CLINICAL SERVICES DIRECTORY FOR GPs SIR CHARLES GAIRDNER HOSPITAL

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SIR CHARLES GAIRDNER HOSPITAL
CLINICAL SERVICES
DIRECTORY FOR GPs
FOREWORD .................................................................................................................................................... 1
IMPORTANT TELEPHONE NUMBERS ............................................................................................2
REFERRALS ....................................................................................................................................3
MAP OF THE HOSPITAL ..................................................................................................................4
HOSPITAL LIAISON GP ...................................................................................................................5
HOSPITAL LIAISON FOR ABORIGINAL PEOPLE............................................................................6
OUTPATIENT REFERRALS .............................................................................................................7
DEPARTMENTAL INFORMATION................................................................................................................... 8
ALCOHOL AND DRUG SERVICE.....................................................................................................8
ANAESTHESIA ................................................................................................................................9
BREAST CENTRE ..........................................................................................................................10
CARDIOTHORACIC SURGERY .....................................................................................................11
CARDIOVASCULAR MEDICINE ....................................................................................................12
IMMUNOLOGY...............................................................................................................................14
CONTINENCE SERVICE................................................................................................................15
DERMATOLOGY............................................................................................................................16
EAR, NOSE AND THROAT.............................................................................................................17
ENDOCRINOLOGY AND DIABETES .............................................................................................19
GASTROENTEROLOGY/HEPATOLOGY/TRANSPLANTATION ...................................................20
GENERAL MEDICINE (INCLUDING AAU)......................................................................................22
GENERAL SURGERY ....................................................................................................................23
HAEMATOLOGY CARE CENTRE ..................................................................................................25
HOME LINK ....................................................................................................................................29
INFECTIOUS DISEASES ...............................................................................................................30
INTENSIVE CARE UNIT .................................................................................................................31
MEDICAL ONCOLOGY ..................................................................................................................32
MEDICAL TECHNOLOGY AND PHYSICS .....................................................................................33
NEUROLOGICAL INTERVENTION AND IMAGING SERVICE OF WA (NIISWA) ..............................34
NEUROLOGY AND CLINICAL NEUROPHYSIOLOGY ...................................................................35
NEUROSURGERY .........................................................................................................................36
NUTRITION AND DIET THERAPY .................................................................................................38
OCCUPATIONAL THERAPY ..........................................................................................................39
OPHTHALMOLOGY .......................................................................................................................40
ORTHOPAEDIC SURGERY ...........................................................................................................41
PAIN MANAGEMENT (CHRONIC PAIN TEAM) ..............................................................................42
PALLIATIVE CARE SERVICE ........................................................................................................44
PATHWEST....................................................................................................................................45
PATIENT LIAISON SERVICE .........................................................................................................46
PHARMACY ...................................................................................................................................47
PHYSIOTHERAPY .........................................................................................................................48
PLASTIC AND RECONSTRUCTIVE SURGERY ............................................................................49
PODIATRY .....................................................................................................................................50
POISONS INFORMATION CENTRE ..............................................................................................51
PSYCHIATRY AND BEHAVIOURAL SCIENCE ..............................................................................52
PULMONARY PHYSIOLOGY AND SLEEP DISORDERS CLINIC ..................................................53
RADIATION ONCOLOGY ...............................................................................................................54
RADIOLOGY ..................................................................................................................................55
REHABILITATION AND AGED CARE.............................................................................................56
RENAL MEDICINE .........................................................................................................................57
RESIDENTIAL CARE – OUTREACH SERVICE CHRONIC AND ACUTE MEDICINE DIVISION .............58
RESPIRATORY MEDICINE ............................................................................................................59
RHEUMATOLOGY .........................................................................................................................61
SHORT STAY UNIT ........................................................................................................................62
ii
SILVER CHAIN HOME HOSPITAL .................................................................................................63
SOCIAL WORK ..............................................................................................................................64
SOLARISCARE FOUNDATION CANCER SUPPORT CENTRE .....................................................65
SPEECH PATHOLOGY ..................................................................................................................65
STOMAL THERAPY .......................................................................................................................68
STATE HEAD INJURY UNIT ...........................................................................................................69
UROLOGY......................................................................................................................................70
VASCULAR SURGERY ..................................................................................................................71
WA LIVER & KIDNEY (SCGH) SURGICAL TRANSPLANT SERVICE .............................................72
WA PET SERVICE..........................................................................................................................73
WOUND MANAGEMENT SERVICE ...............................................................................................74
iii
FOREWORD
The information contained in this directory is intended to assist General Practitioners in accessing the
services of Sir Charles Gairdner Hospital.
I trust this directory will support effective communication. Our medical, nursing, allied health and support staff
endeavour to make all hospital visits comfortable for our patients and to provide them with the best outcomes
possible.
SCGH is a fully accredited teaching hospital providing tertiary level care to the people of WA. SCGH currently
has 608 funded beds of which 89 are day patient’s beds. Each year the hospital treats approximately 74,000
inpatients, 69,000 Emergency presentations with 382,000 outpatient visits to clinics, allied health, pharmacy
and diagnostic outpatients. All clinical specialties are available with the exception of complex burns,
paediatrics, obstetrics and gynaecology. It is the State’s referral centre for elective neurosurgery, complex
radiotherapy and adult liver transplantation. In addition to clinical services, SCGH has a strong commitment
to teaching and research.
SCGH is currently in a new phase of extensive redevelopment that will extend to 2016 and beyond as part of
the Health Reform process. Clinical service planning is continuing to determine how best to deliver clinical
services in the future including models of care based on best practice. The aim is to design a health care
facility that is based on innovative, strategic, evidence-based care with a clear focus on ambulatory care for
the future.
I encourage your suggestions to help ensure that SCGH continues with its strong customer focus in
promoting a continuum of care and best practice in clinical care for our patients.
Our staff are committed to providing high quality clinical care and forming strategic alliances with other
service providers to further enhance our service, research, education and training expertise.
DR ROBYN LAWRENCE
Executive Director
Sir Charles Gairdner Group
North Metropolitan Area Health Service
Sir Charles Gairdner Hospital
IMPORTANT TELEPHONE NUMBERS
Within Sir Charles Gairdner Hospital:
USE THESE NUMBERS FOR EMERGENCIES, REFERRAL ADVICE, INQUIRIES, AND RESULTS
OR TO ACCESS ANY EMERGENCY DEPARTMENT SERVICE
Emergency Department GP hotline
1800 247 205 or 9346 4266 Fax: 9346 2620
PathWest (Test Results)
(all hours)
13 7284 (13 PATH)
SCGH Switchboard
Medical Record Information
(24 hours / 7 days)
• GP Desk
9346 3333
Fax 9346 3523
Referrals – Central Referral Service
Note for urgent referrals ring the Registrar via
switchboard (93463333) and ask for an urgent
appointment, then fax the referral direct to them
Fax 1300 365 056 for non –urgent referrals*
or scanned and emailed (via secure email) to
[email protected]
*- see "Outpatient Referrals" for further information
Other useful numbers:
St John Ambulance
EMERGENCY
Non-Emergency
000
9346 1234
Police
EMERGENCY
Non Emergency
000
9222 1111
Poisons Information Centre
131 126
Psychiatric Emergency Team
1300 555 788
Rural Free Call 1800 676 822
Royal Perth Hospital
9224 2244
Fremantle Hospital
9431 3333
King Edward Memorial Hospital
9340 2222
Princess Margaret Hospital
9340 8222
Silver Chain
General Enquiries
General Referrals
Home Hospital Referrals
Sir Charles Gairdner Hospital
9242 0242
9242 0347
1300 Home Hospital (1300 466 346)
GP VISITING RIGHTS
There is a Hospital Policy that allows GPs to visit their patients and review their notes, provided that you
clearly identify yourself to staff as a visiting GP, and the patient confirms this. GPs who are regular attendees
at SCGH may obtain a GP identification badge from their local Division.
REFERRALS
•
Emergency Department
Refer directly with appropriate medical/social information, which can either be phoned or faxed or sent
with patient. Direct line: 1800 247 205, Fax 9346 2620. Referral forms are available on the webpage
www.scgh.health.wa.gov.au/Clinicians/Referral_Forms.html
It is preferable to ring, fax and send written information with the patient.
•
Urgent Referral
Ring Departmental Registrar or Specialist to arrange urgent referral - see Outpatient Referral list in this
directory.
•
Outpatients
By referral only - see Departmental Information and Outpatient Referral list in this directory. Patients who
live outside the catchment area of SCGH and who do not require the services of a tertiary hospital should
be referred to a Specialist with clinical privileges at an appropriate secondary hospital. As a guide, the
following postcodes should be considered as being the local catchment for SCGH: 6005, 6007-6012,
6014-6035, 6037, 6060-6061, 6064-6065, 6159. See information above for referral forms.
Outpatient Policy
Referrals to SCGH are triaged by the relevant Department and categorised as:
o
o
o
Priority 1 (should be seen within 30 days)
Priority 2 (should be seen within 90 days)
Priority 3 (should be seen within 365 days)
Routine (non urgent referrals) are categorised as Priority 3. If a patient’s condition deteriorates and they
need to be seen quicker, then they should see their GP who can write a new referral explaining the
change in circumstances. If an urgent or Priority 1 referral is required, then the GP should contact the
relevant Registrar by telephone prior to sending in the referral.
•
Specialists And Referral Criteria
The guidelines for working patients up prior to referral (CPAC) and names of specialists are available on
the website www.gp.health.wa.gov.au
•
Referral Policy
Referrals for “Privately Referral Non Inpatients” (PRNI) are valid for 12 months after the patient is first
seen, unless the GP indicates the referral is for an “indefinite” period.
Sir Charles Gairdner Hospital
MAP OF THE HOSPITAL
Sir Charles Gairdner Hospital
HOSPITAL LIAISON GP
For contact by GPs and hospital staff only. The Hospital Liaison GP does not provide advice direct to
patients.
The Hospital Liaison GP provides a contact for Hospital staff and General Practitioners to assist communication
between GPs and the hospital. This is a joint appointment of SCGH, Perth Primary Care Network and Perth
North Metro Medicare Local (PNML).
The Hospital Liaison GP is Dr David Oldham, a local General Practitioner with extensive experience.
WHERE IS IT?
1st Floor, E Block
Availability:
Most Thursdays (8.30-2.30) only
Tel:
9346 3595
Mobile:
9346 3333 – ask to be connected
to mobile by hospital switchboard
Email
[email protected]
Queries
Any queries by GPs about specific patients should be directed initially to the relevant hospital department. The
Liaison GP should be notified of any major problems or repeated minor problems with Departments. Requests
for medical record information, eg discharge summaries, should be directed to the medical records GP desk on
9346 1624, fax 9346 3523.
Objectives
• Provide a consultative service on the GP perspective of patient care.
• Advise on communication problems eg admission, discharge.
• Assist in the development of strategies to improve the integration of services.
• Identify and develop opportunities for General Practitioners through the Divisions, to contribute to hospital
services.
• Identify future roles for the Hospital Departments, Units and General Practitioners in the implementation of
community-based projects.
• Monitor and evaluate the processes relating to the interface between the Hospital and GP community.
Sir Charles Gairdner Hospital
HOSPITAL LIAISON FOR ABORIGINAL PEOPLE
Liaison services for rural and remote Aboriginal patients are offered through the Population Health Programme
of the Lower North Metropolitan Health Region. Please contact:
HOSPITAL LIAISON FOR ABORIGINAL PATIENTS
Graylands Selby-Lemnos and Special Care Health Services
Brockway Road
MT CLAREMONT WA 6010
CONTACT DETAILS
Ruth McCarthy
Pat Narkle
Joanne McLean
Tel: 9380 7788
Fax: 9380 7719
Opening Hours
08:30 – 16:30
Monday to Friday
Services include:
•
•
•
•
Visiting Aboriginal patients from remote and country areas.
Assisting in minimising culture shock.
Acting as link between hospital staff, patient, family and Community Health Services.
Arranging accommodation for Aboriginal people travelling to Perth for medical care.
For all other patients: other community bases are listed in the White Pagers under ‘Community Health Centres’
and provide a liaison service for metropolitan clients.
Aboriginal Catholic Ministry and Council
5 Baker Avenue
PERTH WA 6000
Tel: 9328 7529
Fax: 9227 0732
The Aboriginal Catholic Ministry is concerned with the spiritual, cultural and social development of people of
Aboriginal descent. The Aboriginal Catholic Council guides and assists the Ministry and the Archdiocese in the
Aboriginal apostolate.
Sir Charles Gairdner Hospital
OUTPATIENT REFERRALS
Central Referral Service
Commencing 24/2/14 all GP referrals for doctor led outpatient specialties within the public hospitals should be
faxed or emailed to the Central Referral Service (CRS);
FAX 1300 365 056
or scanned and emailed (via secure email) to [email protected]
EXCEPTIONS:
• Referrals for patients that require immediate review (to be seen within 7 days) do not come via CRS.
The referring doctor should contact the appropriate hospital senior clinician (usually the Registrar via
switchboard) to discuss the case and then send the referral directly to the hospital for an immediate
appointment to be made.
• Referrals to a private specialist
• Referrals to Mental Health Services
• Referrals to rural outpatient services
• Referral to Allied Health Outpatient services
• Referral to Non – doctor led outpatient services
• Referral to Ambulatory Surgery Initiative (ASI) endoscopy services.
Non urgent referrals sent by GPs directly to the hospitals will be re directed to the CRS before being resent to
the appropriate hospital.
Referral guidelines and templates for Outpatient referral letters (for some GP software) is available at
www.gp.health.wa.gov.au/
Sir Charles Gairdner Hospital
DEPARTMENTAL INFORMATION
ALCOHOL AND DRUG SERVICE
nd
Location: 2 Floor D Block
Corporate Nursing
• The service operates Monday to Saturday 0700 – 1530 hours
CONTACT NUMBERS
Clinical Nurse Consultant
Sir Charles Gairdner Hospital
Ms Etza Peers
Tel: 9346 2774
Pager 4799
ANAESTHESIA
st
Location: 1 Floor, G Block (Green Lifts)
Critical Care Division
The Department:
• Provides anaesthetic services for all surgical, medical and diagnostic procedures as required in the Hospital.
• Runs an outpatient anaesthetic pre-assessment clinic, an anaesthetic allergy clinic and an acute pain service.
• Provides teaching and training for anaesthesia fellows, registrars, residents and medical students.
CONTACT NUMBERS
Head of Department
Dr Neville Gibbs
Tel: 9346 4333
Administrative Assistant
Mrs Kerry Hobson /
Hilda Jansen
Tel: 9346 3011
Receptionist
Christine Jones /
Sharon Potter
Tel: 9346 3011
Pager 4181
Outpatient Referrals
•
Allergy Testing
•
Anaesthetic Allergy Clinic – contact Kerry Hobson / Hilda Jansen on 9346 3011 or fax 9346 4375.
