What is the referral pathway for WET AMD? correct answers · ' Urgent fast track' so we use the WET AMD RAPID ACCESS REFERRAL FORM but now we email to ophtamology secetry at the peterbough city hospital with the same information of the GOS 18 and also important to attach the OCT macula scans (subje...
Pre Reg W Jigna || All Correct.
What is the referral pathway for WET AMD? correct answers · ' Urgent fast track' so we use the
WET AMD RAPID ACCESS REFERRAL FORM but now we email to ophtamology secetry at
the peterbough city hospital with the same information of the GOS 18 and also important to
attach the OCT macula scans (subject heafer patient name and DOV and urgent referral for wet
AMD (R OR L)
· CAN ONLY BE SEEN AT PCH LOCALLY (NOT ACES)
· Patienet will normally be seen within two weeks and we would ask them to contact us if they
haveent heard from the eye clinic
· Must be 6/96 or better to have injections, then are followed up in a nurse led OCT clinic every
6-8 weeks with the scans taken which is then reviewed by opthamologist in a virtual linic later,
and them patine tasked to come back of OCT shows if they need further injection.
What is the referall pathway for diabetic maculopathy or pre proliferative retinoapthy? correct
answers · Locally so we have peterborugh city hospital for this, email secetary on normal header
with patient name, DOB and urgent referra
· Refer urgently for diabetic maculopathy or pre poliferatie retinopathy
· Prolerfative retinopathy (NVD or NVE, Pre retinal boat haemorrhages, vitreous haemorrhage or
fibrous tissue leading to tractional RD) this is emergency phone and will be assessed by the call
teatm same / next day.
· There is an on call opthamolocy which is a daily clinic at PCH for possible ocular emergecnies
(busy) and be clear its enmergency
· Emergency in eyes is a immediate risk of sight loss or risk to life (CRAO) or pain, iritis or
cellultis which needs immediate attention.
* Always give the patient or email them (get their email and double check it is correct for data
protection!) the copy of the GOS 18 the same day and tell them a time scale 'If you haven't heard
from the hospital within ... days please contact me'.
* 'If symptoms worsen before your hospital appointment take this letter to A&E and they will
call the On Call Ophthalmologist down to see you'.
How do we do an emergency referral? correct answers · Phone PCH and speak to On Call
Ophthalmogist (Ophthalmology Sister will answer the phone and ask the Qs then speak to the
Ophthalmogist and come back whilst you stay on the phone with the day and time they will see
the patient -sometimes she will pass you on to speak to the ophthalmologist directly if he wants
to clarify some information ). They will book the patient within a week in the on call clinic after
this triage. So if RD (macula on) or corneal ulcer/ iritis you normally send straight there on their
advice. You type up the GOS 18 and email to PCH secretary for On Call Team Emergency in
subject header and the day + time of appointment plus patient name and DOB but also give the
patient a copy of this letter to take with them.
How we do routine referall e.g my patient with diabetes? correct answers · Routine: Post GOS
18 to GP and post copy to patient. Give patient advice regarding timescale of when they may be
seen for a routine appointment and where. Ask patient to check with their GP reception in a
couple of weeks (allowing for post) that your referral letter has been received and actioned by the
, GP. Ask the patient to contact you for triage if symptoms worsen whilst they are waiting to be
seen in case the referral needs upgrading from routine to more urgent.
·
Other options for routine are to bypass the GP and email GOS18 directly to ACES or PCH (get
patient email and email then the copy) . This works where the patient has a preference to where
they will be seen or you need a specific specialty such as Orthoptics that is only at PCH. PCH
also needed if say you need access to things such as CT scans/equipment that only a main
hospital may have. ACES sees almost all the same routine stuff as PCH but no Orthoptist/Kids.
ACES waiting lists are also quicker. You can be seen withACES at their various clinics which
can be closer than PCH if you live say in March . However any operations are done at their
hospital in Wisbech so the patient must have transport there.
.
· For Cataract they can go to Spa Medica which is a private hospital doing NHS work. The main
advantage is shorter waiting list, a lovely new hospital and you get a cup of tea while you wait!
For this routine cataract referral we would email the Spa Medica direct and copy the email to the
patient. The same applies to YAG capsulotomy on IOL.
· Fitzwilliam is our local Private Hospital and patients may choose to go and pay to beat waiting
lists- a lot did when they were waiting a year in Covid times for PCH to do their cataract. You
can use their private booking system to send a referral direct. A consultation costs about £250
with any OCT , visual fiel
Brieflt explain the referall pathway? correct answers ·1. GOS 18 (needs to be completed) then
contact GP (via email) where they would either do a central booking to: ACES (wisbeach,
March, Whittlesey, Bretton) or PCH or SPA medica (only for cataract or IOL or central booking
(Lincolnshire)
2. GOS 18 (urgent) email to PCH
3. GOS 18 (emergency) for phone PCH, send referral with patients
What is consent? and what makes it valid? correct answers · Consent to treatment means a
person must give permission before they receive any time of medical treatment, test or
examination.
· This is done by the basis of explanation by a clinical
· Must be voluntary and informed and person should have the capacity to make the decision
· Capacity to consent, informed about procedure, understand the nature and purpose of the
procedure
What are the types of cosnent? correct answers · voluntary - the decision to either consent or not
to consent to treatment must be made by the person, and must not be influenced by pressure from
medical staff, friends or family
· informed - the person must be given all of the information about what the treatment involves,
including the benefits and risks, whether there are reasonable alternative treatments, and what
will happen if treatment does not go ahead
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