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Guidelines: Day case and short stay surgery ..................................................................................................................................... Appendix 3 Discharge checklist for day surgery. Reproduced from: British Association of Day Surgery. Nurse Led Discharge. London: BADS, 2009, with permission. Criteria Yes No N ⁄ A Initials Details Vital signs stable Orientated to time, place & person Passed urine (if applicable) Able to dress & walk (where appropriate) Oral fluids tolerated (if applicable) Minimal pain Minimal bleeding Minimal nausea ⁄ vomiting Cannula removed Responsible escort present Has carer for 24-h post op Written & verbal post op instructions Knows who to contact in an emergency Follow up appointment Removal of sutures required? Referrals made Dressings supplied Patient copy of GP letter Carbon copy of consent Sick certificate Has take home medication Next Dose: Information leaflet for tablets Post op phone call required Discharged by: Nurse’s Signature ___________________________________________________ Date ⁄ Time ____________ Print Name ___________________________________________________ Ó 2011 The Authors 28 Anaesthesia Ó 2011 The Association of Anaesthetists of Great Britain and Ireland
Guidelines: Day case and short stay surgery ..................................................................................................................................... Appendix 4a Acute pain protocol for adult surgery. Pain intensity Discharge medication Doctor’s signature (sign one box only) A None None B Mild Paracetamol 1 g qds C Moderate Paracetamol 1 g qds Plus Ibuprofen 600 mg qds C* Moderate (NSAID intolerant) Paracetamol 500 mg ⁄ codeine 30 mg 1–2 tabs qds D Severe Paracetamol 500 mg ⁄ codeine 30 mg 1–2 tabs qds Plus Ibuprofen 600 mg qds D* Severe (NSAID intolerant) Paracetamol 1 g qds Plus Oral morphine 20 mg qds Appendix 4b Pain categories for common procedures in the day surgery unit, to be used in conjunction with the above. A B C D EUA ears Cystoscopy Restorative dentistry Cataract surgery Grommets ⁄ T-tube removal ⁄ insertion Prostate biopsy Sebaceous cyst surgery Sigmoidoscopy Skin lesion surgery Urethral surgery Anal surgery Apicectomy Arthroscopy Axillary clearance Breast lumps Dupuytren’s contracture Carpal tunnel decompression Cervical ⁄ vulval surgery Hysteroscopy ⁄ D&C Middle ear surgery MUA ± steroid injection Vaginal sling Varicose vein surgery Vasectomy Non-wisdom tooth extraction ACL reconstruction Circumcision Endometrial ablation Laparoscopy Haemorrhoidectomy Hernia repair Joint fusions ⁄ osteotomy Shoulder surgery Squint surgery Testicular surgery Tonsillectomy Wisdom tooth extraction Dental clearance EUA ⁄ MUA, examination ⁄ manipulation under anaesthesia; ACL, anterior cruciate ligament Ó 2011 The Authors Anaesthesia Ó 2011 The Association of Anaesthetists of Great Britain and Ireland 29
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Recommendations for the Safe Transf
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CONTENTS Section I Summary and Reco
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SECTION II - BACKGROUND In 1996 the
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SECTION IV - ORGANISATION AND COMMU
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SECTION V - STAFFING REQUIREMENTS A
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A p p ropriate re s p i ra t o ry s
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SECTION VII - THE TRANSFER The tran
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SECTION VIII - EQUIPMENT AND DRUGS
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SECTION IX - EDUCATION AND TRAINING
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SECTION X - RESOURCE IMPLICATIONS F
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APPENDIX I INDICATIONS FOR INTUBATI
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APPENDIX III ADDITIONAL INFORMATION
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AAGBI SAFETY GUIDELINE Suspected An
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GUIDELINES Suspected Anaphylactic R
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Suspected anaphylactic reactions as
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Storage of Drugs in Anaesthetic Roo
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Storage of Drugs in Anaesthetic Roo
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This guideline was originally publi
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Anaesthesia 2015 Checketts et al. |
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Anaesthesia 2016, 71, 1503 Correcti
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Membership of the working party Dr
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1. Summary 1.1 Safety, quality and
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3. Responsibility of anaesthetists
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3.4 The Trust - Medical Devices Man
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4. Standards 4.1 Medical Devices Di
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5. Responsibility of manufacturers
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6. Choosing and trialling equipment
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equipment officer is encouraged to
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EU procurement thresholds Threshold
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When negotiating a purchasing agree
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9. Shared equipment Many types of e
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Third party servicing is another op
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11. Replacement 11.1 Planned equipm
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number of re-uses (e.g. re-usable L
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Where new equipment is purchased th
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14. Incident reporting and investig
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available from www.hse.gov.uk 14.4
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DB DoH EBME EC EU FRCA HN HSE IEC I
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8. OPSI. Statutory Instrument 2006
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Eire Tel: 00353 1 676 4971 Website:
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Peri-operative management of the ob
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Guidelines Peri-operative managemen
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Recommendations 1 Every hospital sh
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35 30 25 Prevalance (%) 20 15 10 5
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is an increased incidence of prolon
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Figure 2 Relationship between total
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techniques, and when used with neur
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Table 5 The STOP-BANG screening que
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Intra-operative care Preparation of
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Figure 3 Ramping position for obese
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eturn of airway reflexes with desfl
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Table 6 Dosing schedule for thrombo
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A review and meta-analysis by the S
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numbers of staff are needed to roll
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Table 7 Equipment for managing obes
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11. Schneider HJ, Glaesmer H, Klots
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44. Edholm D, Kullberg J, Haenni A,
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75. McKay RE, Malhotra A, Cakmakkay
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21 Portland Place, London, W1B 1PY
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Anaesthesia 2015 Barker et al. | Gu
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Out of Hours Activity (Anaesthesia)
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Considerations for anaesthetists Th
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OAA / AAGBI Guidelines for Obstetri
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Contents 1. Key recommendations 2 2
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2. Introduction This is the third v
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Recommendations Medical staff The t
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appointed directly from other count
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Peripartum care Pre-operative asses
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Intravenous patient-controlled opio
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depression. In the absence of contr
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of clinical deterioration, as recom
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5. Training and education Each obst
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• Skills and drills training: ana
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• The midwife caring for a woman
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7. Support services, equipment, fac
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Equipment for PCA must be available
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8. The future The delivery of healt
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The following national guidelines s
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19. Obstetric Anaesthetists’ Asso
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21 Portland Place, London, W1B 1PY
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At the first meeting held on 9 th M
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Methods to estimate/establish publi
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Recommendations The WP recommends:
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Anaesthesia, 2007, 62, pages 1199-1
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Anaesthesia, 2007, 62, pages 1199-1
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OPTION 3 - PRESUMED CONSENT. ‘Pre
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Power of Attorney) while requiring
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Needle-stick injury and HIV testing
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egain capacity, and the absence of
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treatment if it was understood that
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Management of hypertension before e
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AAGBI Safety Guideline Management o
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Malignant Hyperthermia Crisis Task
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MEMBERSHIP OF THE WORKING PARTY Dr
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Section 1 Recommendations 1. Transf
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Section 3 Introduction In 1997 it w
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This process may require many telep
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Section 6 Accompanying the patient
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Section 7 Monitoring, drugs and equ
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heavily congested areas, but not al
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APPENDIX 1 Departure checklist Do a
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13. Bercault N, Wolf M, Runge I, Fl
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21 Portland Place, London W1B 1PY T
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Membership of the Working Party Dr
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Infection control in anaesthesia An
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AAGBI SAFETY GUIDELINE Immediate Po
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Guidelines Immediate post-anaesthes
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The Royal College of Anaesthetists
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Contents ❚ Foreword 4 Introductio
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Introduction ❚ The Good Anaesthet
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Related guidelines and sources of i
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Domain A: knowledge, skills and per
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