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All Trust key documents have now been moved to a new application.
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Theatre Operational Policy
NHS England Guide to NatSSIPs
NatSSIPs Stage 2 Patient Safety Alert
Frequently Asked Questions
Local safety standard for Debrief
Local safety standard for Sign in
Local safety standard for Sign out
Local safety standard for Team brief
Local safety standard for Prothesis Verification
Local safety standard for Time out
Local safety standard for Insertion of central venous access
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
Annual Leave Theatres Protocol
Procedure for the safe and secure handling of medicines in theatres
SOP Theatre recovery surge
Theatre etiquette
SOP 8am Safety brief
Electro Surgery Theatre Policy
Discharge criteria 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 Normothermia
Surgical Site Infection Bundle: Preparation of the Sterile Field
Surgical Site Infection Bundle: Skin Preparation 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
Specimen Management Policy
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 & Procedure for the Injection of Local Anaesthetic by Perioperative Specialist Practitioners
Guideline for Obtaining Informed Consent for named Procedures by Perioperative Specialist Practitioners
SOP for Loading and Unloading Fibreoptic Intubation endoscopes from the extended storage Cabinet in Main Theatre
SOP for the cleaning of rigid video scopes and bonfils
Theatre Operating Session Schedule Guideline
Theatre Spillage Policy
SOP for Night Time Operating at Alexandra Hospital
SOP for the Introduction of a Vanguard theatre
SOP for Theatre Assistant Practitioners - Scope of Practice
Consent to examination or treatment
Information communication technology policy
Medicines Policy
Manual Handling policy
Medical devices policy including education and training
Trust supplier representative policy
Infection control policy
Swab, instrument and sharps policy
Control of substances hazardous to health
Capacity Management Policy (Excluding Admissions to Obstetrics)
HS RAG Poster
Policy for the use of the WHO Surgical Safety Checklist
Guideline for Preoperative Pregnancy Testing in Women of Childbearing Age
Worcester Microguide
Owner: Mathew Trotman
Working group: Andy Fryer
Approval date - 13th October 2020
Review dates - 13th October 2023
This is the most current document and should be used until a revised version is in place
Version 5.1
Key Amendments