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Pediatric Dermatology Clinic   at
Alberta Children's Hospital
Specialty: Pediatric Dermatology
Connect Care Department: CGY ACH DERMATOLOGY
Estimated time to routine appointment: Within 9 months
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
Provides consults for pediatric skin conditions.This service provides consultation for pediatric skin conditions that are of concern or have not responded to treatment. Doctors or health care professionals can refer for additional investigation, diagnosis, and/or treatment.

Conditions diagnosed and treated:
  • skin lesions not yet diagnosed
  • vascular anomalies (coordinated care with the Vascular Lesions Clinic)
  • nevi / moles
  • dermatitis
  • pigmentation disorders
  • hair / nail abnormalities
  • complicated acne
  • genodermatoses
  • autoimmune disorders
  • urticaria and related syndromes
  • infections
  • tumors / nodules
Important information about your upcoming Dermatology appointment
Provides consults for pediatric skin conditions.This service provides consultation for pediatric skin conditions that are of concern or have not responded to treatment. Doctors or health care professionals can refer for additional investigation, diagnosis, and/or treatment.

Conditions diagnosed and treated:
  • skin lesions not yet diagnosed
  • vascular anomalies (coordinated care with the Vascular Lesions Clinic)
  • nevi / moles
  • dermatitis
  • pigmentation disorders
  • hair / nail abnormalities
  • complicated acne
  • genodermatoses
  • autoimmune disorders
  • urticaria and related syndromes
  • infections
  • tumors / nodules
Important information about your upcoming Dermatology appointment
ELIGIBILITY REQUIREMENTS
All patients up to 18 years of age. Rare exceptions may be considered for patients otherwise followed at Alberta Childrens Hospital for complex conditions.

**Referrals will only be accepted from Hosptial Providers, Pediatricians, and Dermatologists** 
All patients up to 18 years of age. Rare exceptions may be considered for patients otherwise followed at Alberta Childrens Hospital for complex conditions.

**Referrals will only be accepted from Hosptial Providers, Pediatricians, and Dermatologists** 
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care. 
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Complete the referral form and fax it to the service using the contact information in this profile.
Urgent Referrals: For urgent referrals please contact the ACH Main Switchboard at 403-955-7211 and ask to speak to "dermatologist on call"
Complete the referral form and fax it to the service using the contact information in this profile.
Urgent Referrals: For urgent referrals please contact the ACH Main Switchboard at 403-955-7211 and ask to speak to "dermatologist on call"
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Dermatology, type CGY ACH DERMATOLOGY in the “To Department” section and complete order.
Urgent Referrals: For urgent referrals please contact the ACH Main Switchboard at 403-955-7211 and ask to speak to "dermatologist on call"
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Dermatology, type CGY ACH DERMATOLOGY in the “To Department” section and complete order.
Urgent Referrals: For urgent referrals please contact the ACH Main Switchboard at 403-955-7211 and ask to speak to "dermatologist on call"
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
403-955-2200
FAX
403-592-4813
REFERRAL FORM
AHS Referral Form
**Referrals will only be accepted from Hosptial Providers, Pediatricians, and Dermatologists** 
AHS Referral Form
**Referrals will only be accepted from Hosptial Providers, Pediatricians, and Dermatologists** 
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
Acne
Patients should have received initial management instructions equivalent to the following (please state in your consultation that initial management suggestions below as per Pediatric Dermatology Clinic have failed)
 
Within 3-6 months

Wash the face/affected areas twice a day, once in the morning and once in the evening.
 
Within 3-6 months

Over the counter acne washes containing salicylic acid or benzoyl peroxide should be used as tolerated alternating with a gentle wash for sensitive skin.
 
Within 3-6 months

Patient should use makeup and sunscreen labeled wont clog pores or wont cause acne or non comedogenic, which means it will not cause or worsen acne. Hair products should be avoided along the hairline.
 
Within 3-6 months

Advise patients not to pop pimples or pick at acne, as this can delay healing and may lead to scarring or leave dark spots behind.
 
