TheatrePracticeStandardsGeneric1

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• The registered anaesthetic practitioner (ODP/RN) will instigate the ‘Sign In’ and clearly mark the checklist in the appropriate place to confirm the check has taken place. • On completion the registered practitioner will clearly print their name and sign to confirm completion of the sign in check. • Time Out – Before start of surgical intervention for example skin preparation • The whole theatre team including surgeon(s) and anaesthetist(s) – the operating surgeon retains the accountability to ensure that this check is fully completed. • The second Midwife will instigate the ‘Time Out’, confirm all team members are present and initiate the checklist by reading out loud all points contained in the timeout section of the checklist. • If at any point during completion of the checklist a member of the team is required to leave the theatre the checklist should be suspended and recommenced when all are present. • If at any point during completion of the checklist the team is interrupted by an individual external to the team, the checklist should be suspended and recommenced when all team members can pay full attention to the process. • Any concerns/problems/issues raised during the checking procedure should be documented and reported to the relevant Department Manager/Coordinator. • Any concerns or queries raised by any team member must be resolved before surgery commences. • The Midwife will clearly mark the checklist in the appropriate place to indicate the point has been discussed and must print name and sign to confirm the time out check is complete. • Sign-out - after completion of the final swab and instrument count and prior to any staff member leaving the operating theatre • The whole theatre team including surgeon(s) and anaesthetist(s) • The surgeon or registered anaesthetic practitioner will confirm all team members are present and initiate the checklist by reading out loud all points contained in the sign out section of the checklist. • If at any point during completion of the checklist a member of the team is required to leave the theatre the checklist should be suspended and recommenced when all are present. • If at any point during completion of the checklist the team is interrupted by an individual external to the team, the checklist should be suspended and recommenced when all team members can pay full attention to the process. • Any concerns/problems/issues raised during the checking procedure should be documented and passed to the relevant Department Manager/Coordinator. • Any concerns or issues that have arisen during the procedure must be logged. If necessary, a Datix must be completed • The team formally acknowledges any concerns for recovery and postoperative management of the patient • The WHO Surgical Safety Checklist must be signed by the registered practitioner and the senior operating surgeon then filed in the patient medical record. • List Debriefing • The whole theatre team including surgeon(s) and anaesthetist(s) debrief at a suitable interval to review the procedures undertaken on the operating schedule 74
• The whole team acknowledges: o o o o o o What went well? Were the any challenges or concerns about the list? Communication, skill-mix, issues outside theatre, timing issues Were there any specific equipment issues that needed to be addresses before the next list? Is there anything that could have been done to make the list safer? Is there anything that could have been done to make the list more productive? • Any issues should be reported to the Senior Midwife, or a Datix raised if necessary. • Trial of Instrumental Delivery in Theatre • The ‘Sign In’ and ‘Time Out’ processes should happen before the start of the assisted delivery process as per the process described above. The Midwife will instigate the check procedure. • The possibility of progression to caesarean section should be discussed in the Time Out checklist. • At the end of the delivery irrespective of the route of delivery the full team will complete the ‘Sign Out’ as per the process described above. 8. Treatment room, endoscopy and non-theatre areas only • List Briefing • List briefing should take place prior to the commencement of the operating list participation of the whole team is required. • Staff must introduce themselves to each other by name and role. This information will be recorded on a visible wipe clean board. • Any changes to the planned list and possible cases must be discussed. • Any issues related to the organization of the list must be discussed e.g. staffing, recovery, equipment, beds. • The staff must discuss special surgical/procedural requirements, equipment, instruments, allergies and antibiotic prophylaxis requirements. • Registered Practitioners will maintain overall responsibility for completion of the WHO Surgical Safety Checklist but may choose to delegate any part of the tasks related to its application to non-registered staff other than the required registered practitioner’s signature. • The registered practitioner retains professional accountability for the appropriateness of the delegation of that task. • Every patient having an interventional surgical procedure (including in endoscopy, Catheter Labs, St Michaels Treatment Room - this list is not exhaustive) will have a Treatment room, endoscopy and non theatre area WHO Surgical Safety Checklist. • All steps will be read out loud though steps relating to blood loss and renal failure may be treated with discretion. • ‘Silent Cockpit’ principles should be adopted during all steps. All team members must show respect for the process, be present and fully participate in all steps of the checklist process. 9. Sign In – Before injection of Local Anaesthetic or commencement of the procedure 75
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New Bookmark Drugs Table of Content
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MEMBERSHIP OF THE WORKING PARTY Dr
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SECTION I - SUMMARY AND RECOMMENDAT
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SECTION III - INTRODUCTION Patients
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purchase these services. They must
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SECTION VI - PREPARATION FOR THE TR
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A patient who remains hypotensive d
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A patient who has been made physiol
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4. Other equipment • suction •
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important to involve those who take
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REFERENCES 1. Association of Anaest
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APPENDIX II TRANSFER CHECKLIST FOR
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21 Portland Place, London W1B 1PY T
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Storage of Drugs in Anaesthetic Roo
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Generic Theatre Standard No 08 - Ca
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6.2. Overall performance against th
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• Clean theatre clothing should b
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• Protective face shields must be
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Generic Theatre Standard No 02 - Op
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• Please read NJR Manual and Trai
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13. Positioning of the Patient •
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Generic Theatre Standard No 04 - In
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Example of Environmental Theatre Cl
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3. Between case cleaning procedures
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6.1. Floor scrubbing machines • C
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Page 60 and 61: lood, CSF or brain tissue, should b
Page 62 and 63: Exceptions: None References: • Af
Page 64 and 65: • Environment/equipment cleaning
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Page 76 and 77: Generic Theatre Standard No 09 - Ca
Page 78 and 79: • The deceased patient should be
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Page 82 and 83: • Mormonism o It is essential tha
Page 84 and 85: FAITH CONTACT ADDRESS TELEPHONE NO
Page 86 and 87: • The active electrode must alway
Page 88 and 89: Generic Theatre Standard No 11 - De
Page 92 and 93: • The labelled container must be
Page 94 and 95: • Staff Responsibility • All st
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Page 98 and 99: 6. Induction of anaesthesia • See
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Page 104 and 105: • The Senior Surgeon/Operating Cl
Page 106 and 107: Generic Theatre Standard No 16 - St
Page 108 and 109: Generic Theatre Standard No 18 - Us
Page 114 and 115: 3. Planned over-running sessions
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Page 120 and 121: Generic Theatre Standard No 27 - Ph
Page 122 and 123: Generic Theatre Standard No 29 - Vi
Page 124 and 125: Generic Theatre Standard No 31 - Th
Page 126 and 127: • Advice should be obtained from
Page 128 and 129: 8. Harassment and Bullying • Dign
Page 130 and 131: Appendix 1. Governance Information
Page 132 and 133: Appendix 2. Initial Equality Impact
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