DEATH HIGH DEPENDENCY WARD HDW

67 Operation Policy In Obstetrics and Gynaecology Services

11.0 MATERNITY OPERATION THEATRE

Standards 11.1 Patients are planned for elective and emergency caesarean section at maternity operation theatre. Intent of 11.1 1. Elective cases are planned earlier and performed from pre-determined hours Monday to Friday, 8am-5pm. 2. All cases listed for operation are by a specialist. 3. The patients are counselled regarding the indication, procedure and associated complications prior to the surgery and they area admitted one day prior to the day of operation. 4. The patients together with the husband are reviewed again by the obstetrician and gynaecologist who is planned to perform the operation. 5. Necessary investigations are taken and reviewed prior to the operation. 6. All patients are reviewed by the anaesthetist one day prior to the operation and are counselled again regarding the operation and type of anaesthesia planned. 7. All high risk cases are performed by specialistconsultant. 8. Once the patient has been counselled, a written consent is taken from the patient. OPERATIONAL POLICIES 68 Operation Policy In Obstetrics and Gynaecology Services 9. Blood is group and cross matched for all high risk cases according to the hospital protocols. Other patients shall have blood grouped and saved as appropriate. 10. A day prior to surgery a list is drawn up of all the cases and the Maternity Operation theatre list is signed by the Head of Department. 11. The staff from the respective wardsunits shall notify the staff of the Maternity Operation Theatre OT by means of an OT dispatch book prior to the surgery. 12. The respective wards shall be responsible for transporting the patients to and from the Maternity OT after being informed by the OT staff. 13. The Operation Theatre guidelines for patient’s attire shall be adhered to. 14. At the Operation Theatre “transfer bay” the ward staff shall “hand over” the patient to the theatre nurse to ensure patient’s safety. Any special instructions shall be conveyed to the OT nurse. 15. The Operation Theatre staff shall carry out the necessary checklist in accordance to the standard procedures. 16. The ward staff shall be informed of any cancellation of cases. 17. All OT staff and relatives accompanying patients shall abide by the rules’ and regulations pertaining to the OT attire. 18. Mentally handicapped and psychiatric patients may be accompanied into the OT by a single relative who signed the operation consent. OPERATIONAL POLICIES