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General Nephrology Clinic - Alberta Kidney Care - North   at
St. Therese - St. Paul Healthcare Centre
Specialty: Nephrology
Connect Care Department: STP SPHC RENAL CL
Estimated time to routine appointment: Not Available
Alberta Health Services - Provincial Health Services
SERVICE DESCRIPTION
Provides assessments and follow-up care for people with kidney problems.Services provided may include:
  • prevent and treat causes of kidney problems
  • keep kidneys working at their best
  • slow progress to end-stage kidney disease
The Rural General Nephrology Clinics are offered in some rural communities to help more people get service without having to travel. Clinics are offered in:
  • Grande Prairie
  • Peace River
  • Whitecourt
  • Westlock
  • St. Paul
Provides assessments and follow-up care for people with kidney problems.Services provided may include:
  • prevent and treat causes of kidney problems
  • keep kidneys working at their best
  • slow progress to end-stage kidney disease
The Rural General Nephrology Clinics are offered in some rural communities to help more people get service without having to travel. Clinics are offered in:
  • Grande Prairie
  • Peace River
  • Whitecourt
  • Westlock
  • St. Paul
ELIGIBILITY REQUIREMENTS
Please refer to Urology if patient has:
  • Enlarged prostate
  • Isolated Microscopic Hematuria
  • Renal Masses suspicious for Malignancy
  • Symptomatic Kidney Stone
Please refer to Urology if patient has:
  • Enlarged prostate
  • Isolated Microscopic Hematuria
  • Renal Masses suspicious for Malignancy
  • Symptomatic Kidney Stone
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.
If you are concerned about a patient contact Nephrology through eReferral Advice Consult in Netcare.  Consider eReferral Advice Consult in any of the following situations:
  • Isolated microscopic Hematuria
  • Non Urgent electrolyte and acid base disorders
  • Resolving acute kidney injury with clearly defined cause
  • Simple renal cyst(s)
  • Stable eGFR 30 - 60 with UACR <=60 mg/mmol and no hematuria
Complete the referral form and fax it to the service using the contact information in this profile.
If you are concerned about a patient contact Nephrology through eReferral Advice Consult in Netcare.  Consider eReferral Advice Consult in any of the following situations:
  • Isolated microscopic Hematuria
  • Non Urgent electrolyte and acid base disorders
  • Resolving acute kidney injury with clearly defined cause
  • Simple renal cyst(s)
  • Stable eGFR 30 - 60 with UACR <=60 mg/mmol and no hematuria
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Nephrology, type STP SPHC RENAL CL in the “To Department” section and complete order. 
Send an Internal Referral using the Ambulatory Referral Order to Nephrology, type STP SPHC RENAL CL in the “To Department” section and complete order. 
ADDITIONAL SERVICE DETAILS
Nephrology is the branch of medicine that involves diagnosis and treatment of kidney diseases and their complications.
The Chronic Kidney Disease (CKD) Clinical Pathway is a valuable resource for primary care providers to aid in the diagnosis, medical management, and referral of adults with CKD.  Please refer to this resource prior to making a referral for a patient you suspect may have chronic kidney disease.
Please be aware that if you have Netcare, then you have eReferral and you can access Nephrology Advice Request - Netcare Nephrology Advice Request.
Nephrology is the branch of medicine that involves diagnosis and treatment of kidney diseases and their complications.
The Chronic Kidney Disease (CKD) Clinical Pathway is a valuable resource for primary care providers to aid in the diagnosis, medical management, and referral of adults with CKD.  Please refer to this resource prior to making a referral for a patient you suspect may have chronic kidney disease.
Please be aware that if you have Netcare, then you have eReferral and you can access Nephrology Advice Request - Netcare Nephrology Advice Request.
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
780-492-7700
FAX
780-670-3239
REFERRAL PHONE
780-492-7700
REFERRAL FAX
780-407-7771
REFERRAL FORM
LINKED SPECIALISTS
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
Chronic kidney disease due to hypertension
Urinalysis
 
Within 1 Week

Past medical history
 
Within 1 month

Urine albumin measurement
 
Within 1 Week

Medication List (dose, frequency, route)
 
Within 1 month

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Abdominal Ultrasound
 
Within 12 months

Refractory to treatment with 4 or more hypertensive medications
 
Within 1 month

Chronic kidney disease stage 4
Urinalysis
 
Within 1 Week

Past medical history
 
Within 1 month

Urine albumin measurement
 
Within 1 Week

Medication List (dose, frequency, route)
 
Within 1 month

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Abdominal Ultrasound
 
Within 12 months

eGFR<30 mL/min/1.73m2 irrespective of albuminuria and hematuria
 
Within 1 month

Family history of kidney disease
Urinalysis
 
Within 1 Week

Past medical history
 
Within 1 month

Urine albumin measurement
 
Within 1 Week

Medication List (dose, frequency, route)
 
Within 1 month

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Abdominal Ultrasound
 
Within 12 months

relevant signs and symptoms
 
Within 1 month

Persistent abnormal electrolyte
Urinalysis
 
Within 1 Week

Past medical history
 
Within 1 month

Urine albumin measurement
 
Within 1 Week

Medication List (dose, frequency, route)
 
Within 1 month

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Abdominal Ultrasound
 
Within 12 months

Potassium
 
Within 3 months
For persistent abnormalities of electrolyte (s), Consider:
1. Submitting a question to a nephrologist through eReferral Advice Request
2. Refer to Nephrology

