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Please select if any of the following apply:
Please also call RIR on (03) 8405 8712 if any of the following apply:

  • In severe pain?
  • Visible head strike?
  • More drowsy compared to normal?
  • Significant bruising or other injuries such as lacerations?
  • Are they on anticoagulation?
Please also call RIR on (03) 8405 8712 if any of the following apply:

  • Have they assaulted someone or damaged property in the last 24 hours?
  • Have they hurt themselves in the last 24 hours?
  • Are they an absconding risk?
Please also call RIR on (03) 8405 8712 if any of the following apply:

  • RR <10/min or >25/min
  • SBP <90mmHg or >200mmHg
  • HR <50/min or >120/min
  • O2Sats <90%
  • Temp <35.4°C or >38°C
  • More drowsy compared to normal
  • More confused than normal
  • Respiratory distress
Please also call RIR on (03) 8405 8712 if any of the following apply:

  • RR <10/min or >25/min
  • SBP <90mmHg or >200mmHg
  • HR <50/min or >120/min
  • O2Sats <90%
  • Temp <35.4°C or >38°C
  • More drowsy compared to normal
  • More confused than normal
  • In severe pain
Please also call RIR on (03) 8405 8712 if any of the following apply:

  • Duration of non-drainage >1 day
  • Presence of haematuria or clots
  • Dislodged SPC
Please also call RIR on (03) 8405 8712 if any of the following apply:

  • BGL <3.5mmol/L or >20mmol/L
  • Missed insulin in Type 1 diabetes
Provide copy of the catheter pathway or care plan inclusive of:

  • Reason for initial insertion of catheter
  • Type/brand and size of catheter
  • Frequency of change and date of last change

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  • Northern Hospital Epping
  • 185 Cooper Street Epping VIC 3076
  • (03) 8405 8000
  • Craigieburn Centre
  • 274-304 Craigieburn Road Craigieburn VIC 3064
  • (03) 8338 3000
  • Broadmeadows Hospital
  • 35 Johnstone Street Broadmeadows VIC 3047
  • (03) 8345 5000
  • Bundoora Centre
  • 1231 Plenty Road Bundoora VIC 3083
  • (03) 9495 3100
  • Kilmore District Hospital
  • 1 Anderson Road, Kilmore VIC 3764
  • (03) 5734 2000
  • For mental health service locations, click here
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