Renal and transplantation outpatient services in CALHN

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) 8429 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

Clinics

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

RAH

Frequency - Weekly

Doctors:

  • Prof Graeme Russ - Transplant
  • Prof Toby Coates - Transplant
  • Dr Philip Clayton - Nephrology
  • Prof Randall Faull - Nephrology
  • Dr Chen Au Peh - Nephrology
  • Dr David King – Vascular Access
  • Mr Anthony Meade – Dietetics

TQEH

Frequency – Weekly

Speciality - Nephrology

Doctors:

  • Prof Toby Coates
  • Prof Graeme Russ

Queen Elizabeth Specialist Centre (QESC)

Speciality - Nephrology

Doctors:

  • Prof Graeme Russ – Alternative weeks
  • Dr Shilpa Jesudason – weekly

Payneham

Frequency - Every third week

Speciality - Nephrology

Doctors:

  • Dr Sue Crail
  • Dr Philip Clayton

Hampstead

Speciality - Nephrology

Doctors:

  • Prof Randall Faull – weekly
  • Dr Chen Au Peh – fortnightly

Lyell McEwen Hosp (LMH)

Frequency – weekly

Speciality - Nephrology

Doctor - Dr Tony Elias

Tuesday

RAH

Frequency – Weekly

Doctors:

  • Prof Graeme Russ —  Transplant
  • Prof Toby Coates —  Transplant Assessment
  • Dr Christine Russell   —  Transplant Assessment
  • Dr Santosh Olakkengil   —  Transplant Assessment
  • Prof Randall Faull   —  Transplant Assessment
  • Dr Rob Carroll   —  Transplant Assessment
  • Dr Phillip Clayton —  Transplant Assessment 

TQEH

Frequency – Weekly

Doctor – Dr Susan Crail

Speciality – Nephrology

Hampstead

Speciality – Nephrology

Doctors: 

  • Dr Jesudason  —  Weekly
  • Dr Tony Elias - Fortnightly

Modbury

Frequency – Fortnightly

Speciality – Nephrology

Doctors:

  • Dr Phillip Clayton
  • Dr Chen Au Peh

Gawler

Frequency – Monthly

Doctor – Prof Stephen McDonald

Speciality – Nephrology

Central Districts

Speciality – Nephrology

Doctors:

  • Dr Nitesh Rao —  Every 2nd and 4th Tuesday
  • Dr Maleeka Ladhani - Every 1st, 3rd and 5th Tuesday

Wednesday

RAH

Frequency – Weekly

Doctor – Dr Susan Crail

Speciality – Nephrology

Hampstead

Frequency – Fortnightly

Doctor – Dr Susan Crail

Speciality – Nephrology

Gawler

Frequency – Weekly

Doctor – Prof Stephen McDonald

Speciality – Nephrology

Port Augusta

Frequency – Monthly

Doctor – Dr Angelo Jobert

Speciality – Nephrology

Thursday

RAH

Frequency - weekly

Doctors:

  • ProfStephen McDonald - Nephrology
  • Prof Randall Faull
  • Dr Chen Au Peh - Nephrology
  • Dr Rob Carroll - Nephrology

TQEH

Doctors:

  • Prof Graeme Russ – Nephrology, fortnightly
  • Dr Christine Russell – Surgical, weekly

Hampstead

Speciality - Nephrology

Doctors:

  • Prof Stephen McDonald - Monthly
  • Dr Robert Carroll – 3 monthly

Payneham

Frequency – Bi-monthly

Doctor – Dr Robert Carroll

Speciality - Nephrology

Berri

Frequency – Bi-monthly

Doctor – Dr Tony Elias

Speciality - Nephrology

Broken Hill

Frequency – Monthly

Speciality - Nephrology

Doctors:

  • Dr Nitesh Rao
  • Namrata Khanal

 

Mt Gambier

Frequency – Monthly

Doctor – Prof Toby Coates

Speciality - Nephrology

Whyalla

Frequency – Monthly

Doctor – Prof Stephen McDonald

Speciality - Nephrology

Murray Bridge

Frequency – Monthly

Doctor – Prof Graeme Russ

Speciality - Nephrology

Pt Pirie

Frequency – Bi-monthly

Doctor – Dr Susan Crail

Speciality - Nephrology

Ceduna

Frequency – Bi-monthly

Doctor – Dr Susan Crail

Speciality - Nephrology

Friday

RAH

Doctors:

  • Prof Graeme Russ – Nephrology, weekly
  • Dr Rob Carroll - Young Adult, monthly
  • Dr Shilpa Jesudason – Nephrology, alternative weeks

TQEH

Frequency – Weekly
Doctor – Prof Stephen McDonald
Speciality - Nephrology

Hampstead

Frequency – Weekly
Doctor – Dr Philip Clayton
Speciality - Nephrology

LMHS

Frequency – Weekly
Doctor – Dr Nitesh Rao
Speciality - Nephrology

Nunkuwarrin Yunti

Frequency – Monthly
Doctor – Dr Susan Crail
Speciality - Nephrology

Port Augusta

Frequency – Monthly
Doctor – Dr Rob Carroll
Speciality - Nephrology

Port Pirie

Frequency – bi-monthy
Doctor – Dr Susan Crail
Speciality - Nephrology

Saturday

Clare

Frequency – Bi-monthly

Doctor – Prof Toby Coates

Speciality - Nephrology

No set day

Mt Gambier

Frequency – Monthly

Doctor - Namrata Khanal

Speciality - 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.

Priority levels

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.

Immediate priority

Renal emergencies with threat to major organs

Acute kidney disease where admission is required eGFR < 30

Examples

  • 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

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

Examples

  • 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

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

Examples

  • 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

Condition is unlikely to deteriorate quickly

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

Examples

  • 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

eGFR  > 45

Examples

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.