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The questions below assume an adult patient who is not pregnant and referred to the OOH team.
Out-Of-Hours is defined as between 1700-0800 in weeknights and from 1700 Friday-0800 Monday at the weekend. Bank Holidays are included in OOH.
1. Please complete the following information about yourself:
a. What is the name of the Hospital that you work in?
b. What is your job title/current role?
c. Do you assess suspected renal colic referrals OOH?
2. Diagnostic Imaging:
a. What is your investigation for suspected renal colic?
b. Is diagnostic imaging always offered within 24 hours of presentation?
c. Is dipstick haematuria mandatory prior to requesting in-hours imaging?
d. Is dipstick haematuria mandatory prior to requesting OOH imaging?
e. Does your hospital provide an imaging service for OOH straightforward suspected renal colic if the patient does not meet criteria for admission?
f. Which clinician is responsible for arranging OOH imaging for suspected renal colic?
g. Who is the on-call point-of-contact for arranging OOH imaging?
3. OOH Imaging Reports
a. Who reports on OOH imaging?
b. When are images reported?
c. On-Site Radiologist
d. Off-Site/ Outsourced Radiologist
e. Do patients get admitted to the ward before imaging is formally reported?
f. If so, who is formally responsible for their care?
g. If imaging is not done OOH and patients are sent home with analgesia, who follows-up these patients?
4. Pain Management & Alpha-Blockers
a. Do you offer non-steroidal anti-inflammatory drugs (NSAID’s) as first-line pain management?
b. Do you offer intravenous paracetamol in suspected renal colic if NSAID’s are contraindicated or not sufficient pain relief?
c. Do you offer opiate analgesia if the above options are not sufficient?
d. Do you offer alpha-blocker therapy for patients with distal ureteric stones less than 10mm?
5. Do you have any additional comments?

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