Persistent albuminuria
Urinalysis
 
Within 1 Week

Past medical history
 
Within 1 month

Urine albumin measurement
 
Within 1 Week

Medication List (dose, frequency, route)
 
Within 1 month

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Abdominal Ultrasound
 
Within 12 months

Albumin /Creatinine Ratio (ACR)>60 mg/mmol
 
Within 1 month

Confirmed in 2 of 3 samples
 
2-4 Weeks

irrespective of EGFR or with eGFR <60 mL/min/1.73m2
 
Within 1 month

Persistent hematuria
Urinalysis
 
Within 1 Week

Past medical history
 
Within 1 month

Urine albumin measurement
 
Within 1 Week

Medication List (dose, frequency, route)
 
Within 1 month

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Abdominal Ultrasound
 
Within 12 months

Refer to Nephrology if hematuria sustained and not readily explained by urinary tract source: eGFR <60 mL/mmol/1.73m2 Persistent Albuminaria (ACR 3-60 mg/mmol irrespective of eGFR
 
Within 1 month

Recurrent Kidney stone
Urinalysis
 
Within 1 Week

Past medical history
 
Within 1 month

Urine albumin measurement
 
Within 1 Week

Medication List (dose, frequency, route)
 
Within 1 month

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Abdominal Ultrasound
 
Within 12 months

Imaging
 
Within 1 month

Unexplained decline in glomerular filtration rate greater than or equal to 5mL/min/1.73m2
Urinalysis
 
Within 1 Week

Past medical history
 
Within 1 month

Urine albumin measurement
 
Within 1 Week

Medication List (dose, frequency, route)
 
Within 1 month

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Abdominal Ultrasound
 
Within 12 months

Confirmed on repeat testing within 2-4 weeks
 
Within 2-4 weeks

occurs over 6 months
 
Within 6 months
Urgent 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
Acute nephritis
Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Urinalysis
 
Within 1 Week

Urine albumin measurement
 
Within 1 Week

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Past medical history
 
Within 1 month

Medication List (dose, frequency, route)
 
Within 1 month

Abdominal Ultrasound
 
Within 12 months

ACR >180 mg/mmol
 
Within 1 month

proteinuria >3 g/d
 
Within 1 month

Chronic kidney disease stage 5
Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Urinalysis
 
Within 1 Week

Urine albumin measurement
 
Within 1 Week

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Past medical history
 
Within 1 month

Medication List (dose, frequency, route)
 
Within 1 month

Abdominal Ultrasound
 
Within 12 months

eGFR <15 mL/min/1.73m2
 
Within 1 month

Glomerular filtration rate declining with hematuria and albuminuria
Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Urinalysis
 
Within 1 Week

Urine albumin measurement
 
Within 1 Week

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Past medical history
 
Within 1 month

Medication List (dose, frequency, route)
 
Within 1 month

Abdominal Ultrasound
 
Within 12 months

Rapid decline in eGFR
 
Within 3 months

Glomerulonephritis
Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Urinalysis
 
Within 1 Week

Urine albumin measurement
 
Within 1 Week

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Past medical history
 
Within 1 month

Medication List (dose, frequency, route)
 
Within 1 month

Abdominal Ultrasound
 
Within 12 months

Hematuria and Albuminaria present
 
Within 1 month

Rapid decline in glomerular filtration rate
Creatinine / eGFR - multiple measurements over previous years
 
Within 1 Week

Urinalysis
 
Within 1 Week

Urine albumin measurement
 
Within 1 Week

Creatinine ratio (ACR) for Diabetic patients or those with a eGFR <60 mL/min/1.73m2
 
Within 1 Week

Past medical history
 
Within 1 month

Medication List (dose, frequency, route)
 
Within 1 month

Abdominal Ultrasound
 
Within 12 months

Over days or weeks
 
Within 1 month
Emergent Reason for Referral
Additional Details
+-
Chronic kidney disease stage 5
New diagnosis of eGFR <10 mL/min/1.73m2  REFER TO EMERGENCY DEPARTMENT

+-
Glomerulonephritis
Severe rapidly progressive suspected ANCA/anti-GBM with positive serology  REFER TO EMERGENCY DEPARTMENT

+-
Uremia
Life Threatening Uremic Symptoms - Hyperkalemia >6.5 mmol/L, Pulmonary Edema and kidney failure and pericarditis   REFER TO EMERGENCY DEPARTMENT
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
We encourage patients to attend appointments to ensure they are receiving the care and support that they need.
 
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance to re-schedule.
 
Patients who miss multiple appointments without notifying the clinic, may require a new referral.
We encourage patients to attend appointments to ensure they are receiving the care and support that they need.
 
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance to re-schedule.
 
Patients who miss multiple appointments without notifying the clinic, may require a new referral.
 
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:
Clinic day booked every 3 months.
   
 
ADDRESS
Room 305
4713 48 Avenue
St. Paul Alberta
T0A 3A3
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
48th Avenue and 48th Street
48th Avenue and 48th Street
 
PHONE
780-492-7700
VIRTUAL APPOINTMENT INFORMATION
 
PARKING MAP
There is currently no parking map available for this site
There is currently no parking map available for this site
 
WHEELCHAIR ACCESSIBILITY
Yes

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