Obstetric Theatre Guideline for Women with Latex Allergy

Transcription

1 Obstetric Theatre Guideline for Women with Latex Allergy Author: Labour Ward Forum Date Approved: 21 st May 2014 Approved by: Quality & Safety Group Date for Review: May 2017

2 These guidelines should be read in conjunction with the Heath Board Natural Rubber Latex policy A. Communication The patients drug chart, medical and nursing notes should be clearly marked as Latex Allergy. All staff, including midwives and doctors on labour ward, should be informed when a patient with latex allergy arrives on the unit. 24 hours notice should be given for elective cases. When booking the case, the ward diary should indicate that the patient has a latex allergy. B. Labour Ward On admission to the ante natal ward, a labour room should be prepared in readiness for the patient. o All latex items to be taken out of the labor room and only latex free gloves should be worn. o All surfaces wiped clean, including the bed frame. o New clean linen should be used for the bed. C. Theatres All Latex Allergy cases to be undertaken in the second theatre. In case of elective surgery the second theatre in obstetrics should be prepared the night before. The patient should be the first LSCS to be done in the morning in the event of an elective case. In the event of an unplanned admission, the second theatre should be prepared once the patient arrives onto either ward 12 (POW), ward 19 (Singleton) or labour ward. Preparation of theatre to include o Removal of all latex items from theatre (see section F) o All theatre surfaces to be re-cleaned o NO ENTRY LATEX ALLERGY notices to be displayed on theatre doors o The operating table to be covered with clean linen

3 o Only designated staff to be allowed in theatres. All personnel should make sure that their clothing is latex free and all staff should wash their hands before patient contact. The surgical team should be made aware of the guidelines and the implications for the care of patient during surgery. D. Anaesthetics Only latex free gloves to be used at all times. Breathing circuits on the anaesthetic machines to be changed. Check and confirm that all equipment and drugs to be used are latex free. E. Recovery A latex free delivery room should be prepared for postoperative care, until admitted to the postnatal ward. In the event of a delivery room not being prepared as latex free in time, the women should be recovered in theatre until one is ready. F. Equipment G. Drugs Most medical equipment is now latex free. As manufacturers and suppliers of equipment changes frequently, it is difficult to compile a list of all latex free products. It is the responsibility of the midwife, scrub team, obstetrician and anaesthetist to make sure that all equipment and disposables used are latex free before using them. The following items contain latex o Gloves - use latex free gloves o Gauntlets for manual removal of placenta o Female theatre caps (elastic at back) o Urinary catheters - use silicone catheters o Sleek tape Drugs in glass vials with rubber bungs may contain latex. Synthetic rubber, usually butyl or chlorobutyl rubber, does not contain latex (the drug information leaflet usually states what the bung is made of)

4 If the rubber bung contains or is suspected of containing latex, and it is not possible to use an alternative drug, remove the rubber bung and use a filter needle to draw up the drug. Do not pass the needle through the rubber bung. The following Prefilled syringes are latex free o Ephedrine (3mg/ml 10ml syringe) - Aurum/Martindal Pharm o Atropine (600mcg/ml 1ml syringe) - Aurum/Martindal Pharm o Atropine (Minijet 1mg in 10ml syringe) - IMS o Adrenaline (Minijet 1:10 000) - UCB Pharma /IMS o Amiodarone (30mg/ml 10ml syringe) - IMS The information provided is accurate at the time of writing, however, manufacturers / suppliers of equipment and drugs may change.

5 Directorate of Women & Child Health Checklist for Clinical Guidelines being Submitted for Approval by Quality & Safety Group Title of Guideline: Obstetric Theatre Guideline for Women with Latex Allergy Name(s) of Author: Chair of Group or Committee supporting submission: Dermot Nicolson (Anaesthetics) Labour Ward Forum Issue / Version No: 1 Next Review / Guideline Expiry: May 2017 Details of persons included in consultation process: Brief outline giving reasons for document being submitted for ratification Name of Pharmacist (mandatory if drugs involved): Please list any policies/guidelines this document will supercede: All Consultant Obstetricians, Labour Ward Forum Guideline required for Obstetric theatre to be implemented in conjunction with health board policy n/a n/a Keywords linked to document: Latex Date approved by Directorate Quality & Safety Group: 21 st May 2014 File Name: Used to locate where file is stores on hard drive * To be completed by Author and submitted with document for ratification to Clinical Governance Facilitator