Canterbury DHB

Context

Information for Registrars and House Surgeons

In This Section

Registrar Handy Hints

Cluster Location Manual

Incidents and Consumer Feedback

House Surgeon Handy Hints

Managing Electronic Results in Haematology

Bone Marrow Aspiration and Trephine Biopsy Techniques

Haematology Case Notes

Consent Forms for Haematology Patients

Registrar Handy Hints

Refer to Registrar Handy Hints for valuable advice which helps to make each of the registrar roles easier (Ward Registrar, Laboratory Registrar, Out-patient Registrar, Transplant Registrar and Transfusion Registrar).

Cluster Location Manual

The Canterbury Regional Cancer and Haematology Service (CRCHS) Location Manual orientates staff to the CRCHS. It provides an overview of the service and is a central location for all cluster-wide policies and procedures. This information applies to all staff that work for, or work collaboratively with, the CRCHS.

Incidents and Consumer Feedback

See Incidents and Consumer Feedback.

House Surgeon Handy Hints

Refer to the House Surgeon Handy Hints.

Managing Electronic Results in Haematology

Seeing, actioning and signing off electronic results is regarded as a very important daily task within the Haematology service.

When you start in Haematology

Daily procedures

Bone Marrow Aspiration and Trephine Biopsy Techniques

See:

Haematology Case Notes

Patients who have previously attended Haematology Outpatients will have Haematology notes separate from the usual hospital notes. These can be obtained during normal working hours by phoning the Secretary of the appropriate Consultant, and out of hours by phoning the Haematology Technologists on 80373. Haematology Outpatient notes need to be on the BMTU by the following day. Previous outpatient letters are available on Health Connect South.

Accurate note keeping is essential for all hospital inpatients. This is particularly important in Haematology, as treatment is often complex and prolonged.

All entries in the notes should have a time and date, be signed legibly, and have a page number.

Consent Forms for Haematology Patients

The following procedures require verbal consent, and an entry indicating that this has been obtained should be made in the notes.

Procedure

Verbal consent done by:

Bone marrow aspirate and trephine without sedation

Haematology

Venesection

Haematology

Lumbar puncture

Haematology

CT contrast and MRI

Radiology

Dental extraction

Dental

The following procedures require written consent, i.e., the relevant form must be signed by the patient and consent discussion documented in medical notes.

Procedure

Written consent done by:

Bone marrow aspirate and trephine with sedation

Haematology

Hickman insertion

Radiology

PICC insertion

Radiology

Portacath insertion

Surgery

Blood products

Haematology

Tissue banking

Haematology

Sperm banking

Haematology

Endoscopies

Gastroenterology

Apheresis procedures

NZBS staff

Stem cell harvest - peripheral / bone marrow

Haematology

Specific trials

Check with data collator

Chemotherapy

Haematology

Transplant – allogeneic / autologous / non-myeloablative

Haematology

Forms:

About this Canterbury DHB document (4649):

Document Owner:

Mark Smith (see Who's Who)

Issue Date:

October 2017

Next Review:

October 2019

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document. Disclaimer

Topic Code: 4649