Dr P Platt
Patient Advice Services
•
24 hour advice available on anaesthetic problems via Duty Anaesthetist - contact via switchboard on
9346 3333.
Sir Charles Gairdner Hospital
BREAST CENTRE
Location: 1st Floor, G Block
Gastro Renal Division
The SCGH Breast Centre provides a comprehensive diagnostic and treatment service for women with breast
diseases. Specifically the service provides:
• Symptomatic clinics are held three times weekly for women with breast abnormalities, referred by GP and
other specialists.
• Surgical clinics, for management and follow-up.
• Breast Screen WA Assessment Clinics are held twice weekly for women with screen detected abnormalities.
• A diagnostic service including mammography, fine needle aspiration, ultrasound and stereotactic biopsy.
• Multidisciplinary review meetings held weekly with representatives from all related specialities for case
discussion.
• Counselling services specifically for women with breast cancer.
• Genetic counselling and screening for women with suspected hereditary breast cancer.
CONTACT NUMBERS
Reception
Telephone 9346 4590 Fax 9346 4897
Specialists
All Specialists are contactable on 9346 4590 during work hours.
Outpatient Referrals
All referrals triaged on urgency.
Urgent cases are seen with 5 - 10 working days. Fax urgent requests to 9346 4897
Sir Charles Gairdner Hospital
CARDIOTHORACIC SURGERY
th
Location: 6 Floor, G Block
Heart and Lung Division
The Department of Cardiothoracic Surgery provides services for the management of heart and aorta, lung,
oesophageal and mediastinal and chest wall diseases. Specifically:
• Cardiac surgery - coronary artery bypass grafting including minimally invasive techniques of off-pump
coronary grafting; valve surgery including mitral valve repair and replacement and aortic valve replacement
with mechanical and biological valves.
• Lung surgery - lung resection for carcinoma and benign conditions; involvement in neo adjuvant trial for
advanced lung carcinoma; lung volume reduction surgery using thoracoscopic techniques.
• Thoracoscopic surgery for pneumothorax and diagnosis of thoracic disorders.
• Management of thoracic trauma.
• Patient educator involved in pre and post-operative management and organising country patient
accommodation.
CONTACT NUMBER
Specialists
Director
Mr Mark Newman
Mr Lucas Sanders
Mr John Alvarez
Mr Jurgen Passage
In Hours
After Hours
9346 2383
9346 2383
9346 2383
9346 2383
9346 3333
9346 3333
9346 3333
9346 3333
Specialist Interests
• Beating Heart Coronary Artery Bypass Surgery
• Thoracoscopic lung surgery including Lung Volume Reduction Surgery for Emphysema
• Minimally invasive valve surgery
Outpatient Referrals
Contact Secretary on 9346 2383 or by letter or fax to 9346 2344.
Urgent referrals via Registrar, Pager 4871.
Patient Advice Services
Patient Educator available during working hours; page through Hospital switchboard.
Sir Charles Gairdner Hospital
CARDIOVASCULAR MEDICINE
th
Location: 4 Floor, G Block (Green Lifts)
Heart and Lung Division
The Department of Cardiovascular Medicine is responsible for the provision of cardiology services for patients
admitted as emergencies to SCGH and elective patients referred to SCGH. Cardiovascular Medicine
incorporates the Coronary Care Unit (G42, 14 beds), Cardiology ward (G41, 24 beds, incorporating Vascular
Surgery), Cardiac Catheter labs, non-invasive cardiology labs and outpatients clinics. The department is
th
situated on the 4 floor of G Block (via Green Lifts).
Services cover acute coronary care, cardiac catheterisation, angioplasty, percutaneous valvuloplasty,
electrophysiology pacing and implantable defibrillator services, echocardiography including transoesophageal
echocardiography, Holter monitoring, exercise testing, tilt table testing, ambulatory blood pressure recording. It
provides an inpatient consultation service; Registrars conduct outpatient clinics under the supervision of
Consultants.
There is an active patient education and cardiac rehabilitation programme and an active research programme in
clinical trials of coronary reperfusion, heart failure, cardiac arrhythmias, and heart failure management. The
Department is affiliated with the Heart Research Institute of Western Australia (Gairdner Campus) and The
University of WA’s Schools of Medicine and Population Health.
CONTACT NUMBERS
Head of Department
Dr Philip Cooke
Tel:
9346 2677
Reception/Appointments
Tel:
9346 2677
Administrative Assistant
Sue Scott
Tel: 9346 4303
Email: [email protected]
Cardiac Rehabilitation Co-ordinator
Julie Prout
Tel: 9346 4302
Pager: 4840
Email: [email protected]
Heart Failure Service A/CNS
Wendy Dickinson
Tel:
9346 4822
Pager 3884
Email: [email protected]
Specialists
All Specialists can be contacted on 9346 2677 or call the on-call cardiologist via the Registrar or Coronary
Care Unit on 9346 1642.
•
•
•
•
Dr Michelle Ammerer
Dr Donald Latchem
Dr Brendan McQuillan
Dr Paul Stobie
Sir Charles Gairdner Hospital
•
•
•
•
Dr Philip Cooke
Dr Chris Finn
Dr Mark Ireland
Dr Eric Yamen
•
•
•
•
Prof Peter Thompson
Dr Michael Muhlmann
Dr Devind Bhullar
Prof Joseph Hung
Cardiovascular Medicine Continued
•
•
•
•
•
•
•
•
Cardiac Electrophysiology and Pacing
Clinical Trials
Coronary Care
Echocardiography
Heart Failure
Interventional Cardiology
Lipidology and Prevention
Cardiac Rehabilitation
Outpatient Referrals
Outpatient referrals are routinely booked through the Cardiology clinics on fax 9346 4878. If an urgent referral is
required, the Senior Registrar in Cardiology can be paged via the switchboard and in discussion with the Head of
Department will organise for the patient to be seen urgently. Direct bookings for investigations are not available.
All patients require clinical assessment first in the Outpatient Clinic.
CLINIC SESSIONS
General Cardiology Registrars Clinics
Clinic – Dr Brendan McQuillan
Clinic – Dr Devind Bhullar
Clinic – Dr Eric Yamen
Mon am, Wed pm
Mon am
Wed pm
Mon am
Arrhythmia Clinic
Dr Philip Cooke
Dr Paul Stobie
Mon am
Mon am
Heart Failure Clinic
Mon pm
Pacemaker Check Clinics
Mon, Tues and Thur
Patient Advice Services
All inpatients admitted to the Coronary Care Unit receive individualised advice on coronary risk factors and
cardiac management. Services are available for family members of patients with heart disease.
Sir Charles Gairdner Hospital
IMMUNOLOGY
st
Public Outpatient Clinic - CLA5: 1 Floor, E Block
Tuesday, Wednesday and Thursday mornings
Tel: (08) 9346 3369
Medical Specialties Division
Outpatient Referrals
Use eReferrals for SCGH patients
Tel: 9346 3105
Fax: 9346 4878
Outpatient Clinic Appointments:
Tel: (08) 9346 3105
Fax: (08) 9346 4878
rd
Office Location: 3 Floor, PP Block
Tel: (08) 6383 4303
Fax: (08) 9346 3160
For urgent consultations, telephone the department on 6383 4303
Or contact the Consultant via the switchboard on 9346 3333.
The Department of Clinical Immunology provides clinical services in:
•
•
•
•
•
•
•
Allergy including allergy testing in allergic rhinitis, asthma, antibiotic allergy, and anaesthetic drug allergy
Angioedema
Urticaria
Connective tissue diseases including SLE, Scleroderma, Polymyositis and Rheumatoid Arthritis
Vasculitis
Immune Deficiency including HIV infection
Family studies for selection of organ donors
The Department also provides a Diagnostic Immunology Laboratory Service through PathWest.
CONTACT NUMBERS
Head of Department
Consultants
Dr Peter Hollingsworth
Dr Andrew McLean-Tooke
Dr David Nolan
Dr Meilyn Hew
Dr Michaela Lucas
6383 4303
6383 4303
9346 3105
6383 4303
6383 4303
Registrars
6383 4303
Specialist Interests
• Autoimmune Diseases
• Allergy
• Immune Deficiency
• Connective Tissue Diseases
• Vasculitis
• Drug hypersensitivity
Sir Charles Gairdner Hospital
CONTINENCE SERVICE
th
Location: 6 Floor, G Block
Corporate Nursing
The Continence Service believes that all people with a continence problem, urinary and faecal, will be provided
with the best in health care, service and teaching so they can achieve their optimum level of continence.
The Clinical Nurse Consultant (CNC) Continence and Urology provides: •
•
•
•
•
A consultancy service on continence problem to patients, staff and the community.
Support and education to staff in relation to continence promotion/management.
Advice on continence aids and appliances.
Appropriate follow-up for continuing education and assessment.
And promotes a climate of caring and respect in relation to a continence problem.
Contact Numbers
(Clinical Nurse Consultant: Continence and Urology – Mary King)
Tel:
Dect:
Fax:
Page:
9346 3408
9346 4487
9346 1899 Fax referrals to 9346 4966
9346 3333 and ask for page 4723
OUTPATIENT REFERRALS
Contact the clinic on 9346 2594 for an appointment with the continence clinic.
th
If referral to Urology Clinic – contact/send referral to Urology Department located 7 Floor, G Block
CLINIC SESSIONS
An outpatient service for patients post discharge and patients with external referrals from the community is held
in Day Hospital C Block. The Monday am clinic requires an ACAT referral which can be faxed to the department
on 9346 4966.
Monday am: People aged over 65. This is a multidisciplinary clinic.
Monday pm: People aged between 16-65 can be referred.
The Monday pm for under 65 years old – please make referral to the continence clinic and not to a nurse’s name
as the nurses change position.
Patients can be referred to either clinic by external referral or purple code hospital referral. When referring
patients, address the referral to the Continence Clinic C Block or fax to 9346 4966.
Sir Charles Gairdner Hospital
DERMATOLOGY
st
Location: E Block, B Link (1 Floor)
Cancer Division
The Dermatology Department provides:
• A comprehensive inpatient and outpatient service.
• Patients seen in outpatients are seen as referred patients by General Practitioners or Specialists.
• Minor procedures include skin cancer surgery, sclero-therapy, diagnostic biopsies, cryotherapy, patch
testing.
SPECIALISTS
Head of Department
Dr Jonathan Chan
Consultants
Dr Jonathan Chan
Dr Jamie Von Nida
Dr Genevieve Sadler
Dr Grant Masel
Dr Kimbie Opie
Dr Ernest Tan
Secretary
Sabrina Short
Tel: 9346 1490
Fax: 9287 6931
Outpatient Bookings
Thur 0830 – 1130
Fax: 9287 6931
Outpatient Referrals
Paging the Dermatology Registrar may make urgent requests by GPs and Specialists.
Sir Charles Gairdner Hospital
EAR, NOSE AND THROAT
Location: Ground Floor, E Block, Outpatient Building
Next to the Hovea Lane Entrance
Neurosciences Division
• The Department holds a Head, Neck and Tumour Clinic, which is a multi-disciplinary clinic meeting weekly.
• Inpatient and outpatient management for “secondary” referral cases, eg
- Tonsils
- Complicated and uncomplicated sinusitis
- Full spectrum of ear problems
• Audiology Services.
• Voice Clinic in conjunction with the Department of Speech Pathology providing management for complicated
voice disorders.
CONTACT NUMBERS
Secretary
Ms Cathy Goldfinch
Tel: 9346 3089
Fax: 9346 4899
Surgical Waiting List Enquiries
Tel: 9346 1455
Clinic Appointments
Tel: 9346 3089
SPECIALISTS
ALL SPECIALISTS ARE CONTACTABLE ON 9346 3089 OR AFTER HOURS BY PAGING THE
REGISTRAR THROUGH THE SWITCHBOARD ON 9346 3333.
Head of Department
Mr Robert Bond
Mr Phil Grey
Mr Geoff Hee
Mr Peter Friedland
Mr Desmond Wee
Prof Marcus Atlas
Mr Pedram Imani
Outpatient Referrals
Contact ENT Secretary on 9346 3089, Fax 9346 4899 or Page ENT Registrar if urgent.
Sir Charles Gairdner Hospital
EMERGENCY DEPARTMENT
Location: Ground Floor, G Block
The Emergency Department at SCGH provides a 24hr day emergency service for adult patients and is
accredited with the Australasian College for Emergency Medicine for training.
The department has a particular focus on toxicology (closely linked to WA Poisons Information Centre),
ultrasound (DDU credentialed ED Consultants) and academic emergency medicine (University of WA).
GPs can refer patients by calling 9346 4266 and speaking to the Operations Manager. Complex cases can be
discussed with the Duty Consultant on request via the Operations Manager.
GP Direct referral line: 1800 247 205 or 9346 4266 Fax: 9346 2620
Emergency Department Administrator Sandra O’Keefe 9346 2836
Sir Charles Gairdner Hospital
ENDOCRINOLOGY AND DIABETES
st
Location: 1 Floor, C Block
Cancer Division
Bone and Calcium Disorders - The premier Western Australian unit for management of these disorders. A
multi-disciplinary diagnostic and therapeutic service is offered with expertise in:
-
Clinical management.
-
Bone densitometry at multiple sites using dual energy X-ray Absorptiometry.
-
Radiology of bone disorders including morphometric diagnoses of vertebral fractures.
-
Biochemical evaluation of disorders of calcium metabolism (in conjunction with Path Centre).
-
A wider range of drug availability than is currently obtainable through the PBS.
Diabetes - a multi-disciplinary clinic providing a broadly based diagnosis and management service. The unit
has access to excellent facilities in the area of diabetes education, dietetics and podiatry, and is active in
diabetes research and in teaching, including nurse educators.
Pituitary and Adrenal Disorders - this clinic provides expertise in the management of patients with
hypersecretory pituitary and adrenal tumours, non-functioning pituitary tumours and parapituitary lesions eg
Craniopharyngioma and meningioma. Comprehensive biochemical assessment (both static and dynamic) is
available as is the full range of pituitary imaging procedures, including dynamic gadolinium enhanced MRI.
Facilities available for the management of adrenal disorders include the full range of biochemical techniques,
imaging (CT, MRI and scintigraphy) and fine needle aspiration.
Thyroid – the full range of diagnostic services including thyroid aspiration cytology, nuclear medicine
techniques and imaging using MRI and Ultrasound are available with the active involvement of two
experienced thyroid surgeons and access to oncological services if necessary.
Reproductive Endocrinology – these services include evaluation of patients with ovarian disorders such as
polycystic ovary and other female reproductive-related disorders and male gonadal function such as infertility,
impotence and hypogonadism.
General Endocrinology – for particular services not specified elsewhere the Department offers a general
endocrine service.
