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This healthcare service has 1 current healthcare service locations.
Pediatric Brachial Plexus & Peripheral Nerve Clinic   at
Alberta Children's Hospital
Specialty: Pediatric Physical Medicine and Rehabilitation
Connect Care Department: CGY ACH BRACHIAL PLEXUS CL
Estimated time to routine appointment: Within 1 month
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
Provides care for pediatric brachial plexus and peripheral nerve injuries.For children and youth with functional deficits resulting from known or suspected brachial plexus or peripheral nerve injury, obstetrical or acquired. Patient care may be provided by one or more of the following interdisiciplinary team members: occupational therapists, physiotherapists, physiatrists, plastic surgeons, social workers.
Provides care for pediatric brachial plexus and peripheral nerve injuries.For children and youth with functional deficits resulting from known or suspected brachial plexus or peripheral nerve injury, obstetrical or acquired. Patient care may be provided by one or more of the following interdisiciplinary team members: occupational therapists, physiotherapists, physiatrists, plastic surgeons, social workers.
ELIGIBILITY REQUIREMENTS
INCLUSION:
 
Children and youth 0 - 18 years with:
  • known or suspected brachial plexus injury, obstetrical or acquired
  • obstetrical radial nerve palsy
  • traumatic nerve injuries
  • secondary BP problems
  • new residents of AB with brachial plexus injuries
  • nerve fibromas with peripheral nerve deficit
 
EXCLUSION: 
  • confirmed clavicle and/or humeral fracture - please defer referral to this clinic until fracture is fully healed, minimum 4 weeks
INCLUSION:
 
Children and youth 0 - 18 years with:
  • known or suspected brachial plexus injury, obstetrical or acquired
  • obstetrical radial nerve palsy
  • traumatic nerve injuries
  • secondary BP problems
  • new residents of AB with brachial plexus injuries
  • nerve fibromas with peripheral nerve deficit
 
EXCLUSION: 
  • confirmed clavicle and/or humeral fracture - please defer referral to this clinic until fracture is fully healed, minimum 4 weeks
ROUTINE REFERRAL PROCESS
Connect Care Users: Use the Ambulatory Referral Order to 'CGY ACH BRACHIAL PLEXUS CL" using SmartPhrase [.BPIREFERRAL]. 

Non-Connect Care Users: Complete the following referral information and send it to the service using the contact information in this profile:

For obstertrical referrals:
BIRTH HISTORY: 
BIRTH WEIGHT: 
SHOULDER DYSTOCIA? Yes / No 
NEWBORN NEUROLOGICAL EXAM RESULT: (Please describe)
HISTORY OF FRACTURE? Yes / No
IMAGING COMPLETED? Yes / No

For acquired injury referrals:
HISTORY OF PRESENTING CONCERN:
HISTORY OF FRACTURE? Yes / No
IMAGING COMPLETED? Yes / No
Referrals are accepted from:
  • Pediatricians
  • Family Physicians
  • Allied Healthcare Professionals
  • Nurses
  • Midwives
It is recommended that a physician/most responsible provider is identified and consents and is prepared to manage emerging medical needs, order diagnostic procedures for the purpose of assessment, and follow through with medical care. Primary care must be retained by the physician. 
 
Connect Care Users: Use the Ambulatory Referral Order to 'CGY ACH BRACHIAL PLEXUS CL" using SmartPhrase [.BPIREFERRAL]. 

Non-Connect Care Users: Complete the following referral information and send it to the service using the contact information in this profile:

For obstertrical referrals:
BIRTH HISTORY: 
BIRTH WEIGHT: 
SHOULDER DYSTOCIA? Yes / No 
NEWBORN NEUROLOGICAL EXAM RESULT: (Please describe)
HISTORY OF FRACTURE? Yes / No
IMAGING COMPLETED? Yes / No

For acquired injury referrals:
HISTORY OF PRESENTING CONCERN:
HISTORY OF FRACTURE? Yes / No
IMAGING COMPLETED? Yes / No
Referrals are accepted from:
  • Pediatricians
  • Family Physicians
  • Allied Healthcare Professionals
  • Nurses
  • Midwives
It is recommended that a physician/most responsible provider is identified and consents and is prepared to manage emerging medical needs, order diagnostic procedures for the purpose of assessment, and follow through with medical care. Primary care must be retained by the physician. 
 
URGENT REFERRAL PROCESS
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
EMERGENCY REFERRAL PROCESS
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
ADDITIONAL SERVICE DETAILS
Therapists will facilitate transition of children and families into community- based rehabilitation services and/or school-based services as appropriate.
Clinic-based therapists liaise with community therapists (e.g. school board therapists, home care, rural therapy agency, etc.) regarding relevant issues identified through assessments and clinic visits.
New patients should receive the Outpatient Clinics Welcome Letter.   
Therapists will facilitate transition of children and families into community- based rehabilitation services and/or school-based services as appropriate.
Clinic-based therapists liaise with community therapists (e.g. school board therapists, home care, rural therapy agency, etc.) regarding relevant issues identified through assessments and clinic visits.
New patients should receive the Outpatient Clinics Welcome Letter.   
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
403-955-7149
FAX
403-592-5104
REFERRAL PHONE
403-955-7149
REFERRAL FORM
Connect Care Users: Use the Ambulatory Referral Order to 'CGY ACH BRACHIAL PLEXUS CL" using SmartPhrase [.BPIREFERRAL]. 

