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Worcestershire Key Documents

Theatre Key Documents

Please note that the clinical key documents are not designed to be printed, but to be viewed on-line.  This is to ensure that the correct and most up to date version is being used.  If, in exceptional circumstances, you need to print a copy, please note that the information will only be valid for 24 hours and should be read in conjunction with the Key Document Supporting Information and/or Key Document intranet page, which will provide additional information including approval and review dates

Using the Key Document page

Policy for the positioning of patients for all Theatre, Maternity and Ophthalmology procedures

Anaesthetic agent spill procedure SOP

Anaesthetic breathing circuit and associated consumables - SOP

Procedure for the safe and secure handling of medicines in theatres

SOP Theatre recovery surge

Theatre etiquette

SOP 8am Safety brief

Discharge critieria from recovery to ward - guideline

Caring for the deceased patient in the perioperative environment policy

Local Anaesthetic block policy

Risk Assessment for Theatre Sentinel Node Biopsy Work WRH

SNLB Local Rules Appendix DP WRH

SOP Sending for Patients for Theatre

Surgical Site Infection Bundle: Hair Removal

Surgical Site Infection Bundle: Management of Norothermia

Surgical Site Infection Bundle: Preperation of the Sterile Field

Surgical Site Infection Bundle: Skin Preperation and Peri-Operative Wound Management

Surgical Site Infection Bundle: Surgical Hand Antisepsis, Gowning and Gloving

Surgical Site Infection Bundle: Instrument Management

Safe Transfer of Theatre Patients

Released Removed Body Parts (Human Tissue) To The Patient

SOP for the use of the MeCaSa application

SOP for Surgical Procedures during the COVID-19 Pandemic 

Wound Closure by Perioperative Specialist Practitioner

Guideline for Obtaining Informed Consent for named Procedures by Perioperative Specialist Practitioners

Standard Operating Procedure for Loading and Unloading Fibireoptic Intubation endoscopes from the extended storage Cabinet in Main Theatre 

Standard Operating Procedure for the cleaning of rigid video scopes and bonfils 

Theatre Spillage Policy 

Standard Operating Procedure for Checking of Staff Temperature

Contact Information

Owner: Matt Trotman

Working group: Andy Fryer

Approval date - 13th  October 2020  

Review dates  

This is the most current document and should be used until a revised version is in place

Version 2.8 

Key Amendments

Page last updated: 22 October 2020