cystoscopy care pathway
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NORTHALLERTON HEALTH SERV1CES DAY UNIT MULTI-DISCIPLINARY CO-ORDINATED CARE PLAN Cystoscopy Patient's Name ________________________________ Hospital Number ___________________ DOB _______ Named Nurse _________________________ Primary Nurse _________________________ Abbreviations used in this document: RGN Registered General Nurse TPR Temperature, Pulse & Respiration HCA Health Care Assistant BP Blood Pressure WTU Ward Test Urine ECG Electrocardiogram FBC Full Blood Count PRN As required MSU Midstream Specimen of Urine CXR X-Ray NORTHALLERTON HEALTH SERVICES TRUST CO-ORDINATED CARE PROGRAMME DAY UNIT INFORMATION SHEET FOR PATIENTS This sheet has been produced in order to provide you with some additional information regarding your stay within the Surgical Ward at the Friarage Hospital. We are currently looking at ways of making sure that the care we offer is: EFFICIENT THE RIGHT CARE FOR YOU THE HIGHEST QUALITY One way of achieving these objectives is by clearly agreeing and documenting patient care therefore, the doctors, nurses and physiotherapists in the Ward have met together to discuss and decide what tests and treatments need to be done whilst you are here, and when is the best time to do them. This is then put onto paper and called a "Co-ordinated Care Plan" or a "Patient Focused Plan" because it lists all the really important events and the best time for them to happen. The nurses will show you this documentation and answer any questions you may have. Your treatment and care continues to be kept in confidence at all times. Of course, there may be very good reasons for some of these events not happening at the stated time, and the doctors and nurses will use their experience and professional judgement to decide the best care for you. When each event has happened they will sign by it, so that it is easy to see what care has been given and what still needs to be done. The programme is still in its infancy, and although the care given to patients will be consistent, the paperwork for the staff will be different when they are using the "Co- Care Plan" system. If you have any questions of comments about your plan of care the nursing staff will be happy to discuss it with you. MULTI-DISCIPLINARY CARE PROFILE CYSTOSCOPY ID LABEL DATE ACTIVITY STAFF SIGNATURES Assess suitability for day case operation Medical .............................. Date for operation to patient Medical .............................. Order blood test - FBC, other Medical .............................. Complete assessment questionaire Patient .............................. Complete day unit documentation: Blood pressure, pulse Weight ECG if over 50 yrs old Take blood tests ) ) ) ) )RGN ............................. Give to patient operation day and discharge recommendations RGN .............................. Admission information to patient: - admission form - hospital - ward - date and time ) ) ) ) )Clerical ................... Baseline blood pressure and pulse RGN .............................. Complete day case check list RGN .............................. Give clinical care programme RGN .............................. Patient understanding of care Patient .............................. Name band RGN Obtain MSU and test urine RGN Medical examination Consent form ) )Medical PRE-ADMISSION ............... GP referral ............... Out patients department ...............ON UNIT .............................. DATE ACTIVITY STAFF Anaesthetic assessment Anaesthetist .......................... Pre-operative check list RGN .............................. Accompany patient to theatre HCA .............................. Accompany patient back from theatre RGN .............................. Check for bleeding per urethra RGN .............................. BP and pulse hourly ( x 4 if required) RGN .............................. Analgesia PRN and monitor effect RGN .............................. Commence oral fluids RGN .............................. Observe urine output and colour HCA .............................. If no nausea commence light diet RGN .............................. Inform patient of operation result and confirm if suitable for discharge Medical/ Snr Nurse Prescribe discharge medication Medical/ Snr Nurse SIGNATURES ...................... .............................. Give advice re fluid intake RGN .............................. Complete discharge criteria RGN .............................. Specific Care Comments:
