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index PALLIATIVE CARE - Public patients are seen at Outpatient Department RDH or at Top End Palliative Care Dr Anthoulla Mohamudally® Dr Wendy Terry ( visiting) Dr Michael Barbato ( visiting) Palliative Medicine Physician Allied Health Team (Social Worker, Occupational Therapist, Dietitian, Physiotherapist, Pastoral Carer) Public/private® Refer to Palliative Care: Public Patients are seen at both Outpatient Department RDH or at Top End Territory Palliative Care, Building 58 (Menzies Building), Royal Darwin Hospital PO Box 41326, Casuarina NT 0810 Ph: 8922 6761 or Fax: 8922 6775 After a referral is received an assessment will be undertaken. Once a patient is accepted onto the service the palliative care team will work with GPs to tailor a suitable plan of care. Patient/family member may also self-refer. Bereavement care and support is available to family members and significant others. Advanced Care Planning and end of life decision making Advanced care planning for Territorians pamphlet Form - Natural Death Act Declaration Form -Statement of Choices Hospice The Hospice is a specialised 12 bed short-stay facility located on the grounds of RDH in Darwin. The hospice accepts admissions for active symptom management, as a transition to home from hospital, or for care in the final stage of illness. There is limited access for respite care. ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index REHABILITATION AND MEDICAL PAIN SERVICE - All Public Patients seen at Building 15 Dr Gavin Chin® Director, Rehabilitation & Medical Pain Service Public/private® and private All rehabilitation/medical pain patients are seen at building 15 ( near laundry) –Download: Royal Darwin Hospital Campus Map (Adobe PDF document - 169KB) Public referrals to Dr Chin/Flavell Rehabilitation: Fax: 8922 8900 Ph: 8922 8866 Private referrals through RDH specialist suites, DPH Appointments: Ph: 8945 5000 Fax: 8945 5700 Note: Dr Chin will either see patients at hospital specialist suites or at Integrated Rehabilitation NT Dr Howard Flavell® Rehabilitation Public/private® Territory Integrated Pain Service (TIPS) Multidisciplinary Pain Management Clinic Public Integrated Rehabilitation NT – Dr Gavin Chin Private Rehabilitation and Private Pain Management clinic with DPH inpatient service. Located next to NT Cardiac Services (First floor near Corella Ward) Also provides private foot orthotic and specialist footwear for adults and children. Phone or Fax: 8981 3645 or Email: [email protected] Dr Vernon Hill Visiting Pain Service Patients usually seen at RDH Specialist Suites DPH. Public patients via tertiary referral. Send referrals to TIPS. Fax: 8922 8900 Ph: 8922 8866 Assessment by multidisciplinary team with medical support, close liaison with the Royal Adelaide Hospital Pain Service Referrals with completed pain assessment to TIPS: Fax: 8922 8900 Ph: 8922 8866 ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index RENAL - Public patients are seen at Outpatient Department RDH GPs to send in referral The Department of Renal Services is very happy to receive referrals from GPs who need help in the management of their renal patients. A referral with the main immediate problem together with a list of prescribed medications and relevant past history would be helpful. This can be sent to the Royal Darwin Hospital where appointments will be organised to see the patient at RDH or at the Palmerston campus. We provide the following services: 1. Assessment of patients with haematuria and proteinuria. 2. Assessment of renal impairment. 3. Preparation for renal replacement therapy. 4. Donor assessment for potential live transplant donors. 5. Renal calculi. 6. Hypertension 7. Electrolyte abnormalities (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Address Phone Fax Dr Gregory Perry® Director Renal Services Public/private® All public/private® patients currently seen at RDH Dr Asanga Abeyaratne® Nephrology Public/private® Send referral to Specialist by name or to Dr Perry and colleagues, Renal Clinic at RDH OPD via SEMS or Fax: 8945 3068. Dr Jacqui Hughes® Nephrology Public/private® (Forwarding results to RDH or other NT Hospital - please request a copy Dr William Majoni® Nephrology Public/private® of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results Dr Madhivan Sundaram® Nephrology Public/private® management internally within RDH.) Dr Paul Lawton ® =Rights of private practice at RDH Back to index Nephrology Private only Specialist Suites, DPH 8945 5000 8945 5700 NT RESPIRATORY & SLEEP OUTPATIENTS SERVICES - Public patients are seen at Outpatient Department RDH Physician Name Service Resident Local Respiratory and Sleep Specialist- RDH General respiratory and sleep consultation, Pulmonary function test, Home oxygen, Sleep studies and Bronchoscopy Public/ Private Address, contact details and Service offered Phone Fax All public patients currently seen at RDH – Please see below for private referrals Send referral to Physician by name Respiratory Clinic via Secure Electronic Messaging SEMS to Respiratory OPD or Fax public referrals to Respiratory OPD on 8945 3068 Dr Subash Heraganahally® Respiratory and Sleep Physician –RDH and DPH Public/ private® & Private Dr Rebecca Pearson Respiratory Physician Public/ private® & Private Dr Csaba Varga® Respiratory Physician Public/priva te® only Please ensure to send all relevant patients information such as CXR/ CT and Pulmonary Function Tests performed prior to the appointment. (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Respiratory link team supports post-discharge care for severely ill patients with respiratory illness, especially COPD & Bronchiectasis, to maintain their independence supported by Nurses Ms Tina Quirk, Kay Farquharson (RDH/Remote) Ph: 08 8944 8059 Fax: 08 8922 8111 and Coralie Brannelly, Aoife Bradley (Darwin community) with Dr Subash Heraganahally or Dr Csaba Varga, Dr Rebecca Pearson (Respiratory Physician) and case conferencing with GPs. Long term Oxygen issues contact Community Respiratory Nurse Specialist Nurse Unit, Casuarina Ph: 08 8985 8158 Fax: 08 8985 8038 Urgent Respiratory and Sleep consults for both urban and remote patients can be discussed with the respiratory registrar at RDH. Can be contacted through RDH switch board Ph: 08 8922 8888 Visiting Respiratory and Sleep specialist – RDH Dr Robert Edwards Respiratory and Sleep Physician – Visiting once every 2 months from QLD Public & Private All public patients currently seen at RDH – Please see below for private referrals Send referral via Secure Electronic Messaging Service SEMS to Consultant Physician Respiratory OPD or Fax public referrals to Respiratory OPD on 8945 3068 Please ensure to send all relevant patients information such as CXR/ CT and Pulmonary Function Tests if performed prior to the appointment Bronchoscopy referral. (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Dr Rebecca Pearson Respiratory Physician Public/ private® & Private Private Appointments via Specialist Suites, DPH Please fax referral to Fax: 8945 5700 Ph: 8945 5000 Dr Robert Edwards Visiting service bi-monthly Respiratory and sleep specialist Public & Private Private referral contact Pam at Central Specialist Clinic GPO Box 2045 Darwin 0801 Ph: 8981 9966 Fax: 8941 0595 Private Rooms Qld Ph: 07 3832 1717 / 07 3870 4511 Or at: NT Medical Specialist 21 Vanderlin Drive, Wanguri, NT 0810 PO Box 43347, Casuarina NT 0810 Ph: 8927 7026, Fax: 8727 7038 Email: [email protected] Please complete and forward the Referral for Sleep Consultation / Studies Form Dr Shalini Bastlampillai Visiting service Respiratory and sleep specialist Private Sleep Lab available for diagnostic sleep studies and CPAP studies. NT Medical Specialist 21 Vanderlin Drive, Wanguri, NT 0810 PO Box 43347, Casuarina NT 0810 Ph: 8927 7026, Fax: 8727 7038 Email: [email protected] Please complete and forward the Referral for Sleep Consultation / Studies Form Diagnostic sleep studies, Queensland Respiratory Laboratory Sleep Apnoea, Restless Dr Robert Edwards Leg Syndrome, Insomnia, Snoring, Narcolepsy, Obesity Hypoventilation Syndrome, Cheyne Stokes Respiration and Type II Respiratory Failure. Public & Private Sleep Lab available for diagnostic sleep studies and CPAP studies Please fax the referral to 8920 6008 and the staff will contact the patient with the next available appointment. Patients will be automatically assigned to a sleep specialist or you can specify specialist on the referral. Phone: 8981 9966/ 8941 0595 Referral template is available on their website with a medical director referral format available. Sleep Study Information Referral Information RDH Pulmonary Function Laboratory Respiratory Physician Dr Subash Heraganahally Dr Csaba Varga Refer Public/private® Referral to OPD via SEMS or Fax: 8945 3068 or book through Pulmonary Function Nurse Phone: 8922 7620 The Pulmonary Function Laboratory is located on the ground floor of the hospital in Area 2 of the Outpatients Department. Patients should arrive 10 minutes before booked time to allow for check-in with the receptionist and should also be instructed to take their Medicare Card to their appointment. Form – Pulmonary Function