Oncology-Haematology (Paediatric)

Availability

North South North West Statewide

Pre-referral work-up

History

Clinic sees patients with cancer (leukaemia, brain tumours), bleeding disorders (haemophilia, von Willebrand's), non-malignant haematology (spherocytosis, sickle cell anaemia) and INR testing in children.

Referral Process

All referrals should comply with the Referral Standards and specifically include:

  • Reason for referral
  • Developmental history
  • Past treatment if relevant
  • Family history if relevant - sickle cell disease, von Willebrand's

Tests

  • Do not delay referral for suspected cancer for results.

Interim/GP management

To refer a patient with this condition, please see the Paediatrics clinic page for the full referral process and templates.

Contact via Switch A/Prof John Heath or Registrar on call for cases of suspected cancer or for concerns about patients undergoing treatment for cancer.

Awareness of possibility of childhood cancer is important as it is rare.

For more information please see the Tasmanian Health Pathways website.

Emergency

Systemically unwell patient undergoing cancer treatment

Urgent / category 1

Suspected cancer

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Long term survivors of multimodality cancer treatment with complications from this, or their cancer, may benefit from referral to Oncology Late Effects Clinic but should be referred to Paediatric Oncology initially.

Emergency:

Proceed to Emergency Department (ED).  Please contact ED Medical Officer in Charge:
LGH ED
- Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED
- Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED
- Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED
- Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

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 4 weeks, or sooner if clinically indicated.

For any urgent sexual abuse/assault concerns please phone RHH switchboard and ask Paediatric Sexual Assault Consultant or Registrar on call for advice.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment