[CARPA] Poster: How to Get Renal Bloods Right Every Time!

[Geoff Stewart]

Alex,
I have repeatedly tried to obtain a guideline of blood testing for  
people with renal ds, set according to GFR and the like. The renal  
team have previously given support to the notion of providing  
something but that has never materialised.
I had cause to raise this recently with the advent of the IMOK  
project. I'm not sure if this is operating in CA but essentially it  
looks to provide dedicated nursing input to case manage people with  
renal function b/w 15-30mls/min. This Mx includes case conferencing  
with nephrologists on an individual basis. I gather there is some  
resource going to AMS' to do this and in DHF it is the PH nurses who  
are doing the actual case managing.
I have asked that there be some standardization of blood testing  
according to grades of CKD that would guide RANs, MOs and the case  
managers. Again, I have been placated with agreement but not seen  
anything.
I would be very interested to see anything you could come up with  
that has the support of the nephrologists.
Cheers,
G

On 01/10/2008, at 1:16 PM, Alex Hope wrote:

> G'day all,
> we were drafting a poster for our clinic, and realised that this  
> would be a useful resource for all.
> has anyone done it already?
>
> we need to clarify what tests need to be done when.
> at the moment the advice received from the renal unit Alice Springs  
> is different to that in the purple STM.
>
> Will the new STM be reconciled with what the local nephrologists  
> want, or is this not standardised between regions?
>
> Please respond to me with any information and/or other examples and  
> we will attempt to coordinate something.
> Hopefully it could then be circulated through the renal outreach  
> people?
>
> Alex
>
> -- 
> Dr Alex Hope
>
> Community GP,
> Mpwelara Health,
> Santa Teresa health Centre,
> CMB Santa Teresa,
> via Alice Springs,
> NT 0872.
>
> Ph  08 8956 0911
> Fax 08 8956 0910
> Mobile 0408 085 143
>
>
>
>
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