Gastroenterology team referral checklist
From WardWiki - Foundation Doctor Helper
Write clearly in black ink.
| AVPU | Pulse | Blood pressure | Resp. rate | Saturation | Temp. | Total EWS score | Own senior aware ? |
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| Name of the patient | Date of birth | Hospital number | Admitting consultant | Date and time of admission | Recent relevant history | Full Blood Count | U&E |
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| Recent OGD | Recent procedures | Previous consultation | Previous serology | Previous biopsies | Team known to | CRP | LFT |
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| Prednisolone | NSAIDS | PPI | Alcohol units | Azathioprine | Aminosalicylate | Recent changes | Others Meds |
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| Urine dip and MC+S | Houly Urine output | AXR | Abdo Ultrasound | Other imaging | Daily Fluid balance | Lactate | ABG inc. pH |
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| Doctor contacted | Date and time contacted | Advice received | Investigations | Medication changes | Treatment to start | When to contact back | Gastroenterology consultant |
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