Head of Department
Outpatient Referrals
Clinic
Gairdner Bone Densitometry Service
Enquiries and Bookings
Dr Joey Kaye
Carolyn Bond/Suzie Gegoff
Tel 9346 2466
Tel: 9346 2467
Fax: 9346 3221
Tel: 9346 3891
Fax: 9346 4109
Urgent admissions – should be arranged by direct contact with the Endocrine Registrar by paging through the
Hospital switchboard (9346 3333).
Non-urgent referrals – only written referrals for outpatient and clinic appointments are accepted. Please
indicate the clinic that you would like your patient to attend at the top of the referral form and mail it
st
to the Endocrinology Outpatient Secretary, 1 Floor, C Block SCGH or fax to 9346 3221.
Bone Densitometry appointments – request forms are available from Gairdner Densitometry Services on
9346 3891
Patient Advice Services
Diabetes Education Unit – counselling and education in obtaining and maintaining good control and
management of the disease.
Sir Charles Gairdner Hospital
GASTROENTEROLOGY/HEPATOLOGY/TRANSPLANTATION
th
Location: 7 Floor, G Block
Gastro Renal Division
Inpatient and outpatient consultation for disease of stomach, small and large intestines, liver and pancreas
including:
•
•
•
•
•
•
Endoscopic services.
Liver Transplantation Services.
Hepatitis B and C Clinics.
Haemochromatosis Register.
Capsule endoscopy.
Endoscopic ultrasound.
Endoscopic Services
The department of Gastroenterology provides consultation and endoscopic services to the hospital and
community. Under the Ambulatory Surgery Initiative, suitable patients may be referred to Osborne Park
Hospital for endoscopic procedures, reserving more complex and high-risk cases for SCGH. The referral
form is available from either the SCGH website in both the Health Professional and GP Liaison sections, or
from the OPH website under GP Liaison.
All referrals to this service are managed by SCGH. GPs can refer directly for endoscopy, and specifically
choosing a named Gastroenterologist enables easier transfer to OPH.
Tel: 9346 4467 or Fax: 9346 3207.
Upper Gastrointestinal Services
- Gastrointestinal Endoscopy.
- Percutaneous Gastrostomy Tube Placement and Care.
- Therapeutic Endoscopy including Sclerotherapy, Variceal Banding, stent placement/removal and
argon plasma coagulation.
- Capsule endoscopy.
- Endoscopic ultrasound +/- fine needle aspiration.
Biliary Tract Services
- ERCP
- Therapeutic ERCP including stone extraction, stent placement and electrohydraulic lithotripsy.
- Mother/baby scope.
Lower Gastrointestinal Services
- Colonoscopy.
- Therapeutic endoscopy including mega polyps, argon plasma coagulation, stent placement and colon
cancer screening.
Weekday services: Mon - Fri from 0700 - 18:00. After hours emergency on call.
Weekend: Emergency on-call.
ENDOSCOPY REFERRALS
By GP, Specialist or Internal Referral:
Tel: 9346 3677
Fax: 9346 3207
Urgent requests are made directly by contacting/paging the Registrar via the Hospital switchboard on 9346
3333 (Page 4830).
A written request must be forwarded before an appointment will be made.
Sir Charles Gairdner Hospital
Gastroenterology/Hepatology Continued
Hepatology Outpatient Referrals
Written GP or Specialist referral, phone 9346 3228 or fax 9346 3098.
Urgent requests are made directly by paging the Registrar via the hospital switchboard 9346 3333 Pager
4063.
CLINIC SESSIONS
Monday
13:00 – 16:30
Gastroenterology
Tuesday
0900 – 12:00
Anti Viral Clinics
Thursday
14:00 – 16:30
Hepatology
14:00 – 16:30
Liver Transplant
Clinic
rd
3 Thursday
1st Floor E Block
(4 clinics)
Gastroenterology Outpatient Clinic Referrals
Written GP, Specialist or internal referrals, phone 9346 2031 or fax 9346 3207
Urgent requests are made directly by paging via the hospital switchboard on 9346 3333 or pager 4830.
All enquiries for outpatient clinic appointments are to be directed to the Departmental Secretary/Admin
Assistant.
Sir Charles Gairdner Hospital
GENERAL MEDICINE (INCLUDING AAU)
th
Location: 7 Floor, G Block
Chronic & Acute Medicine Division
• The Department provides an acute general medicine service
• Registrar on duty in Hospital 24 hours
• Specialist on-call via Hospital switchboard
CONTACT NUMBERS
Secretary
Sarah Rogers
Specialists
Head of Department
Dr C A Morgan (Tony)
General Medicine
Dr D J Williamson
Dr S Senaratne
Dr Ayyar
Dr Ketharanathan
Dr S Wei
Dr E Sung
Dr A Klimatis
Sessional Consultants to the AAU
Dr D Joyce
Dr P Hollingsworth
Dr S Richards
Dr K Yong
Dr N Boudville
Tel: 9346 3172
Fax: 9346 3204
All Specialists are contactable on
9346 3172
Specialist Interests
Dr V Ayyar
Dr S Ketharanathan
Dr C A Morgan
Dr J Williamson
Dr S Wei
Dr E Sung
Dr A Klimatis
General Medicine
General Medicine / Infectious Diseases
General Medicine / Geriatric Medicine
General Medicine / Rheumatology / Scleroderma
General Medicine / Renal Medicine
General Medicine / Obstetric Medicine
General Medicine / Geriatrics and Rehabilitation Care
Outpatient Referrals
Outpatient referrals for Dr James Williamson (Rheumatology and Scleroderma) can be made by calling
9346 3116, all other referrals are via 9346 3005 or fax to 9346 4878.
Urgent referrals are best made to registrar or specialist on call.
Sir Charles Gairdner Hospital
GENERAL SURGERY
th
Location: 7 Floor, G Block
Gastro Renal Division
A comprehensive service in General Surgery with an increasing trend toward sub-specialisation to concentrate
expertise and advance research.
General Services
• Management of trauma.
• Management of routine conditions eg hernias.
Sub-specialised Services
• Breast and Endocrine surgery
• Colorectal surgery
• Upper Gastrointestinal/ Pancreatico-Biliary surgery
• Laparoscopic surgery including lap fundoplication
• Hepato-Pancreatico-Biliary surgery
• Melanoma surgery
• Bariatric surgery
CONTACT NUMBERS
Secretaries (Unit 1-4)
Mrs Maureen Prime
Mrs Susan Kubicki
Tel: 9346 3632
Tel: 9346 3713
Fax: 9346 3712
Head of Department
Mr Andrew Mitchell
Tel: 9346 4055
SPECIALIST CONSULTANT SURGEONS
UNIT 1
Dr D Lisewski
Mr Hieu Nguyen
UNIT 2
Mr James Aitken
Mr Rupert Hodder
Mr Graeme Clarke (on 12 months’ leave)
Mr Alistair Myers
Dr Jeremy Tan
Mr Richard Naunton-Morgan
Mr H Chandraratna
UNIT 3
UNIT 4
Unit 5
Administration Assistant
Sir Charles Gairdner Hospital
Prof Christobel Saunders (Breast Centre)
Dr Roshi Kamyab (Breast Centre)
Mr Allen Yeo (Trauma & General Surgery)
Dr R Martin
Dr C Jones
Professor Luc Delriviere
Mr Andrew Mitchell
Mr Bulang He (G63)
Tel: 9346 3034
Fax: 9346 7442
OUTPATIENT CLINICS, 1ST FLOOR, E BLOCK
UNIT 1
Endocrine/Head and Neck/General
Nguyen / Lisewski
UNIT 1
Thyroid
Smith /Nguyen / Lisewski
UNIT 2
Colorectal/General
Clarke /Aitken / Hodder
Registrar Clinic
UNIT 3
Upper Gastro-intestinal/General
Mr Naunton-Morgan
Bariatric
Mr Jeremy Tan
Registrar Clinic (fortnightly)
Tuesday
AM
Area 4
Tuesday
AM
Area 4
Monday
Friday
PM
AM
Area 5
G75
Wednesday
PM
Area 4
Tuesday
Tuesday
AM
PM
Area 4
Area 5
UNIT 4
Trauma/General Surgery
Mr H Chandraratna
Mr A Yeo
Registrar Clinic (fortnightly)
Wednesday
Wednesday
Tuesday
AM
AM
PM
Area 5
Area 5
Area 5
UNIT 5
Hepatic/Pancreatico-Biliary
Mr Andrew Mitchell
A/Professor Luc Delriviere
Registrar Clinic
Monday
Thursday
Thursday
AM
PM
PM
Area 4
Area 5
Area 5
Outpatient referrals: (Units 1-4)
Fax: 9346 3712
Telephone: 9346 3632 or 9346 3713.
Outpatient referrals: (Units 5)
Fax 9346 7442 or telephone: 9346 4055.
Referring GPs are encouraged to contact specific surgeons to discuss difficult clinical problems.
Other Information
The Department is strongly committed to the use of Pre-Admission Clinic and Day of Surgery Admissions in
most instances. It is also involved in many quality improvement measures and peer review activities.
Sir Charles Gairdner Hospital
HAEMATOLOGY CARE CENTRE
Location: Ground Floor, E Block
Cancer Division
• Modern diagnosis, assessment and treatment of all haematological problems.
• Multi-disciplinary care of haematological malignancies, including autologous bone marrow transplantation.
• Integrated with the full modern laboratory services at PathWest, including flow cytometry and thrombophilia
screening.
• Full chemotherapy services integrated with the Department of Medical Oncology in the Day Chemotherapy
Unit.
• Therapeutic venesection, iron infusion, plasmapheresis, leukapheresis, stem cell collection.
CONTACT NUMBERS
Outpatient Referrals
GP letter, phone or fax for more urgent cases
Outpatient Bookings
Tel:
Tel:
Tel:
Fax:
File Room (for notes only)
Tel: 9346 1299
Chemo Bay Clinic Clerk
Tel: 9287 6909
Fax: 9346 2881
9346 7610
9346 3821
9346 4216
9346 7620
Practice Manager
Ms Shayne Murray
Tel: 9346 7600
Fax: 9346 7607
Head of Department
Dr David Joske
Tel: 9346 7600
Haematologists
Dr Gavin Cull
Dr Steven Ward
Dr Bradley Augustson
Dr Julie Crawford
Dr Rebecca Howman
Tel:
Tel:
Tel:
Tel:
Tel:
Head of Department
Dr Jill Finlayson
Tel: 9346 2554
Secretary to Head of Department
Marilyn Porter
Tel: 9346 2893
Fax: 9346 3848
Tel: 9346 2890
9346 7600
9346 7600
9346 7600
9346 7600
9346 7600
PATHWEST
Duty Haematologist
Specialist Interests
• Diagnosis and management of haematological malignancies including Hodgkin’s Disease, non-Hodgkin’s
lymphomas, myeloma, acute and chronic leukaemias.
• Autologous stem cell transplantation for malignancy.
• Malaria.
• Haemoglobinopathies.
• Research into causation of lymphoma.
Sir Charles Gairdner Hospital
Patient Blood Management at SCGH
In line with best practice, hospitals in WA are aiming to reduce the number of surgical patients
requiring transfusion. Evidence shows that although transfusion can be life saving for some patients, it
is not the ideal choice in the treatment of anaemia, and can itself lead to increased morbidity and
length of stay.
At SCGH, a team of clinical experts including representation from anaesthesia, haematology and
transfusion medicine are responsible for the implementation of ”Patient Blood Management” (PBM)
which aims to reduce the number of patients requiring transfusion, by optimising patients pre-op.
Initially patients that are waitlisted for elective joint replacement surgery are being screened
preoperatively to detect anaemia or iron deficiency. When patients undergo surgical procedures
where blood loss is likely to be reflected by a drop in Hb of 30-40g/L, the predicted drop in Ferritin
would be 60-80mcg/L. In this instance, patients with sub-optimal iron stores (defined as Ferritin
<100mcg/L) should be treated with preoperative iron therapy1.
Currently the PBM team are prescribing oral or intravenous iron to patients with sub-optimal levels.
Rescreening occurs following 6 weeks of oral iron therapy (100-200 mg elemental iron daily) or 4
weeks following IV iron therapy, to determine whether additional treatment is required. In addition,
GPs are being contacted when further investigation of iron deficiency, anaemia, or other medical
conditions is identified.
Although the PBM team is undertaking anaemia screening when the patient is wailisted for surgery,
there are opportunities for GPs to enhance this service and improve patient outcomes.
Screening and optimisation by GPs should commence when the patient is referred for SEMIURGENT procedures where significant blood loss is anticipated. Examples include:
♦ a high risk of iron deficiency (colorectal procedures),
♦ an anticipated short lead in time to surgery (Category 1 patients. i.e. surgery within 30
days: tumours, cardiac etc)
These patients should be screened prior to referral as follows:
♦ Full blood Picture
♦ Iron studies
♦ Urea and electrolytes
♦ CRP
♦ Folate, Vitamin B12
♦ LFTs
Ideally pre-operative targets are:
• Hb Female >120g/L, Male> 130g/L
• Ferritin >100mcg/L
If less than these levels see the attached algorithm. Things to consider when prescribing iron:
• Time to surgery – is there adequate time to replete stores with oral iron (> 6 weeks), if not
arrange IV iron
• Patients not suitable for oral iron therapy
o Previous intolerance to oral iron
o Proton pump inhibitors
o H2 agonists
o Haematological malignancy
o Active cancer
o Recent chemotherapy
o Atrophic gastritis
o Active infection
o Inflammation
1
NHMRC. (2012). Patient Blood Management Guidelines: Module 2 – Perioperative. Accessed January 13,
2013 at http://www.nba.gov.au/guidelines/module2/index.html
Sir Charles Gairdner Hospital
There are a few options to access IV iron
• Referral to PBM* at SCGH – only available for patients waitlisted for surgery at SCGH
• Private patients can access IV iron at some private hospitals
• Other patients can be referred for Haematology consultation at SCGH
Since implementing the project at SCGH in November 2012, 154 elective joint patients have been
screened with 65 (42%) requiring treatment. Many patients demonstrate normal haemoglobin levels 2
but require repletion of iron stores to ensure adequate recovery of haemoglobin post-operatively.
Although the focus is currently on orthopaedics, it’s predicted that this project will be introduced
across all surgical groups.
•
•
*referrals for iron infusions for patients to be operated on at SCGH should be directed to
PBM CNC Linda Campbell. Email: [email protected]
Or please phone 9346 4877 if you have any queries
More information can be found at http://www.health.wa.gov.au/bloodmanagement/home/wa_pbm.cfm
Patient Blood Management Guidelines: Module 2 Perioperative
http://www.nba.gov.au/guidelines/module2/index.html
Oral Iron preparations for treatment of Iron Deficiency Anaemia (IDA) in Australia
http://www.fh.health.wa.gov.au/Utilities/BinaryDownload.aspx?BinaryField=DocumentBinary&BinaryT
able=TBLEDCMSDOCUMENTS&BinaryID=DOCUMENTID&BinaryIDValue=44822
SCGH Preoperative Algorithm
2
World Health Organisation. (2011). Haemoglobin concentrations for the diagnosis of anaemia and assessment
of severity. Vitamin and Mineral Nutrition Information System. Geneva,
http://www.who.int/vmnis/indicators/haemoglobin. Accessed January 13, 2013.
