TheatrePracticeStandardsGeneric1

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11 Leakages from the oral cavity, vagina and bowel can be contained by using suction, drainage and using incontinence pads. Do not attempt to pack these orifices. The body bag will prevent any leakage escaping further. 12 Exuding wounds, surgical incisions should be covered with a clean dry dressing and absorbent pads as necessary. 13 Stitches and clips should be left intact. Stomas should be covered with a stoma bag. 14 Wash the patient, unless requested not to do so for religious/cultural reasons or carer’s preference. 15 Attend to hygiene needs, paying particular attention to hair, nail care and oral hygiene. 16 Male patients should be shaved, unless they chose to wear a beard in life. If shaving a man apply a water-based emollient cream to the face. 17 Clean the patient’s mouth using a foam stick to remove debris and secretions. Apply petroleum jelly to lips and perioral area 18 If the patient had dentures with them these can be cleaned and replaced into the mouth if possible. If this cannot be done send them to the mortuary with the patient and document this. 19 Remove jewellery and any personal items, unless requested or advised otherwise. Ensure that appropriate records are made of any personal items left on the body or otherwise. (Follow RCHT Guidance on Patient’s Property). 20 Ensure identification labels/wrist bands are in place in accordance with RCHT Guidance on Positive Patient Identification. 21 All deceased patients must be properly identified with two identification bracelets, one on the wrist and one on the ankle. They must show the patient’s name, hospital/NHS number, date of birth, and religion if known. In the event of the patient’s name being unknown the HIN system is used and the identification bracelet must state UNKNOWN MALE / FEMALE. 22 Dress the patient in a gown/shroud or own clothes, as required. 23 Place an incontinence pad underneath the buttocks to contain any soiling. 24 Enclose the body in a sheet, securing it with adhesive tape, ensure the face and feet are covered and that all limbs are held securely in position. 25 Place the body in the bag, completing: Notification of death - one copy of the notification of death slip must be taped securely to the shroud, one copy must be taped securely to the outside of the sheet or cadaver bag, and one copy in the patient notes of the deceased 26 Ensure documentation is complete - Notice of death (A5 yellow card); Mortuary card - Notification of Death for Bereavement Office (A4 White) 27 Document last offices practice, including property and any specific requirements for mortuary care. 28 Dispose of clinical waste 29 Arrange for transfer of the body, communicating any specific requirements to portering/mortuary staff 30 Transfer property, patient records and any additional items to the general office/bereavement office 52
3. Special Guidelines for Different Religious Faiths • Buddhism o A request may be made for a Buddhist priest to be informed as soon as possible after the patient’s death. This may be done by relatives o A Buddhist may refuse analgesia due to the belief that it could cloud his/her thoughts and stop meditation prior to death. o The body should not be moved for at least one hour as it is likely prayers will be said. o There are no customary rituals for laying out the body so normal last offices are appropriate. • Christianity o Last Offices may be requested. Further advice may be sought from the family priest or the hospital chaplain. There may be a request for a rosary or crucifix to be placed appropriately on the body. • Chinese o It is essential that perioperative staff contact the family as soon as possible after death in order to ensure any specific requests or wishes of the deceased and/or family are adhered to if practical. • Hinduism o It is important that the body of a Hindu patient is always covered following death. o The family usually remain with the deceased and the eldest son should be present. Relatives, of the same sex as the deceased, wash the body. Nursing staff may do this if the family requests. o Post mortems are considered disrespectful to the deceased and the family may need support in coming to terms with the legality of this issue. • Islam (Muslim) o Death is considered inevitable and relatives may take comfort from praying and reciting the Qur’an. When obvious that the patient is dying, they should be supported to lay on their right side in order to face Kaaba or Mecca, for direction of prayer. If this is not possible, every effort should be made to place the patient on their back with their feet facing towards Kaaba, with head slightly raised. The body must remain covered at all times. • Jehovah’s Witnesses o It is essential that perioperative staff contact the family as soon as possible after death in order to ensure any specific requests or wishes of the deceased and/or family are adhered to if practical. • Judaism o Perioperative staff must contact the family Rabbi/local Hebrew burial society, as soon as possible after death in order to ensure any specific requests or wishes of the deceased and/or family are adhered to if practical. Perioperative staff must not wash the body of the deceased as this is part of the rites performed. Staff may close the eyes and mouth, straighten the body and bandage the jaw. A plain white sheet may be placed over the body. o The body must not be moved at Sabbath (Friday sunset – Saturday sunset) or on festivals including: Rosh Hashanah, Yom Kippur, Succoth or Shavuot 53
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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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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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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 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
Page 96 and 97: • It is the responsibility of the
Page 98 and 99: 6. Induction of anaesthesia • See
Page 100 and 101: 4. Time Out - Before start of surgi
Page 102 and 103: • The registered anaesthetic prac
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
Page 116 and 117: Generic Theatre Standard No 23 - Bo
Page 118 and 119: Generic Theatre Standard No 25 - Co
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
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Appendix 1. Governance Information
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Appendix 2. Initial Equality Impact
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