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for Invasive Procedures (NatSSIPs)

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OFFICIAL<br />

across specialties, examples of which might include TAH <strong>for</strong> Total Abdominal<br />

Hysterectomy versus THR <strong>for</strong> Total Hip Replacement, and ERPC <strong>for</strong><br />

Evacuation of Retained Products of Conception versus ERCP <strong>for</strong> Endoscopic<br />

Retrograde Cholangio-Pancreatography.<br />

3. The in<strong>for</strong>mation that accompanies the scheduling of a procedure should include<br />

when relevant, but is not limited to:<br />

• Patient name.<br />

• Identification numbers, i.e. NHS number with or without hospital number.<br />

• Date of birth.<br />

• Gender.<br />

• Planned procedure.<br />

• Site and side of procedure if relevant.<br />

• Source of patient, e.g. ward or admissions lounge.<br />

• Further in<strong>for</strong>mation that can be provided when relevant may include:<br />

• NCEPOD classification of intervention.<br />

• Significant comorbidities.<br />

• Allergies, e.g. to latex or iodine.<br />

• Infection risk.<br />

• Any non-standard equipment requirements or non-stock prostheses.<br />

• Body mass index.<br />

• Planned post-procedural admission to high dependency or intensive care<br />

facility.<br />

4. Although the clinical team per<strong>for</strong>ming the procedure is primarily responsible <strong>for</strong><br />

its accurate scheduling, it must when appropriate involve other clinical<br />

disciplines such as anaesthesia and radiology to ensure that all healthcare<br />

professionals necessary <strong>for</strong> the safe per<strong>for</strong>mance of the procedure are<br />

available at the correct time.<br />

5. The clinical team per<strong>for</strong>ming the procedures is responsible <strong>for</strong> deciding the<br />

order of procedures within a list of cases. In determining the order of a list,<br />

priority should be given to clinical criteria, e.g. urgency, extremes of age,<br />

allergies such as latex allergy, and medical conditions that make early or<br />

predictable start times desirable, e.g. diabetes or sleep apnoea.<br />

6. The scheduling of a list must take into account the expected workload, taking<br />

into consideration other factors that include:<br />

• Team briefing and debriefing, and other key safety steps in LocSSIPs.<br />

• Induction of and emergence from anaesthesia, and the time taken <strong>for</strong><br />

anaesthetic procedures.<br />

• Patient positioning and preparation.<br />

• Preparation of all necessary equipment and instrumentation.<br />

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