News and updates for today's conference
Optimising your Day Case Pathway
Dr Mary Stocker, Consultant Anaesthetist & Director of Day Surgery, South Devon Healthcare NHS Foundation Trust, President, The British Association of Day Surgery
As day stay becomes the main pathway for elective and an increasing amount of non-elective surgery it is increasingly important to have robust pathways that leave nothing to change. In this lecture we will identify the important components of a day surgery pathway from GP appointment to post-operative follow-up and audit. In particular I will emphasise the importance of the following:
- Day Surgery Definition: planned surgery/intended management of day surgery/admission, surgery and discharge on the same calendar day
- 23hr surgery is not day surgery
- Importance of planned pathway for day surgery with everyone in the pathway having day surgery expertise
- Importance of good patient preparation for day surgery
- Realisation that the majority of patients are appropriate to be managed via a day surgery pathway (if they are not they should probably not be having elective surgery but should be optimised until fit for surgery and then managed via a day case pathway
- Importance of dedicated facilities and staff expertise within day surgery
- Importance of high quality equipment within the day surgery environment
Undertaking your first Day Case, Hip Replacement: Our Story
Mr Hiren Divecha, Consultant Trauma and Orthopaedic Surgeon, Wrightington, Wigan & Leigh NHS Foundation Trust
Successfully undertaking your first day case THR can be a daunting process. The concept of day case arthroplasty represents a significant paradigm shift in attitudes to how we safely deliver joint replacement surgery. Whilst a well-defined perioperative pathway is essential, our early experience so far highlights the following points that we believe are crucial to successful day case THR surgery:
- Teamwork! – a multidisciplinary team that are invested in the concept
- Patient selection – strongly motivated patients are going to make this work!
- Patient education – focussed patient preparation supported by specific Patient Information Leaflets and Preoperative Joint School sessions
- Reinforce at every opportunity
- Perioperative pathway – focussed on achieving safe, early mobilisation
- A “safety net” – clear patient support mechanisms in place that are easily accessible if needed
Day Case Hip & Knee Replacement: Critical success factors
Mr Paul Partington, Consultant Orthopaedic Surgeon, Northumbria Healthcare NHS Foundation Trust
Consultant Orthopaedic Surgeon Northumbria Trust for 21 years, specialising in hip and knee replacement surgery. Trust Arthroplasty Lead up to 2018 in a unit performing 3000 primary hip and knee replacements per year. Now Day Case Joint Replacement lead for Northumbria Trust.
Performed the first known day-case hip replacement in the UK in 2015.
Intercollegiate Speciality Board Examiner, and former Training Programme Director and member of the SAC.
Full PowerPoint Presentation