Laboratory Pulmonary Function Laboratory Patient Information Respiratory Rehabilitation Program Respiratory CNC, Department of Health ‘Inspirations’ - A Pulmonary Rehabilitation Program for people living with Chronic Lung Conditions at Palmerston Community Care Centre. Next course commences Sept 2012. Phone: 8944 8059, Fax: 8922 8111 Email: [email protected] Form: Referral for Pulmonary Rehab Program Inspirations Program Brochure ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index RHEUMATOLOGY - Public patients are seen at Outpatient Department RDH Dr Peter Bourke (Allergy and Immunology) and Rheumatology Public Dr Rory Hannah (Allergy and Immunology) are currently covering Rheumatology, new consultant to be advised in November 2014 Dr Mary Samuel All public patients currently seen at RDH. Send referral to Rheumatology OPD on fax number 8945 3068 or fax number 8922 7822 or email to [email protected] Phone queries to Carly, Rheumatology Nurse 8944 8313. Please ensure to send all relevant patients information and work up is performed prior to the appointment. Information about referrals to Rheumatology at RDH, dated September 2012 (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Rheumatology Private Private Patients are seen at Private rooms: Tiwi Medical Centre 8/5 Tiwi Gardens Rd Appointments: Phone: 8945 5811 or Fax: 8945 5822 ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index MENTAL HEALTH - Public patients are seen at Tamarind Centre, Ross Smith Drive, Parap Psychology and Counselling services Darwin Psychological Directory- Darwin Directory of Psychological Services Alice Springs Psychological Directory- Alice Springs Directory of Psychological Services Crisis Assessment Triage Team and GP Liaison Call 1800 68 22 88 see attached information letter Mental Health Services Top End Mental Health Services Tamarind Centre, Parap - General Inquiries & Appointments Fax: 8999 4999 Phone: 8999 4988 Crisis Assessment Triage Team & GP Liaison Adult Team Child and Adolescent Team Education and Training Team CATT team Any acute mental health crisis should be discussed with the 24 hour Northern Territory Crisis Assessment and Triage Team (CATT) on 1800 682 288 GP Liaison Service GP Liaison Service for GPs in the Darwin urban region offers review and advice to GPs in the management of non-urgent mental health matters and associated medication management issues. Mental health issues may include; significant mood or anxiety disorders, trauma, or psychosis The GP Liaison service does not provide initial assessment for clients that have not been commenced on treatment or do not have a Mental Health Care Plan in place. These options should be trialled by the primary care provider prior to any referral. However, a referral for a review of client under treatment may be arranged. General Practitioners are provided with written reports to assist in the ongoing management of complex presentations. - - If issues are related to addiction problems then Department of Health Alcohol and Other Drugs services should be contacted not TEMHS. AOD – 8922 8399 or Amity house - 1800 684 372 for alcohol and drug issues GP Liaison has limited resources, as such, before they any referrals, they ask that: GPs have active consent from the patient for them to be referred to GP Liaison. GP will have commenced a treatment regime, and monitored the efficacy of medications, prior to referring in for the GP Liaison Service. GP have explored other intervention options such as a Mental Health Care Plan. GP commits to remain as primary care provider for the patient and will implement management plan GP is to provide a comprehensive history, including, presenting issue, past and current treatments, interventions tried and other services involved in the referral Please do not refer to GP Liaison for diagnostic clarification. This function can be discussed with TEMHS intake service (89994988) or via private practitioners. Please remember: Any acute mental health crisis should be discussed with the 24 hour Northern Territory Crisis Assessment and Triage Team (CATT) on 1800 682 288 For review referral your primary concern must be one around mental illness and the client should be on treatment that is not currently therapeutic prior to referral. If this is not the case you will be provided with appropriate advice via phone or return letter. Other services and options exist to provide you with assistance, such as: AOD - 892 28399 or Amity house - 1800 684 372 for alcohol and drug issues Mental Health Care plan for psychotherapies and treatment for emotional issues, often the most appropriate first line intervention with high prevalence disorders. Headspace, for Youth mental health support.(Up to 24 years) 89315999 Patients cannot self-refer into GP Liaison. Should your patient fail to attend their appointment, the referral will be closed. You will be notified and are able to re-refer if you wish. The Mental Health and Related Services Act is the legislation that governs the delivery of mental health services in the Northern Territory and the treatment of people with mental illness in hospitals and the community. Voluntary admission - a patient is not subject to any order under the Mental Health and Related Services Act. The patient may be managed as a voluntary patient in the community or in a hospital. Referral may be made by GP, mental health worker, self or other e.g. a parent or family member. Patient must consent to treatment and admission. Involuntary admission is an admission because of mental illness or mental disturbance. Patients must accept any necessary psychiatric treatment that is ordered. The patient may be admitted as: 1. an involuntary client in the community under a Community Management Order, or 2. an involuntary patient in the hospital. Whilst admitted involuntarily, the patient cannot leave the hospital without permission. Mental Illness - the doctor must be satisfied that the patient has a mental illness and because of that illness: needs treatment that is available at the hospital; and without treatment, they are likely to seriously harm themself /someone else or become more unwell. Mental Disturbance Patient does not fulfil the criteria for involuntary admission on the grounds of mental illness; and their behaviour is, or has over the past 48 hours, been so irrational as to lead to the conclusion that: o for some reason they are not functioning normally; and o their behaviour has been so abnormally aggressive or irresponsible to justify the need for psychiatric assessment or care in hospital. The following brochures provide more information about specific areas of the Act: Rights and Responsibilities (Adobe PDF document - 712KB) Involuntary Admission (Adobe PDF document - 719KB) Voluntary Admission (Adobe PDF document - 716KB) Community Management (Adobe PDF document - 717KB) Community Visitor Program (Adobe PDF document - 668KB) Mental Health Review Tribunal (Adobe PDF document - 716KB) Forms for practitioners: Under the Act, any medical practitioner registered to practice in the Northern Territory can make a Recommendation for Psychiatric Examination. To do so, please complete Form 9 - Entry to Mental Health Services (Adobe PDF document - 464KB) Part A and fax to: Darwin Region: (08) 8922 8878 Katherine Mental Health Service: (08) 8973 8724 Nhulunbuy Mental Health Service: (08) 8967 0415 Tennant Creek Mental Health Service: (08) 8962 4300 Alice Springs Mental Health Service: (08) 8951 7710 Top End Mental Health Services – Adult Services Dr Rob Parker, Director Dr Anne Patton Dr Sharon Crabbe Dr Mali De Silva Dr Veruska Krigovsky Dr Caroline Little Dr Kevin Smith Dr Rajiv Werasundera Dr Suriya Shanmugham Dr Stephen Robertson - Forensics All public outpatient consultations are at: Tamarind Centre, Ross Smith Ave, Parap Referrals: Phone 8999 4988. Fax: 8999 4999 Referral process to TEMHS: Any acute mental health crisis should be discussed with the 24 hour Northern Territory Crisis Assessment and Triage Team (CATT) on 1800 682 288 GP Referrals – ring and discuss your referral with GP Liaison team on 1800 682 288, this is best done when you have the client with you. The triage clinician will discuss presentation and available options with you. Then send your referral or a completed GP Liaison referral form by fax to (08) 8942 6568 CATT team can then advise on: best location for patient to be assessed: o Depending on patient location and CATT workload , CATT team may be able to attend patient or will see in Building 9 on RDH campus – opposite Cowdy ward o Tamarind Centre during working day hours o If patient is likely for admission, the usual practice will be to refer patient to ED where facility/infrastructure is better setup for this process options for transport of patient o o o Personal arrangements Ambulance Police should be considered last resort and only if patient is dangerous, also needs escort. If GP believes the patient requires an urgent psychiatric assessment, please contact NTCATT. GP can complete Entry to Mental Health Services Form 09. This enables patient to be detained for 6 hours and requires the patient to be assessed by an Authorised Psychiatric Practitioner (APP) or a Designated