Upon admission, each patient must have a pre – anaesthetic assessment completed by a nurse anaesthetist.
A thorough check shall be performed on the anaesthetic equipment prior to the start of each anaesthetic.
After admission to the WSMI, the nurse anaesthetist assigned to the patient shall confirm the following:
Consent form has been signed;
A patient specific plan for anaesthesia care is formulated and discussed with the anaesthetist.
Surgical procedure to be done and the site;
Patient has been appropriately prepared for the surgical procedure;
Patients medical records and x-rays in order;
Marking the surgical site by the physician/surgeon performing the procedure, while the patient is awake and aware;
Final verification confirming the correct patient procedure, site marking, special equipment and additional requirements.
The patient should be brought to the pre – operative room/anaesthetic room to be assessed by the anaesthetist (if receiving anaesthesia), and then brought to the operating theatre.
The anaesthesia care plan shall be implemented and the plan of care adjusted as needed to adapt to the patient’s response to the anaesthetic. Vigilance shall be maintained for untoward identifiable reactions and corrective actions initiated as required.
The anaesthetist shall provide accurate documentation on the patient’s record including:
the type of anaesthetic given;
the length of time the anaesthetic was administered to the patient; and
the condition of the patient following the operation
After the procedure, the patient shall be transferred from the operating table to a recovery bed and transported to the recovery area accompanied by the anaesthetic and recovery nurse.
The responsibility for the care of the patient shall be transferred to other qualified providers in a manner which ensures continuity of care and patient safety. The physician or anaesthetist who administers the anaesthesia should evaluate the patient immediately upon completion of any medical procedure.
Instruction for Patients
Patients undergoing day surgery have an increased responsibility for their preoperative preparation and their recovery from surgery at home.
The provision of appropriate information on the phases of the surgical process is important, not only to ensure the success of the procedure but also for patient safety. An effective policy for information provision should be in place that aims to:
Prepare a patient psychologically for surgery;
Educate the patient about the particular procedure and pre and postoperative care;
Minimize risks in the postoperative period;
Improve patient satisfaction with the overall day surgery experience and aid in anxiety reduction; and