Elective Surgery Programme Implementation Support Guide

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APPENDIX 3 - SAMPLE HISTORY FORM FOR PRE-ADMISSION NURSE ASSESSOR (17) Does the patient, now or in the past, had any of the following? If YES please comment Breathlessness: Walking/Climbing/Stairs/ Lying Flat Lung Problems: Asthma Hypertension Angina/Chest pains Bronchitis Hay Fever Chest Pain on exercise or at rest Heart Problems: Heart Attacks Heart Murmur Palpitations Epilepsy: Convulsions Fits Fainting Easily Blackouts Arthritis or Joint Restrictions Muscular Disease or Progressive Weakness YES NO Comment 52 Model of Care for Elective Surgery
Anaemia or Blood Disease Excessive Bleeding / Bruising / Clotting Disorder Jaundice or Hepatitis Diabetes or sugar in urine Hiatus Hernia/Heartburn/Indigestion/Ulcers A Blood Clot / Thrombosis or Embolus Thyroid Problems Kidney or Urine Problems Rheumatic Fever / TB Stroke / TIA Exfoliative skin conditions / skin ulcers / other wounds Do you see your GP for any other health problems Any other serious illness 53 Model of Care for Elective Surgery
Page 1 and 2: Elective Surgery Programme Implemen
Page 3 and 4: Overview of the Elective Surgery Pr
Page 5 and 6: What is AvLOS? It is a sub programm
Page 7 and 8: How do we know that the HIPE codes
Page 9 and 10: What is TPOT? It is a sub programme
Page 11 and 12: What is IASM? It is a part of the S
Page 13 and 14: MODEL OF CARE FOR ELECTIVE SURGERY
Page 15 and 16: CHAPTER 3 .........................
Page 17 and 18: Summary for Patients and Carers Int
Page 19 and 20: Chapter 5 describes Discharge Plann
Page 21 and 22: Patients expect to know approximate
Page 23 and 24: CHAPTER 1 The Elective Surgery Prog
Page 25 and 26: Executive are aiming to address the
Page 27 and 28: Improving access to theatre resulti
Page 29 and 30: tests are performed as expeditiousl
Page 31 and 32: (MDT) and should outline the antici
Page 33 and 34: References 1. A short cut to better
Page 35 and 36: APPENDIX 1 - THE SURGICAL CARE PLAN
Page 37 and 38: job plans of consultant anaesthetic
Page 39 and 40: The Waiting list/Admission Coordina
Page 41 and 42: Stage four: information collating
Page 43 and 44: Routine screening tests that should
Page 45 and 46: include an ECG and relevant blood t
Page 47 and 48: Risk Reduction and Service Monitori
Page 49 and 50: 9. Reed M, wright S, Armitage F. Nu
Page 51: APPENDIX 2 - Pre-admission Assessme
Page 55 and 56: emedies or recreational drugs) Is t
Page 57 and 58: APPENDIX 5 - SAMPLE PRE-ADMISSION A
Page 59 and 60: Outcome: - Accepted for Day Case Ye
Page 61 and 62: targets. It goes without saying tha
Page 63 and 64: Patient Factors: Age - there is no
Page 65 and 66: The safe and comfortable recovery o
Page 67 and 68: Accommodation required for day surg
Page 69 and 70: The Clinical Director, commonly a C
Page 71 and 72: The clinical team should be develop
Page 73 and 74: which provide enhanced services/acu
Page 75 and 76: http://www.esraeurope.org/Postopera
Page 77 and 78: APPENDIX 2 - Procedures that are su
Page 79 and 80: APPENDIX 4 - Patient conditions uns
Page 81 and 82: APPENDIX 5 - Diabetic Day Case Pati
Page 83 and 84: Total Score @ __________ (3) Nurse
Page 85 and 86: APPENDIX 8 - Suggested documentatio
Page 87 and 88: The optimal situation is when a pat
Page 89 and 90: If patients only give a Group and H
Page 91 and 92: CHAPTER 5 Discharge Planning Introd
Page 93 and 94: The patients‟ general practitione
Page 95 and 96: References 1. Selker HP, Beshansky
Page 97 and 98: APPENDIX 2 - Sample Patient Dischar
Page 99 and 100: APPENDIX 4 - Sample Discharge/Trans
Page 101 and 102: CHAPTER 6 Elective Surgery Indicato
Page 103 and 104:
Pre-admission assessment is underta
Page 105 and 106:
Dr Suzanne Crowe Paediatric Anaesth
Page 107 and 108:
2 GENERAL/UNSPECIFIED TARGETS ICD-1
Page 109 and 110:
4 GENERAL COLORECTAL TARGETS ICD-10
Page 111 and 112:
111
Page 113 and 114:
8 NEUROSURGERY TARGETS ICD-10-AM Pr
Page 115 and 116:
10 ORAL MAXILLO FACIAL TARGETS ICD-
Page 117 and 118:
12 PLASTIC TARGETS ICD-10-AM Proced
Page 119 and 120:
14 UROLOGY TARGETS ICD-10-AM Proced
Page 121 and 122:
Manager for elective surgery patien
Page 123 and 124:
Are allied health professionals inc
Page 125 and 126:
Are DOSA patients‟ beds ring fenc
Page 127:
127
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