TheatrePracticeStandardsGeneric1

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4. Other equipment • suction • battery powered syringe pumps • battery powered IV volumetric pumps (infusion by gravity is unreliable during transfer) • intubation equipment • self-inflating bag, valve and mask • venous access equipment • chest drain equipment • DC defibrillator • spare batteries • warming blanket 5. An adequate supply of essential drugs to go with the patient • Hypnotics, eg propofol or midazolam • muscle relaxants, eg atracurium, vecuronium,- suxamethonium may be required for re-intubation • analgesics, eg alfentanil, fentanyl, • anticonvulsants, eg diazepam, thiopentone • mannitol 20%, furosemide • vasoactive drugs, eg ephedrine, dopamine, noradrenaline • resuscitation drugs as in hospital resuscitation boxes • intravenous fluids 6. Communication equipment It is essential that the transfer team should be able to communicate easily with the designated consultant or his deputy in the referring hospital and the neurosurgical team during the transfer. The benefits of a mobile telephone which can be pre-programmed with useful numbers outweigh the minimal risk of it interfering with electronic equipment.[17] 7. Paediatric equipment The transfer of paediatric patients will require size specific equipment and staff experienced in the transfer of critically ill children.[6,7,18] 14
SECTION IX - EDUCATION AND TRAINING Good practice depends upon sound education, adequate resources of expertise, time for training and a commitment to quality throughout all levels of the organisation. Ensuring and facilitating good educational standards and arrangements will be a function of the consultant responsible for inter-hospital transfers. The fundamental requirement is that every doctor, nurse and paramedic likely to be involved in the transfer of seriously brain injured patients has had formal training in the theoretical and practical aspects of the subject. This will include: • the principles of managing a patient with an acute brain injury; • the principles and practice of ATLS; • the adverse physiological changes associated with moving the patient; • manual handling of the patient; • practical aspects of working in an ambulance or aircraft; • knowledge of the equipment and drugs used in transfer; • the legal and safety aspects of transfer; • communications. The setting in which this education is provided will vary locally. Learning opportunities will range from mandatory induction courses for new hospital staff to formal multidisciplinary training courses on transfer medicine. The latter are now run in a number of centres, and m ay be particularly appropriate for consultants responsible for developing and maintaining the standards of transfer.[19] All doctors, nurses and other allied health professionals who are new to a hospital should attend teaching sessions to learn local arrangements and policies and meet the staff involved. Much of the educational value of any training post comes from gaining clinical experience under supervision. The designated tra n s f e r consultant should be aware of the educational opportunities offered by transfers of patients with brain injuries to the neurosciences unit. It is 15
Page 1: New Bookmark Drugs Table of Content
Page 4 and 5: MEMBERSHIP OF THE WORKING PARTY Dr
Page 6 and 7: SECTION I - SUMMARY AND RECOMMENDAT
Page 8 and 9: SECTION III - INTRODUCTION Patients
Page 10 and 11: purchase these services. They must
Page 12 and 13: SECTION VI - PREPARATION FOR THE TR
Page 14 and 15: A patient who remains hypotensive d
Page 16 and 17: A patient who has been made physiol
Page 20 and 21: important to involve those who take
Page 22 and 23: REFERENCES 1. Association of Anaest
Page 24 and 25: APPENDIX II TRANSFER CHECKLIST FOR
Page 26 and 27: 21 Portland Place, London W1B 1PY T
Page 28 and 29: Storage of Drugs in Anaesthetic Roo
Page 30 and 31: Generic Theatre Standard No 08 - Ca
Page 32 and 33: 6.2. Overall performance against th
Page 34 and 35: • Clean theatre clothing should b
Page 36 and 37: • Protective face shields must be
Page 38 and 39: Generic Theatre Standard No 02 - Op
Page 40 and 41: • Please read NJR Manual and Trai
Page 42 and 43: 13. Positioning of the Patient •
Page 44 and 45: Generic Theatre Standard No 04 - In
Page 46 and 47: Example of Environmental Theatre Cl
Page 48 and 49: 3. Between case cleaning procedures
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Page 52 and 53: • Personnel participating within
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Page 62 and 63: Exceptions: None References: • Af
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Generic Theatre Standard No 06G - M
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Generic Theatre Standard No 06H - M
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Generic Theatre Standard No 07 - De
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Generic Theatre Standard No 08 - Ca
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Generic Theatre Standard No 09 - Ca
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• The deceased patient should be
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11 Leakages from the oral cavity, v
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• Mormonism o It is essential tha
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FAITH CONTACT ADDRESS TELEPHONE NO
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• The active electrode must alway
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Generic Theatre Standard No 11 - De
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Generic Theatre Standard No 13 - Ma
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• The labelled container must be
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• Staff Responsibility • All st
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• It is the responsibility of the
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6. Induction of anaesthesia • See
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4. Time Out - Before start of surgi
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• The registered anaesthetic prac
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• The Senior Surgeon/Operating Cl
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Generic Theatre Standard No 16 - St
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Generic Theatre Standard No 18 - Us
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3. Planned over-running sessions
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Generic Theatre Standard No 23 - Bo
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Generic Theatre Standard No 25 - Co
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Generic Theatre Standard No 27 - Ph
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Generic Theatre Standard No 29 - Vi
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Generic Theatre Standard No 31 - Th
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• Advice should be obtained from
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8. Harassment and Bullying • Dign
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Appendix 1. Governance Information
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Appendix 2. Initial Equality Impact
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