Sir Charles Gairdner Hospital
Iron Deficiency
Iron deficiency and iron deficiency anaemia (IDA) can be readily diagnosed from a full blood count
and iron studies. Absolute iron deficiency is defined as ferritin <15-30mcg/L. The management of iron
deficiency anaemia involves two CONCURRENT components:
1. Determination and treatment of the underlying cause (s) (such as bleeding) and
2. Iron therapy to normalise the haemoglobin and replenish iron stores.
The underlying cause(s) must be established in all patients. A full history and examination is
essential. The causes of iron deficiency vary depending on the age of the patient. Importantly, in
men and post-menopausal women with IDA, and also in some premenopausal women, evaluation for
benign or malignant gastrointestinal lesions, inflammatory conditions (such as inflammatory bowel
disease), and peptic ulceration is indicated. Patients with IDA at any age should undergo assessment
of Coeliac Disease.
Iron replacement therapy
Because of ease of treatment and a lesser incidence of severe side effects, we recommend that
patients with newly diagnosed iron deficiency be treated with an oral iron preparation.
An appropriate daily dose for adults is 100 to 200 mg/day of elemental iron. At therapeutic
doses, reticulocytosis should occur within 72 hours and Hb should rise by 20g/L every 3 weeks.
Treatment should be continued for 3-6 months. Multivitamin tablets do not contain sufficient
elemental iron to replace iron stores. Suitable iron tablets include Ferrogradumet, Ferrograd C and
Ferro-F-Tab. Iron should not be given with food because phosphates, phytates, and tannates in food
bind the iron and impair its absorption. Avoid ingestion of antacids, cereals, dietary fibre, tea, coffee,
eggs or milk within 2 hours of the iron dose. Gastrointestinal symptoms (e.g. abdominal discomfort,
nausea, vomiting, diarrhoea, constipation) suffered by some patients seem to be directly related to the
amount of elemental iron ingested. Using a smaller dose of elemental iron can help or decreasing the
frequency of the iron tablet to once every 2-3 days. Patients with persistent gastrointestinal
intolerance can be trialled on liquid iron to titrate the dose to a level at which symptoms are
acceptable.
Approximately 80% of patients tolerate oral iron without gastrointestinal effects. For patients who are
still intolerant to oral iron after trying reduced doses, or whose level of continued bleeding exceeds the
ability of the gastrointestinal tract to absorb iron, it is appropriate to use parenteral iron. Intravenous
iron is preferred over an intramuscular preparation. Intramuscular iron may be useful in settings
where it is difficult to access intravenous iron in a timely manner. The pitfalls of intramuscular iron
include the need for multiple injections to ensure adequate iron replacement, pain associated with the
intramuscular injection and the risk of tattooing at the injection site. The haematologic response to
intravenous iron is not faster than adequate doses of oral iron. Intravenous iron must be given
slowly over 2-4 hours in a specialised unit with medical supervision for the rare case of anaphylaxis.
Other side effects are common. In a recent study up to 26% of patients experienced headache, fever
and arthralgia during the first 48 hours following the infusion1.
Patients who are intolerant of oral iron may be referred to the Haematology Care Centre (SCGH) for
consideration for intravenous iron infusion. Referrals should include the patients blood count and
recent iron studies. Investigation of the cause of iron deficiency remains the responsibility of the
referring doctor. If you would like further guidance with this, please indicate this in your referral.
Haematology Care Centre, SCGH
Fax 93467620
Phone 93467610
1.
Pasricha SR et al. Diagnosis and management of iron deficiency anaemia: a clinical update. Med J Aust. 2010 Nov
1;193(9):525-32
Thanks to Dr Rebecca Howman, Haematologist SCGH, for writing this article.
Sir Charles Gairdner Hospital
HOME LINK
Location: Ground Floor, C Block
Chronic & Acute Medicine Division
CONTACT DETAILS
Position
Name
Extension
Medical Director
Dr James Williamson
9346 3006
A/Manager
Katie Kyle
9346 3452
Clinical Nurse
Specialist - HITH
Narelle Hawkins
RITH Co-ordinator
Mobile
Pager
Fax
N/A
9346 2880
0404 019 431
4484
9346 1583
9346 4077
0407 981 277
4050
9346 2880
Doreen Demos
Crystal Tay
9346 1609
0410 666 458
0410 333 825
N/A
9346 1583
CoNeCT Team Leader
Carolyne Wood
9346 1609
0410 666 441
N/A
9346 1583
Anticoagulatin CNC
Michaela Walters
9346 4391
0424 181 640
3941
9346 1583
Clinic Clerk – RITH
Noreen Blake
Louise Rosich
9346 1609
N/A
N/A
9346 1583
Clinic Clerk – HITH
Danielle Shipard
Marie Schober
9346 3006
N/A
N/A
9346 2880
HOME LINK
Home Link is a multidisciplinary community focused service based at Sir Charles Gairdner Hospital, which
provides a range of medical, nursing and allied health interventions. Its current focus is to undertake hospital
substitution services for patients living in the metropolitan area and, by negotiation, outlying areas, in the form of
Hospital in the Home (HITH) and Rehabilitation in the Home (RITH). Home Link also has an increasing role in
the prevention of hospital presentations and admissions through its CoNeCT programme.
There is no age restriction for adult referral to Home Link, but patients should genuinely require services to be
provided in the home. Patients who are able to travel into the hospital for Allied Health outpatient services
should not be referred. Home Link takes referrals directly from the Emergency Department, inpatient wards and
outpatient clinics for patients who require HITH, RITH or CoNeCT. Direct referrals from GPs are not accepted.
Services are usually provided for the short-medium term and if ongoing care in the community is required Home
Link staff will refer patients to other community service providers.
SERVICE OUTLINE
Nursing
Provision of Hospital in the Home and Post Acute Care Nursing Services including, but not limited to IV
antibiotics, complex wound care and trial of void referrals. Home Lick also operates a specialist anticoagulation
service as part of HITH..
Allied Health
Provision of Rehabilitation in the Home therapy includes Physiotherapy, Occupational Therapy, Speech
Pathology, Social Work and Dietetics.
Sir Charles Gairdner Hospital
INFECTIOUS DISEASES
st
Location: 1 Floor, K Block
•
•
•
•
•
•
Chronic & Acute Medicine Division
Ward inpatient services for all general infectious diseases including tropical/travel medicine.
Outpatient Clinics: 5 consultant and 1 registrar clinics per week for general infectious diseases.
Home IV Therapy Service for antibiotics (through Home Link).
Education seminars for GPs, medical students, junior staff, RACP trainees and other specialties.
Travel and infection control advice.
Telephone advice service to all health professionals on general infectious diseases.
CONTACT NUMBERS
Secretary
Tel: 9346 3625
Fax: 9382 8046
Consultants
In Hours
After Hours
Dr David Speers
Tel: 9346 3122
Tel:
9346 3333
Dr Clayton Golledge
Tel: 9346 3625
Tel:
9346 3333
Dr Selva Ketharanathan
Tel: 9346 3625
Tel:
9346 3333
Dr Elizabeth Phillips
Tel: 9346 3122
Tel:
9346 3333
Dr Ronan Murray
Tel: 9346 3625
Tel:
9346 3333
Outpatient Referrals
Contact secretary or telephone doctor.
Sir Charles Gairdner Hospital
INTENSIVE CARE UNIT
th
Location: 4 Floor, G Block (Gold Lifts)
•
•
•
•
•
•
•
•
•
Intensive Care management and resuscitation of critically ill patients.
Monitoring of seriously ill patients.
Cardiothoracic surgery patients.
Neurosurgical patients, including all subarachnoid haemorrhage.
Major trauma.
Respiratory failure.
Multi-organ failure.
Sepsis.
Total parenteral nutrition.
CONTACT NUMBERS phone 93461010 Fax 93868541
Outpatient Referrals
Intensive Care Unit - Registrar on duty (93463333 Pager 4824).
Sir Charles Gairdner Hospital
Critical Care Division
MEDICAL ONCOLOGY
Location: Ground Floor, B Block
Cancer Division
The Medical Oncology Department provides a comprehensive consultative and management service in cancer
medicine to the Western Australian community. This is achieved through:
• Provision of inpatient, day care and outpatient consultative and treatment services for adult cancers including
non-Hodgkin’s lymphoma and Hodgkin’s Disease.
• Multidisciplinary clinics in breast cancer, lung cancer, head and neck cancers and gynaecological cancers.
• Development and testing of novel treatments.
• Participation in national and international controlled clinical trials to evaluate strategies for prevention, cure
and palliation of cancers.
• Design, development and pursuit, in conjunction with the University Department of Public Health, of surveys
of patterns of care offered to patients in WA and nationally.
• Participation in undergraduate and postgraduate teaching in cancer medicine.
CONTACT NUMBERS
Outpatient referrals
Tel: 9346 1222
Fax: 9346 1873
Specialists
Referrals to Medical Oncology need to include a tissue (histological or cytological) diagnosis and the patient
should be aware of the diagnosis. This may require referral to another specialty in the first instance eg lesions seen
on chest x-ray should be referred to respiratory medicine, possible metastatic lesions on the liver referred
to gastroenterology/hepatology (if there is no known primary), and lesions on the kidney to urology. A reasonable
level of history, examination and investigation is expected from the referring GP. Please include these results with
the referral to the speciality service.
If GPs are uncertain what to do, then please ring Switchboard on 93463333 and ask to speak to the Medical
Oncology registrar. Specialists may be contacted in hours on 9346 4291 or after hours via Switchboard.
Referrals should be faxed to 93461873. Please ring 93461222 and check your fax has been received. Your referral
will be reviewed by an oncologist within one to three working days and an appointment for the patient
scheduled usually within one to three weeks according to urgency. You may be asked to provide further
information to assess urgency. If you feel a more urgent appointment is required then you should contact the
specialty service directly by telephone.
Specialist Interests
Clin Prof J Dewar
Dr M Buck
Clin Prof G Van Hazel
Dr A Powell
Prof M Millward
Prof A Nowak
Dr A Dean
Dr K Jasas
Dr S Ng
Dr K Feeney
Dr Hasani
Head & Neck, Breast, Lymphoma, Urologic
Gynaecologic cancers
Colorectal / Upper GI, unknown primary
Urology, Sarcomas
Thoracic, Melanoma
Neuro-Oncology (brain), Thoracic
Head & Neck, Breast, Lymphoma, Urologic
Colorectal / Upper GI / Thoracic
Urology / Colorectal / Upper GI
Breast, Melanoma
Neuro-Oncology (brain), Thoracic
Patient Advice Services
• Occupational Therapy Assessment.
• Lymphoedema Clinic.
• Psychiatric Liaison Service.
• Social Work.
• Co-ordinate with Cancer Foundation of WA -Tel: 131 120.
Sir Charles Gairdner Hospital
MEDICAL TECHNOLOGY AND PHYSICS
Location: Ground Floor, G Block (near Blue Lifts)
Peri-Operative & Diagnostic Division
The Clinical Physics Division provides an outpatient service for clinical electrodiagnostic testing of patients
(referred by practitioners) from public and private hospitals and from private practice. Services include:
• Visual Electrophysiology.
• Visual Function: Acuity, Colour (Ishihara, D-15 Farnsworth 100 Hue), CSV Contrast Sensitivity and Glare
Testing, Amsler Grid, Dark Adaptometry.
• Electro-oculography (EOG).
• Electroretinography (ERG).
• Pattern Electroretinography (PERG).
• Visual Evoked Potentials (VEP).
• Multifocal Electroretinography (mfERG)
Contact Numbers
Enquiries/Appointments
Tel: 9346 2866
Fax: 9346 3466
Head of Department
Dr Roger Price
Tel: 9346 4288
Specialist Interests
• Inherited retinal diseases including retinitis pigmentosa and macular degeneration. Monitoring for drug
toxicity.
• Glaucoma.
• Paediatric Ophthalmology.
Outpatient Referrals
Referrals are made, usually by Consultants, via the appropriate request forms, available from this
Department on request. Telephone 9346 2866 for urgent referrals.
Sir Charles Gairdner Hospital
NEUROLOGICAL INTERVENTION AND IMAGING SERVICE OF WA (NIISWA)
st
Location: 1 Floor G Block (via the gold lifts)
Neurosciences Division
The Neurological Intervention and Imaging Service of WA (NIISWA) provides a State service for intracranial
aneurysm assessment and endovascular treatment.
•
•
•
•
•
Emergency neurovascular intervention service
Elective service for image guided diagnosis and endovascular treatment of carotid stenosis, stroke and intra
cranial aneurysms
Outpatient consultation with neuro-interventionalists for neurovascular diseases.
Liaison and consultative service to the hospital’s departments.
NIIS(WA) is a cross campus service SCGH, RPH and PMH.
The Neurological Intervention and Imaging Service of WA (NIISWA) also provides a twenty-four hour emergency
call out service. Access for discussion is initially through switch and they will put you through to the on call
fellow/registrar.
CONTACT NUMBERS
Administration
Bookings
Fax
On Call
9346 4455
9346 1316
9346 3710
9346 3333 – switch will put you through
CONSULTANTS
Head of Department
Deputy
Dr W McAuliffe
Dr C Phatouros
Dr M Bynevelt
Dr F Dharsono
Dr R Jones
Dr O McDonnell
Dr TJ Singh
Dr A Thompson
Fellows
Dr S Davies
Dr A Cheung
Dr Y Van Heerden
Dr T Phillips
Registrar
Resident
Page 3992
Page 3993
OUTPATIENT REFERRALS
It is recommended that a referral from a specialist or general practitioner be the first point of contact. The patient
will then be triaged according to urgency and a letter sent for a consultation with a neuro-interventionalist.
Sir Charles Gairdner Hospital
NEUROLOGY AND CLINICAL NEUROPHYSIOLOGY
st
Location: 1 Floor, E Block (opposite Clinic Area 4 Outpatients)
Neurosciences Division
The Neurology Department provides neurodiagnostic services and treatment to inpatients and outpatients.
