North South North West Statewide
Directly referral to the:
- Heart Failure Clinic for complex and advanced heart failure;
- Nurse Practitioner for established heart failure patients;
- Patients with suspected heart failure should be referred to the general Cardiology Clinic
All referrals should comply to the Referral Standards and must include:
- Details of relevant signs and symptoms
- Details of all treatments offered and efficacy
- Relevant previous medical history and co-morbidities
- Weight, height & BMI
- Recent fluctuations in weight indicative of cardiac dysfunction (if known)
- FBE & iron studies
- U&Es, Creatinine
- ECG - if available - usually undertaken at the clinic
- Consider Echocardiogram
To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.
Additional information which may assist triage:
- Sleep study report if OSA suspected
- Stress test report (if performed)
- Investigations relevant to co-morbidities
- Respiratory function tests if patient a smoker, has COPD or asthma
- Echocardiogram report
- BNP or NT-pro-BNP results (consider BNP for diagnostic dilemma, provide old results if available)
- History of smoking, alcohol intake and drug use (including recreational drugs)
- Aboriginal or Torres Strait Islander or Maori / Pacific Islander / Refugee status (increased risk of acute rheumatic fever and rheumatic heart disease)
- Iron studies
Interim management advice for heart failure can be found on HealthPathways.
For more information please see the Tasmanian Health Pathways website.
Acute cardiac failure/APO
Urgent / category 1
Known heart failure with:
- ongoing chest pain
- increasing shortness of breath
- oxygen saturation < 90%
- signs of acute pulmonary oedema
- haemodynamic instability:
- - pre-syncope / syncope / severe dizziness
- - altered level of consciousness
- - heart rate > 120 beats per minute
- - systolic BP < 90mmHg
- significant pulmonary or pedal oedema
- recent myocardial infarction (within 2 weeks)
- pregnant patient
- signs of myocarditis
- signs of acute decompensated heart failure
Semi-urgent / category 2
- Suspected or newly diagnosed heart failure
- Heart failure patients with fluctuation in symptoms and at risk of acute exacerbation.
Routine / category 3
Established heart failure patients requiring review, ongoing management plans and education - these patients can be referred directly to the Heart Failure Nurse Practitioner
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Heart Failure Nurse Practitioner contact details:
Sue Sanderson: Phone: (03) 6166 7398
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within one week, or sooner if clinically indicated.
We will endeavour to see these patients within four weeks
Next available appointment usually within eight weeks