reg 47

Surgical Procedure Register

In force

(1)

The proprietor of a health service establishment at which surgical health services or speciality health services for the provision of endoscopy may be provided must ensure that a Surgical Procedure Register that complies with subregulation (2) is kept at the health service establishment.

Penalty: 30 penalty units.

(2)

For the purposes of subregulation (1), a Surgical Procedure Register must be in writing and contain the following records with respect to each procedure performed at the health service establishment—

(a)

the date and time of the procedure;

(b)

the unit record number of the patient;

(c)

the patient's full name, sex and date of birth;

(d)

the nature of the procedure;

(e)

the names of the registered health practitioner undertaking the procedure and assistant (if any);

(f)

the names of the anaesthetist and assistant (if any);

(g)

the names of attending clinical staff;

(h)

any remarks concerning the outcome of the procedure;

(i)

any anaesthetic or procedural complications encountered.

Note

The Health Records Act 2001 contains provisions relating to the retention of records. See HPP 4 of the Health Privacy Principles in that Act.

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