Mental Health Provider DMHP. For remote patients the assessment may be done by telephone and/or via a DMO who can liaise with APP. Where a medical officer refers for a psychiatric assessment it may be that the patient is assessed by either an APP or DMHP. While there is no mandated requirement to inform the referring medical officer of the outcome of this process it is considered best practice that the referring MO should be informed of the outcome especially should the situation arise that admission was not deemed necessary. Phone Phone Darwin Team 8999 4988 Katherine Team 8973 8722 After Hours and Emergency 1800 682 288 After Hours and Emergency -Katherine 8973 9211 Inpatient Unit (at RDH Campus) 8922 8850 Forensic Team (at RDH Campus) 8922 7800 East Arnhem Team 8987 0400 Darwin Rural Team (at RDH Campus) 8922 8317 After Hours Emergency –East Arnhem 8987 0211 PSYCHIATRY - Public patients are seen at Outpatient Department Tamarind Centre, Ross Smith Avenue PARAP Address Phone 8973 8722 Fax Public/private® Palmerston GP Super Clinic Palmerston Health Precinct 3 Gurd St Farrar (Corner Roystonea Avenue and Temple Terrace) Palmerston Email: [email protected] 8919 8919 8931 3737 No Public Service Provision of psychiatric opinions on patients over 18yrs, not requiring stimulant medication or ADHD assessment for whom a Mental Health Care Plan has been prepared, will be made. 3 clinical sessions per week, including assessment and treatment advice, medicolegal and worker’s comp. 1-2 session / week Assessment and care planning only, work related Private Territory Medical Group - Bayside Shop 3, 9 Keith lane Fannie Bay NT 0820 08 8941 3729 8948 4322 Private PO Box 42478 Casuarina 0811 Private Rooms in Malak. Patients will be advised of address at time of appointment confirmation. 0466 585 078 8927 4024 1 session / week Assessment and care planning only Saturday videoconference Private Please send your referrals to : CDU Medical Centre PO Box 41291, Casuarina, NT 0810 Lakeside Drive, Alawa, NT 0820 08 8901 8800 8901 8811 Dr Jill Pettigrew Katherine Public Dr Sharon Crabbe ® Public and sessional private Dr Mary Frost Dr Tricia Nagel Dr Dinesh Arya E: [email protected] Letter of Introduction Psychsupport Online service providing advice from psychiatrists within 24 hours. General adult psychiatry Child & adolescent psychiatry Old age psychiatry Drug and alcohol psychiatry Free Phone: 1800 200 588. You will be asked some brief questions and a psychiatrist will call you back within 24 hours. Free Fax: 1800 012 422. Using the faxback form, provide details regarding the issue for discussion. A psychiatrist will then fax or phone you to discuss case details. Email: www.psychsupport.com.au - is a secure and password protected website. Log in and submit your questions online. For your username and password, call 1800 200 588. ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index MATERNAL & CHILD HEALTH GYNAECOLOGY Note all public consultations occur in the OPD - 8th floor, main block, RDH Dr Margaret O’Brien (Head of Division until 1 July 2013) ® Obstetrics & Gynae Public/private® Address Public/private® referral to Specialist by name at RDHOPD via SEMS or Fax: 8945 3068 Phone Fax 8945 3068 8945 6911 8945 6922 8948 4333 8948 4322 Dr Jane Thorn ® (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Dr Sujatha Thomas® Dr Kirsten Connan ® Dr Nader Gad® Gynae, Colposcopy, Urodynamic studies, Novasure Endometrial Ablation and Adiana Tubal Sterilisation. Public/private® Privare, Gynae only Public/private® referral to Dr Gad, Consultant Gynaecologist OPD via SEMS or Fax: 8945 3068 Private referral to Darwin Gynaecology Specialist Clinic Casuarina Shopping Village 23A/54 Bradshaw Terrace, Casuarina Dr Wahin Lee® Dr Peter Beaumont Gynae X Clinic Only (STOP Clinic) Public/private® See Surgical Termination of Pregnancy Please refer to Dr Lee Gynae X clinic via SEMS or Fax: 8945 3068 Dr Gina Wulf Gynae, Colposcopy Private Gynae only Private Rooms Territory Medical Group - Nightcliff Woolworths Complex, 159 Dick Ward Drive NIGHTCLIFF NT 0810 E: [email protected] Address Private Rooms Territory Medical Group - Nightcliff Woolworths Complex, 159 Dick Ward Drive NIGHTCLIFF NT 0810 E: [email protected] Phone 8948 4333 Fax 8948 4322 Dr Oseka Onuma Gynaecology, Urogynaecology & Pelvic Reconstructive Surgery, Urodynamics, Labioplasty & Vaginoplasty Private Dr Andrew Miller Obstetrics, Gynaecology Private STOP No Public Service Private only Consulting Suite, DPH 8920 6201/ 8945 5233 8920 6248 Dr Stephen O'Callaghan Obstetrics only, Subspecialist in Maternal-Fetal Medicine No Public Service Private only Consulting Suite, DPH 8927 0108 8927 0118 Dr Jenny Mitchell Obstetrics, Gynaecology No Public Service Private only Consulting Suite, DPH 8920 6173 8920 6183 Assoc Prof Ossie Petrucco Visiting private gynaecology service Private only Book through private rooms in Adelaide, Patients seen in DPH consulting suites. 8364 3376 8364 6315 Dr Alex Crandon Gynae, Oncology, Tertiary referral only Visiting service public ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index GYNAECOLOGY SERVICES Urodynamic assessment for women Dr Nader Gad® Public/private® and Private Also See Urology Dr Oseka Onuma Colposcopy (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Private Public/private® Referral: to Colposcopy Clinic Patient does not need to attend Gynaecology OPD first. Private referral: See Drs Miller, Mitchell, Wulf Address Public/private® referral to RDH Outpatients via SEMS or Fax: 8945 3068 Phone Fax Private referrals to Dr Nader Gad Darwin Gynaecology Specialist Clinic Casuarina Shopping Village 23A/54 Bradshaw Terrace, Casuarina 8945 6911 8945 6922 Territory Medical Group - Nightcliff 8948 4333 8948 4322 Woolworths Complex, 159 Dick Ward Drive, Nightcliff, NT 0810 E: mailto:[email protected] RDH OPD via SEMS to Consultant Gynaecologist Colposcopy Clinic or Fax: 8945 3068 Indicate for colposcopy, and attach PAP/ HPV results. Referrals that indicate "for continuing care and management” will be valid for the entire treatment of the patient’s condition and the patient will not need to get another referral for treatment and follow up that continues beyond 12 months. Provide a Patient Information Sheet Results are given to patient by the Colposcopist at a three week follow up appointment when further follow up is also organised. A letter to the GP will be written on all new patients with a referral letter and for previous patients if further problems occur. The letter will provide information as to the colposcopy findings and the continuing care plan. If a pap smear only was performed, a copy will be sent to the referring GP and the patient advised to contact their GP for the result. GPs can obtain recent results by faxing a signed patient information release form to Pathology for recent results (or to the Community Liaison on 8922 7865 for older results). Remember to request specific results (e.g. PAP smear result and biopsy result) otherwise only one result may be sent. ® =Rights of private practice at RDH Back to index SEXUAL & REPRODUCTIVE HEALTH Reproductive Medicine Unit Family Planning Welfare NT Dr Stephanie Girle Dr Nicky Purser Rotating support from Adelaide Public & Private Contraception including Implanon, IUD insertion; management of sexual dysfunction including psychological support from clinical psychologist; office gynaecology; pregnancy issues including first trimester ante-natal and post-natal care; well woman screening Dr Erana Gray Clinic 34 Sexual Health & Infectious diseases clinics (viral hepatitis and HIV) Sexual Assault Referral Centre (SARC) Mobile Outreach Services (MOS) Dr Nathan Ryder HIV and sexual health, available Monday – Wednesday at Clinic 34, HIV specialist nurse Peter Nibbs Counsellor and doctor available 24 hours to discuss adult and child acute or historical sexual assault cases. Child and adult forensic examinations. Counselling available to anyone who may have experienced any form of sexual assault or sexual abuse, either recently or in the past. Mobile counselling service to Indigenous communities to assist with healing of children and families who may have been subjected to child sexual assault Address Phone Fax Reproductive Medical Unit, DPH 8945 4211 8945 4255 Darwin and Palmerston Head Office and Darwin Clinic Unit 2 The Clock Tower, Coconut Grove, NT 0810 PO Box Nightcliff NT 0814 Katherine -Katherine Clinic Community Health Centre Government Building, First Street Katherine NT 0850 Offers a walk in STI screening service Appointments also following GP referral Grd Flr Health House, Mitchell St Darwin Phone 8999 2678 Fax 8999 2688 8948 0144 8948 0626 8971 3153 8973 8570 8999 2678 8999 2688 Darwin (24/7) Katherine Nhulunbuy Coconut Grove 8922 6472 8973 9211 8962 1715 Freecall: 1800 193 121 Phone: 8948 0144 8922 6499 Offices in Darwin, Tennant Creek, Katherine and Alice Springs 1800 993 064 Mandatory Reporting Domestic and Family Violence Act •Another person has caused / likely to cause serious physical harm to someone else, with whom the other person is in a domestic relationship •The life or safety of another person is under serious or imminent threat because domestic violence