Last reviewed
2026-02-07
Workflow pack
Hematuria risk workflow
Workflow for hematuria visits emphasizing bleeding severity, obstruction/infection risk, and rapid urology handoff.
Trust and governance
Use only within this workflow's defined scope and exclusions.
Clinical owner
Family Medicine Editorial Team
Risk tier
Medium
Review cadence
Every 6 months
Next due 2026-08-07
Review status
Current
Scope limits
Initial outpatient hematuria assessment in clinically stable patients without immediate retention or shock.
Exclusions (escalate/redirect)
- Hemodynamic instability, clot retention emergency, or severe sepsis presentations.
- Inpatient procedural and surgical urology management.
References
Escalate-now emphasis (medium-risk workflow)
Treat red-flag findings as urgent. Escalate the care pathway early if concern persists or follow-up reliability is uncertain.
At a glance
Rapid decision framing for in-visit use. Educational only; always apply clinical judgment.
Immediate actions
- Determine gross versus microscopic hematuria and symptom context.
- Screen for obstruction, infection, and renal-risk features.
- Assess whether urgent transfer is required before outpatient workup.
Red flags / escalate now
- Gross bleeding with clots and retention risk.
- Severe flank pain, fever, or instability suggesting complicated cause.
- Rapidly worsening symptoms with declining renal status.
First-line plan
- Use severity-guided initial tests and stabilization steps.
- Document anticoagulation status and key risk factors.
- Define immediate, expedited, or routine referral disposition clearly.
Follow-up and monitoring
- Ensure timely reassessment and trend review.
- Escalate for worsening bleeding, infection, or renal deterioration.
- Confirm referral pathway completion for unresolved cases.
Next useful actions
Keep moving without restarting the search.
These are the most likely next clicks after opening this workflow.
Condition guidance
Referral checklists
Tools and calculators
Return precautions (patient script)
Suggested plain-language wording for safety-net counseling:
If symptoms get worse, new warning signs appear, or you cannot follow the plan from this visit, seek urgent care now.
- Use with the specific red flags listed on this page.
- Confirm follow-up timing and where to go after-hours.
- Document that return precautions were reviewed and understood.
Visit-close checklist
- Document disposition, rationale, and unresolved diagnostic uncertainty.
- Give explicit return precautions and follow-up timeline before ending visit.
- Attach a relevant handout when available to reinforce adherence and safety-netting.