Elective Surgery Programme Implementation Support Guide

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Pharmacists play an important role in day surgery units. Their expertise should be sought regarding the development of protocols for discharge medication and pain relieving regimes to ensure that patients are discharged with effective and adequate medication supplies. Physiotherapists may come to see patients in the day surgery unit. They should advise day unit staff, patients and their carers about mobilisation techniques e.g. stairs practice, use of crutches. Their input is required when producing written information sheets for patients and carers, and exercise regimes for patients e.g. post arthroscopy procedures. Occupational Therapists e.g. for splinting after Dupuytren‟s surgery. Clinical Nutritionists/Dieticians maybe required to develop dietary guidelines/patient information sheets (e.g. soft diet after laparoscopic Nissens fundoplication, healthy eating after cholecystectomy, high fibre post surgical management of anal fissure). Some patients will require individualised nutrition intervention and dietary advice rather than a general information sheet. Other support workers are essential members of the team. They include healthcare assistants, who should have completed the „FETAC Level 5 Theatre Module‟, housekeepers, porters, administrative and clerical staff. Close communication with consultants in charge of the laboratories (e.g. microbiology, chemical pathology etc) is essential to ensure that the turnaround time of preoperative investigations is appropriate to facilitate day surgery to take place in a streamlined fashion. Primary and Community Care Generally good quality day surgery, performed well, should not impact significantly on primary or community care (15, 16, 17). However, as case-mix for day surgery changes to include more complex procedures then care pathways for patients must be developed in partnership with primary and community care. General Practitioners can play a key role in the preparation of patients for day surgery. They should be involved in liaison committees to agree on protocols regarding referrals and effective communication. Generally post-operative support and follow-up of patients should occur by telephone by day surgery staff in the first 24-48 hours. (see APPENDIX 6 – Sample discharge advice for patients) However, GP‟s and Community Care Nurses should, where necessary, help with the delivery of pain control or other medications, dressing etc. Close liaison (by protocol) is therefore important. (Community Intervention Teams (CIT) are available in some areas and are made up of a nurse lead supported by a variety of other health professionals and services, 72 Model of Care for <strong>Elective</strong> <strong>Surgery</strong>
which provide enhanced services/acute interventions in a rapid and integrated manner to a patient with an acute episode of illness appropriate for care in the home/community. Services provided include symptom management or Home IV therapies for short period of time, ideally
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Elective Surgery Programme Implemen
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Overview of the Elective Surgery Pr
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What is AvLOS? It is a sub programm
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How do we know that the HIPE codes
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What is TPOT? It is a sub programme
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What is IASM? It is a part of the S
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MODEL OF CARE FOR ELECTIVE SURGERY
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CHAPTER 3 .........................
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Summary for Patients and Carers Int
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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 and 52: APPENDIX 2 - Pre-admission Assessme
Page 53 and 54: Anaemia or Blood Disease Excessive
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: The clinical team should be develop
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
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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
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Are allied health professionals inc
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Are DOSA patients‟ beds ring fenc
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Elective Surgery Programme Implementation Support Guide

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