has been, is being or is about to be, committed. (Source: Domestic and Family Violence Amendment Act 2009) The following toolkit, flowchart and fact sheet have been prepared by the Domestic and Family Violence Policy Team in Department of Children and Families to help government and non-government service providers understand and meet the new mandatory reporting obligations The Toolkit contains information and resources regarding partial confidentiality, risk assessment, safety planning, and staff safety. The Toolkit provides suggestions and ideas to assist organisations implement processes and policies to meet the new reporting requirements Mandatory Reporting Toolkit (Mandatory Reporting Toolkit.rtf) The Flowchart is a useful outline of reporting processes and policies in steps you need to take. Mandatory Reporting Flowchart (Mandatory Reporting Flowchart.rtf) This fact sheet gives an overview of the new obligations under sections 124 and 125 of the Domestic and Family Violence Act. Mandatory Reporting Fact Sheet (Mandatory Reporting Fact Sheet.rtf) If you have a question about implementing the mandatory reporting of serious harm you may want to check out the Frequently Asked Questions (Frequently Asked Questions.rtf). For further information contact the Domestic and Family Violence Policy Team: Contact Us Care and Protection Children Act 2007 Amendments were made to Section 26 of the Act on 20 August 2009 to change the reporting obligations regarding sexual offences involving children. • <18 suffered/ likely to suffer harm or exploitation • <14 has been/ likely to be a victim of a sexual offence (any sexual activity) • 14&15 years whi has been or is likely to be sexually active with someone where there is more than 2 years difference in age (additional reporting requirement for health practitioners) • 18 has been, or is likely to be sexually active with a person that has a relationship of ‘special care’ (i.e. caring, instructing or supervising relationship Notifiable Diseases Fact Sheet – REPORTING HARM AND SEXUAL OFFENCES INVOLVING CHILDREN In the Northern Territory every person is required to report suspected child abuse and neglect. The purpose of imposing a legal obligation on people to report suspected child abuse and neglect to the department, is to protect children/young people from further harm. Child abuse can be prevented. Identification and reporting of child abuse are the beginnings of intervention and prevention of such abuse. By protecting the child/young person and helping the family, future abuse can be reduced, even eliminated. Reports can be made to the 24 hour toll free number 1800 700 250 This booklet provides information for professionals reporting child abuse and neglect. Reporting Child Abuse and Neglect (Reporting Child Abuse and Neglect Booklet.rtf) The Notifiable Diseases Act requires doctors to notify diseases which are scheduled under the Act. See Notifications ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index OBSTETRIC CARE - PUBLIC RDH OPD appointments - send referral to Antenatal Clinic OPD via SEMS or Fax: 8945 3068. Phone: 8922 8699 Note: The orange Hand Held Record should be completed. All public referrals should initially be referred to first antenatal clinic. FOR ALL PATIENTS GPs should: Confirm pregnancy and offer healthy pregnancy advice. Provide information on options of care – shared, private and public. Assess suitability and interest in GP shared care. GPs will need to provide first trimester care for all public patients (and the majority of private patients). All public referrals should initially be to first antenatal clinic. The orange hand held record should be completed, and provides a useful prompt and checklist to assist with comprehensive assessment. The pregnancy information kit (available from the NTML) should be provided to all women in their first pregnancy and as appropriate Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH. At the first antenal clinic visit at RDH, a women’s suitability for models of antenatal care will be assessed. If a woman is assessed as low risk, the woman has the choice of continuing Shared Care with GP, or attending the Midwives Clinic at RDH, the Community Midwives Program, or continuing with the antenatal clinic. See pamphlet “Pregnancy Care at RDH-Birthing Option “ Note: Women will not be offered these options for maternity care until her routine ANC is complete and no problems are identified. For public patients ANC will also organise the fetal morphology scan for 18 weeks. If the woman has uncertain dates and no previous ultrasound RDH usually do a dating scan at the first antenatal clinic but it is preferable for the GP to organise this. Amniocentesis is available at the public hospital-performed from 15 weeks GA, or consider private referral for Amniocentesis: (Referral to Dr S O’Callaghan -CVS and Amniocentesis available or Dr A Miller - Amniocentesis, note private fee would apply) Second Trimester screening: 14w - 20w6d for maternal bloods only. OPTION REFERRAL COMMENTS Shared care between GP and Medical ANC/Obstetrician at RDH GP Shared Care Refer to First ANC indicating patient would like to continue with GP Shared Care. Referral to RDH First ANC via SEMS or fax: 8945 3068 Phone : 8922 8699 Women should be referred to first ANC between 12 - 20 weeks and then again at 36, 40 & 41 weeks. GP provides majority of antenatal care. GP CARE in PREGNANCY GUIDE Delivery at RDH Delivery Suite 6th floor Main ward block RDH. Antenatal Clinic All public referrals should initially be referred to first antenatal clinic. Midwife Care Note there are 3 current models of midwifery care: Midwives Clinic (MWC) Community Midwives Program (CMP) Midwifery Group Practice (MGP) RDH First ANC Appointments: To Antenatal OPD via SEMS Phone : 8922 8699 Fax: 8945 3068 Note: all consultations occur in OPD Clinic 8th floor Main ward block, RDH Refer to First ANC indicating patient would like to continue care through MWC or through CMP. RDH First ANC Appointments: OPD via SEMS Phone: 8922 8699 Fax: 8945 3068 Note: all RDH consultations occur in OPD Clinic 8th floor Main ward block RDH Consultations also held at RDH Specialist Suite at Palmerston Health Precinct. Corner Roystonea Avenue and Temple Terrace Download Map Patients who are considered not suitable for GP Shared Care or Midwife based care will continue in ANC. Complete relevant sections of orange hand held record. As patients are not usually seen til 14 weeks GPs should provide first trimester care GP CARE in PREGNANCY GUIDE (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) 1 Midwives Clinic (MWC) Referral for MWC required before 22 weeks gestation. Midwife ANC based at RDH OPD Clinic located on 8th floor, Main ward block, RDH. Delivery is at RDH Delivery Suite 6th floor Main ward block RDH. Complete relevant sections of orange hand held record. 2 Community Midwives Program (CMP) CMP care is available only for low risk women. Strict entry criteria apply. Places are limited. The model of care is very popular. Women can register their interest directly to the Birth Centre from 14 weeks but will require a first visit in the Antenatal Clinic. GPs should refer to ANC and indicate that the women would like to be considered for CMP. GPs should complete relevant sections of orange hand held record. CMP provides continuity of care through antenatal, intrapartum and postnatal with care provided by midwives. Some places are reserved for women with high social needs. Care is provided from Birth Centre at RDH but may involve home visits. Delivery is either in the Birth Centre or at RDH Delivery Suite 6th floor. Early transfer home within 4 hours after birth if all is well otherwise transfer to RDH. Postnatal follow up with initial daily home visits, 24-hour on-call support and postnatal care for up to three weeks following birth. 