TheatrePracticeStandardsGeneric1

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Generic Theatre Standard No 13 - Management of Clinical Specimens Standard: Collection of specimens and transportation to the laboratory. Standard Statement: In the operating theatre, specimens are regularly taken during surgical procedures. It is essential that every specimen reaches the pathology, bacteriology, histology or cytology department without undue delay and in optimum condition, to facilitate the survival and identification of organisms. Method: • Collection of a sample: Classification of Specimens • Specimens fall into three categories: o o o Transfusion specimens Retrievable specimens Irretrievable specimens • RCHT Pathology has classified irretrievable specimens as: • Cerebrospinal fluids (CSFs) • Specified dynamic function tests & specific test requirements • Bone Marrow specimens • Amniotic Fluids • Histological and Cytological samples (excluding voided urines and sputa) • Some samples from post mortems • Certain forensic samples under the auspices of a Pathologist • Clinical Microbiology - Sterile fluids, Outbreak samples other than faeces, specimens from temporary residents, specimens from the operating theatre. ALL OTHER SPECIMENS ARE ‘RETRIEVABLE’ i.e. ABLE TO BE REPEATED • Documentation requirements: Recording of Specimens • All entries into any health record, including amendments, must be clearly dated, timed, signed and the designation of the person making the entry must be clearly recorded. • The Theatre Manager will retain copies of signatures of all healthcare professionals who make entries on healthcare records, together with the professional's registration number (NMC or HPC). The register of signatures will be reviewed and updated annually. • It is the responsibility of the requester to ensure that specimens and forms are correctly labelled. • It is the responsibility of the person sending the specimen to ensure that samples and forms are correctly labelled to the agreed standards • It is the responsibility of the medical practitioner to sign the request form and state what particular investigations are required. This should generally be the surgeon, but on occasion may be another medical practitioner such as the anaesthetist. Whoever provides the detail must supply all information, including clear identification of who they are, their grade, and their contact details. 62
• The theatre assistant responsible for the transport of the specimen to the laboratory must be aware of their responsibilities, in particular the delivery point in each laboratory. • It is the responsibility of the medical staff to notify the histology department of specimens requiring frozen section and complete the investigation request form prior to starting the operation. The surgical team must check that this has happened before the surgery starts • Specimen Identification • Specimen identification must begin at the time the specimen is removed from the patient. The operating surgeon removing the specimen must clarify what the specimen is including site if relevant. • The scrub practitioner must determine the nature and site of the specimen that is being taken by verifying with the operating surgeon the specimen and site of removal e.g. left breast lump. This information will then guide the circulating practitioner as to the actions that are required for the specific type of specimen being collected. • Action must be taken to prevent drying out of specimens. Specimens and cultures should be handed off the sterile field as soon as they are taken and the surgeon has given consent. • The scrub practitioner must check whether the sample should be placed in a container containing preservative or other transport medium, or whether it should be a dry specimen • The scrub practitioner must relay this information to the circulating practitioner who will assist in the specimen collection process. • Specimen Labelling • After checking with the patient’s notes, the following details must be recorded on the specimen pot label: o o o o o o Patient’s full name, identification number and date of birth. Ward, hospital, theatre. Nature of the specimen. Date/time specimen was taken. Nature of fixative. Consultants name. • These details must be recorded on an adhesive label that is attached to the body of the specimen container. • The same details must also be recorded on the request form, along with the following: • Medical practitioner’s name, clearly and legibly written. • Medical practitioner’s signature. • Contact details for the medical practitioner. • Details of who the report should be submitted to. • It is essential that a member of the perioperative team labels the specimen container. This must be done after the details have been provided but before the specimen is placed in the container. To reduce confusion, the label must not be placed on the lid of the container. 63
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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
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• Clean theatre clothing should b
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• Protective face shields must be
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Generic Theatre Standard No 02 - Op
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Page 46 and 47: Example of Environmental Theatre Cl
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Page 52 and 53: • Personnel participating within
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Page 60 and 61: lood, CSF or brain tissue, should b
Page 62 and 63: Exceptions: None References: • Af
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Page 78 and 79: • The deceased patient should be
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Page 84 and 85: FAITH CONTACT ADDRESS TELEPHONE NO
Page 86 and 87: • The active electrode must alway
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Page 92 and 93: • The labelled container must be
Page 94 and 95: • Staff Responsibility • All st
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Page 100 and 101: 4. Time Out - Before start of surgi
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Page 104 and 105: • The Senior Surgeon/Operating Cl
Page 106 and 107: Generic Theatre Standard No 16 - St
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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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