TheatrePracticeStandardsGeneric1

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important to involve those who take part in regular interdepartmental audit. This will include A&E personnel, anaesthetists, paramedics, etc. Participation of the neurosciences unit in such audit is particularly valuable. The quality of transfer should be audited, and critical incidents recorded. Such information is invaluable in refining and improving local transfer protocols. Appropriate audit tools for transfer are available from the Royal College of Anaesthetists.[20] 16
SECTION X - RESOURCE IMPLICATIONS FOR T R A N S F E R OF PATIENTS WITH BRAIN INJURIES Without adequate resources it is not possible to have a good quality transfer service. Each organisation that provides acute healthcare should recognise that this requires specific funding which should be considered in discussions with purchasers. Resources include staff and equipment that may be similar to, and shared with, those used for other secondary transfers including the movement of ICU patients within the hospital. It should be recognised that there are significant resource implications to the transferring hospital on-call anaesthetic team. Hospitals involved in transfer of patients with brain injuries should set aside a budget for this work. The budget will include the capital equipment, the cost of which will depend upon its complexity and the demand placed upon it, as well as the cost of servicing, maintenance, insurance and renewal/upgrading at appropriate intervals. Portable equipment will need regular battery replacement and will have a shorter life than static equipment. There must be adequate provision for clothing and personal insurance. The responsibilities of the designated consultant for transfers include logistics, training, audit and liaison between the parties involved and may require dedicated programmed activities in job plans. Rotas of doctors and nurses must take account of this work and allow staff of adequate seniority to be released from other duties. Retrieval teams have been set up in some regions eg Northern Ireland [21] and are of particular importance in paediatric practice.[22] However, the speed of transfer required for head injuries may not permit a team to travel from the neuroscience centre. In addition, on a rare occasion two transfers may be required simultaneously, hence the referring hospitals will have to maintain the capability to transfer transfer patients with a time-critical lesion. This means that any unit potentially admitting children with head trauma should have a contingency to undertake such a transfer and have an appropriate kit with paediatric equipment ready for use. In an ideal world the funding of suitably situated retrieval teams would not be an issue. 17
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 18 and 19: 4. Other equipment • suction •
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
Page 50 and 51: 6.1. Floor scrubbing machines • C
Page 52 and 53: • Personnel participating within
Page 54 and 55: Generic Theatre Standard No 06 - Ma
Page 56 and 57: Generic Theatre Standard No 06A - M
Page 58 and 59: Generic Theatre Standard No 06B - M
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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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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