Mx of women presenting with abdominal pain to CUH ED/SAU to CUMH ER
CUH ED or SAU
Patient is clinically assessed by ED or SAE SHO / registrar. (Triage nurse in CUH may not refer the patient to CUMH prior to a doctor’s review).
Initial investigations are performed; include urinalysis / FBC / CRP and additional investigations as deemed necessary .
If surgical / medical pathology is unlikely and gynae pathology is suspected, contact CUMH Obs / Gynae SHO / registrar.
Patient is to be reviewed by CUMH NCHD in CUH ED or SAU in a timely manner (within 1-2 hours or depending on urgency). If this is unlikely to be feasible or review does not occur in this timeframe, patient is transferred to CUMH ER for review there.
Pre-review imaging
If, following discussion with the Obs / Gyn NCHD, imaging tests are recommended to aid diagnosis, relevant imaging should be requested by the CUH NCHD. The patient should be reviewed within the recommended timeframe, irrespective of whether imaging has been carried out. The patient should be transferred to CUMH ER if review does not occur in a timely manner.
CUMH ER
Patient is clinically assessed by CUMH ER doctor. (Triage nurse in CUMH may not refer the patient to CUH ED or SAU prior to a doctor’s review).
Initial investigations are performed; include urinalysis / FBC / CRP and additional investigations as deemed necessary.
If gynae pathology is unlikely and surgical / medical pathology is suspected, contact surgical / medical SHO /registrar to request review. Patient is to be reviewed by surgical / medical NCHD in CUMH ER in a timely manner (within 1-2 hours or depending on urgency). If this is unlikely to be feasible or review does not occur within this timeframe, patient is transferred to CUH ED/ SAU for review there.
Pre-review imaging
If, following discussion with the surgical / medical NCHD, imaging tests are recommended to aid diagnosis, relevant imaging should be requested by the CUMH NCHD. The patient should be reviewed within the recommended timeframe, irrespective of whether imaging has been carried out. The patient should transferred to CUH ED or SAU if review does not occur in a timely manner.
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