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Renal and transplantation outpatient services

Central and Northern Adelaide

The Central and Northern Renal and Transplantation Service provides inpatient and outpatient services for patients living in the Central Adelaide Local Health (CALHN) Network and Northern Adelaide Local Health Network (NALHN) areas.

Services are also provided to patients referred from rural and remote areas.

Contact details

Fax (for referrals): (08) 7074 6060

Appointment enquiries: (08) 7074 4790

Appointment locations

Royal Adelaide Hospital (RAH) Renal Outpatients
Level 3
Port Road, Adelaide 5000

The Queen Elizabeth Hospital (TQEH)
NE1A Dialysis Unit
Woodville Road, Woodville 2011

Hampstead Dialysis Centre
Hampstead Health Building
237 Hampstead Road
Northfield, SA 5085

Lyell McEwin Hospital
Haydown Road, Elizabeth Vale 5012

Modbury Hospital
Smart Road, Modbury 5091

Clinic appointments are also available at:

  • Queen Elizabeth Specialist Centre
  • Hampstead
  • Northern Cardiology Specialist Centre
  • Payneham Dialysis Centre
  • Clare
  • Gawler
  • Tanunda
  • Berri     
  • Ceduna
  • Mount Gambier
  • Murray Bridge
  • Port Augusta
  • Port Pirie
  • Whyalla
  • Broken Hill.

Services provided

Clinical consultations for diagnosis and management

  • inpatient consultations
  • inpatient admissions
  • day procedures
  • dialysis
  • renal transplantation
  • country consulting via telemedicine.

Referral process

Referrals for outpatient appointments from the Emergency Department will not be accepted. Referrals from other outpatient clinics in the RAH will be accepted.

Country and outer metropolitan clinics are generally for review patients only, and the initial appointment is usually conducted in RAH or TQEH or HRC

A variety of “themed” clinics are held. Patients are generally seen by a Consultant Medical Officer, either directly or in an overseeing role following inputs from a registrar and/or a specialist nurse or allied health professional depending on the reason and the patients ongoing care needs.

Clinics

Monday | Tuesday | Wednesday | Thursday | Friday | Saturday

Monday

Location Frequency Doctor Specialty
RAH Weekly Prof Graeme Russ
Prof Toby Coates
Dr Philip Clayton
Prof Randall Faull
Dr Chen Au Peh
Dr David King
Mr Anthony Meade
Transplant
Transplant
Nephrology
Nephrology
Nephrology
Vascular Access
Dietetics
TQEH Weekly
Weekly
Prof Toby Coates
Prof Graeme Russ
Nephrology
Nephrology
Queen Elizabeth Specialist Centre (QESC) Alt weeks
Monthly
Prof Graeme Russ
Dr Shilpa Jesudason
Nephrology
Nephrology
Payneham Every third week
Every third week
Dr Sue Crail
Dr Philip Clayton
Nephrology
Nephrology
Hampstead Weekly
Fortnightly
Prof Randall Faull
Dr Chen Au Peh
Nephrology
Nephrology
Lyell McEwen Hosp (LMH) Weekly Dr Tony Elias Nephrology

Tuesday

Location Frequency Doctor Specialty
RAH Weekly Prof Graeme Russ
Prof Toby Coates
Dr Christine Russell
Dr Santosh Olakkengil
Prof Randall Faull
Dr Rob Carroll
Dr Phillip Clayton
Transplant
Transplant Assessment
Transplant Assessment
Transplant Assessment
Transplant Assessment
Transplant Assessment
Transplant Assessment
TQEH Weekly Dr Susan Crail Nephrology
Hampstead Weekly
Fortnightly
Dr Jesudason
Dr Tony Elias
Nephrology
Nephrology
Modbury Fortnightly
Fortnightly
Dr Phillip Clayton
Dr Chen Au Peh
Nephrology
Nephrology
Gawler Monthly Prof Stephen McDonald Nephrology
Central Districts Every 2nd and 4th Tuesday
Every 1st, 3rd and 5th Tuesday

Dr Nitesh Rao

Dr Maleeka Ladhani


Nephrology

Nephrology
 

Wednesday

Location Frequency Doctor Specialty
RAH Weekly Dr Susan Crail Nephrology
Hampstead Fortnightly Dr Susan Crail Nephrology
Gawler Weekly Prof Stephen McDonald Nephrology
Port Augusta Monthly Dr Angelo Jobert Nephrology

