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paediatrics surgical day unit and clothing
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| On Nov 16 2005 6:39PM david.charlesworth1 wrote: |
Could anyone provide me with evidence or experience as to why children going
for day surgical procedures such as circumcision or hernia repair should be
required to remove all their clothing in preference to a theatre gown and
the delightful paper pants? We have contradictory system in that children
going for day case plastic ops wear their own clothing (perhaps removing a
t-shirt or trousers but retaining their underwear and other clothing), but
those going to a different theatre for the former procedures are required to
fully undress and wear the gown and pants. This obviously causes some
children undue additional stress and the paediatric surgical nursing team
are looking for evidence to present to the particular theatre sister to
reinforce their preference that all kids retain as much of their own
clothing as possible. Surely if the surgical site is appropriately draped
and prep"d there is no risk of infection?
Having never worked in theatres (or even remotely desired to) I am trying to
apply a bit of common sense and science! Our cataract team carry out their
surgery on our old dear who take their coat and hat off and jump onto the
table so why not the same rules for the little people?
All thoughts and comments welcomed!
David
David Charlesworth
Clinical Leader for Infection Control
South Tees Hospitals NHS Trust
Tel. 01642 854800 or bleep via 01642 850850
[email protected]
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| On Nov 16 2005 7:12PM judy.potter wrote: |
| I agree. There is a lot of ritual in theatres. What is important is that the operative site can be accessed easily, thoroughly disinfected prior to surgery and drap[ed appropriately. This may be possible with patients wearing their own clothes. However, if children's own clothes became stained with povidone iodine or chlorhexine or blood there would undoubtedly be complaints from the parents and the Trust would end up paying for replacements so I can understand the use of gowns and paper pants. With proper pre-op preparation, use of gowns featuring 'Bob the builder' (or other children's TV characters), parents accompanying kids to theatre and a child friendly anaesthitst, I think most kids will cope with the 'trauma' of taking off their own clothes. |
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| On Nov 17 2005 9:19AM gill.ashford wrote: |
The traditional argument from theatre staff, if children are
undergoing a general anaesthetic, is:
if emergency care is needed during the induction and
maintenance of anaesthesia, as well as in the recovery
period, a child"s own clothing might be tight, hindering
emergency care.
If children want to keep underwear or some clothing on,
obviously this may have to be removed for some procedures
like the ones mentioned; provided the child [where
appropriate], ward staff, parents or guardians of the
children
are informed in advance that underclothing may be removed in
theatre in certain situations, hopefully distress to the
child can be minimised.
I would also reinforce Judy Potter"s comments.
Gill Ashford
Gillian Ashford
Health Protection Specialist Nurse
Kent Health Protection Unit
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 ICNA Community Network MeetingPlease note the next Community ICNA meeting is on the, Wednesday 6th September 2006 and will be held at Eastman Dental Hospital, London.
To download the agenda go to the CICNN page under 'Business and Special Interest Groups' (Member access required)
... More
The 36th Annual Infection Control ConferenceSeptember 25th to 27th 2006
The Brighton Centre
Brighton, England
This is THE Infection control conference of the year, focusing on prevention and control of infections in all areas of healthcare. The conference will provide a mixture of lectures, debates, concurrent sessions, workshops and networking.
Leading international Speakers who have already confirmed include Dr Seto Wing Hong and Stuart Emslie.
To be kept up to date with br... More
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