Process: Transfer of Scheduled Surgical Patient to the OR

Surgeon decides that patient is in need for a surgical intervention

Patients encounter may happen at OPD or at the Surgeons private clinic

Patient performs necessary investigations

Laboratory and Radiological reports

Patient fit for surgery Yes No

No END

Patient agrees to have the suggested surgery at the hospital

Consultant treats patient with the appropriate guideline or refers the patient to the appropriate specialist Yes Consultant calls the subordinate registrar to inform him/her about the planned surgery

END

The filling of the form may be done by the consultant himself/herself, if present in hospital

The registrar goes to the OR reception to schedule the surgery by filling the theatre schedule request form

Theatre schedule request

Theatre Reservation Register

OR ward clerk checks the OR reservation register

Yes

Schedule allows

No Consultant/registrar reschedules the surgery Yes

Conflict among rooms and/or equipment

No OR ward clerk registers the surgery

Theatre Reservation Register

OR ward clerk updates the booking logbook

Theatre schedule logbook

OR manager reviews all schedules on a daily basis

The night shift OR ward clerk updates the assignment board one day before surgery

Assignment Board

Everyday, the afternoon shift OR nurse aid delivers the next-day operating lists to the ICU, CCU, the inpatient units, the COO office, and the nursing office

Operating lists

The afternoon shift OR ward clerk prepares the next day operating lists on a daily basis

Minor

Patients Surgery type

Major

Patient is usually admitted on the same day of surgery (morning)

Patient is usually admitted the night before the day of surgery

D C E

Anesthesiologist satisfied with pre-operative lab. and/or radiological findings

Yes

No

Patient has the surgery done on the prescheduled day

The consultant/ registrar reschedules the surgery to a later day

On day of surgery, the OR ward clerk calls the inpatient unit at least 30 minutes before the scheduled time of surgery asking the unit head nurse to prepare the patient and his/her paperwork

The OR ward clerk should NOT call the inpatient unit until he/she sees the surgeon arriving at the OR

OR ward clerk fills the collection slip

Collection slip

Collection slip includes: 1- Patients name 2- MR # 3- Room #

OR ward clerk calls the OR porter and the OR elevator

Trolley should be checked daily and after each patient transfer

No

Yes

Collection slip

Porter free Delay OR porter takes trolley & collection slip, and take the designated OR elevator to get the patient from room

No

Elevator busy

Yes

Delay
Collection slip

OR porter arrives at the destination unit and gives the collection slip to the unit nurse

Yes MR Transfer checklist Pre-operative checklist

Patient ready

No

Unit nurse and unit ward clerk check patient data and ensure patient financial clarity

Delay

Porter waits or performs another tasks then return back

Porter takes patient on trolley and get to OR accompanied by the unit nurse

At OR entry, unit nurse rings the bell

Transfer checklist Pre-operative checklist

OR recovery nurse uses the pre-operative checklist to ensure that nothing is missing

OR recovery nurse receives the patient and all belongings

Arm band

OR recovery nurse checks patients ID with unit nurse

MR

Patient Consent

OR recovery nurse revises the consent

END