Home Enteral Nutrition (HEN) Outpatient Clinic

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Useful Management Information

Robina Nutrition Department HEN Clinic runs on a weekly basis from the Robina Health Precinct (RHP).
As per Queensland Health directive patients receiving home enteral nutrition support should be reviewed at least six monthly.
The clinic does not accept referrals from General Practitioners, alternatively GPs could refer to Central Intake Unit for dietetic input

Minimum Referral Criteria

Category 1	For optimum care, these conditions should be seen within 2 weeks: New NG/NJ feeding/ scripts for supplements or feeds New Exclusive Enteral Nutrition/Polymeric Diet (for inflammatory bowel disease) For optimum care, these conditions should be seen within 4 weeks: High risk moderate-severe Malnutrition HEN patients with acute issues Stable NG/NJ feeding
Category 2	Ongoing scripts for oral nutrition supplements
Category 3	No category 3 criteria
If your patient doesn't meet the minimum referral criteria If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested: Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.) Please note that your referral may not be accepted or may be redirected to another service.

Standard Referral Information

Reason for request

To establish a diagnosis
For treatment or intervention
For advice and management
For specialist to take over management
Reassurance for GP/second opinion
For a specified test/investigation the GP can't order, or the patient can't afford or access
Reassurance for the patient/family
For other reason (e.g. rapidly accelerating disease progression)
Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

Presenting symptoms (evolution and duration)
Physical findings
Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
All conservative options that have been pursued unsuccessfully prior to referral
Body mass index (BMI)
Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes, BMI), noting these must be stable and controlled prior to referral
Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
Current medications and dosages
Drug allergies
Alcohol, tobacco and other drugs use

Patient's Demographic Details

Full name (including aliases)
Date and country of birth
Residential and postal address including whether patient resides at an aged care facility
Telephone contact number/s – home, mobile and alternative
Medicare number (where eligible)
Name of the parent or caregiver (if appropriate)
Name of delegate and contact details (Department of Corrective Services)
Preferred language and interpreter requirements
Identifies as Aboriginal and/or Torres Strait Islander
Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

Full name
Full address
Contact details – telephone, fax, email
Provider number
Date of referral
Signature
Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

Willingness to have surgery (where surgery is a likely intervention)
Choice to be treated as a public or private patient
Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Essential Referral Information

Reason for referral
Relevant Medical history
Treatment to date including reason for commencement on home enteral nutrition
Type of enteral nutrition prescribed
Any relevant discharge arrangements

If a specific test result is unable to be obtained due to access, financial, religious, cultural or consent reasons a Clinical Override may be requested. This reason must be clearly articulated in the body of the referral.

Additional Referral Information

No additional referral information

Send Referrals To

Smart Referrals

Not Available

Internal Referrals

Allied Health Robina - Dietetics (E-blueslips)

Fax

Not available

Post

Internal Referrals only

Enquiries