ENDOCRINE SERVICE -COVID-19 UPDATE

As a result of the COVID-19 pandemic, we are having to change how we deliver the care for our patients.

 

Patients who have symptoms (fever/cough) or if family members have symptoms should not attend the hospital, unless it is an emergency and should inform staff of their symptoms immediately on arrival.

 

To reduce the number of people attending hospital and thereby limiting the transmission of the virus, we will be performing telephone consultations. Where possible these calls will be made at the same time as the original clinic appointment time.

 

Routine blood tests and day case investigations will be re-scheduled as soon as we are able to resume normal clinical service.

 

Patients who need to be reviewed in person will still be seen in clinic where possible.

 

Those who need urgent blood tests/treatments, provisions will be made either in the community or in the hospital.

 

There have also been concerns about patients who are on steroid treatment.

 

Advice regarding Adrenal Insufficiency Management is as follows:

 

  • There is no evidence that patients with adrenal insufficiency are at increased risk of contracting COVID-19. However, we know that some with adrenal insufficiency have a slightly increased risk of catching infections and may require additional measures when severely unwell. We therefore recommend you follow the Government’s advice and follow the social distancing rules.

 

  • If you are symptomatic or have been exposed to the virus then you should immediately self-isolate and follow current NHS/Public Health guidelines and advice.

 

  • At the first sign of symptoms (fever/cough/unwell) please introduce your “sick day plan”, i.e. a doubling of hydrocortisone doses, and contact the endocrine team if further advice is needed.

 

  • If you feel this is not maintaining stability or notice a deterioration on “Sick day” doses please move to IM Hydrocortisone and call for an ambulance.

 

  • Check expiry dates on all equipment and emergency hydrocortisone injection solution.

 

Society for Endocrinology Advice https://www.endocrinology.org/adrenal-crisis

 

Contact Details

For advice on urgent clinical matters, please contact the endocrine service

Endocrine Secretary – 0141 451 6548  Endocrine Nurses– 07904881485

Out of Hours– 0141 201 0000 and ask for the Endocrine Consultant on call

For non-urgent matters please email rhsc.endocrine@ggc.scot.nhs.uk

And we will try and get back to you as soon as possible.