Non-Connect Care Users: Complete the following referral information and send it to the service using the contact information in this profile:

For obstertrical referrals:
BIRTH HISTORY: 
BIRTH WEIGHT: 
SHOULDER DYSTOCIA? Yes / No 
NEWBORN NEUROLOGICAL EXAM RESULT: (Please describe)
HISTORY OF FRACTURE? Yes / No
IMAGING COMPLETED? Yes / No

For acquired injury referrals:
HISTORY OF PRESENTING CONCERN:
HISTORY OF FRACTURE? Yes / No
IMAGING COMPLETED? Yes / No
Connect Care Users: Use the Ambulatory Referral Order to 'CGY ACH BRACHIAL PLEXUS CL" using SmartPhrase [.BPIREFERRAL]. 

Non-Connect Care Users: Complete the following referral information and send it to the service using the contact information in this profile:

For obstertrical referrals:
BIRTH HISTORY: 
BIRTH WEIGHT: 
SHOULDER DYSTOCIA? Yes / No 
NEWBORN NEUROLOGICAL EXAM RESULT: (Please describe)
HISTORY OF FRACTURE? Yes / No
IMAGING COMPLETED? Yes / No

For acquired injury referrals:
HISTORY OF PRESENTING CONCERN:
HISTORY OF FRACTURE? Yes / No
IMAGING COMPLETED? Yes / No
CLICK + TO VIEW REFERRAL GUIDELINES
+-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
+-
Developmental
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Specific identified issue(s) or problem(s)
 
Current
Birth History
 
Current
Results of any diagnostic testing
 
Current
Surgical history
 
Current
Other clinics and services involved in the child's care
 
Current
Previous reports including therapy reports
 
Current
Languages spoken in the home including whether the parents speak English
 
Current
+-
Injury of brachial plexus
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Specific identified issue(s) or problem(s)
 
Current
Birth History
 
Current
Results of any diagnostic testing
 
Current
Surgical history
 
Current
Other clinics and services involved in the child's care
 
Current
Previous reports including therapy reports
 
Current
Languages spoken in the home including whether the parents speak English
 
Current
+-
Injury of peripheral nerve
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Specific identified issue(s) or problem(s)
 
Current
Birth History
 
Current
Results of any diagnostic testing
 
Current
Surgical history
 
Current
Other clinics and services involved in the child's care
 
Current
Previous reports including therapy reports
 
Current
Languages spoken in the home including whether the parents speak English
 
Current
+-
Nerve injury
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Specific identified issue(s) or problem(s)
 
Current
Birth History
 
Current
Results of any diagnostic testing
 
Current
Surgical history
 
Current
Other clinics and services involved in the child's care
 
Current
Previous reports including therapy reports
 
Current
Languages spoken in the home including whether the parents speak English
 
Current
+-
Rehabilitation therapy
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Specific identified issue(s) or problem(s)
 
Current
Birth History
 
Current
Results of any diagnostic testing
 
Current
Surgical history
 
Current
Other clinics and services involved in the child's care
 
Current
Previous reports including therapy reports
 
Current
Languages spoken in the home including whether the parents speak English
 
Current
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
Missed appointments are minimized by requiring a re-referral after two missed appointments. (Alberta Childrens Hospital Outpatient Principles in Practice, 6.8)
Missed appointments are minimized by requiring a re-referral after two missed appointments. (Alberta Childrens Hospital Outpatient Principles in Practice, 6.8)
 
HOURS OF OPERATION
Monday: 8:00 am - 4:15 pm
Tuesday: 8:00 am - 4:15 pm
Wednesday: 8:00 am - 4:15 pm
Thursday: 8:00 am - 4:15 pm
Friday: 8:00 am - 4:15 pm
Description:
An afternoon clinic is offered once a month on either a Wednedsday or Thursday (1 to 4pm), depending on the physician’s schedule,
   
 
ADDRESS
Level 1, Neurosciences
28 Oki Drive NW
Calgary Alberta
T3B 6A8
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
Located on the corner of 24 Avenue NW and West Campus Drive NW
Located on the corner of 24 Avenue NW and West Campus Drive NW
 
PHONE
403-955-7149
 
PARKING INSTRUCTIONS
Located on the corner of 24 Avenue NW and West Campus Drive NW 
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities.
Paystations accept Canadian coins, Canadian bills or credit card (Visa, MasterCard, and American Express).
Parking Office and Kiosk accept payment by cash, credit card, debit or cheque.
Located on the corner of 24 Avenue NW and West Campus Drive NW 
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities.
Paystations accept Canadian coins, Canadian bills or credit card (Visa, MasterCard, and American Express).
Parking Office and Kiosk accept payment by cash, credit card, debit or cheque.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
 
WHEELCHAIR ACCESSIBILITY
Yes

This facility is wheelchair accessible and has an elevator on site


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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