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Emergency

Armidale Hospital

General Manager

Lisa Ramsland

Address

226 Rusden Street
Armidale NSW 2350

Postal
Locked bag 4
Armidale NSW 2350

Contact Details

Telephone: 6776 9500

Operating Hours

Admissions are open between 8am and 5pm
24 hour Emergency Department

Visiting hours

11am to 1pm and 3pm to 8pm

Parking

On site and street parking

Services

Imaging Services

Specialty​Sub-Specialties Procedures Availability
​Mobile CR X-Ray ​Adult ​CXR ​24/7
​Child/Neonate ​CXR ​​24/7
​Mobile II ​Surgical ​Op. Cholangiogram ​​24/7
​Orthopaedic ​All-ORIF ​​24/7
​OPG ​Dental ​Mandible ​​24/7
​Cephalogram ​TMJ's ​​24/7
​General Dr ​Head, Neck ​​24/7
​Spine ​C.T.L Spine ​​24/7
​Thorax ​CXR, Ribs ​​24/7
​Abdomen ​​24/7
​Pelvis ​​24/7
​Upper Extremity ​Shoulder > Hand ​​24/7
​Lower Extremity ​Hip > Feet ​​24/7
​Contrast Studies ​Small Bowel Series ​​24/7
​Ultrasound ​Abdomen ​Monday - Friday
​Doppler ​​Monday - Friday
​DVT ​​Monday - Friday
​Small Parts ​Thyroid, Testes ​​Monday - Friday
​Paediatrics ​​Monday - Friday
​MSK ​​Monday - Friday
​Breast ​​Monday - Friday
​Obstetric ​​Monday - Friday
​Interventions ​Drainage ​​Monday - Friday
​Biopsy, Injections ​​Monday - Friday
​Foreign Body Location ​​Monday - Friday
​CT ​Non-Contrast ​Head, Neck ​​​24/7
​Spine ​​​24/7
​Thorax ​​​24/7
​Abdomen ​​​24/7
​Pelvis ​​​24/7
​Upper Extremity ​​​24/7
​Lower Extremity ​​​24/7
​​CT ​Contrast  ​Head, Neck ​​​24/7
​Thorax ​​​24/7
​Abdomen / Pelvis ​​​24/7
​Upper Extremity ​​​24/7
​Lower Extremity ​​​24/7
​CT ​Interventions ​Biopsy Monday to Friday
​Drainage ​Monday to Friday
​Injections ​Monday to Friday

General Surgery

Specialty​Sub-SpecialtiesProceduresAvailability
​General Surgery ​Upper GI ​Endoscopy + Stricture ​​​​24/7, emergency surgery
​Diagnosis of Ca Oesphagus/stomach ​24/7, emergency surgery
​Upper GI Bleed ​24/7, emergency surgery
​Colorectal ​Colonoscopy ​24/7, emergency surgery
​PR Bleeding ​24/7, emergency surgery
​Colon Cancer ​24/7, emergency surgery
​Benign Anorectal Conditions ​24/7, emergency surgery
​Abscess, Fistula Pelvic Floor Disorder ​24/7, emergency surgery
​Rectal Prolapse ​24/7, emergency surgery
​Haemorrhoids ​24/7, emergency surgery
​Diverticular ​24/7, emergency surgery
​Liver / HBP ​Gall Bladder Pathology ​24/7, emergency surgery
​Liver Pathology ​24/7, emergency surgery
​Ca Pancreas ​24/7, emergency surgery
​Pancreatitis ​24/7, emergency surgery
​Obstructive Jaundice ​24/7, emergency surgery
​General ​Hernias - ALL ​24/7, emergency surgery
​Acute Abdomen ​24/7, emergency surgery
​Acute Abscess ​24/7, emergency surgery
​Diverticulitis / ABS (Acute Bowel Syndrome) ​24/7, emergency surgery
​Circumcisions ​24/7, emergency surgery
​Breast ​Abscess ​24/7, emergency surgery
​Skin ​Cancer ​24/7, emergency surgery
​Lumps and Bumps ​24/7, emergency surgery
​Vascular ​Diabetic Foot ​24/7, emergency surgery
​Peripheral Vascular Disease ​24/7, emergency surgery
​Paediatric Surgery ​> 2 years ​24/7, emergency surgery
​Acute appendicitis ​24/7, emergency surgery
​Abscess ​24/7, emergency surgery
​Hernias  ​24/7, emergency surgery

