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Counties Manukau Health
Bariatric Pathway Acronyms GP: General Practitioner CMH: Counties Manukau Health FSA: First Surgical Appointment SMO: Senior Medical Officer BCNS: Bariatric Clinical Nurse Specialist GP or CMH E-Referral Bariatric SMO (Review eligibility) Not accepted (not fitting criteria) Accepted (fitting criteria) Within 3 months FSA 1 hour education session SMO Within 4 weeks Second 1 hour education session Dietitian & BCNS After 8 weeks BCNS ‘Weigh in’ clinic #1 Thursday pm (Module 8) Weight lost target NOT MET Weight lost target MET BCNS ‘Weigh in’ clinic #2 Thursday pm (Module 8) Second Specialist appt with SMO Within 8 weeks Thurs am/Fri pm Weight lost target NOT MET DISCHARGE back to CMH Specialist/GP Bariatric Clinical Nurse Specialist (BCNS) Same day as SMO Thurs am/Fri pm Wait list for surgery Surgery approx 4 months Group info session Intro to Optifast Pre-admission appointment 2 to 4 weeks prior to surgery Surgery 2 weeks post surgery Post-op follow ups BCNS post-surgery follow-up at 2 weeks, 3 months, 6 months and 9 months Dietician post-surgery follow-up at 3 weeks, 6 months, 12 months and 18 month group session SMO, BCNS & Dietitian 12 month post-op Group session Specialist review Discharge to GP/referral for weight regain or support 18 Month follow-up
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