TheatrePracticeStandardsGeneric1

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Generic Theatre Standard No 10 - Fire Prevention Fire Prevention in the Operating Theatre Environment • Fire Precautions Fire Safety Policy • Potential fire hazards • Alcohol skin prep • Monopolar Surgery • Head and Neck Procedures • Laser Safety • Management of Airway Fire • Fibreoptic light cables or sources • Alcohol skin preparation • Alcohol-based skin preparations are known to be flammable. • Risk Assessment must be undertaken for their use and application. Alcohol-based skin preparations can be absorbed into body hair or can pool on the body surface. If drapes are applied before the preparation has dried the vapour can accumulate. Alcohol flames are difficult to see under the operating lights! • The quantity of flammable fluid used to prepare the skin should be kept to a minimum in order to avoid run-off and pooling, either on or around the patient. Precautions should be taken to prevent pooling underneath drapes or in the patient’s umbilicus. • Any run-off that occurs must be contained by absorbent material placed around the patient, which is removed before the drapes are applied. • Time must be allowed for the alcohol to evaporate and disperse prior to applying the drapes. • Care must be taken in using sprays with flammable propellants such as butane when electrosurgery is planned. • Monopolar electrosurgery • In monopolar electrosurgery, the active electrode is in the surgical site. The patient return electrode is somewhere else on the patient’s body. The current passes through the patient as it completes the circuit from the active electrode to the patient return electrode. • Electrosurgery units use a high frequency alternating electrical current for cutting and coagulation. They are the main potential ignition source for a fire • Electrosurgery can produce a high temperature electrical arc if carbonized tissue is allowed to build up on the tip of the electrosurgery device. It is essential that an electrocautery tip cleaner be applied to remove the build-up of carbonised tissue. • The power setting for the electrosurgery unit will be confirmed verbally between the operator and the user prior to activation. 57
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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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Generic Theatre Standard No 08 - Ca
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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
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 74 and 75: Generic Theatre Standard No 08 - Ca
Page 76 and 77: Generic Theatre Standard No 09 - Ca
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 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
Page 130 and 131: Appendix 1. Governance Information
Page 132 and 133: Appendix 2. Initial Equality Impact
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