Elective Surgery Programme Implementation Support Guide
Elective Surgery Programme Implementation Support Guide
Elective Surgery Programme Implementation Support Guide
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The patient must have access to a telephone in the initial 48 hours post operatively.<br />
The journey time from the hospital to the patient‟s home should not exceed 60 minutes.<br />
The patient should not have a major pre-existing disability.<br />
The Day <strong>Surgery</strong> Process<br />
The Day <strong>Surgery</strong> process spans from the time the patient is selected to post-discharge followup.<br />
There are five equally important elements to Day <strong>Surgery</strong>:<br />
i. Pre-admission Assessment (See Chapter 2):<br />
The pre-operative assessment protocol should include (7,8):<br />
Information about the day surgery experience to ensure that the patient<br />
understands<br />
the procedure to be undertaken and their likely post-operative course.<br />
Assessment of the patient‟s general medical status and fitness for anaesthesia.<br />
Assessment of the need for screening for multidrug resistant organisms such as<br />
MRSA and pre-operative decolonisation, if appropriate..<br />
Assessment of the patient‟s home circumstances and their ability to recruit a<br />
carer.<br />
Local hotel accommodation may help extend Day <strong>Surgery</strong> activity.<br />
Reassurance that in the unlikely event that they are not ready to go home on the<br />
day, they will be admitted overnight.<br />
ii. Booking<br />
Patients who require Day <strong>Surgery</strong> need to know when it will take place to allow them<br />
to make arrangements for other aspects of their lives. Ideally booking systems should<br />
allow patients to choose their admission date at a time that is convenient for them. A<br />
good booking system in day surgery units has been shown to substantially decrease<br />
cancellations.<br />
iii. The operation<br />
This is covered in detail in section 3 below.<br />
iv. Recovery<br />
64 Model of Care for <strong>Elective</strong> <strong>Surgery</strong>