Beaumont Hospital

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Neurosurgery Transfer Pack

Please see important information below required to process your patients transfer to Beaumont Hospital

Your patient has been referred for further management at the National Neurosurgical Centre at Beaumont Hospital. In order to process the transfer we kindly request that you download and complete the attached documentation.

1- NeurO-PAS form:

Download this form for any BRAIN/ SPINE TUMOUR patient you are due to transfer. Please complete pages 1-3 ONLY. Our Physician Associate will contact you with regards to transmitting the required information. OUR anaesthetists will complete the anaesthetic section.

Completed forms and required test results MUST be emailed to: prior to patient’s transfer to Beaumont.

2- Commitment for repatriation form:

Download and complete the form with the name of the Consultant Surgeon/Medical Physician who will be accepting care of your patient back once their management is completed in Beaumont. Please note, Emergency Consultants cannot readmit patients therefore the oncall Medical /Surgical Consultant should be made aware of the patient and accept their care prior to transfer.

This form should, where possible, be signed by the Consultant or the Registrar on the Consultant’s behalf.

This form MUST be emailed to PRIOR to patient transfer to Beaumont.

3- MRI Beaumont protocol:

When requesting MRI scan for brain Tumour patients, please ask your radiology department to INCLUDE the following sequence to their pre-existing MRI tumour protocol:

MPR T1 post gadolinium in the axial plane at 1mm slice thickness with an expanded field of view to include: the soft tissues from C1 to a few mm past the vertex AND from a few mm past each pinna AND a few mm on either side of the tip of the nose to occiput.

Please see the attached protocol and give this to your MRI department for reference.

Thank you for your co-operation.

Kind regards,

Neurosurgery Department, Beaumont Hospital