Transoesopageal Echocardiography (TOE)
Understanding How the Heart Works:
TOE is used to obtain detailed images of the heart with high frequency ultrasound. It is performed under sedation and is generally well tolerated. This procedure requires the insertion of an ultrasound probe into the oesophagus. The procedure usually takes 10 minutes and has few complications, less than 1/5000 chance of damage to the oesophagus.
Oxygen saturation and blood pressure are carefully monitored until you are fully alert. Swallowing is then supervised before discharge.
- Following your visit to your Cardiologist the secretary will schedule a booking at the earliest time available.
- A detailed letter of confirmation will be sent to you detailing your instructions.
- You will be required to phone the Clinic the day before your procedure between 12pm and 3pm for your admission time and any further instructions regarding fasting and medications. For Monday procedures call the prior Friday.
- If you have any special dietary needs let the Clinic know e.g. vegetarian or gluten free.
- Please inform the secretary if you need an interpreter preferably at least a week before your procedure.
You will be required to fast for 6 hours prior to your procedure. Fasting means no food or water including tea and coffee. You may have a sip of water with medications.
No special requirements â€“ shower or bath as per usual.
You may be asked to omit some of your medications on the morning of your procedure. If you are a diabetic patient ask for specific advice when booking in.
REMEMBER -ALL PATIENTS ARE TO BRING IN WITH THEM THE MEDICATIONS THEY ARE ON AS WELL AS THEIR BLOOD RESULTS
REMEMBER - ALL PATIENTS ARE TO BRING IN WITH THEM THE MEDICATIONS THEY ARE ON AS WELL AS THEIR BLOOD RESULTS
What to bring with you:
- A list of your current medications
- Your appointment schedule and any other pertinent papers we have sent you
- Health insurance details, Medicare card, Veteran affairs details if applicable or Worker’s Compensation Third Party details including insurance claim numbers
- X-rays and pathology results
- Items to pass the time, such as reading material, knitting, crosswords etc
- Reading glasses
- A small overnight bag and toiletries
- Referral letters
- Do not wear nail polish
The TOE should take approximately 30 minutes.
Length of Stay
You will be admitted to the Clinic on the morning of your procedure. Following your procedure you will be required to stay 2-3 hrs. If you are having a Cardioversion as well you will be required to stay four hours.
Results of the Procedure
Your Doctor will inform you of the results of your procedure and the appropriate treatment / management prior to discharge. If you require further intervention, you
will be given information on the day.
Your immediate family or carers can see you briefly in recovery after the procedure and when you are up and walking around. You may phone family from or receive calls in the recovery area following the procedure. The staff will advise you of the time your family can collect you.
Driving a car increases bruising and swelling at the puncture site and is therefore not permitted for 24 hours after the test. You will need to organise transport home.
Discharge Information and Care
The Nurse will discuss your discharge care with you and your family / friend prior to your discharge from the
Clinic. You will also be given information if you
require further treatment. Please ensure that you have someone with you at home (overnight) in the rare event you require medical assistance.
Please be aware that the airlines may place restrictions on patients flying after certain procedures, such as angioplasty and stent insertion. Eastern Heart Clinic advises that patients who are having an angiogram that they must not fly home on the day of the procedure. If you are intending to fly home after your procedure you need to speak to the airlines when making your flight arrangements to ensure you comply with their guidelines.
Secure lockers are provided for your belongings, however please do not bring large amounts of cash or valuables with you on the day.
For patients and Visitors to Eastern Heart Clinic an underground parking station is located off Barker Street which has a maximum of $21 per day or $63 for a 5 day unlimited pass. Casual rate is $3.60 per half hour. Direct telephone number for parking enquiries 9382 3400
Relatives and Friends ..
Are welcome to wait at the Clinic but cannot go in with the patient once they are called for their procedure. Our staff are happy to answer any of your enquiries and will give you an estimated discharge time.
Please note that Eastern Heart Clinic is part of a tertiary referral centre and at times we are required to undertake emergency procedures as a priority. This may at times lengthen your stay at the clinic.
The Clinic advises patients NOT to drive after their procedure for at least 24 hours or longer for certain procedures. The medical and nursing staff will advise you when you may drive again.
If the doctor who carried out your procedure was not the doctor who referred you then a full report of findings and recommendations will be forwarded a few days after the procedure to your doctor.
Cardiac Rehabilitation is available through Healthy Heart program 9382-2286.
Health Insurance Coverage
Eastern Heart Clinic has contracts with all private health insurance funds. Eastern Heart Clinic is a NO GAP facility. Please confirm details with us and your fund prior to your procedure. If you have an excess or co-payment on your health insurance cover then you may incur some out of pocket expenses.
Eastern Heart Clinic, like most specialist centres, undertakes ongoing research projects. Research projects undergo stringent screening from a panel of scientists, doctors and members of the community who verify that
methods used are sound, safe and ethical. You may be asked if you would like to participate in a current research project while you are at the clinic.
