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Victorian Sameday Surgery Workshop

Victorian Sameday Surgery Workshop. Anna Vandenberg Perioperative Services Manager. History. Cholecystectomy Admission Preoperative management Post-operative management Pain management Mobilisation Discharge. Referral Process. Surgeon assessment in outpatients or rooms

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Victorian Sameday Surgery Workshop

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  1. Victorian Sameday Surgery Workshop Anna Vandenberg Perioperative Services Manager

  2. History • Cholecystectomy • Admission • Preoperative management • Post-operative management • Pain management • Mobilisation • Discharge

  3. Referral Process • Surgeon assessment in outpatients or rooms • Medically suitable • Social history suitable • Noting “day case” on request for admission form

  4. Triage Health Questionnaire • Social situation • Previous medical history • Language • BMI <35 • Age <70 • Distance from hospital

  5. Preadmission - Nursing • Invite carer to attend with patient • General overview / physical presentation • Baseline observations, ECG, medications • Check HQ and clarify points • Education • Brochures

  6. Preadmission (Cont) • Active listening. • Conversation. • “When I was in hospital last time….” • “My friend had…..” • Interview with carer to discuss home situation. • Understand process and involvement.

  7. Preadmission - Medical • Previous history • Current symptoms • Systems review • Medication check • Social history

  8. Referral to Hospital In The Home • HITH nurse will meet patient in preadmission • HITH responsibilities • Contact numbers • Selection criteria • Obtain consent • Complete home visiting staff risk assessment form

  9. Discharge Planning • Carer to pick up • Responsibilities at home • Support for medication • Access to bathroom

  10. Carer Information Responsibilities • Organise household • Pick up & stay with patient for 24 hours • Assist with medication • Assist with hygiene • Seek medical assistance if necessary

  11. Day of Procedure - education • Arrival time • Fasting instructions • Preparation for theatre • Anaesthetic preparation • Recovery room • Day surgery clinical pathway

  12. Discharge Expectations – • Time for discharge • Discomfort and management • Nausea and management • Discharge criteria met HITH visit prior to discharge

  13. Process for Same Day Surgery • Application across all surgery specialties • Education • Appropriate support personnel – personal and organisational • Access to one point of contact for patients

  14. COMMUNICATION Achieves • Win – Win outcomes • Early treatment • Reduction in cancellations • Waiting list management • Theatre utilisation • UNDERSTANDING

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