Within 3-6 months

Encourage patients to wash or change their pillowcase 1 to 2 times per week, especially if they use hair products.
 
Within 3-6 months

For active patients, they should try to wash affected areas right away when they are done.
 
Within 3-6 months

A prescription topical retinoid cream can be added for patients who do not respond to the above measures. Tretinoin or adapalene cream started gradually (to avoid excessive dryness) should be applied daily for at least 6 weeks. Use the lowest available concentrations of these creams and remind patients it takes at least 6 weeks to see results.
 
Within 3-6 months

Atopic dermatitis
Patients should have received initial management instructions equivalent to the following (please state in your consultation that initial management suggestions below as per Pediatric Dermatology Clinic have failed)
 
Within <1 - 6 months

Daily bath, 5 to 10 min long, using Dove unscented bar soap as needed.
 
Within <1 - 6 months

Pat dry after bath and apply medicated cream (see side for prescription suggestions) to all skin that is red, rough, dry, itchy
 
Within <1 - 6 months

Apply moisturizing cream to entire body from head to toes, including over top of medicated cream. It is okay if the medicated cream spreads beyond the initial site of application.Repeat application of medicated then moisturizing cream one other time during the day.
 
Within <1 - 6 months

Dilute bleach baths (1/4 cup of bleach in 1/2 tub of water) can help to prevent infection and should be done twice a week for 5-10min. Rinse off after and proceed with creams as above. *Note: The chlorine concentration is lower in a bleach bath than in a swimming pool.
 
Within <1 - 6 months

Antihistamines can be used especially at night for very itchy patients with sleep disruption. Benadryl 1mg/kg/dose or Hydroxyzine 0.5-1mg/kg/dose qHS can be recommended.
 
Within <1 - 6 months

If your patient fails to respond to the suggestions above after 1 month, or if you feel there is additional information that may change the category they have been triaged into, please resend your consult and we will be happy to reconsider.
 
Within <1 - 6 months
Suggestions for medicated ointment to treat eczema:

Face: 1% hydrocortisone, desonide
Body: betamethasone valerate 0.1%

Suggestions for moisturising cream:

(Vaseline) petroleum jelly (has the least additives, very cheap)
CeraVe cream
Lipikar Baume
Cicaplast mains (very good for dry, cracked hands)


Eczema
Patients should have received initial management instructions equivalent to the following (please state in your consultation that initial management suggestions below as per Pediatric Dermatology Clinic have failed)
 
Within <1 - 6 months

Daily bath, 5 to 10 min long, using Dove unscented bar soap as needed.
 
Within <1 - 6 months

Pat dry after bath and apply medicated cream (see side for prescription suggestions) to all skin that is red, rough, dry, itchy.
 
Within <1 - 6 months

Apply moisturizing cream to entire body from head to toes, including over top of medicated cream. It is okay if the medicated cream spreads beyond the initial site of application.
 
Within <1 - 6 months

Dilute bleach baths (1/4 cup of bleach in 1/2 tub of water) can help to prevent infection and should be done twice a week for 5-10min. Rinse off after and proceed with creams as above. *Note: The chlorine concentration is lower in a bleach bath than in a swimming pool.
 
Within <1 - 6 months

Antihistamines can be used especially at night for very itchy patients with sleep disruption. Benadryl 1mg/kg/dose or Hydroxyzine 0.5-1mg/kg/dose qHS can be recommended.
 
Within <1 - 6 months

If your patient fails to respond to the suggestions above after 1 month, or if you feel there is additional information that may change the category they have been triaged into, please resend your consult and we will be happy to reconsider.
 
Within <1 - 6 months
Suggestions for medicated ointment to treat eczema:

Face: 1% hydrocortisone, desonide
Body: betamethasone valerate 0.1%

Suggestions for moisturising cream:

(Vaseline) petroleum jelly (has the least additives, very cheap)
CeraVe cream
Lipikar Baume
Cicaplast mains (very good for dry, cracked hands)

Melanocytic nevus
Age of patient at onset (yrs)
 
Within 6 months

Changing over time (Y/N)?
 
