Adult Surgery

Adrenalectomy (radical)

Adult burns outpatient pathway

Adult burns pathway

Adult Laparotomy Pathway

Adult minor burns pathway

airway alert form

ANAESTHETIC ALERT FORM

Appendix One: Current Bleeps Assigned to Trauma/Paediatric Emergencies

Blood loss Calculator

Boarding Card Plus and Pathway

Brachytherapy for CAP

Brachytherapy planning for CAP

Burn adult outpatient document

Burns checklist for anaesthetics

Burns Guide for Anaethetists

Burns paed outpatient assessment document

Burns paed wound assessment document

Burns paediatric wound assessment document

Carotid Endarterectomy

Circumcision

Clinical procedure for the Administration of Entonox

Colorectal Cancer Operational Policy 2023

Competency - cleaning the tracheostomy inner tube

Competency - cold water humidification tracheostomy

Competency - dressing the stoma site

Competency - General principles and equipment required to safely manage a patient with a tracheostomy tube

Competency - hot water humidification tracheostomy

Competency - performing tracheal suctioning

Consent form for Continuous wave Cyclodiode laser (CWC )

Consent form for surgical implantation of Glaucoma Drainage Device

Cystectomy & Conduit Female

Cystectomy & Conduit Male

Cystectomy & Neobladder Female

Cystectomy & Neobladder Male

Cystodistension

Cystoscopy & Urethral Dilation female

Cystoscopy & Urethral Dilation Male

Cystoscopy and biopsy

Cystoscopy and biopsy – including consent for VE or DRE

Cystoscopy and biopsy or stent removal

Cystoscopy and bladder distension

Cystoscopy and clot evacuation

Cystoscopy and injection of bulking agent

Cystoscopy and removal of bladder stone

Cystoscopy and retrograde

Cystoscopy and stent

Cystoscopy and u:diln in men and biopsy if reqd

Cystoscopy and u:diln in women and biopsy if reqd

Cystoscopy and urethrotomy

Daily record of tracheostomy care

Daily record of Tracheostomy care

Developing Expanded Practice form 2

DSU discharge checklist (as on back page of pathway A)

Elective Arterial Surgery Pathways Appendix 4

Elective Arterial Surgery Pathways Appendix 4 RBH Anaesthetics Major Amputation Guidelines

Elective Arterial Surgery Pathways Appendix 5

Elective Arterial Surgery Pathways Appendix 5 DCH renovascular access pathway

Emergency Laparotomy Boarding Card

Emergency Laparotomy Boarding Card Plus

Endophthalmitis Intravitreal Drug Request Form

Endoscopic urethral surgery discharge criteria

Endoscopic urethral surgery PPI approved patient questionnaire

Endoscopic urethral surgery Quality and Safety Standards Audit Results

Epididymal Cyst Excision

Epididymectomy

EPP Intention to Develop an Expanded Practice Directorate Authorisation Form

ESWL

Exercise diary and Borg scale

Exercises for intermittent claudication

Expanded practice protocol checklist

Expanded practice protocol checklist – Form 2

Expanded practice protocol competency document

Expanded Practice Protocol EPVC flowchart processes

Exploration of scrotum for suspected torsion

fitness for surgery

Flushing Anaesthetic machine in preparation for malignant hyperthermia patient

Freeing of preputial adhesions

Frenuloplasty

GA Oral Booking form

Guidance for reducing your strong pain relief medications / Reduction document for opioids

Guidance for when an intra-operative burn injury is suspected

Guidelines for writing EPP competencies

Herniotomy

Hydrocoele Repair

ICP Angioplasty/Angiogram

ICP Angioplasty/Angiogram ICP

ICP for EVLT

Ileal Conduit

Integrated Care Pathway Cystoscopy/Ureteroscopy/Urethral Dilation/ Urethrotomy

Integrated Care Pathway Trans Urethral Resection Bladder Tumour (TURBT)

keyworker operational policy flowchart

LA Minor Ops Booking Form – OMFS

Lap Nephro-Ureterectomy

Lap Prostatectomy

Lap Pyeloplasty

Lap Radical Nephrectomy

Lap Varicocoele

Laparoscopy

Laryngectomy competencies

Letter to GP re preop warfarin

Ligation of PPV (hydrocele repair)

