Elective Surgery Programme Implementation Support Guide

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APPENDIX 3 - Unsuitable procedures for Day Surgery units. These can most commonly be performed in endoscopy, outpatients, minor surgery units or primary care* Endoscopy Bronchoscopy Colonoscopy Cystoscopy Oesophagogastroduodenoscopy Sigmoidoscopy Outpatients Blood transfusion Chemotherapy Colposcopy Hysteroscopy Local anaesthetic minor operations Sigmoidoscopy Pain management procedures and nerve blocks Urodynamic tests General Practice or Minor operations unit Local anaesthetic minor operations Most of the procedures on the above two lists with appropriate facilities and support *Please Note: A number of minor procedures and investigations which in adults would generally be carried out in a minor ops room or outpatient department cannot be performed on children because of the child‟s requirement for sedation or general anaesthetic e.g. oesophagogastroscopy, colonoscopy, suturing of lacerations, dental extractions. 78 Model of Care for Elective Surgery
APPENDIX 4 - Patient conditions unsuitable for day surgery Anaesthetic Difficult airway – i.e. large goitre / tumour causing deviation or compression of airway, restricted neck movement or mouth opening. Personal or family history of malignant hyperpyrexia. Previous personal history of previous reaction to anaesthesia – type of reaction should be assessed and flagged with anaesthetist. Details of any unexplained, significant morbidity during or after anaesthesia in the patient or his/her relatives should be noted and discussed with anaesthetist. Cardiovascular Poorly controlled blood pressure (BP>170/100) Congestive cardiac failure Unstable angina MI within previous 6 months Symptomatic valvular heart disease Patients who have a pacemaker or automotive implantable cardiac defibrillator Poor exercise tolerance Respiratory Poorly controlled asthma needing oral steroids, frequently or within last 3 months, frequent hospital admission or home oxygen Poorly controlled COPD Sleep apnoea Neurological Poorly controlled epilepsy CVA/TIA within the last 1 year Endocrine Poorly controlled thyroid disease Poorly controlled diabetes Haematological Coagulopathies, INR>1.5, Platelets
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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
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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
Page 19 and 20:
Chapter 5 describes Discharge Plann
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Patients expect to know approximate
Page 23 and 24:
CHAPTER 1 The Elective Surgery Prog
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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 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: APPENDIX 2 - Procedures that are su
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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