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Orthopaedic


+ Emergency

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

The list below includes common traumatic injuries that require referral to emergency and should not be referred for elective / fracture clinic categorisation

    • Acute cervical myelopathy
    • Acute back or neck pain secondary to neoplastic disease or infection
    • Spinal injuries
    • Suspected open fracture
    • Fracture requiring manipulation or operation
    • Suspected acute bone or joint infection
    • Acute high energy fracture with/without neurological abnormality
    • Injury associated with vascular compromise
    • Clavicle fracture
    • Osteoporotic / pathological fracture new abnormal neurology
    • Suspected infection or sudden pain in arthroplasty
      • if joint infection is suspected refer immediately to emergency or contact the orthopaedic registrar on call
      • do not commence antibiotics unless delay to specialist review is likely
    • Joint dislocations
    • Open injuries with possible tendon or joint involved
    • Nail bed injuries or retained foreign body
    • Knee extensor mechanism rupture
    • Acute peripheral nerve injury
    • Suspected acute compartment syndrome

Spine, Neck, Back pain

NB: contact the Orthopaedic Registrar on 3810 1111. For Neurosurgery and Spine conditions please call the Neurology or Spinal Registrar at The Princess Alexandra Hospital on 3176 2111

  • High risk of irreversible deficit if not assessed urgently
  • Spinal infections
  • Significant spinal nerve root compression or spinal cord compression with progressive neurological signs/symptoms e.g.
    • Spinal cord compression with severe or rapidly progressing neurological deficit
    • Cauda equina syndrome
      • Bilateral nerve pain (leg pain below knees)
      • Bladder / bowel dysfunction
      • Perineal anaesthesia
      • Progressive weakness
    • Bone infection

+ Urgent referrals

To request an urgent outpatient appointment, please phone the Ipswich hospital’s switchboard on 3810 1111 and ask to speak to the Orthopaedic Registrar on-call or alternatively contact GP/Specialist Referral Enquiry: 3810 1869 or 3810 1858.

Conditions seen at West Moreton Health

Please note this is not an exhaustive list of all conditions for outpatient services and does not exclude consideration for referral unless specifically stipulated in the CPC out of scope section. For conditions not listed please use the referral criteria under Other orthopaedic conditions.

+ Out of scope services

+ Notes

  • Please note that where appropriate and where available, the referral may be streamed to an associated public allied health and/or nursing service. Access to some specific services may include initial assessment and management by associated public allied health and/or nursing, which may either facilitate or negate the need to see the public medical specialist.
  • A change in patient circumstance (such as condition deteriorating, or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.
  • Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.

Out of catchment

West Moreton Health is responsible for providing a public health service to people who reside within its catchment area. To appropriately manage demand for service we do not accept referrals from outside this catchment area. If your patient does live outside the West Moreton Health area and it is deemed socially or clinically neceeassary for their care to be received in the West Moreton Health Service, inclusion of information regarding their particular medical and/or social factors will assist with the triaging of your referral.


Feedback

To provide feedback about contents on this website or general referral questions please email WM-CPC@health.qld.gov.au or phone 3413 7402.



Last updated: Thursday, November 8, 2018

Send referrals to


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General Fax:
3810 1438

Priority Fax for urgent category 1 referrals:
3413 7277

Post:
Outpatients Referrals Centre
PO Box 73, Ipswich
Queensland, 4305

Patient Enquiries:
3810 1217

GP/Specialist Referral Enquiry:
3810 1869 or 3810 1858


Named referrals

If you would like to send a named referral, please address it to the specialist on the referral template, who will allocate a suitably qualified specialist to see the patient.

From July 1 2017 Commonwealth growth funding has been capped. This changes how WMHS can fund its growth as an organisation. Named referrals from GP’s help support hospital funding through a Medicare bulk-billing arrangement. The new federal funding model incorporates specific pricing for patients which removes concerns around ‘double dipping'. This benefits hospital and patient services.


Patient must bring

  • Medicare card
  • Any concession cards (e.g. Pension, Health Care, DVA, PBS Safety Net, ADF, etc)