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Day of surgery - Children

 
Below you will find information on the day of surgery for child patients at both the ACAD paediatric department at Central Middlesex Hospital and the Paediatric Day Care Unit at Northwick Park.

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The ACAD Paediatric department at Central Middlesex Hospital comprises of a seven-bedded paediatric recovery unit and pre-assessment area staffed by dedicated paediatric surgical nurses. 

Elective surgical lists operate Monday and Friday and the unit is open between the hours of 8am and 6pm. 18.00. We care for children between the ages of 2 -15yrs old that meet the criteria for day surgery.

Before surgery
All children are required to attend pre assessment prior to their surgery in the ACAD Centre at Central Middlesex Hospital. This is a nurse led clinic to assess your child’s suitability to have a general anaesthetic for surgery. The child will need to attend this appointment with an adult who is familiar with their medical history. You will also be given the relevant information regarding your child’s surgery and post-operative care requirements.

The day of surgery 
Please register with the receptionist in the ACAD reception on the day of surgery. You will then be directed to a waiting area upstairs where one of the  nursing team will meet you.  Your child will be one of a number of children on the surgical list for the day and the order in which the children go depends on their age and procedure. A maximum of two adults may accompany the child, one of which must have parental responsibility to sign the consent form, and no other children. 

If you require an interpreter, this must be requested prior to your child’s appointment. Children under 16 years of age cannot be used as interpreters.

Children will have some anaesthetic cream (Ametop) placed on the back of the hands, so they cannot feel the injection needle being inserted. 

Children will be reviewed by anaesthetists and their surgeons prior to surgery. One parent will be able to go with their child until they are anaesthetised, but will be asked to leave as soon as child has been anaesthetised. Your child can take their special toy with them.

Parents are able to wait for their child in children’s recovery or go out and return in time for their child waking up. The Paediatric Surgical Nurse will advise you of how long your child’s surgery will expect to take. As soon as your child is awake you will be reunited with them.

Post surgery
After a general anaesthetic children may be sleepy, dizzy, agitated and upset. This is all very normal and as the anaesthetic drugs wear off your child will return to their normal self.

Your child will be encouraged to eat and drink as soon as is appropriate so do bring food and drinks they like, avoiding fizzy drinks and milk..

For your child to be discharged they will need to stay the appropriate amount of time for their surgery, eat, drink , mobilise and pass urine. Your nurse will guide you through this. Once ready for discharge all necessary information will be given to you.

You will be contacted by telephone the day after your child’s surgery to ensure they are recovering as expected.

There is no ENT doctor cover after 5pm or weekends at the ACAD centre or Central Middlesex Hospital.

If you have concerns following surgery, you can contact the paediatric surgical nursing staff on 020 8963 8913 (Monday to Friday, 8am-6pm).

Out of hours, you will need to contact Northwick Park Hospital on 020 8864 3232 and speak to the ENT Doctor on-call.

If your child is bleeding after surgery, you will need to take them to your local A&E or Northwick Park Hospital A&E, or dial 999.

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The Paediatric/ Children Day Care Unit
 at Northwick Park hospital is a nine bedded ward and caters for children and young people 0-16 yrs that may have a variety of medical and surgical nursing needs. The unit is staffed by children’s nurses with the support of the paediatric medical team. 

The service runs from Monday to Friday from 8am - 6pm. 

Before surgery
All children being booked for elective surgery on the Northwick Park Site will be pre-assessed by a dedicated team of paediatric surgical nurses at the Central Middlesex Hospital prior to admission for surgery. This is a nurse led clinic to assess your child’s suitability to have a general anaesthetic for a day case procedure. The child will need to attend this appointment with an adult who is familiar with their medical history. You will also be given the relevant information regarding your child’s surgery and post-operative care requirements.

On the day of surgery
On the day of your child’s surgery, you will register with the ward clerk on Jack’s Place (inpatient children’s ward) at 7.45am and will then be transferred to our Children’s Day Care Unit where one of the children’s nursing team will accompany you.

Your child will be one of a number of children on the surgical list for the day and the order in which the children go depends on their age and procedure. A maximum of two adults may accompany the child, one of which must have parental responsibility to sign the consent form, and no other children. 

If you require an interpreter, this must be requested prior to your child’s appointment. Children under 16yrs cannot be used as interpreters.

Children will have some anaesthetic cream (Ametop) placed on the back of the hands, so they cannot feel the injection needle being inserted. Children will be reviewed by anaesthetists and their surgeons prior to surgery.

One parent will be able to go with their child until they are anaesthetised, but will be asked to leave as soon as child has been anaesthetised. Your child can take their special toy with them.

Parents are able to wait for their child outside recovery or go out and return to children’s day care where they will later be accompanied to the recovery unit in time for their child waking up. The nursing and surgical team will advise you of how long your child’s surgery will expect to take.

Post surgery
After a general anaesthetic children may be sleepy, dizzy, agitated and miserable. This is all very normal and as the anaesthetic drugs wear off your child will return to their normal self.

Your child will be encouraged to eat and drink as soon as is appropriate, so do bring food and drinks they like but avoid fizzy drinks and milk.

For your child to be discharged they will need to stay the appropriate amount of time for their surgery, eat, drink, mobilise and pass urine. Your nurse will guide you through this.

Once ready for discharge, all necessary information will be given to you.

If you wish to contact us our number is 020 8869 3914 (Monday to  Friday, 8am-6pm). If you have concerns following surgery, you can contact Northwick Park Hospital on: 020 8864 3232 and speak to the ENT Doctor on-call.

If your child is bleeding after surgery, you will need to take them to your local A&E or Northwick Park Hospital A&E, or dial 999.