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Nephrology

Triage criteria and referral process for physicians

Triage category Examples
(not all inclusive)
Process Facilitators
Emergent Life threatening uremic symptoms:
  • ↑ K
  • pulmo edema
  • pericarditis
Immediate referral to nearest Emergency Department and

PHONE 902-473-2220 "Nephrologist on Call"
  • symptoms, medications, BP
  • creatinine, urea, electrolytes, bicarb, calcium, phos, albumin, uric acid, CK
  • where possible: former creatinine levels, urinalysis
Priority 1
  • ESRD
  • Rapid decline in renal function over days to weeks
  • Severe uncontrolled symptoms

FAX referral marked URGENT and

PHONE 902-473-2220 “Nephrologist on Call”

  • symptoms, medications, BP
  • urinalysis
  • creatinine, urea, electrolytes, bicarb, calcium, phos, albumin, uric acid, CK
  • where possible: former creatinine levels, SPEP, SLFC; 24 hr urine protein, Na, Cr; renal ultrasound
Priority 2
  • Subacute renal dysfunction with deterioration over weeks to months
  • Mild to moderate symptoms
Fax or mail referral
  • symptoms, medications, BP
  • urinalysis
  • creatinine, urea, electrolytes, bicarb, calcium, phos, albumin
  • former creatinine levels, SPEP, SLFC; 24 hr urine protein, Na, Cr; renal ultrasound
Priority 3
  • Stable, chronic kidney disease, decline over months to years
  • Isolated proteinuria >1g/d or hematuria
  • Mild symptoms or signs
Fax or mail referral Same as Priority 2
Priority 4
  • Stable, chronic kidney disease, decline over years
  • Isolated proteinuria 300mg-1g/d or hematuria
Fax or mail referral Same as Priority 2
Priority 5
  • Minor abnormalities in blood, urine or radiological tests
  • Other conditions deemed elective by triage Nephrologist
Fax or mail referral Same as Priority 2

 

Contact information

  Nephrology Office
Fax 902-473-2675
Mailing address Division of Nephrology
5820 University Avenue
Room 5077 Dickson Building
Halifax, NS B3H 1V8
Nephrologists View list of physicians

 

Learn more about our division
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View the Division of Nephrology