CLINICAL PRIORITY ACCESS CRITERIA - WA Health



CLINICAL PRIORITY ACCESS CRITERIA

| | |

|Service Category: GYNAECOLOGY |Clinic Type: Outpatient (Assessment) |

| | |

|Category Definitions: |1. Immediate – Treatment immediately or within 24 hours |

| |2. Urgent – Seen at next available clinic or within 2 weeks |

| |3. Semi-Urgent – Seen within 1 month |

| |4. Routine – Seen within 2 months |

| | | |

|Category |Criteria |Examples |

| | |(not an exhaustive list) |

|1. |Significant or uncontrolled bleeding. |Ectopic pregnancy. |

|Immediate | |Inevitable and/or incomplete abortion. |

|Treatment immediately or | |Ruptured haemorrhagic ovarian cyst. |

|within 24 hours | |Torsion of uterine appendages. |

| |Severe pain. |Abscess – intrapelvic or vulva/PID. |

| |Severe infection. |Vulval or vaginal lacerations/ haematoma. |

| |Acute trauma. |Penetrating injuries. |

| |Acute and severe functional impairment. |Urinary retention associated with impacted pelvic tumour. |

| | |Gestational trophoblastic disease. |

| | |Missed abortion. |

|2. |Diagnosed or suspected malignancy. |Post menopausal bleeding. |

|Urgent | |Highly abnormal cervical smear (CIN II and III). |

|Seen at next available | |Highly suspicious genital tract cancer – ovary, |

|clinic or within 2 weeks | |endometrium, cervix, vagina, vulva. |

| | |Gestational trophoblastic disease. |

| |Major functional impairment. |Large pelvic mass causing pain/ pressure effects. |

| | |Severe vaginal bleeding – not requiring resuscitation, but|

| | |with severe anaemia. |

| |Pain requiring narcotics or high analgesic dose to |Exacerbations of PID, endometriosis. |

| |control. | |

|3. |Some neoplasia with moderate risk of malignancy. |Ovarian cysts > 5 cm over the age of 50 years*. |

|Semi-Urgent |Pruritus vulvae. |With or without localised lesion post-menopausal. |

|Seen within 1 month |Anaemia. |Menorrhagia with or without fibroids. |

| |Moderate functional impairment. |Procidentia with ulceration. |

| |Young female. (consider referral to paediatric/adolescent |Bleeding, discharge, foreign bodies, masses. |

| |gynaecology KEMH) | |

|4. |Recurrent vaginal infections. |Thrush. |

|Routine |Some neoplasia with low risk of malignancy. |Ovarian cysts > 5 cm under the age of 50 years*. |

|Seen within 2 months |Limited functional impairment. |Dysmenorrhoea, prolapse, PMS, incontinence. |

| | |Dysfunctional uterine bleeding. |

| |Menstrual problems. |Request for tubal re-anastomosis. |

| |Fertility. |(not available within public hospitals as not within the |

| | |medicare schedule) |

| | |Sterilisation |

| | |Amenorrhoea. |

| |Congenital abnormalities. (consider referral to |Infertility. |

| |paediatric/adolescent gynaecology KEMH) |Imperforate hymen, labial fusion. |

| |Plastic and reconstructive surgery. |Vaginal agenesis. |

| |Endocrine dysfunction. |Hirsutism, galactorrhea. |

| |Menopause. |Symptoms, problems with HRT. |

|* See Inpatient Criteria. |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download