Quick Chart

A Virtual Consult is a mechanism to optimise flow of adult non-P1 patients ordinarily destined for the ED , through Consultant-led virtual review. Several options may be explored by the Virtual Consult team including, but not limited to:

  • Specific pathways in the Hospital to expedite patient transfer of care (e.g. Suspected NOF fractures, chest pain etc.)
  • Admission direct to specialist wards or sites (e.g. Geriatric medicine or orthopaedics)
  • Discharge at scene, through shared decision making - including follow up as arranged by the Virtual Consult team

Comprehensive information is available on Connect that is updated frequently

 Clinical Presentation

Whenever practicable, Virtual Consults (in operating hours) should be notified for:

  • All patients 16 years of age or older, regardless of clinical complaint not being transported as Priority 1
    • who have clinical needs that can be managed in the community (e.g. in-reach services, ePrescriptions) OR
    • are potentially suitable for direct admission to non-ED areas of health service providers

Operating Hours:

  • 1000 hrs - 1800hrs (7 days / week)
  • Subject to change, check Connect for latest information
 Exclusion Criteria
The following patients do not meet the inclusion criteria:
  • Under 16 years
  • Priority 1 to hospital
  • Interfacility transfers
 Risk Assessment
  • Virtual Consult processes should not ordinarily interrupt immediate care needs (e.g. pain relief, ECG acquisition) prior to consult
  • Not all cases that Virtual Consult are aware of will result in a video or tele-consult but will usually be clerked and 'pre-triaged' into the hospital system
  • The consultant should not direct medication administration outside of CPG and does not negate any usual requirements to contact ASMA
  • iPad software should be up to date, please note that Virtual Consults are optimised for use on the cellular iPad available in-vehicle (the "blue iPad")
Primary Care
  • Applies to Metropolitan Ambulance/Low acuity/PTS crews
Intermediate Care
  • As per Primary Care guidelines
Advanced Care
  • Assess, manage and prepare / load patient for transport as normal where admission to ED is obvious
  • On the blue cellular iPad, click on Virtual Consult icon
  • Fill in the referral form that will auto-launch into the virtual waiting room
  • Send 12-lead ECGs prior to consult if necessary
    • For devices that have been reconfigured, look for the WAVED destination, otherwise send to SOC LIVE
  • Engage with the Virtual Consult team as soon as practicable to determine the patient pathway and document accordingly in your ePCR
Critical & Extended Care
  • As per Advanced Care guidelines
 Additional Information
  • Ambulance Wi-Fi bandwidth may be intermittent, hence the use of the specifically configured cellular (blue) iPad
  • More information is available on Connect
Key Terms & Links
Extended Care:
Colour assist:


Document Control

Clinical Services

Responsible Manager
Head of Clinical Services


Published Date

Review Date

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