Orthopaedics

Specialty​Sub-SpecialtiesProceduresAvailability
​Orthopaedics ​Acute Musculoskeletal Fractures - Upper and lower limb fractures ​Reduction/stabilisation/fixation ​​24/7, emergency surgery *
​Acute Musculoskeletal Fractures - Pelvic fractures ​External fixation ​24/7, emergency surgery *
​Acute Musculoskeletal Fractures - Paediatric ​Closed/open reduction +/- fixation ​24/7, emergency surgery *
​Acute Musculoskeletal Fractures - Non-operative spinal fractures ​24/7, emergency surgery *
​Dislocations ​Closed/open reduction ​​24/7, emergency surgery *
​Soft Tissue Injuries            
- Limb
​Washout/debridement (open and arthroscopic) ​​24/7, emergency surgery *
​​Soft Tissue Injuries 
- Tendon/ligament rupture/laceration
​Tendon/ligament repair (excluding hand flexors) ​24/7, emergency surgery *
​Muscuoloskeletal infections/wounds  - Septic arthritis/Bursitis ​Washout  24/7, emergency surgery *
​Muscuoloskeletal infections/wounds  - Sheath infections ​Washout 24/7, emergency surgery *
Muscuoloskeletal infections/wounds  - Diabetic foot ulcers (normal vascular supply) ​Debridement/amputation ​​24/7, emergency surgery *
​Elective ​Hip and knee arthroplasty ​24/7, emergency surgery *
​Soft tissue release (eg. Carpal tunnel/de quervain/trigger finger) ​24/7, emergency surgery *
​Soft tissue excision ​24/7, emergency surgery *
​ACL reconstruction ​24/7, emergency surgery *
​Knee arthroscopy, meniscal repair/excision ​24/7, emergency surgery *
​Rotator cuff repair ​24/7, emergency surgery *
​Foot and ankle fusions/osteotomies ​24/7, emergency surgery *
​Removal of hardware ​24/7, emergency surgery *

* Exception of shadow weekends

  • Shadow weekends 1 in 2
  • No Orthopaedic consultant or registrar on site
  • Orthopaedics available for advice and admission of non-operative cases
  • Major Orthopaedic trauma or if requiring surgery urgently is to bypass Armidale

Not covered by Armidale Orthopaedics

  • Spinal stabilisation
  • Pelvic stabilisation (beyond emergency external fixation)
  • Facial fractures
  • Dental
  • Injuries of hand involving flexor tendons (referred to JHH)
  • Cauda equina (available for advice, however needs tertiary centre)
  • Limb ulcers with impaired vascular supply

Paediatrics

Specialty​Sub-SpecialtiesProceduresAvailability
​Paediatrics ​General Paediatrics ​24/7
​Juvenile Type I Diabetes ​24/7
​Acute Review Clinic ​Direct referral from GPs ​24/7

Emergency

Specialty​Sub-SpecialtiesProceduresAvailability
​Emergency ​All emergency presentations for management, stabilisation and/or transfer to definitive care. ​24/7

Maternity

Specialty​Sub-SpecialtiesProceduresAvailability
​Maternity & Newborn Services ​Antenatal Care ​Midwifery Clinic 5 days per week
​Obstetric Clinic ​2 days per week
​Antenatal Classes ​Preparation for labour/birth and parenting ​Weekly and some Saturdays
​Foetal Medicine ​Complex pregnancy consultation ​Monthly
​Labour and Birthing ​Birthing from 34/40 24/7​
​Multiple birth ​24/7
​Vaginal birth after LSCS ​24/7
​L.S.C.S ​24/7
​Instrumental ​24/7
​External version ​24/7
​Epidural for pain relief ​24/7
​Post Natal Care ​Lactation Consult ​As required
​Breastfeeding Clinic Weekly
​Special Care Nursery ​Ventilation for transfer ​24/7
​C.P.A.P up to 24 hours ​24/7
​Phototherapy ​24/7
​N.G Feeding ​24/7