Services provided are:
• Outpatients
• Inpatients
• Electroencephalography (EEG) including:
o Long-term video/EEG monitoring
o 24 ambulatory EEG
o Sleep deprived EEG
• Evoked Potentials (EP) including:
o Somatosensory Evoked Potential (SEP)
o Visual Evoked Potential (VEP)
o Brainstem Auditory Evoked Potential (BAER)
o Vestibular Evoked Myogenic Potential (VEMP)
• Eye Movement Studies:
o Bithermal Choloric
o Ocular Motor and Vestibular Tests
• Electromyography (EMG) and Nerve Conduction Study (NCS)
• Subspecialty Clinics incorporating:
o Movement Disorders
o Neuroimmunology
o Muscle Clinic
o Neurogenetics
Specialists
Head of Department
Specialist Interests
Professor William Carroll
Professor David Blacker
Professor Allan Kermode
Dr Ron Manasseh
Dr Nai Lai
Dr Rick Stell
Dr Isabella Taylor
Professor William Carroll
Professor David Blacker
Professor Allan Kermode
Dr Ron Manasseh (visiting)
Dr Nai Lai
Dr Josephine Chan (visiting)
Dr Rick Stell
Dr Isabella Taylor
Dr Vincent Seet (visiting)
Neurophysiology and Multiple Sclerosis
Stroke
Neurophysiology and Multiple Sclerosis
Electromyography
General Neurology
Movement Disorders
Epilepsy
Outpatient Referrals
Requests for outpatient appointments are triaged according to urgency. Urgent referrals should be discussed
with the on-call registrar. Non-urgent referrals will be allocated to the next available clinic appointment. Tel:
9346 3101. Fax: 9346 4878.
EMG, EEG, EOG bookings
Tel: 93463088, phone 93462455
Sir Charles Gairdner Hospital
NEUROSURGERY
Location: 1st Floor, G Block (Via Green Lifts)
Neurosciences Division
The Neurosurgery Department serves as the base for the Interhospital Neurosurgical Service of Western
Australia. SCGH performs the predominant amount of elective neurosurgery for the State of Western
Australia. It is also involved in acute care at Royal Perth Hospital and Princess Margaret Hospital.
Specialists
All Specialists are contactable on 9346 2865 or after hours through the Hospital switchboard on
9346 3333.
Usually GPs can contact either the Resident on ward or Registrar to discuss current inpatients.
Specialist Interests
Professor Neville Knuckey
Mr Christopher Lind
Mr Stephen Honeybul
Mr Gabriel Lee
Mr George Wong
Mr John Liddell
Ms Sharon Lee
Carotid endarterectomy, pituitary surgery, neurovascular, skull base
Vascular, stereotactic and functional surgery
Neurovascular, skull base
Complex spine, brain tumours, epilepsy surgery
Complex spine, skull base
Crainial neurosurgery, spinal, cranial
Paediatric and general neurosurgery, neuro oncology, tumours
Outpatient Referrals
Requests for outpatient appointments are triaged according to urgency. Non-urgent referrals will be allocated
to the next available clinic appointment. Tel: 9346 2865. Fax: 9346 3824.
Urgent referrals should be discussed with the Registrar on-call. More urgent cases may be added to an
earlier list in consultation with a neurosurgeon.
Patient Advice Services
Allied Health Group provides advice services ie Social Work, Occupational Therapy, Physiotherapy, Speech
Pathology, Chaplaincy & Spiritual Services and Dieticians.
Sir Charles Gairdner Hospital
NUCLEAR MEDICINE
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Diagnostic Studies
Myocardial Perfusion Study
Gated Heart Study
Cerebral Perfusion Study
Bone Scan
Lung Scan with SPECT-CT
Renal
Thyroid
Parathyroid
Gallbladder
Sentinel Node Lymphoscintigraphy
GIT Haemorrhage
Neuroendocrine Imaging
PET-CT scanning
Tumour Imaging including SPEC-CT imaging
Radionuclide Therapy
1. For thyrotoxicosis and thyroid cancer.
2. Strontium –89 and Samarium-53 EDTMP for palliation of skeletal metastases.
3. Yttrium-90 synovectomies.
4. SIRT therapy
CONTACT NUMBERS
Secretary
Reception/Enquiries/Bookings/Results
Tel: 9346 4339
Fax: 9346 3610
Tel: 9346 2322
Specialists
All Specialists are contactable on 9346 2322 during work hours.
Specialist Interests
• Thyroid cancer and benign disease.
• Radionuclide Therapy.
• PET imaging and research.
• Neuroreceptor imaging in movement disorders.
• Pulmonary Embolism pathway.
• PACS.
• Image coregistration.
• Mesothelioma.
Outpatient Referrals
Referrals are to be made on request form and faxed to (9346 3610) to the Department. Private referrals
(from GPs) are bulk billed.
Reports will be faxed to the referring doctor, usually on the evening of reporting and the report and images
posted the next day.
Sir Charles Gairdner Hospital
NUTRITION AND DIET THERAPY
rd
Location: 3 Floor, A Block
Allied Health
The Nutrition and Diet Therapy Department provides a comprehensive dietetic service to all the Divisions of the
hospital.
Inpatients and Outpatients must be current patients of SCGH (within 12 months) and be referred by the
hospital medical officers. Patients cannot be referred direct by GPs.
CONTACT NUMBERS Tel: 9346 2850
Other Relevant Information
There is no capacity for patients to been seen for weight loss in the Dietetic clinics at SCGH.
Patients requiring general advice or interventions for weight loss management can access the following
services:
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Private Dietitian, APD (Accredited Practising Dietitian) - GPs can refer patients under the
‘Strengthening Medicare Allied Health Initiative Programme.’ Medicare covers dietetic services under this
programme, but some conditions apply.
•
Community Dietitian – Some areas have a Community Health Centre wherein a dietitian is employed by
the Department of Health to provide education sessions for either groups or individuals. A GP referral is
required for patients to access this service.
•
Private Practice Dietitian (APD) – Please refer to the Yellow Pages for a dietitian in your area. Patients
will require a GP referral to be able to claim from a Private Health Fund.
The following agencies may also be contacted for relevant information:
• Diabetes Australia
• Heart Foundation
• The Cancer Council WA
• The Coeliac Society of WA
Sir Charles Gairdner Hospital
OCCUPATIONAL THERAPY
Location: Ground Floor, G Block
Allied Health
• Provides a comprehensive Occupational Therapy (OT) service to current patients of SCGH.
• Provides community OT home visiting service with supply and prescription of equipment under the CAEP
scheme (Community Aids and Equipment Programme).
• Provides community home assessment (visiting service and patients referred in our ACAT catchment area).
CONTACT NUMBERS
Head of Department
Administration Assistant
Office Hours: 8.15am – 4.15pm Mon to Fri
Brenda Acton
[email protected]
Tel: 9346 3076
Shyamala Subramaniam
Tel: 9346 2855
Fax: 9346 3599
Senior OT Psychiatry
Tel: 9346 2550
Senior OT Dept Rehabilitation and Aged Care
Tel: 9346 2338
Senior OT ‘G’ Block
Tel: 9346 3454
Specialists
CAEP
Brenda Acton
Tel: 9346 3076
[email protected]
OT Dept, G Block
Annette Barton
Tel: 9346 3072
[email protected]
OT Dept, G Block
ACAT
Sara Graham
Tel: 9346 2338
[email protected]
OT Dept, C Block
Patient Advice Services
•
CAEP advice - this scheme enables GPs to refer community patients, who are pensioners / health care card
holders with long term physical disability, to their closest hospital for assessment and prescription of a wide
range of domiciliary equipment and appliances, ranging from wheelchairs, ramps, home installations and
modifications, walking aids, surgical footwear and lymphoedema garments.
•
ACAT – enquiries regarding OT service to Aged Care OT 9346 2338.
Sir Charles Gairdner Hospital
OPHTHALMOLOGY
Location: Ground Floor, E Block Outpatients
Neurosciences Division
• 24-hour management of acute eye emergencies.
• GP referral centre for all other ophthalmic problems.
• Ophthalmic surgery including:
- Cataract surgery
- Retinal surgery
- Oculoplastic surgery
- Other (minor surgery in clinic setting)
• Further education of medical/paramedical personnel.
CONTACT NUMBERS
Appointment Enquiries
Mon -Thur
Outpatient Referrals
Mon -Thur
Administrative Assistant
Mrs Carolyn Arkell
Tel: 9346 4979
Tel: 9346 2695
Tel: 9346 4979
Fax: 9346 4146
Tel: 9346 4718
Fax: 9346 4146
Specialists
All Specialists are contactable by calling the switchboard on 9346 3333 or paging the Registrar.
Head of Department
Prof G Barrett
Specialist Interests
Prof G Barrett
Dr A Gajdatsy
Prof I Constable
Cataract and Refractive Surgery
Oculoplastics
Retinal Surgery
Outpatient Referrals
By GP letter Tel: 9346 4979. Fax: 9346 4146. Urgent referrals: Contact Registrar via switchboard.
Sir Charles Gairdner Hospital
ORTHOPAEDIC SURGERY
th
Location: 5 Floor, G Block
Neurosciences Division
The Department of Orthopaedic Surgery provides a general trauma and elective orthopaedic service. This
service has increased elective throughput with the addition of Osborne Park Hospital for short stay elective
surgery.
Together with the University Department of Orthopaedic Surgery, there is a special expertise in the treatment of
musculoskeletal tumours, complex joint reconstruction, joint replacements and sports medicine and a full upper
and lower limb service including hand surgery..
Research activities include an ongoing involvement by the orthopaedic wards in the international Pulmonary
Embolism Prevention Trial.
This is an active research department with ongoing trials of computer navigation in joint surgery, treatment of
sarcomas and cell therapies in orthopaedics.
The Department is committed to the training and teaching of orthopaedics to both undergraduate and
postgraduate medical, nursing and allied health students. There are 5 orthopaedic training positions accredited
with the AOA and RACS. The department has a post graduate training program accepting fellows from across
Australia and around the world.
CONTACT NUMBERS
Administrative Assistant
Bernadette Wong
Tel: 9346 1499
Fax: 9346 4162
Specialists
All Specialists are contactable on 9346 1499 or after hours through the hospital switchboard on 9346 3333.
Head of Department
Coordinator of Training
Coordinator Trauma & Inpatient Services
Coordinator of Research
Associate Professor Gerard Hardisty
Associate Professor Jonathan Spencer
Mr Matt Scaddan
Associate Professor Riaz Khan
Professor Bo Nivbrant
Professor Allan Wang
Associate Professor Kon Kazak
Associate Professor Richard Carey-Smith
Mr Hari Goonatillake
Mr Reza Salleh
Mr Sean Williams
Mr Dan Fick
Mr Angus Keogh
Mr Aaron Tay
Mr Toby Leys
Outpatient Referrals
Contact Orthopaedic Clinic.
Tel: 9346 1278. Fax: 9346 3147. Urgent referrals: Page registrar.
Clinic Sessions
Clinics take place 5 days per week. Further details can be obtained through the Department.
Sir Charles Gairdner Hospital
PAIN MANAGEMENT (CHRONIC PAIN TEAM)
Location: Lower Ground Floor,
G Block, Next To Podiatry (Via The Green Lifts)
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Multidisciplinary approach to all aspects of chronic pain.
Psychological counselling.
Interventional anaesthetic techniques.
Cognitive behavioural therapy.
Exercise therapy.
Pharmacological management.
Close liaison between medical, physiotherapy, psychology, occupational therapy and nursing personnel.
CONTACT NUMBERS
General Office
Pain Team
Tel: 9346 3263
Fax: 9346 3481
Registrar on Duty
Pager 3429
Specialists
All Specialists are contactable on 9346 3263 or after hours through the Hospital switchboard on 9346 3333.
Director
Dr C R Goucke
Dr M Schutze
Dr M Majedi
Dr C Chan
Pager 4789
Senior Registrar/Pain Fellow
Pager 3429
Specialist Interests
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Cancer pain
Neuromodulation
Intrathecal drug administration systems
Cognitive behavioural therapy
Outpatient Referrals
Referrals are prioritised by the Head of Department. Patients with cancer and acute herpes zoster will be seen
urgently. As much information as possible (other specialist referrals, x-ray reports and tests) will aid the initial
assessment. Limited multidisciplinary initial assessments are possible (medical, physiotherapy and psychology).
The Department medical staff are always happy to discuss cases with the referring doctor.
Tel: (Monday-Thursday 9am-4pm): 9346 3263
Fax: 9346 3481
Urgent referrals – Page Registrar on Page 3429
For referrals to the Pain Clinic at SCGH triaged as routine, there is currently a seven month waitlist and
patients are then expected to attend an Introduction to Pain Management education workshop over 2 half days
(depending on patients age, ability to understand English or from regional areas). Patients can then choose to
have a medical review at which time they are given a new case appointment. For some patients the workshop
alone is sufficient.
Referrals that are triaged as urgent, or semi-urgent, will be seen within 2-8 weeks hopefully. Please indicate
on your referral if and why your patient needs to be seen early. For urgent cases eg cancer or acute
herpes zoster please ring as well as fax.
Telephone advice on pain management issues
The Chronic Pain Registrar (page 3429) may be contacted for telephone advice via switchboard (93463333)
from 8am to 5pm Monday to Friday. For urgent advice after hours contact the on call Pain Consultant via
switchboard.
Sir Charles Gairdner Hospital
Gabapentin or Pregabalin (G&P) prescriptions from SCGH
G&P are often prescribed for SCGH patients for neuropathic pain. Unfortunately they are not covered by PBS,
and cost hundreds of dollars on private prescription from community pharmacists. SCGH therefore supplies
G&P for its patients at a subsidised price which is similar to PBS co-payments, but only through the SCGH
pharmacy and only for a hospital prescription written by a hospital doctor.
Many patients on G&P for chronic pain will have this initiated as an inpatient or outpatient by a SCGH
Pain Clinic Dr. These patients need to contact the Pain Clinic on 93463263, with at least two weeks notice, in
order to obtain further prescriptions. The Pain Clinic will send the prescription direct to the hospital pharmacy.
The patient, or their representative, then needs to arrange payment and pick up from the hospital pharmacy.
If the G&P was initiated by a non Pain Clinic hospital Dr for an acute condition, eg post-operative pain, then
ongoing supply is not usually required. However if the pain is chronic, and the patient does not have an
outpatient appointment with the prescribing specialty prior to their supply running out, then the GP should
contact the relevant specialty Registrar to find out how further hospital prescriptions can be arranged. If the
drug was initiated by the Acute Pain Team for acute pain as an inpatient, then the patient will be given a
letter outlining the dose and intended duration of therapy.
Non PBS medication
As for G&P above, where a non PBS medication was initially provided by SCGH, then SCGH will usually
provide ongoing supply (if needed) through its hospital pharmacy at near PBS prices. The prescription needs to
be written on a SCGH prescription form by a SCGH Dr. If an Outpatient Clinic is not imminent then GPs can ring
the relevant specialty Registrar to arrange for a hospital prescription.