3 Midwifery Group Practice (MGP) The MGP offers Darwin-based care for remote Indigenous women, from consultation rooms in Wanguri. Under the Midwifery Group Practice, women are assigned a Darwin-based midwife who works in conjunction with an Aboriginal Health Worker. The midwife accompanies the mother to any specialist appointments, conducts their antenatal care and education, and assists at the birth of the baby, either in the Delivery Suite or the Birth Centre at Royal Darwin Hospital. The MGP began in September 2009 for mothers from Wadeye, Maningrida, Palumpa and Peppimenarti. The communities of Warruwi, Minjilang and Nauiyu Nambiyu (Daly River) have recently been added to the program. The Practice is funded by the NT Government’s Closing the Gap initiative with supplementary funding from the COAG Indigenous Early Child Development Partnership. Medical Obstetric Antenatal Clinics Public/private® - A combined Medical and obstetric clinic – Obstetrician and Endocrinologist. Public hospital patients who meet inclusion criteria for Medical Obstetric Clinic (see below) should be referred to Medical Obstetrics Clinic and addressed to Endocrinologist, Dr Sridhar Chitturi, and Obstetrician, Dr Sujatha Thomas Fax referrals to 8922 6750. (High Risk Antenatal Clinic) This clinic is designed to manage the care of women with high risk pregnancies and with concurrent or pre-existing medical illnesses. Examples of co-existing medical conditions warranting referral to this clinic include: Pre-gestational T1 and T2 diabetes, Thyroid disease: Graves’ disease, Hashimoto’s thyroiditis and hypothyroidism, Pituitary dysfunction, Adrenal disorders, Severe hypertension, Active hepatic/renal/haematological/rheumatological/Infectious disease needing joint care with sub-speciality teams, Cardiac disease – including mild valvular stenosis, moderate to severe degrees of valvular dysfunction, prosthetic heart valves, history of heart failure or prior surgery, myocardial dysfunction, congenital heart disease, pulmonary hypertension, Marfans syndrome, Current or past history of venous or arterial thromboembolosim. See attached Memo from Dr Thomas re Medical Obstetrics Clinic RDH Delivery Suite Private Pregnant women who prefer to be seen by private obstetrician who have coexisting medical conditions warranting referral to an Endocrinologist privately, should be referred to Dr Sridhar Chitturi (Fax 8945 5700) or Dr Diane Howard via private referral. See ENDOCRINOLOGY& DIABETES Urgent obstetric assessment Phone: 8922 8688 Home Birth Options Homebirth Service 0417 810 535 Homebirth offers a woman and her family one-to-one midwifery care in her home throughout antenatal, intrapartum and postnatal period. The current geographical boundary for homebirths in Darwin region is Howard Springs Road. However, women outside the designated boundary area can still have a homebirth by arranging accommodation in the Darwin or Palmerston regions. GPs can support care though arranging routine screening. Backup care is provided through RDH ANC and Delivery Suite. Patients may also be supported to deliver in the Birth Centre at RDH. Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index OBSTETRIC CARE - PRIVATE Note: all private obstetricians require the patient to be assessed and referred by their GP prior to booking appointment. Where the patient will not be seen before 12 weeks GPs should provide first trimester care. See GP CARE in PREGNANCY GUIDE Dr Andrew Miller Consulting Suite, Darwin Private Hospital Appointments: Phone: 8920 6201 or 89455233 Or Fax referral 8920 6248. Patients to bring referral to consultation. Dr Miller provides team based care with a small group of midwives. GPs should complete routine AN screening (including varicella if immune status is unknown) prior to referral; requesting pathology provider to send a copy to Dr Miller. First Visit appointments will usually be at around 15 weeks or 11+-13 weeks should patient request nuchal ultrasound screening for Down Syndrome. Prenatal diagnosis services are available including referred ultrasound scanning, chorion villus sampling, amniocentesis and nuchal translucency screening. Urgent appointments may be made by contacting Dr Miller's rooms directly. Dr Jenny Mitchell Consulting Suite, Darwin Private Hospital Appointments: Phone: 8920 6173 Or fax referral 8920 6183 GP referral to be faxed prior to appointment being made. GPs should complete routine AN screening and dating scan (and or nuchal translucency USS or screening) prior to referral, requesting pathology provider to send a copy to Dr Mitchell. First visit appointments will usually be at around 10-13 weeks. Patient numbers are limited with priority given to previous patients of Dr Mitchell. Urgent appointments contact Dr Mitchell’s rooms directly. Dr Stephen O'Callaghan Consulting Suite, Darwin Private Hospital Appointments: Phone: 8927 0108 Or fax referral 8927 0118 Patients to bring referral to consultation. Dr O'Callaghan provides a comprehensive obstetric service. He likes to do his own antenatal screening (including bloods) and scans. He is happy to see women from 8-9 weeks. His wife Judy is a midwife and offers some support services. Dr O'Callaghan performs nuchal translucency scans at 11-14 weeks +or- CVS or amniocentesis, and routine scans at 17-22 weeks. GPs should include referral for both these scans at the time of their initial referral. Urgent appointments contact Dr O'Callaghan’s rooms directly. Back to index OTHER PREGNACY RELATED SERVICES/CLINICS Pregnancy Counselling Free, professional, confidential counselling in relation to pregnancy testing, unplanned pregnancy, postabortion concerns, pregnancy support, pregnancy loss & adoption Healthdirect Australia The Pregnancy, Birth & Baby Information: healthdirect Australia helpline 1800 882 436 also provides (non emergency) information related to pregnancy, birth and parenting in the first 12 months. The web site also has useful patient focussed information on these topics. Anti-D Anti-D is available from RDH Pathology or via your immunisation order for the for Prevention of Rhesus Alloimmunisation in Rh(D) negative women Anti-D should be given to cover any first trimester bleed occurring in Rh(D) negative women. Rh(D) antigen is expressed as early as four weeks gestation Routine Antenatal prophylaxis is offered to all nonisoimmunised Rh(D) negative women at 28 and 34 weeks of gestation. Pregnancy Helpline Phone Tollfree: 1300 139 313 (national) Pregnancy Counselling Link Phone Tollfree: 1800 777 690 (national) Please refer to the following guidelines for further information. Accessing Anti-D for Prevention of Rhesus Alloimmunisation Guidelines for Prevention of Rhesus Alloimmunisation in Rh(D) Negative Women Form: Request for Rh(D) Immunoglobulin How to Transport and Store your Vaccine Early Pregnancy Loss Clinic RDH If any concerns about whether the woman is clinically stable please refer to Emergency Department through usual channels. An Early Pregnancy Loss Clinic held every day (Mon- Thurs from 0900 – 1200 and Friday afternoon) aimed at women who are having problems in the first 14 weeks of their pregnancy, such as pain or bleeding. Inclusion Criteria. Pregnancy up to 13+6 weeks gestation Pain and or vaginal bleeding, but clinically stable Documented/suspected early pregnancy loss Triage category 3, 4 or 5 Exclusion Criteria. More than 14 weeks completed gestation Triage Category 1 or 2 Haemodynamically unstable/ heavy bleeding Pain requiring more than simple analgesia Suspected ectopic (shoulder tip pain, rebound tenderness, abdominal rigidity, ↑ Pulse, ↓ BP) Routine pregnancy confirmation Routine pregnancy dating scans Hyperemesis gravidarum Pre-pregnancy counselling Complications following termination of pregnancy Please address referrals to Early Pregnancy Loss Clinic. Referral template Referral to Dr Thorn, Thomas and Colleagues, Early Pregnancy Loss Clinic at RDH OPD: SEMS or Fax : 8945 3068, or directly on 8922 6750. Alternatively Phone OPD appointment (8am-4pm) EPLC reception on 8922 7985. Note: all consultations occur in the outpatient clinics on the 8th floor, Main ward block, RDH. Please ensure the referral indicates the followingPlease ensure the referral clearly indicates that the referral is for Early Pregnancy Clinic Please ensure the referral indicates the following Patient contact details including Phone numbers parity and gravidy LNMP definite positive pregnancy test amount and description of pain amount of bleeding any additional symptoms The provision of incomplete information on these referrals can lead to unnecessary delays and compromise care. Please give woman the EPLC Patient Information. Please ask the patient to bring a copy of the referral, and their Medicare and Health Care Card to the appointment. OPD Reception will contact the patient by telephone with details of appointment time. Please ask the patient to bring a copy of the referral, and their Medicare and Health Care Card to the appointment. (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Surgical Termination of Pregnancy (STOP) Private STOP ® =Rights of private practice at RDH Back to index Public/private® referrals: Address referrals to GynaeX Clinic. The Northern Territory’s Medical Services Act (section 11) states that abortion is lawful; a) up to 14 weeks gestation, when performed in a hospital by an obstetrician or gynaecologist, where that practitioner and another practitioner are both of the opinion that i) The continuance of the pregnancy would involve greater risk to a woman’s life or greater risk of injury to her physical or mental health than if the pregnancy were terminated; or ii) there is a substantial risk that, if the pregnancy were not terminated and the child were to be born, the child would have or suffer from such physical or mental abnormalities as to be seriously handicapped. Therefore to comply with legislation GPs are required to provide a statement indicating their support or recommendation for termination of pregnancy and whether the “maternal health ground” or the “fetal disability ground’ is satisfied. Private: Dr Miller Please address referrals to Dr Lee® at Gynae X Clinic. Form - STOP Referral To Book appointment- Phone OPD on 8922 8699 (preferred). Or Alternatively Send referral to Dr Lee® at Gynae X Clinic RDH OPD clearly identify that it is for STOP via SEMS or Fax: 8945 3068. OPD reception will then contact the patient with details of appointment times for both the Gynae X clinic and pre-admission clinic. Please refer to additional