Mental Health

Specialty​Sub-SpecialtiesProceduresAvailability
Mental Health Service Emergency mental health care in the ED Assessment & referral to address identified individual needs 24/7
​Voluntary mental health inpatient unit ​Stabilisation and treatment of mental ill health 24/7

Visiting Services - Acute

Specialty​Sub-SpecialtiesProceduresAvailability
​Fracture clinic ​Fractures and tendon ruptures ​Note: soft tissue injuries (e.g. ankle sprains) are not accepted ​Wednesday, Thursday 9am - 11am
​Physio ​Musculoskeletal ​Monday to Friday, 8am - 4.30pm
​Women's health ​Monday to Thursday, 8am - 4.30pm
​Paediatrics Note: ​NDIS eligible not accepted ​Monday to Friday, varying times
​Hydro ​Note: NDIS eligible not accepted. Weight above 140kg not accepted. ​Monday to Thursday, varying times
​Urology ​TURPS ​Referral by GP/Physician/Surgeon
​Bladder Resections
​Cystoscopies
​Ophthalmology ​Intra ocular lens implants
​Cardiology ​Referral by GP/Physician
​Psychiatry ​Voluntary Admissions / reviews ​Director Psychiatrist
​Consultation Emergency ​10:30am to 4:00pm 3 days per week
​Presentations as required ​Locums full time as available
​Share with community mental health
​Dental ​Paediatric ​Extractions
​Adult ​Fillings and repairs

Occupational Therapy

Occupational Therapy Services focus on developing and maintaining peoples skills to carry out their everyday occupations such as work/school, self care, leisure and play.

Specialty​Sub-SpecialtiesProceduresAvailability
​Occupational Therapy ​Hand Therapy ​Monday to Friday 8.00am to 4.30pm
​Rehabilitation
​Palliative Care
​Paediatrics
​Neurological Impairment
​Orthopaedics
​Amputation
​Specialised Equipment and Seating
​Home Assessment
​Chronic Disease

Referral Procedures

Inpatient referrals

  • Journey Board

Community Referrals

Hand Therapy Referrals

Social Work

Social Workers are skilled professionals who work as part of your team. They can assist you in dealing with practical and emotional issues as they arise and may include:

  • Accommodation Assistance
  • Referral to other agencies
  • Information about Financial Assistance
  • IPTAAS (Isolated Patients Accommodation and Assistance Scheme)
  • Travel Information
  • General access to information regarding your illness
  • Advance care planning discussions
  • Referral, mediation and advocacy
  • Assessment of needs
Specialty​Sub-SpecialtiesProceduresAvailability
​Social Work ​Social Work Department Manager ​Manages the daily operations of the social work department ​Monday to Friday from 8.30am to 5.00pm
​Aboriginal Liaison Officer (ALO) ​The ALO is employed to ensure that any person who identifies as Aboriginal or Torres Strait Islander (ATSI) is able to access culturally appropriate care whilst in hospital ​This service is available Monday to Friday from 8.30am to 5.00pm. PH:677669670
​Hospital General Social Worker ​The Hospital Social Worker is available for all patients in Armidale Hospital. ​This service is available from Monday to Friday from 8.30am to 5.00pm. PH:67769683
​Oncology Social Worker ​This position provides service to both inpatients and outpatients who are renal patients requiring Dialysis ​This is a part-time position.  Please call for further information PH:67769896.

Physiotherapy

Specialty​Sub-SpecialtiesProceduresAvailability
​Fracture Clinic ​Fractures and Tendon Ruptures Soft tissue injuries eg: ankle sprains Wednesday & Thursday 9.00am to 11.00am only
  Chronic injuries  
​Physio Musculoskeletal Monday to Friday 8.00am to 4.30pm
​Women's Health Monday to Thursday 8.00am to 4.30pm
​Paediatrics ​NDIS Eligible ​Monday to Friday variable
​Hydro ​NDIS Eligible, wt > 140kg ​Monday to Thursday variable

All referrals must be made by MO (Medical Officers). All referrals are triaged and categorised using clinical appropriate waiting time tools.