Schedule 8 medicines – ongoing supply
If a GP thinks there is a need to prescribe Schedule 8 medicines for a (non registered addict) patient for greater
than 60 days then they should complete an "Application to prescribe a drug of addiction" and send to the
Department of Health (DoHWA) for authorisation to prescribe. Initial approval for up to 12 months is usually
given (dependent on age, dose and form of administration). If the patient requires ongoing supply
beyond twelve months then DoHWA generally require consultant support (generally a copy of a specialist letter)
confirming the requirements for ongoing prescribing (drug, dose and frequency) or, if the patient has been
referred to a specialist or Pain Clinic but not yet been seen, then a copy of the referral letter to allow renewal
until support becomes available. A renewal request is sent to the GP in the month prior to the authority expiring
and authority is renewed for a further period (up to 12 months generally if stable) following monitoring and/or
dose adjustment as advised by the GP. As a general rule consultant support is required every three years if the
dose is stable and within the specified authority.
If a GP is away, then any other Dr working in the practice is allowed to prescribe Schedule 8 medicines in
accordance with the authority in their absence. GPs in solo practice should notify DoHWA of the arrangement
for their patients requiring ongoing prescriptions of S8 medicines whilst away.
Prescribing of ongoing S8 medicines for a person who has been notified as a drug addict and placed on the
Register require prior authorisation from DoHWA. Consultant support is required at the time of application. If a
person who is on the Register, and had been administered S8's in a hospital setting, requires ongoing S8
medicines after discharge then a report from a consultant or Pain Clinic should be provided because the
medication discharge summary alone is not sufficient.
For any queries regarding S8 prescribing (including concerns that a new patient may be an addict or attending
multiple practices) please contact the Duty Pharmacist at DoHWA on 9222 4424, Monday to Friday, 8.304.30pm.
Sir Charles Gairdner Hospital
PALLIATIVE CARE SERVICE
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Location: 7 Floor, G Block (Middle Corridor)
Cancer Division
The Department provides an inpatient consultative palliative care service for malignant and non-malignant
diseases. An outpatient service is available through the Symptom Assessment Clinic.
The service also functions as liaison between the inpatient Palliative Care Units and Community Palliative
Care Services. There is also close communication with the departments of Pain Management (Chronic Pain)
and the Acute Pain Service.
Specialist Interests
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Symptom control in Palliative Care.
Symptomatic control in patients receiving active treatment such as chemotherapy and radiotherapy.
Pain Management.
Discharge planning.
Referral to inpatient/ community hospice care services.
Bereavement support
Referral to the Palliative Care Service should be based on patient and family need rather than expected life
expectancy or prognosis. Early referral facilitates continuity of care for the patient and mitigates against a
sense of abandonment. It is important to realise that involvement of the Palliative Care Service does not
preclude the commencement or continuation of therapies such as surgery, chemotherapy or radiotherapy.
Outpatient Referrals
All referrals to Symptom Assessment Clinic
Tel: 9346 2551.
Fax: 9346 1848
Clinic Sessions
Symptom Assessment Clinic
Department of Radiation Oncology, F Block
Dr David Dunwoodie
Mon – Thur inclusive
9.30 – 12.30
Other Information
In-hospital medical staff and GPs are welcome to attend by prior arrangement, as there is a strong
educational component to the clinic.
Sir Charles Gairdner Hospital
PATHWEST
ALL RESULT ENQUIRIES
Direct dial
9346 2637 OR 13 7284 (13 PATH)
24 hours per day, 7 days per week
Laboratory testing for SCGH is undertaken by PathWest. This is organisationally separate to SCGH and they do
not have access to the GP database. Some GPs have complained that PathWest will not give them results of
patients who have been seen in the ED then asked to see their GP for follow up. In this instance results can
usually be obtained from the GP help desk, phone 9346 1624.
Please contact the Hospital Liaison GP at SCGH if you are having any difficulties requesting clinical information
on patients from PathWest.
Sir Charles Gairdner Hospital
PATIENT LIAISON SERVICE
Location: 3rd Floor A Block
Quality & Safety
The Patient Liaison Service provides information to patients and family members or carers in relation to any
aspect of care treatment at SCGH.
The service also manages patient complaints and feedback.
Phone: 9346 2867
Fax:
9346 4573
Sir Charles Gairdner Hospital
PHARMACY
• For hospital patients only. All prescriptions must be written by a hospital doctor.
Schedule 8 drugs and non PBS drugs such as Gabapentin and Pregabalin
See “Pain Management” section for advice on how to arrange ongoing supply of these medications to
hospital patients.
CONTACT NUMBERS
ENQUIRIES
Tel: 9346 2334
Fax: 9346 4480
PHARMACY HOURS
Outpatient Pharmacy
Mon to Fri: 08:30 to 17:00
Sir Charles Gairdner Hospital
PHYSIOTHERAPY
Location: Ground Floor, A Block
Allied Health
Eligibility for physiotherapy outpatient treatment:
•
Patients who have been medically reviewed in either a specialty outpatient clinic or inpatient ward
are eligible for treatment.
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Patients who have an acute injury and have been medically reviewed in the Emergency
Department are eligible for treatment if the patient has also been referred to a specialty clinic for
follow-up.
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Patients with a chronic injury/complaint are not eligible for treatment via a direct referral from the
Emergency Department.
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Patients with a GP referral are not eligible for treatment by the department’s qualified staff.
They can, however, refer patients to the Curtin Physiotherapy Clinic (see below).
GP referrals are accepted at the following hospitals (if within their catchment areas):
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Joondalup Health Campus
Osborne Park Hospital
Lockridge Community Health Centre
Swan District Health Service
Bentley Health Service
Armadale Health Service
Rockingham/Kwinana District Hospital
Kwinana Community Health Centre
Curtin Physiotherapy Clinic
This clinic is located in the Physiotherapy Outpatients Department in A Block. A full-time supervisor and six
final year physio students run the clinic from Curtin University. The same public referral guidelines for the
Outpatient Physiotherapy Department apply to the Curtin Physiotherapy Clinic. In addition, the clinic will also
accept community (GP) referred patients. Referrals are welcome but not required. Because it is a teaching
facility, we are able to provide services for a reduced fee.
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Initial consultation $22.00 – No rebate available.
Follow-up consultation $18.00 – No rebate available.
Patients with private insurance or compensible conditions are encouraged to seek treatment in
the private sector wherever possible.
Written referrals welcomed but not required. Appointments are made via 9346 2337. Fax: 9346 3037
Waiting lists do apply and patients are priorities on clinical need eg Hydro has a 3 month wait list for chronic
conditions.
Sir Charles Gairdner Hospital
PLASTIC AND RECONSTRUCTIVE SURGERY
Location: Ground Floor, C Block
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Neurosciences Division
Includes Hand Surgery Service and Oral and Maxillo-facial Service.
Comprehensive coverage of all aspects of adult plastic and reconstructive surgery excluding burns.
Two plastic surgeons provide a hand surgical service.
One Oral and Maxillo-facial surgeon covers maxillo-facial trauma in association with the plastic surgeons.
Cranio-facial surgery.
Areas covered in association with other surgeons include:
1.
2.
3.
ENT - Head and Neck Surgery (Reconstruction)
Orthopaedic - Limb Trauma (Reconstruction)
General Surgery - Breast Reconstruction
• S
• kin cancers and soft tissue trauma continue to occupy a large part of the service.
CONTACT NUMBERS
Administrative Assistant
Specialists
Head of Department
Registrars
Ms
Mr Robert Love
Mr Reuven Gurfinkel
Mr Mark Hanikeri
Mr Rohan Page
Mr Lip Teh
Mr Adrian Brooks
Mr Timothy Hewitt
Mr Wysun Wong
Tel: 9346 3171
Fax: 9346 4388
Email: [email protected]
All Consultants may be contacted on 346 3171
Senior Registrar
Training Registrar
Service Registrar
Service Registrar
Specialist Interests
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Hand Surgery
Microsurgery
Breast Reconstruction
Head and Neck Reconstruction
Skin Cancers
Outpatient Referrals
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Standard via Administrative Assistant on 9346 3171 of fax 9346 4388.
Urgent via Administrative Assistant or page the on-call registrar
Maxillo-facial trauma
Maxillo-facial trauma is co-ordinated via the on-call Plastic Surgery Registrar or Administrative Assistant. Page
the on-call Registrar.
Sir Charles Gairdner Hospital
PODIATRY
Location: Lower Ground (Basement) G Block
Allied Health
The SCGH Podiatry service is a tertiary, multidisciplinary foot clinic, which provides care to patients with
complex foot conditions such as ulceration, PVD, infection, amputation, severe foot deformity and
neuropathic joint disease.
Outpatient Referrals
• Referrals are only accepted from hospital based medical practitioners, nurses and Allied Health
professionals.
•
Community (GP) referrals can only be accepted for community aids and equipment program (CAEP)
eligible patients.
•
Once a patient is discharged from the service, further review can only occur if the patient is attending an
outpatient medical clinic. If the patient has not been seen in the podiatry department for more than 12
months, a new referral from the relevant outpatient medical clinic is required before the patient can be
seen.
Other Information
General Podiatry Clinics are restricted to high-risk patients, wound care, footwear and orthoses.
Sir Charles Gairdner Hospital
POISONS INFORMATION CENTRE
Western Australian Poisons Information Centre (WAPIC)
Location: Ground Floor, G Block
Critical Care Division
Services
The centre provides telephone consultation to medical professionals and the general public in cases of acute
and chronic Poisonings. The centre serves more than half the geographic area of Australia including Western
Australia, South Australia and the Northern Territory..
Toxicological advice is provided on the management of exposures to prescription and non-prescription
pharmaceuticals, household and industrial chemicals, plants, animal envenomations, pesticides and other
agricultural products.
The centre operates from 08:00 – 22:00 hours five days a week and 24 hours per day two days per week.
Outside these hours, service provision is ensured by automatic call forwarding to the NSW Poisons Information
Centre.
The WAPIC has a close working relationship with SCGH’s Emergency Department and the WA Clinical
Toxicology Service.
DEPARTMENT CONTACT DETAILS
Emergency Calls:
Email:
Physical Location:
Contact Number:
13 11 26
[email protected]
G Block, Ground Floor
9346 1943 (Administration)
Sir Charles Gairdner Hospital
PSYCHIATRY AND BEHAVIOURAL SCIENCE
Outpatient Referrals
SCGH does not receive outpatient referrals direct from GPs. GP referrals should be directed to their local
community mental health clinic.
The Department of Psychiatry and Behavioural Science provides:
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An acute adult psychiatric service.
A 36-bed inpatient service (Ward D20).
Emergency psychiatric service.
Liaison and consultative service to the hospital’s departments.
A limited day hospital and outpatient service.
Supervision and teaching to medical students, psychiatric registrars and Allied
Health professionals in training.
The emergency psychiatric service in the hospital is run by an on-duty Registrar and Consultant on call 24
hours. Access for discussion about possible admissions, urgent outpatient appointments or advice is initially
through the on-duty Psychiatric Registrar.
CONTACT NUMBERS
Reception and OP clinic
Registrar on-duty
Consultant Psychiatrist on-call
Tel:
9346 2100
Fax:
9346 2082
Switch: 9346 3333 and Pager
Switch: 9346 3333 and Pager
9346 2710
Specialists
All specialists are contactable via D Block reception on 9346 2100 or 9346 2710.
Head of Department
Hospital Liaison Service
Psychogeriatrician
D20 Inpatient Teams
Dr P Clark
Dr S Byrne
Dr C Graham
Dr P O’Hara
Dr R Hoyle
Dr P Clark
Dr A Solar
For information on current inpatients contact the Inpatient Registrar by ringing Ward Nursing Station on 9346
2458 and ask for the name of the appropriate registrar for the particular patient.
Specialist Interests
• Self Harm Intervention Programme - Richard Majda/Laura Wolters
• Special programmes can be organised with the Clinical Psychologist but all such patients should be
referred to the Psychiatric Outpatient Clinic in the first instance.
• Dialectical Behavioural Therapy – referred through Clinical Psychology.
• Community Mental Health Nurse – Joan Anderson
• Consultation Liaison Nurse – Mary Dodds
• Transition Program - Laura Foster
Sir Charles Gairdner Hospital
PULMONARY PHYSIOLOGY AND SLEEP DISORDERS CLINIC
The Department of Pulmonary Physiology provides a comprehensive respiratory function assessment service
to identify disease, define its cause and assess severity and its change with time or treatment. Tests
available include general assessment (lung volumes, maximum expiratory flow, gas distribution, gas
transfer); spirometry; maximum inspiratory flow; arterial blood gases (including their collection); bronchial
provocation testing (methacholine, histamine, mannitol, hypertonic saline, other); cardiopulmonary exercise
testing; six-minute walk test; simulated altitude testing; nasal resistance; control of breathing; lung
mechanics; maximum mouth pressures; and respiratory muscle function.
The Respiratory Sleep Disorders Clinic is a major centre for the investigation and management of sleeprelated disorders including snoring, sleep apnoea, sleep hypoventilation, chronic or recurrent respiratory
failure, narcolepsy and related conditions.
CONTACT NUMBERS
General Enquiries and Pulmonary
Physiology Reception/Bookings
Tel: 9346 2888
Fax: 9346 2034
Respiratory Sleep Disorders Clinic
Tel: 9346 2422
Fax: 9346 2822
Specialists
All Specialists are contactable on 9346 2888 or after hours through the Hospital switchboard on
9346 3333.
Head of Department
Dr R Hillman
Dr S Cullen
Dr A James
Dr R Warren
Dr B Singh
Dr N McArdle
Dr S Mukherjee
Dr J Leong
Dr S Phung
Dr S Keihani
Specialist Interests
• Respiratory Function Assessment
• Sleep Disorders
Outpatient Referrals
Urgent requests by phone or fax.
Lung Function Tests
Tel: 9346 2888
Fax: 9346 2034
Sleep Disorders Clinic
Tel: 9346 2422
Fax: 9346 2822
Patient Advice Services
Departmental information pamphlets are available on request.
Sir Charles Gairdner Hospital
RADIATION ONCOLOGY
Location: F Block and Cancer Centre (DD Block)
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Cancer Division
Tertiary referral service for opinion and management of all malignancies.
Ongoing Research and Development programme.
Close relationship with Palliative Care Service (two weekly clinics in Department).
Active participants in Multidisciplinary Management of malignancies.
Specialist training (Radiation Oncology) and training of medical students.
Advanced procedures:
• Prostatic Brachytherapy (Professor Joseph/Professor Bydder)
• Stereotactic Radiosurgery
• Malignancy (Professor Joseph/Professor Bydder)
• AVM (Dr Harper)
.
CONTACT NUMBERS
Reception
Tel: 9346 4900
Fax: 9346 3402
Head of Department
Prof Sean Bydder
Tel: 9346 4931
Specialists
All Specialists are contactable on 9346 4900 or after hours (the on-call specialist) through the switchboard on
9346 3333.
Specialist Interests
The whole range of malignancies is covered.
