Refer Patients to the Early Pregnancy Assessment Clinic

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Refer Patients to the Early Pregnancy Assessment Clinic

07-Nov-2016

The Early Pregnancy Assessment Clinic (EPAC) is an outpatient clinic in the Women’s Health Centre at the Regina General Hospital (RGH) that sees women by referral who are early (less than 20 weeks) in their pregnancy and are having problems such as pain or bleeding, or have been diagnosed with a pregnancy loss or miscarriage. As of November 1, physicians can start referring their patients to the clinic.

The outpatient clinic is NOT for women who are experiencing a medical emergency such as very heavy bleeding (hemorrhage) or severe pain. These women should be seen in the Emergency Department.

Frequently asked questions:

Q: What are the criteria for who can be seen by EPAC?

A: The early pregnancy clinic is not equipped to see women with hemorrhage, suspected ruptured ectopic pregnancy or other medical emergencies. EPAC is for women <20 weeks in pregnancy who have a diagnosed spontaneous miscarriage needing management or women who are in stable condition, experiencing complications such as bleeding (<1 pad/hr) or with mild to moderate pain. Women you would regularly manage in your office for such issues you should continue to see.

Q: Who can refer to the EPAC?

A: Physicians, Nurse Practitioners and Midwives.

Q: How do I refer to EPAC?

A: A referral can be made by both calling EPAC at (306) 766-4123 and speaking to the RN (or leaving a voicemail message)and faxing the completed referral form (and other relevant ultrasounds and blood work results) to (306) 766-4124. You do not need to consult the Obstetrician on-call.We will contact your patient with the appointment date/time.

Q: Where can I get the referral form and Patient information sheet?

A: The referral form and information sheet can be printed fromwww.rqhealth.ca. They are found under the tabPrograms and Services> Women’s Health> Early Pregnancy Assessment Clinic.

Q: Can non-pregnant women be seen by EPAC for urgent gynecological concerns?

A: Yes, on a case by case basis. In these cases you must still directly contact the Gynecologist on-call, and they will advise on the most appropriate place to see your patient. Patients you would otherwise consult the Gynecologist on-call to be seen in the Emergency Department for non-emergent concerns may be seen in EPAC.

Q: What are the hours of operation?

A: EPAC is open from 8 am to 4 pm Monday to Friday only. We are closed weekends and statutory holidays.

Q: Where is the EPAC?

A: The EPAC is located within the Women’s Health Centre (Unit 3C), at the Regina General Hospital.

Q: How soon can I expect my patient to be seen?

A: The RN will contact your patient same-day, or next working day if the referral is received outside of working hours, to arrange the appointment. You can expect your patient will get seen within 48 hours of being contacted.

Q: Will EPAC see patients for their ongoing prenatal care?

A: No. The Pooled Referral system should continue to be used to refer to an Obstetrician for ongoing obstetrical care. EPAC is for women experiencing bleeding/pain or for management of spontaneous miscarriage that cannot be managed in the community.