Nursing Department

OPERATING ROOM Communication

Original Issue Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 1 of 5

1.0

Communication: 1.1 Booking of patients schedule for Operation. 1.1.1 Calls are received from the AED or OPD or ward and documented in a logbook then an OR request is sent after approval from the Head of the Anesthesia Department. It will be received by the OR staff nurse stating the date and time received including the receiving nurses signature and ID number. The scheduled book cases and additional cases are being documented in a Daily Operating Room List Form and being updated at the end of shift and used as an indicator for improvement. For Locum Doctors, they book and schedule cases through phone call after approval from the Head of the Anesthesia Department then documented in a Logbook and operation requested from AED once patient is seen by the doctor upon admission. The anesthesiologist on-call on duty will be contacted in extension number 2117 and 2334. Approved scheduled Rota list for all OR Staff (Anesthesiologist and nurses/midwives) must be followed strictly and will stay up to the end of their duty. Any revision/changes of the scheduled Rota must be approved by the head of the department with date and time and concerned areas must be informed by the OR desk staff. Staff (Anesthesiologist and nurses/midwives) who would like to 1

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Original Issue Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 2 of 5

change their official duty must have a formal communication through a letter or Exchange of Duty Form. The department head must make sure that he will be available to be reached for any emergency calls. 1.2 There is an existing nurses call in all surgical rooms including RR/PACU as a means of communication between all OR staff in cases of emergency. Communication between the ward nurses through endorsement of patient for Operation includes the two identifiers. 1.3.1. Verification of patients identification through: 1.3.1.1 Patients statement of full name (3 names) 1.3.1.2 Correct Medical Record Number of the patient with his/her ID Band and file. 1.3.1.3 Name of the Attending Surgeon. 1.4 Communication with other departments telephone call to the respective departments (e.g. Laboratory, X-Ray) then a request is made and given after being entered to the WIPRO System. Patients who have to stay long or are delayed in the Post Anesthesia Care Unit A call is made to the respective ward where the patient is admitted and at the same time the Nursing Supervisor on duty is then informed stating the cause of delay or the need to stay longer. Through them, they will inform the patients family or relatives. Communication between parents for children who will undergo operation parents are informed that they are allowed to go with their children from the receiving area up to the induction room provided that they wear shoe covers or clogs and that they will have to go out after the patient is pushed to the operating room. Communication regarding collection of post-operative patients fit for transfer back to the ward or area is done through phone calls to the designated ward/area. 2

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Original Issue Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 3 of 5

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Communication of Doctors to other Specialties a referral form is secured by the Attending Physician stating the reason for referral. (e.g. Surgeon to Cardiologist) Formal and Informal Staff Unit Meetings documented through minutes of the meeting and an attendance (Logbook) is secured. 1.9.1 Formal scheduled meetings 1.9.1.1 Monthly and Weekly Meeting (as per schedule) 1.9.2 Informal Emergency or Urgent Meetings

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1.10 1.11 1.12 1.13

Nursing Continuing Education Lectures (as per schedule) Unit Base Educational Lectures (as per schedule) Patient Education Conducted by Patient Educator (as per schedule) Communication with the Medical, Non-Medical and Pharmacy Warehouse a request is made and can also be entered and updated through WIPRO. Communication with other departments with regards to Memorandums 1.14.1 It is forwarded through the Intranet and posted on the Billboards. 1.14.2 Scheduled operations are written on the board for staff, anesthesiologist and surgeons information (room allocation, patient record number, age, proposed operation, attending surgeon, anesthetist and type of anesthesia). 1.14.3 For any work to be done (e.g. repairs), a work request form is being filled up and forwarded to the engineering department and the request done copy will be kept in a file for future references. 1.14.4 Communication with Biomedical Engineering for equipments in case of need in the OR are made by informing them through phone calls and also entered in the WIPRO system. 3

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Original Issue Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 4 of 5

1.14.5 Communication with the Laundry department for linens (bed sheets, blankets, pillow and pillow cases) to be used inside the OR is made through phone calls in emergency and scheduled times. 1.14.6 Communication to CSSD regarding collection of used instruments in the scheduled agreed time as posted in the billboard and issuance of sterile packs, etc. 1.14.7 Instruments needed for major surgery not available in the hospital being done by outside doctors will be securing a gate pass through MMS. 2.0 Approval Section:

Prepared by : __________________________________ Ms. Bella M. Samonte Clinical Quality Assurance Manager __________________________________ Ms. Jasmin Aeryll T. Lapnawan Department Quality Coordinator (OR PACU Nurse) Reviewed by : ______________ Date

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__________________________________ Ms. Pacita C. Frias Nursing Department Head

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__________________________________ Dr. Abdulaziz Dorra Head of the Surgery Department

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Original Issue Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 5 of 5

__________________________________ Dr. Mohammad Askar Chief of Anesthesia/Head of Operating Room Approved by :

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__________________________________ Dr. Abdulaziz Al Hammadi Vice Director of Medical Affairs

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__________________________________ Dr. Reema Al Hammadi Director of Medical Affairs

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__________________________________ Mr. Mohammad Al Hammadi Executive Director

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