TheatrePracticeStandardsGeneric1

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Example of Environmental Theatre Cleaning Schedule Clean and restock shelves, drawers and cupboards, check all Recovery Clean and restock paediatric resuscitation trolley, check product expiry dates expiry dates Clean and restock drug cupboards, check all expiry dates Weekly Clean and restock adult resuscitation trolley, check expiry dates Clean and check Anaesthetic machines and monitoring Clean and restock humidification box, check expiry dates equipment Clean and restock airway management and regional Clean and restock last offices drawer anaesthesia trolleys Clean and check hot lines Clean check and restock Gratnell trolleys in patient bays Clean and check Bair huggers Clean check and restock IV Trolley Defrost drug fridge monthly Recovery Defrost and clean drug fridge, check expiry dates Clean and check operating table and all table attachments Clean and restock cupboards and shelves Clean and restock shelves and cupboards in Prep rooms Monthly Clean and restock drug cupboards, check expiry dates Clean and restock fluid warming cabinet Staff Rest Tidy or discard magazines and papers Check expiry dates of trays and separately wrapped items in Room Remove out of date notices from communication boards each prep room Check soft packed items for sterility and expiry dates Store room Tidy stores and discard empty boxes Clean and restock sluice cupboards and shelves Tidy pharmacy cupboards and check expiry dates Clean and restock Theatre Gratnell trolley Orthopaedic Check all implants for stock levels, sterility and expiry Prosthetic dates as appropriate Clean and restock theatre scrub areas Store Clean and tidy racking and shelves Clean soap dispensers Anaesthetic Clean and tidy all shelves and check products for sterility store and expiry dates Clean and check emergency paediatric intubation trolley Corridors Ensure all fire exits are clear and corridors are free of clutter Clean and check difficult intubation trolley Clean and check trauma table attachments Clean and check level 1 rapid infuser Clean and check lead protection gowns Clean and restock plaster trolley Check trauma implants for sterility and expiry dates Clean and check stacking systems Clean and check Microscopes Clean and check other ENT & General electric/ power equipment Anaesthetic rooms Theatres Other Theatre Practice Standards - Generic Page 18 of 105
• The Theatre Manager will: o o o o o o o o Determine who in the department should be responsible for each element on the cleaning schedule: cleaning staff, porters or clinical staff. Routinely check that cleaning has taken place to a sufficient standard; highlight trends which indicate a downturn in the cleanliness provide investigation and an action plan for improvement, if necessary. Ensure that all cleaning and decontamination that takes place in the department they are responsible for is conducted according to the recommendations in the Revised Healthcare Cleaning Manual (NPSA, 2009). Must agree the service level agreement with the Estates Department that ensures regular programme of maintenance to the Theatre Environment. Ensure that the Estates department responds to requests for repair to the structure of the theatres in a timely manner and/or pursue where response has been overlooked. Maintain a transparent process for theatre staff to report problems related to the structure of the theatre environment e.g. indicating areas of wall with peeling paint which must be repainted or covered with a new wall finish, and to record the outcomes of the reporting process. There must be available a cleaning work schedule for the housekeeping staff and a separate one for the perioperative staff, clearly identifying: the tasks normally undertaken; the item; recommended method and frequency. Technical method statements can be found in the Revised NHS Cleaning Manual (NPSA, 2009). The RCHT Decontamination Policy provides advice on methods of decontamination. • The team leader, deputy or theatre manager must undertake a visual audit of the environment for cleanliness before the commencement of the operating list and take action where appropriate. Results of this audit must be kept and available for audit. • Disposable gloves must be worn for all cleaning tasks. • Cleaning of the perioperative clinical environment (anaesthetic room, prep room, scrub up and theatre) must take place via a ‘top to bottom’, ‘out to in’ method. • Damp Cleaning of the perioperative ledges and shelves (anaesthetic room, prep room, scrub up and theatre) will take place prior to every surgical session, if the theatre has remained dormant for longer than 4 hours. • Cleaning of sterile store’s room will take place monthly and include removal of all equipment, to facilitate cleaning of the floors. All portable equipment must be removed from this area. All racks must have equipment/packs/materials removed and be cleaned and replaced. 19
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 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 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
Page 66 and 67: Generic Theatre Standard No 06F - M
Page 68 and 69: Generic Theatre Standard No 06G - M
Page 70 and 71: Generic Theatre Standard No 06H - M
Page 72 and 73: Generic Theatre Standard No 07 - De
Page 78 and 79: • The deceased patient should be
Page 80 and 81: 11 Leakages from the oral cavity, v
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 90 and 91: Generic Theatre Standard No 13 - Ma
Page 92 and 93: • The labelled container must be
Page 94 and 95: • 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
Page 130 and 131:
Appendix 1. Governance Information
Page 132 and 133:
Appendix 2. Initial Equality Impact
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