Specialty
Consultants
Head and Neck Malignancies
Breast Cancer
Colorectal Cancers
Central Nervous System Malignancies
Urologic Malignancies
Hematologic Malignancies
Sarcomas
Lung Neoplasms
Paediatric Oncology
A/Prof Chee, Dr Kuan
Dr Taylor, Prof Joseph
Prof Spry, A/Prof Chee
Prof Bydder, Prof Joseph
Prof Spry, Prof Joseph, Prof Bydder
Prof Bydder, Prof Joseph
Prof Joseph, Dr Taylor
Prof Bydder
Dr Taylor
Outpatient Referrals
New Referrals: Ideally naming preferred specialist(s). See table above for suggestions.
Tel: 9346 4948 or 9346 4900
Fax: 9346 1053
Radiation Oncologist on-call 24 hours per day via 93463333.
Patient Advice Services
• Palliative Care Service
• Nursing Advice
Radiation Oncologist on-call
Sir Charles Gairdner Hospital
RADIOLOGY
st
Location: Ground Floor and 1 Floor, G Block
Peri-Operative & Diagnostic Division
The Radiology Department provides a comprehensive range of Diagnostic and Interventional Imaging Services
for SCGH and other facilities on the QEII Medical Centre site. Unfortunately, referrals cannot be accepted from
General Practitioners (except via the Emergency Department) at this time. MRI services accept external
Specialist referrals as stipulated by the Federal Government.
RESULTS
Tel: 9346 2233
CONTACT NUMBERS
Head of Department
Specialist Interests
• Abdominal/Chest Radiology
• Oncology
• Mammography
• Interventional/Vascular Radiology
• CT Scanning
• MRI
Sir Charles Gairdner Hospital
Clin A/Prof M Bynevelt
Tel: 9346 2177
Fax: 9346 4583
REHABILITATION AND AGED CARE
Location: C Block Sir Charles Gairdner Hospital
Also located at Osborne Park Hospital
Chronic & Acute Medicine Division
Comprehensive service to the elderly in the form of:
• Acute medical treatment and multi-disciplinary rehabilitation for inpatients including Physiotherapy, OT,
Speech, GEM and Orthogeriatrics.
• Consultative assessment of inpatients and community-based patients.
• Medical consultation for ward-based, community-based, day hospital and outpatients.
• Domiciliary consultation and community support services.
• Residential care assessment in home, hospital and residential communities.
• Day Hospital remedial and maintenance therapy.
• Day hospital specialists’ clinics in memory, continence, falls, osteoporosis, geriatric, amputees, clinical
psychology, occupational therapy, Parkinson’s Group and physiotherapy.
• Delirium & surveillance unit (DASU) – located in ward C16 SCGH specialises in the management of patients
with delirium.
• Orthogeriatric service
NB: Rehabilitation inpatients beds located in Ward C17 at SCGH and Wards 4 & 5 Osborne Park Hospital.
Head of Department
Dr Barry Vieira
Dr Charles Inderjeeth (Director of Clinical Training, Research Programs)
Dr Stephen Ho (Consultant Physician)
Dr Andrew Granger (Consultant Physician)
Dr Denise Glennon (Consultant Physician)
Dr Milly Wong (Consultant Physician)
Dr Kate Ingram (Consultant Physician)
Dr Minoti Bhagat (Consultant Physician)
Dr Paula Moffat (Consultant Physician)
Outpatient Referrals
Referrals usually received from GP via mail or fax on 9346 4966. Home visits are usually made within 5-10
working days of referral being received. All Specialists are contactable on 9346 2644.
Urgent requests directed to Reception/Secretary who will page the relevant medical team.
CLINIC SESSIONS
Monday
Tuesday
Wednesday
Thursday
Friday
General Clinic
Memory/General Clinic
Memory (pm)
Continence Clinic
Parkinson’s Group
General/Rheumatology
Continence Clinic
Falls Clinic
Amputee Clinic
General Clinic
General Clinic
General Clinic/Fragile
Bone/Osteoporosis/General/Memory/Orthogeriatrics
Parkinson’s Group
Zomenta Infusions
Sir Charles Gairdner Hospital
Dr Ho
Dr Wong
Advanced Trainee
Continence Advisor
Allied Health Specialists
Dr Inderjeeth
Dr Singam/Advanced Trainee
Dr Ingram/Advanced
Trainee/Registrar/Physio/OT
Dr Abeysekera
Dr Singam/Advanced Trainee
Dr Ho/Registrar
Dr Glennon/
Dr Inderjeeth/Advanced Trainees
Allied Health Specialists
Physio
RENAL MEDICINE
Location: 6th Floor, G Block
Gastro Renal Division
• Comprehensive management of Renal and related diseases including Hypertension and Fluid/Electrolyte
disorders.
- Conducted via inpatient/outpatient, public/private service.
- In Perth, Albany, Geraldton, Carnarvon and Bunbury.
• Comprehensive dialysis service incorporating Hospital, satellite centre and home management, using
haemodialysis and peritoneal dialysis.
- Clinical and administrative involvement in provision of dialysis at Joondalup and Geraldton.
• Including cadaveric, living related and living unrelated kidney donation.
Specialists
All Specialists are contactable on 9346 2799 or after hours through the Hospital switchboard on 9346 3333.
Head of Department
Dr Harry Moody
Dr Brian Hutchison
Dr Neil Boudville
Dr Robyn Kirwan
Dr Wai Lim
Dr Doris Chan
Dr Gurshuran Dogra
Outpatient Referrals
-
Routine appointment via Secretary on Tel: 9346 2799/ Fax: 9346 3942.
Urgent requests via Consultant or Renal Registrar directly (Pager through switchboard).
Private Consultant or Registrar Clinics/Consultations at a range of other times, either via appointment
or specific arrangement.
Sir Charles Gairdner Hospital
RESIDENTIAL CARE – OUTREACH SERVICE Chronic and Acute Medicine Division
Provides advice and support to staff in Residential Aged Care Facilities (RACF) to:
•
Prevent avoidable presentations to the Emergency Department and avoidable admissions to hospital,
reducing the demand on inpatient beds.
•
Provide care tailored to meet the complex health needs of the frail elderly living in RACFs.
•
Provide clinical advice and support to RACF staff.
•
Provide early health care intervention.
Provides support and advice to staff in Sir Charles Gairdner Hospital and Joondalup Health Campus to:
•
Assist with complex discharge issues for patients going to RACFs.
•
Reduce length of hospital stay.
•
Improve communication and build relationships between RACFs and acute care setting.
•
Work closely with the Care Coordinator in the Emergency Department.
Service available 7 days from 0800 to 1600.
Contact Details
CNC Carol Douglas
Tel: 9346 3146
Clinical Nurse Alison Hayburn
Clinical Nurse Kate Westphal
Clinical Nurse Lynda Green
Sir Charles Gairdner Hospital
RESPIRATORY MEDICINE
Location: Ground Floor & First Floor, B Block
Heart and Lung Division
The Department of Respiratory Medicine provides the full range of respiratory services for inpatient and
outpatient care. The unit comprises 28 beds and provides a bronchoscopy service with imaging facilities and
a HDU (High Dependency Unit) for the management of patients with respiratory failure requiring non-invasive
assisted ventilation (eg Bi-PAP and CPAP).
Procedures undertaken within the Department include bronchoscopy, laser photocoagulation, airway stent
insertion and endobronchial irradiation (brachytherapy).
The Department provides an outpatient pulmonary rehabilitation programme for patients with severe chronic
respiratory disorders.
The Department also provides an outpatient clinic service covering the full range of respiratory diseases.
Specialists
There is an on-call registrar and consultant contactable after hours through the hospital switchboard on 9346
3333.
Secretary to C/Prof AW (Bill) Musk and
Naomi Hammond
Tel: 9346 4528
Co-ordinator, Perth Mesothelioma Group
Fax: 9346 1555
PRNI AND PUBLIC OUTPATIENT CLINICS
Clinic Clerk
Tel: 9346 1756
Fax: 9346 1555
Outpatient Referrals
General referrals to the outpatient clinics must be mailed or faxed (9346 1555) directly to the Respiratory
Medicine Outpatient Clinics prior to an appointment being made. All appointments are made on an earliest
available basis and patients are contacted via mail or phone.
Urgent referrals should be discussed with the appropriate Physician or Registrar and arrangements will be
made to accommodate emergencies.
If possible, a named referral to the preferred consultant and sub-specialty clinic of choice would help to
facilitate the appointment.
Specialty Clinics
Dr Weng Chin
Dr Martin Phillips
Prof Bruce Robinson
Dr Gerard Ryan
C/Prof A W (Bill) Musk
Prof Phil Thompson
Dr Anthony Tribe
Dr Siobhan Mulrennan
Prof Gary Lee
Prof Fiona Lake
Sir Charles Gairdner Hospital
Pulmonary Hypertension / Lung Transplants / Advanced Lung Disease
Lung Cancer/Interventional Bronchoscopy/ General Respiratory
Sarcoidosis / Asthma / Asbestosis
Cystic Fibrosis / General Respiratory
Mesothelioma / Asbestosis / General Respiratory
Severe Asthma / Airways Disease / General Respiratory
General Respiratory
Cystic Fibrosis / General Respiratory
Pleural Diseases/General Respiratory
Interstitial Lung Disease/General Respiratory
Ward G54
Tel: 9346 1654
Clinical Nurse Specialist Ward
G54
Ms Linda Cruickshank
Tel: 9346 1654
Pager 4933
Nurse Practitioner Cystic
Fibrosis
Ms Sue Morey
Tel: 9346 2318
Pager 4820
Lung Transplant
Mrs Siobhan Dormer
Tel: 9346 1758
Pulmonary Arterial
Hypertension
Mrs Tara Hannon
Tel: 9346 1087
Asthma Coordinator
Mrs Sara Coleman
Tel: 9346 1194
Home Visiting Respiratory
Nurse
Mrs Barbara Stubber
Tel: 0410 447 416
Research Coordinators
WA Lung Research
Cathy Read
Steph Phelps
Tel: 9346 1078
Tel: 9346 1077
Patient Advice Services
• Asthma Education
Tel: 9346 3333 and Pager 4088
Fax: 9346 1555
•
•
•
•
•
•
•
Tel: 9309 9610
Tel: 9346 1312
Tel: 9346 2991
Tel: 9346 2159
Tel: 9346 1312
Tel: 9346 4831
Tel: 9346 4666
Lung Impaired Support Association
Pulmonary Rehabilitation Programme
Dietitian
Pharmacist
Physiotherapist
Occupational Therapist
Social Worker
Sir Charles Gairdner Hospital
Referred via
Respiratory
Pager 4088
RHEUMATOLOGY
Location: Ground Floor, E Block
Chronic & Acute Medicine Division
CONTACT NUMBERS
Administrative
Assistant/Secretary
Ms Christine Francis
Specialists
Head of Department
Consultants
Tel: 9346 4072
Fax: 9346 1625
Dr Jack Edelman
Dr Patrick Cheah
Dr Kevin Murray
Dr D R Langlands
Dr Joylene Rentsch
Dr March Reed
Dr Charles Inderjeeth
Outpatient Referrals
Appointments
Clinic Secretary
Central Medical Typing
7:00am – 5:00pm
Urgent
Via Head of Department, other Rheumatologists, Emergency
Department or Pager Registrar on 4208.
Regional
Tel: 9346 3116
Fax: 9346 4878
Albany (four times per year)
Kalgoorlie (six times per year)
Mandurah (weekly)
Port Hedland/Karratha/Dunsborough/Bunbury (twice per year)
Other information
Inpatients - elective and via Emergency Department.
Inpatient Consultations.
Telephone advice as required.
Close co-operation with Allied Health Professionals/Podiatry/Shoe and Orthoses
Clinic/Physiotherapy/Pain Clinic and Orthopaedic.
Sir Charles Gairdner Hospital
SHORT STAY UNIT
ND
Location: 2
•
Floor, G Block
Peri-Operative & Diagnostic Division
The Short Stay Unit houses the Day Procedure Unit and the Day of Surgery 23/47 Hour Unit. The Day
Procedure Unit cares for patients before and after their procedure and discharges these patients home on
the same day. The Day of Surgery 23/47 hour Unit (DO23/47) cares for patients requiring a 1 or 2 night
hospital stay post elective surgery. These patients are admitted to the hospital on the day of their surgery,
recovered within the Unit and discharged once deemed fit.
CONTACT NUMBERS
Telephone: 9346 3099
Sir Charles Gairdner Hospital
SILVER CHAIN HOME HOSPITAL
Hospital-level health care, delivered at home across Perth metro
Silver Chain Home Hospital is a state government-supported hospital avoidance initiative providing hospitallevel health care services in the home across the Perth metro area. The service currently provides short term
clinical care to over 650 patients a day, delivering treatment for a wide range of medical conditions and is free to
Medicare patients.
Our team delivers integrated and co-ordinated acute and sub-acute care services during an episode, to patients
who would otherwise require hospitalisation. It's a virtual 24/7 hospital underpinned by a robust clinical and
medical governance structure, which meets ACHS accreditation standards.
Our range of in-home services includes:
Hospital at Home
A 24/7 hospital substitution program. Patients will receive quality and responsive acute care at home for
which they would otherwise require a hospital admission or extended hospital stay by virtue of a
medical condition and necessary treatment.
Post-acute Care
Providing in-home care interventions for patients in the immediate post-discharge period from hospital
after a medical or surgical intervention. On average patients require this care for up to two weeks.
Community Nursing
An alternative to admitting patients to hospital, delivering care for those who don’t require 24-hour
medical governance.
Priority Response Assessment (PRA)
A 24/7 advanced clinical assessment and treatment service, provided in the patient’s home or
residential care facility within four hours, thereby avoiding the need for a visit to a hospital emergency
department for many patients.
Home Hospital is part of the Friend in Need Emergency (FINE) Scheme, a WA Government initiative.
Call 1300 Home Hospital (1300 466 346) and speak directly to our Ambulatory Liaison Nurses (ALN's) to
discuss your referral and determine if your patient is eligible. Alternatively visit our website
www.homehospital.org.au to download a referral form and one of our ALNs will contact you for further clinical
information.
Home Hospital services are ONLY available in Perth metro locations. For more information, please
contact our Customer Care Centre on (08) 9242 0242.
Sir Charles Gairdner Hospital
SOCIAL WORK
st
Location: 1 Floor, E Block
Allied Health
• Social work and welfare assistance services are available to all hospital inpatients and current
outpatients.
• Referrals are accepted from patients, families/significant others, multidisciplinary team members, community
agencies and general practitioners.
• The Social Work Department is open from Monday to Friday, 8:30am to 5.00pm.
• A limited weekend and public holiday social work service is available for those patients attending the
Emergency Department and Acute Assessment Unit Inpatients.
•
Limited on-site accommodation is available to outpatients from the country and country relatives of
inpatients. For bookings, contact the Welfare Officer on 9346 4666.
