NEWSLETTER NAME



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|Click on category to advance to that page: |

|Allergic Rhinitis |Anaphylaxis |

|Angioedema |Urticaria |

|Jack Jumper Ant Allergy and Venom Immunotherapy |Medication Allergies |

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|Services not provided | |

|Patients under the age of 13 – excluding Venom immunotherapy |

|Patch testing |

|Eczema Management unless referred by Dermatologist |

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|PLEASE NOTE: All referrals received by Monash Health are triaged by clinicians to determine urgency of referral. |

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|Patients assessed as having an urgent need are offered an appointment within thirty days as assessed by the |

|clinician. |

|Patients assessed as having a non-urgent need for appointments in clinics where there is no waiting list, are |

|offered an appointments within four months on a “treat in turn basis”. |

|Patients assessed as having a non-urgent need for appointments in clinics that have a waiting list, referrers and |

|patients will be notified of the expected wait times. Where the wait time does not meet patient needs, alternative |

|service providers can be found by searching the Human Services Directory at |

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Health issue Jack Jumper Ant, Bee and Wasp Allergy

|Patient Presentation |Initial GP Work Up |Management Options For GP |

|History of anaphylaxis to Jack Jumper Ant, Bee or |RAST to Jack Jumper Ant, Bee or Wasp with score |Check if an adrenaline auto-injector (EpiPen or |

|Wasp |included |Anapen) has been prescribed |

| |IgE | |

| |Tryptase: after acute reaction (if available) and | |

| |baseline | |

|When to Refer |

|For assessment of immunotherapy for Jack Jumper Ant anaphylaxis |

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| Health issue Allergic Rhinitis |

|Patient Presentation |Initial GP Work Up |Management Options For GP |

|History of possible Allergic Rhinitis | |Consider trial of intranasal corticosteroids and |

| | |non-sedating oral antihistamines |

|When to Refer |

|Symptoms impacting on patient’s quality of life |

|HEALTH ISSUE: Asthma |

|Patient Presentation |Initial GP Work Up |Management Options For GP |

|History of possible asthma |Spirometry, if available |Consider trial of inhaled corticosteroids |

|When to Refer |

|Management of asthma, including consideration of immune modifying medications, to achieve control |

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|Health Issue Anaphylaxis |

|Patient Presentation |Initial GP Work Up |Management Options For GP |

|History of Anaphylaxis |Tryptase: after acute reaction (if available) and |Check if an adrenaline auto-injector (EpiPen or |

| |baseline |Anapen) has been prescribed |

| |Ask patient to record exposures in the three hours |Currently, we do not offer bee or wasp venom |

| |prior to the episode, e.g. food (obtain list of |immunotherapy, but refer to another centre if |

| |ingredients), medications or supplements, and |immunotherapy is indicated |

| |activities | |

|When to Refer |

|Any history or concern regarding anaphylaxis to food, insect sting, medication, exercise, or if the cause is unclear |

|Health Issue Angioedema |

|Patient Presentation |Initial GP Work Up |Management Options For GP |

|Angioedema |Tryptase |Consider ceasing ACE inhibitor if patient is on one |

| |FBC, ESR, CRP | |

| |C3,C4 | |

|When to Refer |

|History of recurrent angioedema |

|Health Issue Urticaria |

|Patient Presentation |Initial GP Work Up |Management Options For GP |

|Recurrent persistent urticaria |Tryptase |Consider increasing non-sedating oral antihistamine |

| |FBC, ESR, CRP |up to 4 times a day |

| | |Consider referral to a Dermatologist |

|When to Refer |

|Recurrent or persistent urticaria |

|Health issue: Medication Allergies |

|Patient Presentation |Initial GP Work Up |Management Options For GP |

|Histories of medication allergy requiring further |RAST for penicillin V, Pencillin G, Amoxycillin, | |

|clarification and or these medications are required. |Cefaclor with Score if pencillin or cephlasporin | |

| |allergy. | |

| |Tryptase baseling | |

| |IgE | |

| |FBC | |

|When to Refer |

|When medications are required, however there is lack of clarity regarding potential allergy. |

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REFERRAL GUIDELINES

Allergy

VASCULAR

IMPORTANT:

The following information is mandatory:

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Demographic:

▪ Full name

▪ Date of birth

▪ Next of kin

▪ Postal address

▪ Landline & mobile number

▪ Medicare number

▪ Referring GP details

▪ Usual GP (if different)

▪ Interpreter requirements

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Clinical:

▪ Reason for referral

▪ Duration of symptoms

▪ Management to date and response to treatment

▪ Past medical history

▪ Current medications and medication history if relevant

▪ Functional status

▪ Psychosocial history

▪ Dietary status

▪ Family history

▪ Diagnostics as per referral guidelines

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HEAD OF UNIT

Sara Barnes

PROGRAM DIRECTOR

Donald Campbell

ENQUIRIES

P: 1300 342 273

F: (03) 9594 2273

Reviewed

January 2016

Referral Form: The Victorian State-wide Referral Form is the preferred referral tool. This tool is housed in most major clinical software or can be downloaded from

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