Within 6 months

Color: brown / black / blue / red / skin color
 
Within 6 months

Family history of melanoma or related cancers (Y/N)
 
Within 6 months

Immunosuppressed patient (Y/N)?
 
Within 6 months

Multiple colors in the same lesion (Y/N)?
 
Within 6 months

Other significant past medical history?
 
Within 6 months

Significant UV exposure (natural sunlight, tanning beds, etc) (Y/N)?
 
Within 6 months

Size (width x length in cm)
 
Within 6 months

Molluscum contagiosum skin infection
Age of patient at onset (yrs)
 
Within 6 months

Impairment of quality of life (Y/N)?
 
Within 6 months

Increasing with time (Y/N)?
 
Within 6 months

Number of lesions
 
Within 6 months

Previous treatments for molluscum
 
Within 6 months

Significant past medical history of immunosuppression, eczema, recurrent infections (Y/N)?
 
Within 6 months

Patients' families should be instructed to call the Dermatology clinic to cancel their consultation if the patient's molluscum resolve before their scheduled appointment.
 
Within 6 months

Verruca vulgaris
All patients being referred for consultation should have completed at least a 3 month trial of over-the-counter salicyclic acid-based wart treatment applied daily after paring of the dead surface of the wart.
 
Within 6 months

Age of patient at onset (yrs)
 
Within 6 months

Impairment of quality of life (Y/N)?
 
Within 6 months

Increasing with time (Y/N)?
 
Within 6 months

Number of lesions
 
Within 6 months

Significant past medical history of immunosuppression, eczema, recurrent infections (Y/N)?
 
Within 6 months

Patients' families should be instructed to call the Dermatology clinic at least one week prior to the scheduled appointment to cancel their consultation if the patient's warts resolve on their own
 
Within 6 months
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
Missed appointments are minimized by requiring a re-referral after two missed appointments. (ACH Outpatient Principle in Practice, 6.8)
Missed appointments are minimized by requiring a re-referral after two missed appointments. (ACH Outpatient Principle in Practice, 6.8)
 
HOURS OF OPERATION
Monday: 9:00 am - 12:00 pm
Tuesday: 8:15 am - 4:00 pm
Wednesday:
Thursday: 8:30 am - 12:00 pm
Friday:
Description:
Hours of operation for:
The Dermatology clinic:

Monday 9:00AM - 12:00PM

Tuesday 8:15AM - 4:00PM

Thursday 8:15AM - 12:00PM
The Dermatology Clinic operates out of the Pediatric Infectious Disease Clinic at the Alberta Childrens Hospital.
   
 
ADDRESS
Located in the Infectious Disease Clinic.
28 Oki Drive NW
Calgary Alberta
T3B 6A8
PATIENT APPOINTMENT INSTRUCTIONS
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • Please make sure to have someone with you if you are unable to communicate in English.
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • Please make sure to have someone with you if you are unable to communicate in English.
 
DIRECTIONS
The Alberta Children's Hospital is located on the corner of 24 Avenue NW and West Campus Drive NW. The Dermatology Clinic is located within the Infectious Disease Clinic. The entrance to this clinic is in the walkway from the parkade before you reach the main entrance of The Children's Hospital.
 
The Alberta Children's Hospital is located on the corner of 24 Avenue NW and West Campus Drive NW. The Dermatology Clinic is located within the Infectious Disease Clinic. The entrance to this clinic is in the walkway from the parkade before you reach the main entrance of The Children's Hospital.
 
 
PHONE
403-955-2200
 
PARKING INSTRUCTIONS
Please plan for a 1-hour appointment time. You can extend your parking time if necessary if you park in the garage.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities.
Pay stations 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.
Please plan for a 1-hour appointment time. You can extend your parking time if necessary if you park in the garage.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities.
Pay stations 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.

 

V6.5