•
Interpreters are provided for patients admitted to the hospital or attending outpatient appointments.
CONTACT NUMBERS
Head of Department
Mary Joyce
Tel:
9346 4671
Administration Assistant
Michael Edwards
Tel:
9346 4666
Fax:
9346 4906
Patient Advice Services
Aged Care Assessment Team
(ACAT)
Tel:
9346 3333
Pager: 4096 (weekdays)
Self-Harm and Crisis Counselling (SHACC) provides outpatient follow-up to
patients who present to SCGH with deliberate self-harm or are at risk of
DSH. Patients have access to counselling sessions for up to 3 months.
Issues that can be addressed include:
• Adjustment
• Relationships
• Grief and substance abuse
Tel:
9346 4666 (Weekdays)
Pager: 4792
Sir Charles Gairdner Hospital
SOLARISCARE FOUNDATION CANCER SUPPORT CENTRE
Description
The SolarisCare Cancer Support Centre is a purpose built drop-in centre offering free support and a ‘soft
place to fall’ for all cancer patients and their carers in Western Australia who need support through their
diagnosis and treatment. SolarisCare is at the forefront of integrating Complementary Integrative Therapy
(CIT) into mainstream healthcare in both public and private hospitals. The Centre has information on
accommodation, types of cancer, and links to local and national groups. The Centre has initiated various
research projects and has links with Edith Cowan University, University of Western Australia, and Curtin
University for recruiting patients into their research programs.
SolarisCare provides a ‘listening ear’ and access to a wide range of supervised and gentle complementary
therapies that do not conflict with mainstream treatments. The policy of SolarisCare is to support
mainstream treatments at all times. The services are provided through its volunteer program and patients
are able to choose the therapy they would like to have. Contact the Centre to obtain a program or
download it from the website.
CONTACT DETAILS
SolarisCare Sir Charles Gardiner Hospital
Comprehensive Cancer Centre
DD Block, Ground Floor
Hospital Ave
Nedlands WA 6009
Opening Hours:
Monday – Friday 8:30- 4:30pm
Reception
Coordinator
Research
Website
Tel: 6383 3475
Fax: 9346 3793
Tel: 6383 3483
Tel: 6383 3481
www.solariscare.org.au
SolarisCare St John of God Hospital Subiaco
12 Salvado Road
Subiaco WA 6008
Opening Hours:
Monday – Friday: 9:30- 4:30pm
Reception
Coordinator
Website
Sir Charles Gairdner Hospital
Tel: 9388 9788
Fax: 9388 9700
Tel: 9381 3097
www.solariscare.org.au
SolarisCare South West
72 Brittain Road
Bunbury WA 6230
Opening Hours:
Monday – Friday: 9:30- 4:30pm
Reception
Coordinator
Website
Tel: 9791 1559
Tel: 9791 1558
www.solariscare.org.au
SolarisCare Great Southern
Ambulatory Cancer Care Centre
Albany Health Campus
Warden Ave
Albany WA 6330
Opening Hours:
Monday –Thursday: 9:30- 4:30pm
Reception
Coordinator
Website
Sir Charles Gairdner Hospital
Tel: 9892 2601
Tel: 9845 8752
www.solariscare.org.au
SPEECH PATHOLOGY
rd
Location: 3 Floor, A Block
Allied Health
The Speech Pathology Department at SCGH provides assessment and treatment of communication and
swallowing disorders for adults with acute or progressive illness. The department provides specialist
communication management for difficulties in auditory and reading comprehension, verbal and written
expression, motor speech, and voice and specialist management of swallowing.
Outpatient services are available Monday to Friday – Hours of attendance will vary depending on the speech
pathology specialty area required.
CONTACT NUMBERS
Head of Department
Kim Brookes
Secretary
Tel: 9346 2044
Tel: 9346 2044
Fax: 9346 4103
Specialist Interests
The speech pathology department has specialist interest in swallowing, voice, tracheostomy, head and neck
surgery and language disorders.
Combined specialty clinics exist for:
• Voice – Speech Pathology and ENT
• Swallowing (Videofluoroscopy) – Speech Pathology and Radiology
• Swallowing (Fibreoptic Endoscopic Evaluation of Swallowing, FEES) – Speech Pathology and ENT
Outpatient Referrals
The Speech Pathology department will offer outpatient treatment to:
•
•
Patients who have been medically reviewed in either a SCGH specialty outpatient clinic or inpatient
ward.
Patients with an acute illness who have been medically reviewed in the ED and referred to a SCGH
specialty outpatient clinic.
The Speech Pathology department will not accept:
•
•
Direct GP referrals.
Nursing Home patients for outpatient’s services.
Waiting lists do apply and patients are prioritised on clinical need.
Other Relevant Information
A list of all West Australian Private Speech Pathologists can be found at www.pspawa.com.au
Sir Charles Gairdner Hospital
STOMAL THERAPY
th
Location: 6 Floor, G Block
Corporate Nursing
The CNC Stomal Therapy provides pre and post-operative teaching and management of patients with stoma
formation, but also management of patients with draining wounds or fistulae. In addition, patients with
stomas are introduced to the State Ostomy Association prior to discharge from hospital to facilitate their
access to supplies and support networks.
The CNC Stomal Therapy provides:
•
•
•
•
•
•
•
Pre-operative counselling and siting of potential stoma patients.
Post-operative education to promote independence in stoma care.
Ongoing outpatient support service.
Consultation regarding wound care, specifically draining and abdominal wounds.
Advice on management of faecal incontinence.
Dietary advice for patients following bowel surgery and for stoma patients.
Education of nursing and allied health regarding stoma/wound care.
Contact Numbers
Clinical Nurse Consultant: Stomal Therapy
June Hooper
Tel:
9346 4368/3408
Fax:
9346 1899
Pager
9346 3333 and ask for page 4311
Specialist Interests
• Stoma Care
• Wound Care - especially draining wounds, skin care
Outpatient Referrals
Patients can be seen in conjunction with Consultant’s outpatient sessions or patients can ring to make an
individual appointment (see below).
Clinic Sessions
Stomal Therapy - located on the 6th Floor of G Block.
Mon - Thur
07:30 - 16:00
Fri
07:30 - 14:00
Sir Charles Gairdner Hospital
STATE HEAD INJURY UNIT
Location: Ground Floor, E Block, Watling Street
Neurosciences Division
The State Head Injury Unit (SHIU) provides statewide community rehabilitation services for patients who
have sustained an acquired brain injury. The Unit’s primary focus is to provide assessment and treatment for
individuals undertaking the transition from hospital to home. It provides clinical case coordination, therapy
and consultancy for patients and the service community.
The Unit provides:
Case Coordination Services
Case coordinators are allied health professionals with a background in rehabilitation. They provide a range of
services including information, guidance, support and monitoring. They also provide assistance to link people
into community services that can provide further rehabilitation opportunities or long term practical support. By
working with the person with ABI and their family, the case coordinator will help to identify needs and suggest
ways that these needs can be met.
Therapy Services
In conjunction with the case coordination service, the State Head Injury Unit provides individual therapy
programmes. The focus of therapy is to assist people to adapt to changes in their abilities in order to live as
independently as possible, work, and participate in leisure and recreational activities.
The therapy service includes:
Occupational therapy
Physiotherapy
Psychology
Social Work
Speech Pathology
Therapy services are provided in the most relevant setting. This may be at home, at work, in the community,
or at the State Head Injury Unit. A strong emphasis is placed on assisting people to access services and
resources within their local community.

An active teaching role supervising undergraduate and postgraduate students from UWA, Curtin and
Murdoch University.

Operates a significant community education programme including a regular carer training course for
employees of the government and non-government sector.

Operates across standard office hours (Mon-Fri).
Contact Numbers
Tel: 08 9346 4488
Fax: 08 9346 4489
Specialist Interests:
Long term outcomes subsequent to brain injury. Community participation for individuals with brain injury
(especially social integration and employment participation). Developing effective service models for the
delivery of community rehabilitation services within the most appropriate setting.
Referrals The SHIU provides services for people between the ages of 16 - 65 who have experienced a
discrete event resulting in an acquired brain injury eg trauma, stroke, tumour, encephalopathy and infection.
SHIU does not provide services for people with progressive, degenerative neurological conditions. Priority is
given to people with recent, moderate to severe injury.
Sir Charles Gairdner Hospital
UROLOGY
th
Location: 7 Floor, G Block
Gastro Renal Division
• Outpatient Services
- new and review cases
• Inpatient Services
- emergency cases
- intra-hospital referrals
- elective surgery
•
•
•
•
•
•
•
•
Urology Procedure Facility - cystoscopy (outpatient), transrectal ultrasound and biopsy (outpatient).
Transrectal ultrasound and prostatic biopsy.
Video urodynamics (via RPRH).
Minimally invasive stone surgery – percutaneous nephro-lithotomy and ureteroscopic lasertripsy.
Genitourinary Oncology.
Nurse Continence Adviser.
Catheters (outpatient)
Bladder installations
Specialist Interests



Prostatic disease - benign and malignant
Minimally invasive management of uretheral and renal calculi and other endo-urological procedures
Holmium Yag Laser for endo-urology
Outpatient Referrals
Screened for degree of urgency and seen as appropriate.
Phone: 9346 3110 / 9346 4861
Fax:
9346 4862
Urgent problems can be discussed with training Registrar via switchboard.
Clinic Sessions
All Urologists
Thursday afternoon B link, E Block
Phone: 9346 3368
Patient Advice Services
Nurse Continence Adviser – see Continence Service phone nurse 93464487.
Prostate cancer counselling via Urological Research Centre Research Sister
Phone: 9346 4860
Fax:
9346 4374
Sir Charles Gairdner Hospital
VASCULAR SURGERY
Location: 6th Floor, G Block
Heart and Lung Division
• The Department of Vascular Surgery provides a comprehensive service for the inpatient and outpatient
management of all vascular conditions, including endovascular and open surgical treatment of:
- peripheral vascular disease
- aneurysmal disease – abdominal, thoracic and peripheral
- carotid artery stenosis
- reno-vascular disease
- acute ischaemia
- chronic venous insufficiency
- varicose veins (i.e. ulceration or thrombophlebitis)
- hyperhidrosis
- thoracic outlet syndrome
• Emergency and elective service.
Specialists
Mr Steve Baker
Dr Peter Bray
Mr Marek Garbowski
Dr Shirley Jansen
Dr Stefan Ponosh
Tel: 9346 3255
Outpatient Referrals
Standard via Secretary on:
Tel:
Fax:
9346 3255
9346 2208
Patients or GPs can leave a message anytime on 9346 3255.
At other times contact Vascular Registrars on Pager numbers 4803/4210.
Sir Charles Gairdner Hospital
Vascular Surgery Continued
WA LIVER & KIDNEY (SCGH) SURGICAL TRANSPLANT SERVICE
• Transplantation Surgery – Liver & Kidney
• Hepato-Pancreatico-Biliary Surgery
• General Surgery (Unit 5)
Outpatient Referrals
Routine appointment GP letter.
Phone or fax for more urgent requests to Secretary (or registrar via switchboard)
Tel: 9346 3034
Fax: 9346 7442
Outpatient Clinical Sessions
Mr Andrew Mitchell
Mr Bulang He
Prof Luc Delriviere
Special Interests
•
•
•
•
•
Liver Transplantation
Kidney Transplantation
Living related donor kidney transplantation
Surgery for primary and secondary hepatic malignancies
Vascular Access Surgery
Sir Charles Gairdner Hospital
WA PET SERVICE
Location: 1st Floor, G Block (In Nuclear Medicine Via Blue Lifts)
Peri-Operative & Diagnostic Division
The WA Pet Service is a statewide health initiative under the WA Department of Health to provide Positron
Emission Tomography (PET) services to the people of Western Australia. PET is a clinical tool used
predominantly for the initial staging, re-staging and therapeutic monitoring of many cancers, investigation of
neurological disorders and cardiac viability.
Location and Contact Details
First Floor, G Block (in Nuclear Medicine via the blue lifts)
Tel: 9346 2656
Fax: 9346 3610
http://www.scgh.health.wa.gov.au/pet/index.html
The PET Service hours of operation are between 07:00 and 19:00.
Ordering an Investigation
PET studies can only be requested by a consultant or specialist. A PET request form must be fully
completed and either sent or faxed before an appointment can be scheduled. It is a commonwealth
requirement that all the information requested on this form is completed before a scan can be performed to
facilitate appropriate data collection in the introductory phase of PET in Australia.
If you have any questions with regard to this form, please do not hesitate to contact the PET Service.
Request forms can be obtained from the PET service or alternatively download from the website home page
under referral forms and clicking on oncology, neurology or myocardial referrals.
If you would like to discuss your referral with PET consultant, please contact 9346 2656. The Western
Australian PET Service is the only centre in WA to have Medicare funding to perform PET Scans. A list of
Medicare rebatable indications is available on the website. PET scans are normally performed on outpatients
to obtain the Medicare rebate.
Results
All results are faxed to the referring consultant within 24 hours of PET scan wherever possible. All images
and reports are available on the PACS system and sunrise clinical manager for public patients. Results for
private outpatients are provided on CD to the referring consultant.
Important Preparation Points
• Patients must fast six hours before their scan.
• A non-fasted oncologic patient will be rescheduled.
• Patients are contacted individually for preparation discussion.
• Cardiac patients do not need to fast.
• Preparation of diabetic patients will need to be discussed with PET physician.
• Depending on the area of the body to be imaged, catheterisation and/or sedation may be necessary.
• The scanning beds are not suitable for patients over 200Kg.
Sir Charles Gairdner Hospital
WOUND MANAGEMENT SERVICE
The Nurse Practitioner Wound Management provides assessment and advice on wound management and
advice on wound management problems including treatment options and multidisciplinary liaison, education
on wound care, prevention and management of pressure ulcers, and coordination of pressure ulcer
surveillance. The Nurse Practitioner is also an integral part of the SCGH Leg Ulcer Clinic.
The Nurse Practitioner, Wound Management provides:
•
•
•
•
•
A consultancy service on wound management problems to patients, staff and the community.
Support and education to patients and staff in relation to wound management.
Advice on wound management products.
Advice on the prevention and management of pressure ulcers.
Liaison role between patients, staff and other agencies eg Silver Chain, Leg Ulcer Clinic etc.
Contact Numbers
Nurse Practitioner for Wound Management
Ms Pam Morey
Tel: 9346 3266
Fax 9346 1899
Page: Ring 9346 3333 and ask for page 4354.
Specialist Interests
•
Leg ulcers
•
Pressure Ulcers
•
Unusual wound aetiologies
Outpatient Referrals
Contact via Pager for appointment with Nurse Practitioner.
If referral to Leg Ulcer Clinic - contact Vascular Surgery Department Secretary on phone 9346 3255.
Fax:
9346 2208
Sir Charles Gairdner Hospital

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