Learn more. This allows patients and their relatives the opportunity to familiarise themselves with the environment and to meet staff who will provide their peri‐operative care and who are well placed to educate the patient regarding the day surgery pathway 28. For example, a patient who has undergone a hysterectomy as a day case is likely to require care to support activities of daily living for longer than someone who has undergone a hysteroscopy. Since the previous guidelines were published, there have been a number of changes in day surgery, including an increase in the range of surgery performed and the patient casemix. Once optimised, it may be appropriate to proceed as a day case. The commissioning of any new isolated stand‐alone unit requires analysis of its suitability for providing the intended services and should meet the requirements as set out in the ‘Guidelines for Provision of Anaesthetic Services’. Parental Experiences of the Pediatric Day Surgery Pathway and the Needs for A Digital Gaming Solution: A Qualitative Study (Preprint). Advice should be given not to drink alcohol, operate machinery or drive for 24 h after a general anaesthetic 52. Up‐to‐date sources of information for parents and children can be found on the RCoA and APAGBI websites (www.rcoa.ac.uk, www.apagbi.org.uk). The RCoA recommends that training in day surgery is delivered as part of core general duties and not only involves learning appropriate anaesthetic techniques, but encompasses the entire day surgery process. Surgical day cases have been identified as the number one high-impact change to improve productivity; in the UK, healthcare guidelines advise for a target of "treating day surgery (rather than inpatient surgery) as the norm for elective surgery". The working party thank the 2011 Working Party members, the Association of Anaesthetists, the British Association of Day Surgery and the Association of Paediatric Anaesthetists of Great Britain and Ireland. Protocols may be adapted to allow low‐risk patients to be discharged without fulfilling traditional criteria. National guidelines for patient monitoring and assistance for the anaesthetist should be followed 44, 45. Effective pre-operative preparation and protocol-driven, nurse-led discharge are fundamental to safe and effective day and short stay surgery. In general, most medications may be continued up to the day of the operation, including the day of the procedure. Each unit should have a multidisciplinary operational group that oversees the day‐to‐day running of the unit, agrees policies and timetables, reviews operational issues and organises quality assurance strategies.
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