Stage 1 · Records
Reviewed in advance of the date.
Four services for surgical and procedural facilities, delivered by licensed clinicians.
Most same-day cancellations are preventable with a proper review beforehand. Anticoagulants, weight-loss and diabetes medication, obstructive sleep apnoea and a difficult airway all change the plan — and finding them on the morning means a cancelled list and a patient who fasted for nothing.
Reviewed in advance of the date.
Including anticoagulants and GLP-1 agents.
Stratified, with the facility informed.
Agreed, or the case deferred safely.
Chosen for this patient and case.
Risks and alternatives explained.
With the team briefed.
Adjusted throughout the case.
The technique is chosen for the individual and the procedure rather than by habit. Informed consent covers the proposed approach, the alternatives and the material risks — including the rare ones — before anything is given, and a patient who wants more time to decide gets it.
Monitoring standards exist because the problems they detect are survivable when caught early. Equipment, airway rescue kit and emergency drugs are checked before each list — including the ones everyone hopes never to open — and we will not start a list where that check fails.
Before the first case of the day.
Airway rescue and drugs verified.
Continuous, to standard.
Recorded throughout the case.
Observed, with nausea managed.
Objective, not time-based.
Written, and given to the escort too.
Required after sedation, without exception.
Discharge happens when criteria are met, which is sometimes later than a schedule would prefer. Patients leave with written instructions, a responsible adult escort where sedation was used, and a clear account of what to do and who to call if something is not right overnight.
Tell us about your case mix and facility. We reply within two business days.