Participation is entirely voluntary. If you think you might be interested you will be given a full explanation and information about what is to be tested, if any
alternatives are available and any risks and / or benefits you may experience. Written consent is a participation requirement of the study but is by no means a contractual arrangement as you can withdraw at any time.
What You can Reasonably Expect while in our Care:
You are entitled to be treated with care and dignity. You are entitled to a
clear explanation by your doctor of:
- Your condition, problem or disease.
- Any planned treatment or investigation.
- Any alternative procedures available.
- Possible side effects, the chances of success and any serious risks involved.
By presenting yourself to the Clinic you have implied general consent for treatment. However for specific procedures and for patients who may be having a general anaesthetic you will be required to give written consent after suitable information is given. You may withdraw your consent and refuse further treatment at any time. You have the right to know the identity and professional status of the individuals providing service to you. Staff employed by the Clinic are required to wear identification badges. You have the right to privacy when undergoing any treatment or procedure. Eastern Heart Clinic respects and upholds patient rights to privacy protection under the National Privacy Principles contained in the Privacy Act 1988. The National Privacy Principles apply to the Clinic from their introduction on December 21st 2001.
- Collects your health information
- What we do with it
- The quality and security of your data
- Your rights to access and correct information
You should expect the clinic environment to be safe and comfortable.
Try to be well informed about your condition and treatment. Please ask questions if you do not understand something. You have the responsibility to provide, to the best of your knowledge, accurate and complete information about your present condition, past illnesses, hospitalisations, medications and any other matters relating to your health.
It is in your interests to comply with the prescribed treatment or care and the pre and post operative instructions. You will be responsible for your own actions if you do not follow the prescribed instructions or refuse medical treatment. You should attend the recommended follow up appointments, or advise those concerned if this is not possible.
It is your responsibility to provide accurate details of your Medicare information and/or private health insurance. Please show consideration for other patients, staff and property of the Clinic. By complying with your responsibilities you are helping us help you.
The Clinic conducts periodic surveys to see how you felt about the treatment you received whilst at the Clinic. If you are unhappy about a particular aspect of care or a service we provide we would like to hear about it.
If you were not contacted to complete a survey but would like to make a comment please feel free to write to us:
The Quality Activity Co-ordinator
Eastern Heart Clinic
PO Box 746
If a Problem Arises:
Please tell your Doctor or the Nurses if a problem arises, in most cases they
will be able to help you. Should you not receive a satisfactory outcome you should request to see the Director of Nursing for clinical issues or the Office Manager for
administrative issues. They will investigate your complaint and advise you of the outcome or of options if further action is required.
If you wish to take your complaint further you may utilize the following options:
Private Health Insurance Ombudsman
Suite 1201, Level 12, St Martin’s Tower
31 Market Street
SYDNEY NSW 2000
Telephone: (02) 9261 5855 Toll Free: 1800 640 695
NSW Health Care Complaints Commission
Level 13, 323 Castlereagh Street
SYDNEY NSW 2000
Telephone: (02) 9219 7444
Director General NSW Health
73 Miller Street
NORTH SYDNEY NSW 2060
Telephone: (02) 9391 9000
Please arrange prior to admission.
Click here for to see accomodation located close to the hospital
Information for patients arriving at Central Station
There are two buses which you can catch at Eddie Avenue, across the road from Central Station. The Coogee bus # 372 and the Maroubra bus # 376. You need to ask the driver to let you off at the intersection of Belmore Road and High Street in Randwick.
Once you alight from the bus, cross Belmore Road at the crossing and then walk down High Street to the pedestrian crossing. Walk through the Prince of Wales Hospital entrance and immediately on your left is an enquiries desk. Ask for directions to either Eastern Heart Clinic or the Prince of Wales admissions office if you have been advised to go there first.
Information for patients arriving at Sydney Airport
If you are coming from the Sydney Airport you can catch the Bondi buses # 400 or 410. Ask at the information desk where to catch the Sydney buses to Bondi. Once on the bus ask the driver to let you off at the Prince of Wales stop on High Street. When you have alighted from the bus walk up High Street to the pedestrian crossing and follow the instruction as above.
Sydney bus timetables can be accessed either via phoning 131500 or the website at www.sydneybuses.info
PATIENT INFORMATION GUIDE FOR WEBSITE
NSW Isolated Patients Travel & Accomodation Assistance Scheme
IPTAAS provides some financial assistance to people, who need to travel more than 200kms one way, to obtain inpatient or outpatient specialist medical treatment.
More information is available in the NSW IPTAAS pamphlet that can be obtained from your doctor, local IPTAAS office or www.health.nsw.gov.au.
(02) 6058 4455 / 6058 4498
(02) 6339 5312
(08) 8080 1432
(02) 6841 2264
(02) 4823 7805
(02) 6620 2168
(02) 6766 3946
(02) 6592 9229