TheatrePracticeStandardsGeneric1

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Generic Theatre Standard No 04 - Infection control in the Operating Department Standard Statement: All Theatre staff must utilise standard precautions in all aspects of practice to protect self, colleagues and patients from the risk of health care acquired infection. Standard Precautions in the Operating Department 1. Management considerations 2. Protection and Precautions • Skin • Hand Hygiene • Gloves • Eyes and Mouth • Gowns and aprons • Sharps • Spillage of blood and body fluids See: Revised Healthcare Cleaning Manual 3. Accidental exposure/sharps injury/conjunctiva/mucous membrane splash 4. Waste disposal The documents below relate to the above: Infection prevention and control - roles and responsibilities policy Standard infection prevention and control precautions policy including Hand Hygiene and Safe Handling and Disposal of Sharps Decontamination Policy The Environment Cleaning Policy 1. Theatre Traffic • The layout of the perioperative department is designed to minimise, restrict or contain bacteria and viral pathogens. In addition, theatre traffic should be kept to a minimum. The purpose of controlling theatre traffic (movement within theatre) is to minimise the movement of bacteria from the theatre environment itself, theatre personnel and patients. Unrestricted areas Traffic is not limited within the department; these areas include theatre reception areas. At all times theatre department access is restricted by swipe card. Theatre entrance doors must remain closed at all times when access / egress are not being undertaken. Please note – all individuals unless in case of emergency who require access to Trelawney theatres beyond the reception point are required to be in full theatre attire. Theatre Practice Standards - Generic Page 16 of 105
Semi-restricted areas – Traffic is limited to authorised, correctly attired personnel and patients Restricted areas – Traffic is very limited and personnel must be correctly attired. This includes the operating theatre • Only the number of personnel required to manage the proposed clinical procedure safely should be present in the operating theatre. • There should be a restriction on movement and talking within the operating theatre. • All doors to the operating theatre must remain closed to ensure effective ventilation of the area. As far as possible all potential equipment and supplies for the proposed clinical procedure and/or list should be available in theatre prior to a clinical procedure commencing. This will then reduce the traffic in and out of theatre and therefore maximise the efficiency of the ventilation system. 2. Environment cleaning • The environment and all working surfaces must be cleaned in accordance with the local infection prevention and control policy and cleaning guidelines (NHS cleaning manual, 2007) prior to the commencement of the procedure. • The Theatre Manager should maintain records of cleaning schedules, daily weekly monthly and 6 monthly deep cleans, which detail the standards of cleanliness required in each part of the theatre premises including items and equipment, and that a schedule of cleaning frequency is available on request. Work schedules must be displayed in particular work areas. • Example of Environmental Theatre Cleaning schedule (further guidance from the Revised Healthcare Cleaning Manual (2009) on setting up schedules etc.): Theatre Practice Standards - Generic Page 17 of 105
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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 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
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Page 40 and 41: • Please read NJR Manual and Trai
Page 42 and 43: 13. Positioning of the Patient •
Page 46 and 47: Example of Environmental Theatre Cl
Page 48 and 49: 3. Between case cleaning procedures
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Page 62 and 63: Exceptions: None References: • Af
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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
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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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Generic Theatre Standard No 20 - Ma
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Generic Theatre Standard No 22 - Ma
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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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