Speech Pathology

Specialty​Sub-SpecialtiesProceduresAvailability
​Speech Pathology Adult dysphagia and communication   Monday to Friday
Paediatric dysphagia Referral only Monday to Friday

Outpatient Specialist Clinics

Armidale Specialist Outpatient clinics are conducted from the Ambulatory Care building located on Rusden Street.

The Clinics operate Monday – Friday 0830-1700, excluding Public Holidays.

A current GP referral letter is required for all medical specialist clinics.

All specialist visits are billed via Medicare. For non-medicare eligible patients, an up- front payment is required prior to the consultation.

All referrals are individually assessed, triaged and prioritised based on the clinical information provided by the referrer.

Patients and referrers will be contacted when an appointment is made/changed.

Armidale Outpatients Specialist clinic are very busy and there are wait lists for specialised services.

More specialised clinics are being conducted via Telehealth.

Specialty​Sub-SpecialtiesAvailability
​​Pre-admission ​Anaesthetics​ ​Thrice weekly
​Surgery ​General ​Thrice weekly
​Physician
General medical
Infectious Disease
Renal
Diabetes
Respiratory ​
Thrice weekly
Fortnightly
Weekly
Weekly
Monthly
​Gynaecology ​General
Colposcopy
​Twice weekly 
Weekly
​Obstetrics ​General
High Risk Maternal Foetal
​Weekly
Monthly
​Paediatrics ​General
Diabetes
Endocrine outreach
​Weekly
Monthly
Quarterly​
​Oncology ​Medical Oncology
Radiation Oncology​
​Weekly
Weekly​
​Geriatric ​General geriatrics
Psychogeriatric​
​Monthly
Monthly​
​Pacemaker ​Quarterly
​Ear Nose and Throat ​Monthly
​​ Non-medical clinics conducted in Ambulatory Care.
​​​ ​Requires referral and based on appointments.
​Liver clinic ​Nurse led ​Monthly
​Echocardiogram ​Weekly
​Encephalogram ​Bi-monthly
​Wound Clinic ​Community nurses ​Daily
Dietician​ ​Clinician led ​Daily
​Cardiopulmonary Rehabilitation ​​Nurse Specialist ​​Daily
​Diabetic Educator ​​Nurse Specialist ​Daily
​Continence ​Nurse Consultant ​​Weekly​
​Women's Health ​Nurse Specialist ​​Weekly
​Aged Care ​Nurse Practitioner ​​Weekly
​Diabetes ​Nurse Practitioner ​Weekly

The Ambulatory Care building is best accessed from Rusden Street where there are lifts that access each floor.

​For further information regarding the Ambulatory Care Outpatient Clinics please contact the Nursing Unit Manager on (02) 6776 9500.

General Medicine

Specialty​Sub-SpecialtiesProceduresAvailability
General medicine Cardiology Heart failure  
  Arrhythmia - monitoring  
  ​Acute Coronary Syndrome
  ​Syncope  
  ​D/C Cardioversion  
  Respiratory ​Bronchodilation  
​N.I.V type 2 respiratory failure
  ​Intercostal Drains  
​Diagnostic Plural aspirations
Pneumonia
Gastroenterology ​Liver failure  
  ​Large volume ascitic tap  
​Diagnostic ascetic tap  
​Hepatic encephalopathy  
​Neurology Thrombolysis for Ischaemic Stroke  
​Observation post seizure  
  ​Investigation of headache - lumber puncture  
​Stroke rehabilitation
  ​Rapid assessment of TIA  
​Rheumatology ​Investigation and management
  ​Joint aspiration  
​Infectious diseases ​Diagnosis
​Intravenous antibiotics
​Monitoring drug levels
​Monitoring response
​Including TB, HBIV & HCV
​Endocrine Diabetic ketoacidosis (​DKA)
​​Hyperosmolar hyperglycaemia state
​Acute thyroid problems
​Acute adrenal problems
Hyponatraemia
​Hypoglycaemia
​Hyperglycaemia
​Rehabilitation ​General
​Post stroke
​Post NOF
​Post operative
​(Not spinal)
​Renal ​Acute Diagnosis
​Renal biopsy
​(No acute Dialysis)
​Preparation for chronic Dialysis
​Oncology ​Diagnosis
​Tissue Biopsy
​Haematology ​Blood Transfusion
​Acute assessments
​Bone Marrow Biopsy