Surgical referrals (adult) CUH



Surgical Assessment Unit: 08:00 - 17:00 (last referral 15:00)

Patient Inclusion Criteria – to be seen in SAU if space available

  • Patients ≥16 years of age.
  • Patient must be stable (NEWS < 4).
  • Pain score < 5/10.
  • Able to walk to SAU.

Not suitable for SAU

  • Surgical patients needing resuscitation or NEWS ≥ 4.
  • Trauma (Orthopaedic/Plastic).
  • Non-surgical patients (Gynaecological, Medical).
  • Urology patients (CDU).
  • AAA or vascular emergency patients.
  • Elderly / Frail.
  • Infection control issues - D±V in last 48 hours, MRSA/VRE, COVID.

SAU Referral process

  • Clinical referral from EM Senior Decision Maker.
  • ALL investigations to be completed in the SAU.

Surgical Review in ED: 15:00 - 06:00 (06:00 - 08:00 urgent referrals)

  • Referral from EM clinical team.
  • All non-radiological investigations to be completed in the ED.

Standard Referral process for both pathways

  • Surgical Registrar on-call, VPN 67639.
  • If unavailable – Surgical SHO, VPN 62362.

Agreed pathway


Wound referrals CUH

The surgical specialties in CUH have confirmed that wound referrals will be accepted as agreed below:

  • Facial wounds or burns = plastic surgery
  • Limb injuries = plastics (with below considerations)
    • Wounds to anterior aspect of knee should first be seen by Orthopaedics
    • Tendon injuries to the lower limb should be seen/treated by Orthopaedics
  • Neck = ENT
  • Trunk = General or Thoracic surgery (depending on location)

Content By Dr Íomhar O' Sullivan 20/04/2018. Last review Dr ÍOS 7/06/21.