Daycare Surgery.pptx
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a) Prerequisites for daycare surgery include patients between 6 months and 75 years old with a BMI less than 35, ASA status of 1 or 2, procedures under 90 minutes with minimal risk of complications and pain managed by oral medication. Patients must be able to return home within an hour and have support for 24 hours. b) Monitoring daycare surgery success involves tracking the percentage of procedures performed as daycare over time, unplanned admission and cancellation rates staying below thresholds, and high patient satisfaction ratings.
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Daycare Surgery.pptx
- 1. Write short notes on: a) Pre-requisites for daycare surgery (17 marks) b) How to monitor daycare surgery success (3 marks) Clinical Factor Patient age >6 months and <75 years old BMI <35kgm2 No difficult airway features ASA 1 or 2 with well controlled comorbidities LA cases selection based on surgeons discretion Patients assessment to be done 2 weeks prior to surgery date Prior blood, imaging and relevant investigations done reviewed
- 2. Social factor Patients/parents able to provide informed consent and willing to co-operate to post procedural instructions Escort: Carer should be responsible to escort patient and provide supervision at least 24 hours post procedure. Paediatric patients needs at least 2 adults to drive and care for child Transport: Suitable transport to home post-surgery and if using public transport to ensure suitable mode of transportation. Not advisable to use motorcycle Geography: Live within 1 hour travelling distance from hospital Social: Access to telephone services available at all times
- 3. Surgical Criteria Simple surgery lasting <90 minutes Less post operative risk of haemorrhage or airway compromise Procedures with less post-operative pain that can be controlled by oral analgesia Post operative requires no special nursing/care Able to resume food and fluid intake in a short period post op No prolonged immobility post op
- 4. Daycare surgery success based on short term (2-3 years) and long term target (4-5 years) target 1. Effectiveness No of procedures done under daycare over overall total no of cases - Short term 10% , Long term 25% 2. Quality Unplanned admission - Short term <5%, Long term <1% No show - Short term <5%, Long term <1% Cancellation rate - Short term <15%, Long term <10%
- 5. 3. Customers satisfaction Via feedback from patients - Short term >85%, Long term >95%