information -GP information on Surgical Termination of Pregnancy Ensure the referral indicates that the referral is for a termination of pregnancy Referrals must include a recommendation such as “I recommend termination of pregnancy” (and add the physical or mental health reasons) Where possible complete and note the following in referral – Gestational assessment, Patient counselled regarding options for unplanned pregnancy, and Patient counselled regarding STOP, Patient Information sheet PAP smear, Contraception requirements for the patient post-STOP Ask the patient to bring a copy of the referral, and their Medicare card with them. Note Gynae X clinic is at Darwin Private Hospital Preadmission clinic, on the Ground Floor RDH Main Block (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Through private referral process Dr Miller: Consulting Suite, Darwin Private Hospital Phone: 8920 6201 to book appt. and also fax referral: 8920 6248. PAEDIATRICS Where possible please refer to the paediatrician by name. Dr Paul Bauert® Referral interests Director General, respiratory and developmental Public/private® Dr Charles Kilburn® Cardiac Public/private® Dr Anita Cornelius® General and intensivist Public/private® Dr Peter Morris® General Public/private® Dr Annie Whybourne ® General, developmental, biomedical management Public/private® Dr Kathryn Roberts® General and developmental Public/private® Dr Louise Woodward ® General and Developmental Public/private® Dr Carolyn Maclennan ® General and Developmental Public/private® Dr Louise Martin® MAC team, child sexual abuse Public/private® General and infectious diseases Public/private® Dr Keith Edwards® Community Paediatrician general and developmental Public/private® Professor Anne Chang Cough study Complex respiratory via tertiary referral only. Dr Asha Bowen® Where possible please refer to the paediatrician by name. Send public referral to OPD via SEMS or Fax: 8945 3068. Urgent Appointments please phone the Paediatric Nurse to arrange appointment on 8922 9319. Most patients will be bulk-billed for paediatric attendances. Parents or guardians or patient should be told to bring their Medicare card to appointment. (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) PLEASE NOTE: Under the MBS a child under 14 years seen by a paediatrician with autism related disorders can now be on-referred by paediatricians for up to 20 allied health services (occupational therapy, psychology, speech therapy). This can be coordinated via paediatric outpatients. Please refer to a paediatrician by name with an interest in developmental paediatrics Paediatricians can also write Better Access to Mental Health Care Plans to see a psychologist for 6 visits + option further 6 visits for any child. See Using the MBS to access services for children with behavioural disorders Contact- telephone 8922 8444 Referrals to Cough Study- refer directly to Dr Chang via OPD at RDH. This is for paediatric patients (<18years ) with chronic cough who are randomised into 2 groups- seen at 2 weeks or at 6 weeks. Dr Marcel Zimmet General, developmental, (Not accepting new referrals) behavioural and learning problems Privatenew Top End Paediatrics - clinics in Palmerston (Palmerston GP Superclinic) and Darwin (CDU Medical Centre). All appointments are made through Palmerston GP Super Clinic. If you have any questions please ask to speak to Amber Cosgrove or Amanda Wheeler. Palmerston GP Super Clinic Palmerston Health Precinct 3 Gurd St Farrar (Corner Roystonea Avenue and Temple Terrace) Ph: 08 8919 8919 Fax: 08 8931 3737 Email: [email protected] Charles Darwin University (CDU) Medical Clinic Corner of Lakeside and Ellengowan Drive, Alawa Phone: 08 8901 8800 Patients will be put on a waiting list following receipt of referral. Patient/Parent will receive confirmation within two weeks of referral. New patient appointments are booked on a monthly basis. Please note, infants under six months and medically urgent cases will be seen as a priority. Pre-Referral Guidelines for GPs For all patients please: Note the key concerns of the child/adolescent, their parents/carers, as well as school or child care if involved Record their growth parameters For children and adolescents with developmental, behavioural and learning problems, please arrange or encourage the family to organise the following before their visit to Top End Paediatrics: 1. Vision check / optometry report 2. Audiology assessment 3. A letter from school or child care with regards to their: play learning behaviour social skills communication skills any other observations Dr Ben Dayaratne General Private 35 Macredie St Nakara 3/6 Maluka St Palmerston 8927 1873 8932 5100 Dr Peter Bourke® Immunology and Allergyadults and children Public/private® Send referral to Dr P Bourke at Immunology at RDH OPD via SEMS or Fax: 8945 3068. Visiting Paediatric service Cardiology Rehabilitation Gastroenterology Neurology Respiratory Urology Orthopaedics Note: Visiting Paediatric subspecialty clinics are accessible only through tertiary following referral to a general Paediatrician. ® =Rights of private practice at RDH *Sessional Specialists Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index 8927 9685 SURGERY Send referral to Surgeon by name at OPD via SEMS or Fax: 8945 3068 Surgical referral should be to the relevant surgeon BY NAME. Please refer below for correct process. Note: Where patients are referred privately a fee may be charged for private consultation. A reduced fee or bulkbilling may be negotiated for some patients. It is therefore advisable for patients to have their Medicare card available (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) GENERAL Dr Ruth Hardstaff® General Surgery Public/private® Mr Luke Anthony ® General Surgery Public/private® Address Phone Fax Send Public/private® referral to Surgeon by name at RDH Surgical OPD via SEMS or Fax: 8945 3068. Consider referral options such as open access gastroscopy Mr Sanjay Kalgutkar® General Surgery Public/private® Dr Stephanie Weidlich® General Surgery Public/private® Mr Ajay John® General Surgery Public/private® Private Referrals to be sent to: NT Medical Specialist 21 Vanderlin Drive Wanguri, NT 0810 PO Box 43347, Casuarina, NT 0810 Email: [email protected] 8927 7026 8927 7038 Assoc Prof Phillip Carson® General, thoracic, breast, oncology and urology Public/private® & Private Central Specialist Clinic 8th Floor, NT House GPO BOX 2045, DARWIN 8981 9966 8941 0595 Mr John Treacy® General Surgery, Endoscopy including ERCP and Laparoscopic Gastric Banding (private only) Public/private® & Private Private Referrals to be sent to: PO Box 43022 Casuarina NT 0811 Also see Darwin Obesity Surgery Centre 8920 6240 8920 6237 (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Mr David Read® Public/private® & Private Physicians Rooms Darwin Private Hospital, Rocklands Drive, 0810 Tiwi Darwin Private Hospital 8920 6176 8920 6183 *Mr Paddy Bade® Public/private® & Private 8945 9189 8927 0423 *Mr Dan Campbell® Public/private® & Private Private Rooms, Darwin Private Hospital, Rocklands Drive, 0810 Tiwi Private Rooms, Darwin Private Hospital, Rocklands Drive, 0810 Tiwi 8920 6230 8920 6234 Central Specialist Clinic 8th Floor, NT House GPO Box 2045 Darwin 8981 9966 8941 0595 *Mr Jon Wardill® General Surgery Gastroscopy and Colonoscopy Breast Surgery (not cosmetic) Paediatric surgery Burns Surgery General Surgery (Public - hand clinic / surgery only) Public/private® & Private *Sessional Specialists ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index ENDOSCOPY Gastroscopy 1. Public/Private® via OutpatientsSurgical or Gastroenterology 2. Public/Private® via open access gastroscopy service Referral to Consultant surgeon To assist with the triage of Gastroscopy bookings please clearly indicate the referral is for open access gastroscopy and the triage category. Referrals will then be prioritised and forwarded to theatre scheduling. Note: Patients with significant comorbidities, requiring upper gastrointestinal endoscopy or flexible sigmoidoscopy should be referred directly to Surgical Outpatients GPs should ensure patients are informed about the procedure, risks and possible complications. Patient Information sheet - Gastroscopy Send referral to Surgeon by name at OPD via SEMS or Fax: 8945 3068 Please ensure referrals indicate: The provisional diagnosis, and/or reason for referral. Any alarm signs –anaemia, weight loss, significant anorexia, vomiting GI bleeding, dysphagia If the patient is taking anticoagulants or aspirin/NSAIDS Underlying medical problems such as diabetes or valvular heart disease which may alert RDH to anaesthetic risk, need for prophylactic antibiotics or influence the timing of procedure (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve The procedure will be performed by one of the RDH surgeons or senior the efficiency of results management registrars with the clinical findings and biopsy results forwarded directly to the internally within RDH.) referring GP for follow up. Information for GPs on gastroscopy including what to information to provide the patient. Private Gastroscopy Service NOTE: all private surgeons offer a private endoscopy service. Book through