Thursday

Location Frequency Doctor Specialty
RAH Weekly ProfStephen McDonald
Prof Randall Faull
Dr Chen Au Peh
Dr Rob Carroll
Nephrology
Transplant
Nephrology
Nephrology
TQEH Fortnightly
Weekly
Prof Graeme Russ
Dr Christine Russell
Nephrology
Surgical
Hampstead Monthly
3 monthly
Prof Stephen McDonald
Dr Robert Carroll
Nephrology
Nephrology
Payneham Bi-monthly Dr Robert Carroll Nephrology
Berri Bi-monthly Dr Tony Elias Nephrology
Broken Hill Monthly
Monthly
Dr Nitesh Rao
Namrata Khanal
Nephrology
Nephrology
Mt Gambier Monthly Prof Toby Coates Nephrology
Whyalla Monthly Prof Stephen McDonald Nephrology
Murray Bridge Monthly Prof Graeme Russ Nephrology
Pt Pirie Bi-monthly Dr Susan Crail Nephrology
Ceduna Bi-monthly Dr Susan Crail Nephrology

Friday

Location Frequency Doctor Specialty
RAH Weekly
Monthly
Alt weeks
Prof Graeme Russ
Dr Rob Carroll
Dr Shilpa Jesudason
Nephrology
Young Adult
Nephrology
TQEH Weekly Prof Stephen McDonald Nephrology
Hampstead Weekly Dr Philip Clayton Nephrology
LMHS Weekly Dr Nitesh Rao Nephrology
Nunkuwarrin Yunti Monthly Dr Susan Crail Nephrology
Port Augusta Monthly Dr Rob Carroll Nephrology
Port Pirie B-monthly Dr Susan Crail Nephrology

Saturday

Location Frequency Doctor Specialty
Clare Bi-monthly Prof Toby Coates Nephrology

No set day

Location Frequency Doctor Specialty
Mt Gambier Monthly Namrata Khanal Nephrology

Bulk bill clinics

All clinics are bulk billed.

Renal clinical information sheets

The following information sheets about presentations commonly seen in Renal outpatients provide the minimum information required for assessing a referral for this service.

Immediate priority Renal examples
(not an exhaustive list)

Renal emergencies with threat to major organs

Acute kidney disease where admission is required eGFR < 30

  • Malignant Hypertension
  • Hyperkalaemia with AKI
  • Oliguria and rise in creatinine
  • Suspected vasculitis
Referral process: Monday to Friday 9.00 am - 5.00 pm: must be discussed with Renal Registrar on take on (08) 7074 0000. After hours: refer directly to Emergency Department
Urgent priority Renal examples
(not an exhaustive list)

Condition has the potential to require more complex or emergency care if assessment is delayed

Condition has the potential to have significant impact on quality of life if care is delayed eGRF < 30

  • Acute onset proteinuria & Nephrotic Syndrome
  • Rising creatinine over a period of 1 week
  • New onset renal failure
  • SLE with proteinuria/rise in creatinine
  • ANCA vasculitis.
Referral process: Monday to Friday  9.00 am - 5.00 pm: must be discussed with the registrar on take on (08) 7074 0000 to obtain appropriate prioritisation and then a referral letter marked URGENT faxed to (08) 7074 6060. After hours: Registrar on take via RAH Switchboard (08) 7074 0000.
Intermediate priority Renal examples
(not an exhaustive list)

Condition is unlikely to require more complex care if assessment is delayed.

Condition has the potential to have some impact on quality of life if care is delayed. eGRF 30 - 45

  • Microscopic haematuria
  • Macroscopic haematuria (after negative urological evaluation)
  • Proteinuria PCR>100 mmol/L or ACR >70 mg/mmol unless explained by DM
  • Familial kidney disease.
Referral process: referrals should be faxed to (08) 7074 6060.
Intermediate priority Renal examples
(not an exhaustive list)

Condition is unlikely to deteriorate quickly

Condition is unlikely to require more complex care if assessment is delayed eFGR > 45

  • Stable CKD
  • Stable proteinuria <1g
  • Electrolyte disorders (eg Hypokalaemia)
  • Renal anaemia Hb <100
  • Uncontrolled Hypertension despite 4 agents.
Referral process: referrals should be faxed to (08) 7074 6060.
Non-urgent priority Renal examples
(not an exhaustive list)
eGFR  > 45

Do not usually need to see a specialist unless there are atypical features.

  • Elderly with mild rise in creatinine - specify.
Referral process: referrals should be faxed to (08) 7074 6060. Low priority for an appointment.

Note: It is important to note that these guidelines indicate what is clinically desirable, not what is always feasible in terms of delivery which is dependent on size and staffing of the hospital department.

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