Lithopaxy

Malignant Hyperthermia Crisis (AAGBI Safety Guideline)

Meatal or urethral dilation

Medication record guide

methadone conversion chart

Millins Open Prostatectomy

Nesbitts Procedure

Normal range PSA discharge letter

Normal range PSA letter

Open Nephro-Ureterectomy

Open Pyeloplasty

Open Radical Retropubic Prostatectomy

Operation and Interventional Radiology booking forms

Operation and Interventional Radiology booking forms Dorset and Wilts vascular network appendix 3

OPERATIONAL POLICY FOR THE MANAGEMENT OF COLORECTAL CANCER

Ophthalmology - WHO Team Brief

Optical Urethrotomy

Oral & Maxillofacial Surgery Operation Sheet

Oral Surgery DSU booking form

Oral Surgery Minor Ops Booking Form – OMFS

Oral Surgery Pre-Attendance Form for oversees patients

Oral Surgery scan results appointment

Oral Surgery wound check and suture removal form

Orchidectomy (simple)

Orchidectomy (simple) prosthesis insertion

Orchidopexy

Ortho Medical History Form

ORTHODONTIC DIAGNOSIS AND TREATMENT PLAN

Orthodontic Diagnosis and Treatment Plan

Orthodontic Medical History Form

paediatric assessment and admission document

paediatric assessment and admission document Burns Unit

Pain Relief after Surgery Patient Information Leaflet

Pain relief at home after surgery - key points

Partial Nephrectomy

Patient agreement to investigation or treatment of Endovenous Treatment for Varicose Veins

PCNL

Perioperative Equipment Checklist

Plastics Minor Ops - Surgical Safety Checklist (LocSSIP)

Plastics referral sheet

Post Thyroidectomy Hypocalcaemia Pathway

Preadmission checklist oral surgery

Pre-Attendance Form for overseas patients

preoperative fasting poster

Quality of Life Questionnaire For Patients Having Corrective Jaw Surgery

Radical Nephrectomy

Radical Orchidectomy

Radical Ordhidectomy

Retrograde Pyelogram

Robotic Prostatectomy

Robotic pyeloplasty

RPLND

SAU Clerking Proforma (incorporating emergency laparotomy pathway)

Scan results appointment

sedation notes

Sedation notes

Simple Nephrectomy

Snatch - DSU paeds admission pack

SPC insertion (cystotomy)

Specimen patient notes label

Stent Insertion

Stocking Diary

Table - Urology SSMP

Team Brief & Debrief inc COVID 8 October 2020 V9

Team Immediate Meet (TIM) Evaluation

Team Immediate Meet (TIM) Flowchart

Team Immediate Meet (TIM) Register

Team Immediate Meet (TIM) SOP

Temporal artery biopsy audit proforma

Temporal artery biopsy form

Testicular Prosthesis

Testicular Torsion

Testis Biopsy

Theatre Handover to Critical Care

Theatre Handover to Critical Care.

Tracheostomy audit form

Tracheostomy bed signs

Tracheostomy Care Bundles

Tracheostomy Competencies

Tracheostomy Daily Care Bundle.

Tracheostomy Equipment Checklist

Tracheostomy tube occlusion risk assessment

TRACHS care bundle poster

TRACHS care bundle poster tracheostomy

Transrectal Ultrasound and Biopsy of Prostate:

Treatment summary covering letter

TRUS and Biopsy Consent Form

TUR Bladder Tumour

TURP & BNI

TURP (cancer)

TURP ICP

TURP ICP ICP for TURP (Diathermy) TURP (Gyrus) HOLAP (Holmium Ablation) HOLEP (Holmium Enunculation)

Ureterolysis for RPF

Ureteroscopy

Ureteroscopy & Stone Removal

Vascular - External request for Duplex Ultrasound (GPs only)

Vascular Unit investigation request form

Vasectomy

Vasectomy Reversal

Visio file management of severe pain in patients with epidural infusion

WHO checklist V6

WHO checklist V6 Feb 2018

WHO Surgical Checklist for Cataract Surgery

WHO Surgical Safety Checklist - May 2022

WHO Team Safety Brief and Debrief - Jan 24

Wound check and suture removal form