referral to surgeon directly (Drs P Bade, D Campbell, P Carson, D Read, J Wardill) Dr. Guruparan Iyngkaran Dr. Edmund Tse Dr. Suresh Sivanesan NT Medical Specialist 21 Vanderlin Drive, Wanguri, NT 0810 PO Box 43347, Casuarina, NT 0810 Email: [email protected] Ph: 08 8927 7026 Fax: 08 8927 7038 Elective endoscopy Open access endoscopy – including bowel cancer screening Breath tests and Capsule Endoscopies available on site Colonoscopy Patients requiring public colonoscopy should be referred directly to Surgical Outpatients for a Specialist assessment. Currently RDH does not offer an open access colonoscopy service. Patients requiring public colonoscopy should be referred directly to Surgical Outpatients for a Specialist assessment. Send referral to Surgeon by name c/- Surgical OPD via SEMS or Fax: 8945 3068 Note: all private general surgeons also offer a private colonoscopy service Patients referred through the National Bowel Screening Program also require completion of appropriate paperwork. National Bowel Cancer Screening Program - information for health professionals Notify the Register of referral/non referral for colonoscopy or other bowel examination for participants with a positive FOBT, utilising the Assessment Form – Referred for colonoscopy/Not referred for colonoscopy following a positive FOBT result [PDF, 144Kb] . An information payment will apply. (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index HAND SURGERY Address Phone Fax Send referral to Hand Surgeon by name at Hand Clinic OPD via SEMS or Fax: 8945 3068 Hand Clinic Public Hand clinic Public/private ® & Private Mr Shiby Ninan ® Consultant Plastic Reconstructive, Hand and Microvascular Surgeon Public/private ® & Private Public referral to Mr Shiby Ninan to Hand Clinic OPD via SEMS or Fax: 8945 3068. Private referral to Territory Medical Group Woolworths Complex, 159 Dick Ward Drive Nightcliff NT 0810 Phone: 8948 4333 Fax: 8948 4322 Email: [email protected] *Mr Jon Wardill® Hand and General Surgery Public/private ® & Private Public referral to Mr Jon Wardill to Hand Clinic OPD via SEMS or Fax: 8945 3068. Private referrals to Central Specialist Clinic, 8th floor NT House, 22 Mitchell St GPO Box 2045 Darwin Phone: 8981 9966 Fax: 8941 0595 *Dr Ravi Mahajani® Consultant Plastic Reconstructive, and Hand Surgeon See web site: Northern Plastic Surgery NT Public/private ® & Private Public referral to Dr Mahajani at Hand Clinic OPD via SEMS or Fax: 8945 3068. Patients may be seen at private rooms Patients seen at Private rooms – Unit 7, 25 Parap Rd, Parap. 0820 (opposite Cheesecake shop) Private referrals to PO Box 2006 Parap Phone: 8981 4500 Fax: 8981 4399 Email: [email protected] HEAD AND NECK SURGERY See OTOLARYNGOLOGY Or MAXILLOFACIAL and HEAD AND NECK SURGERY Or PLASTIC AND RECONSTRUCTIVE LAPROSCOPIC BANDING SURGERY There is NO public laparoscopic gastric banding service available at RDH. All referrals should be sent through the private system. Darwin Obesity Surgery Centre Physicans Rooms DPH Private Laparoscopic Banding Surgery: Phone: 08 89206240, and Fax 08 89206237. Mr John Treacy Dr Treacy works with a team including Medical Practitioner Dr Doug Hardcastle, Physician Dr Elio Gagliardo, Dietitians Richard Sager, Bethany Prosser and Brittney Fawcett, Exercise Physiologist Kia Naylor, Psychologist Raylene Chandler (Caring Matters), Anaesthetist Dr Chris Purser, Nurse Sylvia Steenkamp and Practice Manager Eila Allen. For more information see Darwin Obesity Surgery Centre Innovation HealthCare Mr Justin Bessell Visiting Private Book through private rooms phone: 83592411 Patients seen at Central Specialist Clinic, 8th Floor NT House, 22 Mitchell St. Works with and will arrange referral to other team members: including Ms Sally Johnson, nutritionalist, who provides dietary education and advice. May also refer to Psychologist if required For more information see Innovation HealthCare ® =Rights of private practice at RDH Back to index MAXILLOFACIAL and HEAD AND NECK SURGERY Mr Mahiban Thomas® Maxillofacial, head and neck surgery Public/private® & Private Send referral to Mr Thomas at OPD via SEMS or Fax: 8945 3068 Management of all swellings of the region of the H&N, both paediatric and adult, covering benign and malignant disease. Includes care of all salivary gland pathology, goitres, and congenital lesions of the H&N. Referrals also welcome in all areas of facial trauma, and in the management of all facial pain. Private referral to Territory Medical Group - Nightcliff Woolworths Complex 159 Dick Ward Drive, Nightcliff, NT 0810 Ph: 8948 4333 Fax: 8948 4322 E: [email protected] This will include consulting and minor operating on site at NMC, and operating every Monday at the DPH. Mr Cameron Scott® Maxillofacial, head and neck surgery Mr Justin Curtin® Maxillofacial, head and neck surgery Public/private® & Private Public/private® & Private Send referral to Mr Scott or Mr Curtain at Maxillofacial, head and neck surgical OPD via SEMS or Fax: 8945 3068 Management of H&N as above, and experience and interest also in Oral Surgery, including exodontia. Private referral to Territory Medical Group - Nightcliff Woolworths Complex 159 Dick Ward Drive, Nightcliff, NT 0810 Ph: 8948 4333 Fax: 8948 4322 E: [email protected] This will include consulting and minor operating on site at NMC, and operating every Monday at the DPH. Mr Hemi Patel® Otolaryngology and head and neck surgery Public/private® Send referral Mr Patel at Otolaryngology and head and neck surgery OPD via SEMS or Fax: 8945 3068 Special interest in larynx and pharynx cancers, paediatric and adult neck lumps including salivary gland and thyroid. Conducts weekly head & neck clinic Mr Miles Doddridge Visiting service - oral Private Darwin Orthodontic Centre 10/4 Manton Street, Darwin Phone: 8981 9782 Fax: 8941 0445 ® =Rights of private practice at RDH Back to index NEUROSURGERY Mr Santosh Poonnoose Visiting every 2 months alternating Public & Private Appointment through tertiary referral only. Refer to Orthopaedics. Public patients seen in Neurosurgery Clinic at RDH Book through private rooms in Adelaide Phone: 08 8204 4355 Fax 08 8204 5116 Complex spinal surgery and interest in skull base surgery and epilepsy surgery Patients seen at Central Specialist Clinic, 8th floor NT House, 22 Mitchell St Mr Nik Vrodos Visiting every 2 months alternating Public & Private Appointment through tertiary referral only. Refer to Orthopaedics. Public patients seen in Neurosurgery Clinic at RDH. Book through private rooms in Adelaide Phone: 08 8204 4355 Fax 08 8204 5116 Complex spinal surgery and interest in skull base surgery and epilepsy surgery Patients seen at Central Specialist Clinic, 8th Floor NT House, 22 Mitchell St ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index OPHTHALMOLOGY Eye Clinic Royal Darwin Hospital Recommend patients be referred to an optometrist, where possible, e.g. diabetic eye reviews Public/private® Send Public/private® referral to Dr Tharmalingam Mahendrarajah or Dr Nishantha Wijesinghe or Dr Hema Karthik at OPD via SEMS or Fax: 08 8945 3068 Information on referrals to Ophthalmology at Royal Darwin Hospital Given the imbalance between high volume of referrals and limited appointments at the Eye Clinic at Royal Darwin Hospital, prioritisation of the referrals depending on the nature of the eye condition has become necessary. Adequate information on the referral to the Ophthalmologist is required for meaningful prioritisation. This should ideally include: Mandatory information: Main visual complaint (in which eye) Duration of symptoms Visual acuity in each eye (with distance glasses if patient has them) formally checked with a Snellen chart or equivalent. Depending on the clinical situation and severity, referrals without the above mandatory information (especially visual acuity) may be - Resent to the referrer as incomplete, and further action on the referral will be taken only after receiving the missing information - Prioritised without a urgency category, hence patients might have a long waiting time to get an appointment Additional information: 1. Past ocular history 2. Past medical history 3. Current medications It should be noted that patients who need screening for the following conditions should be ideally sent to an optometrist who can follow up yearly and refer to the Ophthalmologist when appropriate. screening for eye involvement in chronic diseases like diabetes and hypertension screening for refractive error and need for spectacles screening for glaucoma Please call the Oncall Ophthalmology Registrar through RDH Switchboard to discuss very urgent referrals. Appointment waiting times will depend on the time of referral and more importantly on the severity and urgency of the clinical situation. The Eye clinic at RDH appreciates your understanding in this matter. Dr Tharmalingam Mahendrarajah® Dr Nishantha Wijesinghe® Dr Hema Karthik ® Consultant Ophthalmologist at RDH and NT Eye Specialists Public/private® & Private Recommend patients be referred to an optometrist, where possible, eg diabetic eye reviews Consultant Ophthalmologist at RDH and NT Eye Specialists. Private Outreach Ophthalmologist in Katherine and Gove Consultant Ophthalmologist at RDH and NT Eye Specialists. Private Outreach Ophthalmologist at Katherine and Gove Private Public/private® & Private Public/Private Prof. John Crompton (visiting) Prof. Frank Martin / Dr John Pater (Visiting) Prof. R. Ghabrial/ Dr Gina Kourt (Visiting) Prof. Peter McClusky (visiting) Visiting Neuro Ophthalmologist Visiting Paediatric Ophthalmologist Dr John Males (Visiting) Dr Ivan Ho/ Dr Stewart Lake (Visiting) Dr John Males (Visiting) Visiting Vitreo Retinal Specialist Visiting Oculo Plastic Specialist Visiting Inflammatory Eye Disease specialist Public/private® referrals to Dr Tharmalingam Mahendrarajah - Consultant Ophthalmologist at Eye Clinic, RDH via SEMS or Fax: 08 8945 3068 Private referrals through referral to NT Eye Specialists, Tiwi Medical Centre, 7/5, Tiwi Gardens Road, Tiwi, NT 0810 Ph: 08 89273719: Fax: 08 89270423 Public/private® referral to Dr Nishantha Wijesinghe – Consultant Ophthalmologist at Eye Clinic, RDH via SEMS or Fax: 08 8945 3068 Private referrals through referral to NT Eye Specialists, Tiwi Medical Centre, 7/5, Tiwi Gardens Road, Tiwi, NT 0810 Ph: 08 89273719: Fax: 08 89270423 Public/private® referral to Dr Hema Karthink – Consultant Ophthalmologist at Eye Clinic, RDH via SEMS or Fax: 08 8945 3068 Private referrals through referral to NT Eye Specialists, Tiwi Medical Centre, 7/5, Tiwi Gardens Road, Tiwi, NT 0810 Ph: 08 89273719: Fax: 08 89270423 Tertiary referral only (ONLY via RDH Consultant Ophthalmologists) ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index OTOLARYNGOLOGY (Ear, Nose and Throat) Mr Garrett Hunter® Co-Director of Surgery & Critical Care. Otolaryngology Mr Hemi Patel® Otolaryngology and Head and Neck Surgery Public/private® Public/private® Private Address Phone Fax Send referral to Mr Hunter at Otolaryngology OPD via SEMS or Fax: 8945 3068 Send referral to Mr Patel at Otolaryngology OPD via SEMS or Fax: 89453068 ENT including endoscopic sinus surgery Special interest in Head and Neck Surgery One stop Neck Lump Clinic. Monthly clinic for assessment for vertigo NT Medical Specialists Room 9, Specialist Suites Darwin Private Hospital Rocklands Drive TIWI NT 0810 Ph: 08 8927 7026 Fax: 08 8927 7038 [email protected] Mr Kym Diamantis Visiting service Private Please note that Mr Diamantis has increased consulting and operating times for each visit to provide greater patient flexibility. For appointments or queries call the Parkwynd ENT Practice Manager, Maddy on 8223 2633or phone Kym’s mobile 0419 373 849. Patients are seen at Rooms at Darwin Private Hospital Dr Michael Zacharia Visiting service Private 1/53 Ross Smith Avenue, Parap 8981 7318 Dr A Foreman (GP proceduralist) GP proceduralist Ear Nose and Throat Private 54 Ellengowan Drive, Nakara 8927 9752 Mr Graeme Crossland ENT Public only Only send referral to Mr Crossland at Otolaryngology OPD via SEMS or Fax ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index 8981 6866 8945 3068 ORTHOPAEDIC or TRAUMA Orthopaedic Outpatients, Fracture Clinic Public/private® Address Phone Fax Send referral to Orthopaedic Surgeon at Orthopaedics OPD via SEMS or Fax: 8945 3068. Private referrals through referral to private rooms (Forwarding results to RDH or other NT Hospital - please request a copy of results to be sent to Jade Care Clinicals. This will make it easier for the hospital clinicians to obtain the results and improve the efficiency of results management internally within RDH.) Mr Matthew Sharland® Mr Janak Mehta® Mr Ba Nyunt® Mr Matthew Sharland® Public/private® Send Public/private® referral to OPD via SEMS or Fax: 8945 3068 Central Specialist Clinic, 8981 1711 8941 0595 GPO Box 2045 Darwin Public/private® and private Central Specialist Clinic, GPO Box 2045 Darwin 8981 1711 8941 0595 Medicolegal work only Mr Janak Mehta® Mr Simon Elix (No public work) Private Central Specialist Clinic, GPO Box 2045 Darwin 8981 1711 8941 0595 Mr Steve Baddeley (No Public Service) Private Central Specialist Clinic, GPO Box 2045 Darwin 8981 1711 8941 0595 Mr Ba Nyunt® (Limited Public Service) Private Casuarina Health Services Centre, Suite G4/9 Scatchurio St, Casuarina 8945 1122 8945 2211 Central Specialists Back Pain Clinic: Dr Doug Hardcastle Back & Sports Injury clinic/ Back assessment clinic Visiting Orthopaedic surgeons from Adelaide or Darwin. Private Central Specialist Clinic, GPO Box 2045 Darwin 8981 1711 8941 0595 Private Patients seen at SportsMed- SA 8 Parap Place, Parap.The Sportsmed-SA doctors come on alternate fortnights, alternating Upper and Lower limb focus. 8941 2588 8941 0677 SPORTSMED-SA Richard Crowley- lower limb Michael Hayes- upper limb Greg Keene -knee surgeon David Martin -lower limb Anthony Menz -lower limb Roger Paterson -lower limb Andrew Saies- upper limb Nicholas Wallwork- upper limb Also see SPORTS MEDICINE ® =Rights of private practice at RDH Contact SportsMed-SA at Parap for details of visiting surgeon rota. For appointments contact Sportsmed-SA Darwin. Note - joint replacement surgery is only performed at SPORTSMED SA's private hospital facility in Adelaide. Back to index PLASTIC AND RECONSTRUCTIVE Address Phone Fax Public referral to Dr Mahajani at Plastic and Reconstructive Surgical OPD via SEMS or Fax: 8945 3068 Patients are seen in the RDH Specialist Suites at DPH Private Rooms 8981 4500 8981 4399 Level 1, 7 Keith Lane, Fannie Bay 0820 *Dr Ravi Mahajani® Plastic and Reconstructive, cosmetic, skin Public/private® and private Mr Shiby Ninan® Plastic Surgeon Public/private® and private Public referral to Dr Ninan at Plastic and Reconstructive Surgical OPD via SEMS or Fax: 8945 3068 Private referral to Territory Medical Group - Nightcliff Woolworths Complex 159 Dick Ward Drive, Nightcliff, NT 0810 Ph: 8948 4333 Fax: 8948 4322 E: [email protected] Dr Mark Moore Visiting, plastic and reconstructive, craniomaxillofacial surgery Private Consulting Suite DPH ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index 8267 4566 8239 2349 SPORTS MEDICINE Dr Geoffrey Thompson Dr Stuart Down (Locum) Sports Physician Sports related diagnosis, management and rehabilitation Private Address Phone Fax Territory Sportsmedicine 8 Parap Place, Parap For appointments contact Territory Sportsmedicine on 8941 6677, fax 8981 4155 or email [email protected]. Services offered: Sports Medicine: Sports Physicians Physiotherapy: including Sports Physiotherapy, massage, hydrotherapy, dry needling, core stability pilates, real time ultrasound Fitness Testing: Stress tests and medicals. Central Specialists Sports Injury Clinic: Dr Doug Hardcastle Early diagnosis and management of sporting and related injuries. Private Central Specialist Clinic, GPO Box 2045 Darwin ® =Rights of private practice at RDH Also see Referring to Outpatients at Royal Darwin Hospital and the Sub-specialty list for Royal Darwin Hospital Back to index 8981 1711 8941 0595 UROLOGY Kim Pese Kym Horsell Urological solutions monthly visiting service Urological malignancies – renal, bladder, prostate and testis. Haematuria. Male urinary symptoms. PSA /prostate assessment. Stone disease - kidney, ureter and bladder. Male sexual dysfunction. Female voiding difficulties and incontinence. Dr Trent Farebrother Public only by tertiary referral Private Address Phone Fax Refer to a general surgeon by name to RDH Surgical Outpatients and the general surgeon will refer public patients to Urologist as required Private Rooms, Darwin Private Hospital Urologists prefer referrals to be faxed to Adelaide office prior to scheduled appointments on 08 8292 2388 or Appointments: Phone 08 8292 2399 Email: [email protected] For most conditions visiting urologists can offer the same assessment as patients would receive in Adelaide. In particular they can offer transrectal prostate biopsy through Darwin Private Hospital under sedation for men with an abnormal PSA or abnormal prostate examination. Most urological surgery can be offered in Darwin, including radical prostatectomy for prostate cancer. Some complex laparoscopic surgery and minimally invasive laser surgery for renal stones cannot be offered in Darwin at present. Urological Surgeon Private Private rooms Darwin Private Hospital Letter of introduction 2010 8927 7788 8927 7766 Vascular only Public/ private® Send Public/private® referral addressed to Mr Gawler at RDH OPD via SEMS or Fax: 8945 3068 VASCULAR Mr David Gawler® ® =Rights of private practice at RDH Back to index DEPARTMENT OF SURGERY - Visiting Specialists Visiting Specialists referral is only available through specialist tertiary referral Specialty Approximate frequency COMPTON, John Corrective Squint surgeon (Paediatric) 6 monthly COSTA, Prof Corneal Specialist FARINELLI, Adrian Glaucoma Specialist GABRIEL Ocular specialist HORSELL, Kym Urologist 2 monthly KOURT, Georgina Ocular Plastic Surgeon Annual McGUIRE Terry Paed.Ortho Surg 6 monthly MARTIN, Frank NeuroOphthalmologist (Squint Specialist) Annual MOORE Mark Plastic Surgeon 3 monthly PARKINSON, Richard Visiting Neurosurgeon (Sydney based) Monthly PESE, Kim Urologist 2 monthly PHILLIPS, Russell Vitro-retinal specialist 6 monthly Neurosurgeon (Adelaide) 2 monthly alternating Paediatric Urologist Annual POONNOOSE, Santosh VRODOS Nik WOODWARD Alan Back to index
© Copyright 2024