Inpatients
The inpatient service is principally located at ward 44 South at the Clayton campus. Inpatient services cover malignant disorders such as lymphoma, myeloproliferative disorders and myeloma, with diagnostic workup and extensive chemotherapy treatment regimens available for the majority of malignant haematological conditions. All non-malignant haematological disorders, including haemostasis and thrombotic disorders, haemolytic anaemias, immune thrombocytopenia and conditions requiring plasma exchange, such as thrombotic thrombocytopenic purpura (TTP), can be managed through the inpatient service. These services are complemented and supported by an experienced clinical blood transfusion team.
Outpatient Clinics
Lymphoma/Myeloma Clinic Moorabbin (951C)
This clinic runs weekly at our Moorabbin campus co-located with our outpatient chemotherapy day unit. All patients who are receiving outpatient chemotherapy or are in their follow-up phase after receiving treatment are also followed up in this clinic. This clinic is the primary diagnostic and treatment clinic for patients with lymphoma and myeloma. All new patient diagnoses are reviewed by our comprehensive multidisciplinary lymphoma meeting which runs every week.
Thrombosis and Haemostasis Clinics ( 8003C and 1100D)
Two dedicated clinics cater for the large number of patients that are treated for disorders of thrombosis and haemostasis. These clinics run weekly at the Clayton Site (8003C) and Dandenong (1100D) and specialises in the review and management of patients with thrombotic disorders, most commonly deep vein thrombosis or pulmonary embolism. Patients with known or suspected bleeding disorders and requiring outpatient consultation for transfusion issues are also reviewed here. The clinic also specialises in the management of obstetric thrombotic disorders.
General Haematology Clinic (240C and 2159B)
Two weekly general haematology clinics at the Clayton site (240C) and at Berwick (2159B) provides a service to those patients whose conditions do not clearly fall into the above conditions but also focuses on patients with myeloproliferative disorders, myelodysplasia , immune haematological conditions and the work up of patients with anaemia.
Preoperative anaemia clinic (259C)
A recently established clinic to fast-track the diagnosis and management of patients referred for surgery with the specific aim to diagnose and manage preoperative anaemia. The principal aim being to improve patient post-operative outcomes and reduce the need for peri-operative transfusions. This clinic is also able to review and advise on peri-operative management of anticoagulation.
DVT rapid response clinic (550C)
The clinic run at Clayton provides a rapid review for patients diagnosed with recently diagnosed thrombotic disorders in the community. Once a treatment plan has been initiated these patients are then referred for long term management to either of the two Thrombosis and Haemostasis clinics.
Transfusion working group
Clinical haematology coordinates a transfusion working group which meets weekly to discuss blood transfusion issues. The mandate of this group is to ensure the safe and appropriate use and prescription of blood products. The group consists of two transfusion nurse specialists, transfusion laboratory senior scientist, transfusion registrar and lead transfusion medicine specialist. Monthly meetings with the chair of the hospital transfusion committee serve as executive committee meetings of that committee. The group is responsible for review of any adverse events and incidents, and for reporting of serious transfusion incident reporting to the Department of Health Serious Transfusion Incident Reporting (STIR) haemovigilance program. It develops and reviews health service-wide transfusion protocols and individual patient transfusion plans where appropriate.
Clinical questions regarding blood or blood products should be directed to the transfusion registrar or MH Transfusion Nurses.
Referral
All referrals for routine outpatient service should be made through Access. All urgent referrals should be discussed with the on call registrar or consultant.