PROCEDURES IN THE SURGICAL WARD

Procedures to be performed

Procedure Lecturer/MO Signature

Intravenous cannulation and fluid administration

Intravenous drug administration

Venepuncture

Arterial blood withdrawal

Urinary catheterisation (Male)

Urinary catheterisation (Female)

Nasogastric tube insertion

Simple wound suturing

Aseptic technique, scrubbing and gowning in the operating

theatre

Procedures to be observed

Procedure Lecturer/MO Signature

Insertion of a central venous line

Measurement of CVP

Insertion of chest tube

Removal of chest tube

Removal of surgical drains (abdominal, axillary, subcutaneous)

Resuscitation (hypovolaemic shock, septic shock and

cardiogenic shock)
Pain management

Drainage of third space fluid (i.e. pleural paracentesis,

peritoneal paracentesis)
Nutritional support in surgery (enteral and parenteral)

Wound dressing (burn injury that does not require admission)

Administration of blood and blood products

RADIOLOGICAL PROCEDURES

Procedures to be observed

Procedure Lecturer/MO Signature

Barium swallow / follow through

Barium enema

Intravenous urogram

CT scan of head (trauma)

CT scan of abdomen

CT scan of chest

MRI of brain

Micturating cystourethrogram

Percutaneous nephrostomy

Ultrasound of abdomen

Image-guided biopsies

Ultrasound breast

Mammography

Doppler ultrasound of vessels

Angiography and digital subtraction angiography

PROCEDURES IN THE MAIN OPERATING THEATRE

Procedures to be observed

Procedure Lecturer/MO Signature

Appendectomy (open technique)

Inguinal herniorrhaphy (open technique)

Incision and drainage of abscess

Excision biopsies under general anaesthesia (i.e. large lipoma,

fibroadenoma, skin lesions)
Mastectomy

Thyroidectomy

Laparotomy (elective and emergency)

Laparoscopic procedure

Urological procedure

Neurosurgical procedure

Excision of skin lesions

Circumcision

Cystoscopy

Rubber banding (haemorrhoids)

ENDOSCOPIC PROCEDURES

Procedures to be observed

Procedure Lecturer/MO Signature

Sigmoidoscopy

Oesophagogastroduodenoscopy

Colonoscopy

Endoscopic Retrograde Cholangiopancreatogram (ERCP)

Endoscopic procedure with therapeutic intention (i.e. rubber

banding ligation / sclerotherapy in oesophageal varices,
stenting of oesophageal tumour)