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Coronavirus Pre-Surgery

Introduction To Coronavirus COVID-19

Please note that if you yourself are a Medical Professional undergoing your surgery at Berkeley Square Medical, please ensure you still read the full guidance of this page as some policies and protocol may be different to your respective NHS Hospital/Surgery Practice.

This Article has been designed to give you the full and clear guidance of information needed when undergoing any future surgery with the management and protection needed against Coronavirus COVID-19. Our policies and protocols at our hospital branch are extensive and exhaustive which include the clinical input of over 15 UK Plastic Surgeons, Consultant Anaesthetists, Nurses and Hospital Compliance Managers all representing Berkeley Square Medical | 64 Harley Street Hospital Branch. The below information is extracted as being relevant for the preparation of your treatment. 

Cases of Covid-19 first emerged in late 2019, when a perplexing illness was reported in Wuhan, China. The cause of the disease was soon confirmed as a new kind of coronavirus, and the infection has since spread to almost every country in the world and established itself as a global pandemic.

On 11 February 2020 the World Health Organisation (WHO) announced that the official name would be Covid-19, a shortened version of coronavirus disease 2019. The WHO refers to the specific virus that causes this disease as the Covid-19 virus as referred to below.

Our Main Objectives

  • Berkeley Square Medical wants to stop the transmission and spread of COVID-19 (Coronavirus) through the Robust and Responsive Healthcare Systems and Organisations (RRHSO).

  • To achieve safe and successful cosmetic surgery intervention in a manner which is completely safe, and does not incur AND / OR minimises the risk to the health of the patient, staff and surgeons, as well as the patient household and those that patients are likely to come into contact with after their procedure.

  • Patients must enter our Hospital COVID-19 free and must stay COVID-19 free with full recovery and successful aesthetic results

  •  64 Harley Street Private Hospital  continues to stay COVID-19 free.

 

How Do You Catch Covid-19?

  •  COVID-19 is able to spread from person to person. The virus seems to spread when people cough or sneeze, close to one another, and when people touch objects and surfaces that have the virus on them, and then touch their face with their infected hands. 

  • COVID-19 spread requires close proximity or touching of the face with infected hands. 

  • The virus is known to survive for 24-hours on cardboard and for up to 3-Days on stainless steel and plastic.

  • Infected people can spread this virus even if they don’t have any signs of symptoms (asymptomatic).

 

The Symptoms of Covid-19

The most common symptoms of COVID-19 are:

  • –  Fever

  • –  Dry Cough

  • – Sore throat
  • –  Shortness of breath

  • –  Loss of sense of smell

  • –  Reduced sense of taste

  • –  Aches and pains

  • –  Feeling tired

  • –  Diarrhoea

  • –  Feeling nauseous or vomiting

  • –  Abdominal (tummy) pain.

Less common symptoms can include:

  • –  Loss of appetite

  • –  Coughing up a lot of phlegm

  • –  Confusion

  • –  Dizziness

  • –  Blocked or runny nose

  • –  Conjunctivitis (red or watery eyes)

  • –  Headache

  • –  Skin rashes

  • –  Coughing up blood

 

How To Slow The Rate Of Infection

Identified and established measures that reduce the spread of virus

  • –  Social distancing – always maintaining a 2-metre distance from others

  • –  Washing hands regularly for 20-seconds with soap and warm water.

  • –  Shielding in the form of shields, masks, visors etc. according to the circumstances

  • –  Work from home where possible

  • –  Limited intimate contact

  • –  Self-isolate if showing any signs and symptoms of COVID-19

  • –  Not Shaking linen that can transfer particles to become airborne.

  • –  Avoid touching your face

  • –  If you sneeze, cover mouth, catch-it, bin-it principle

 

Your COVID-19 Pre- Surgery Requirements

There is a comprehensive list of policies and protocols that have been implemented and risk assessed to ensure that 64 Harley Street remains Covid-19 free and that our main objectives (listed above) can be continually achieved. You will be guided through these policies when arriving at the hospital. This is to ensure you are relaxed, but also aware of the measures in place to ensure your safety and wellbeing is protected at all times.

There are additional requirements further to those listed in your “Confirmation of Surgery” brochure that was emailed to you to confirm your treatment. 

These additional requirements include further preparation tests several days before your surgery, additional requirements of what to bring to the hospital, and additional consent and assessments forms that will need to be read and signed. Some of these new policies will now be considered some of the several new “Norms” in both NHS and private hospitals across the UK for the foreseeable future in healthcare. 

  • You will now be required to undergo a COVID-19 throat swab test approx. 5-days before your surgery date. To Ensure you are COVID-19 negative before undergoing surgery, you will be required to attend an in-person COVID-19 test at our hospital or send a COVID-19 home test kit (if this has been provided to you) . Details of this will be sent 10-20 days before your surgery date. We strongly recommend you return home straight after your test and observe a period of isolation (if attending in-person) and only travel for essential reasons before the morning of your procedure.

  • Additional items to bring to the Hospital – Please do not bring any jewellery of any kind to the hospital. You are now required to bring an additional easy-to-wear set of clothes and shoes that are washed and clean. Please ensure this is sealed in a bag (please do not bring hand luggage suitcases or wheeled trolleys). Upon changing into clinical garments for your procedure provided by us as normal, the clothes and shoes you traveled to and entered with into the hospital will be packed and sealed. These will not be re-opened or re-worn and you will take the sealed bag of original clothes home to wash and launder. Again, please ensure you pack easy-to-wear shoes and clothing that have been pre-washed and laundered so that you can change into these before leaving the hospital. 
  • Currently, we will only accept you as the patient into the Hospital. friends and family are not permitted into any area of the hospital. They are able to drop you off outside the hospital and collect you (or accompany you in your chauffeur drive home). You are welcome to nominate a friend or family member who you would like us to call to keep you updated on your wellbeing and also your approximate discharge time after completing your treatment. This policy is for the added safety of all patients and clinical staff that enter the hospital. 
  • All other requirements will be guided through on the date of your procedure in a step-by-step process. 

Covid-19 New Consenting For Surgery Process

In accordance with national guidelines, your Surgeon, Mr Taimur Shoaib, as well as other plastic surgeons and Anaesthetists are registered on the Specialist Registrar with the General Medical Council (GMC) for their respective fields of medical specialisation. There are also members of:

  • UK Association of Aesthetic Plastic Surgeons (UKAAPS)
  • British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS)
  • International Confederation for Plastic Reconstructive and Aesthetic Surgery (IPRAS)
  • International Society of Aesthetic Plastic Surgery (ISAPS ) 
  • American Society of Plastic Surgeons (ASPS)

Both UK and Worldwide members of these associations have worked together to advance towards a safe and informed consenting process, so that any patients undergoing emergency surgery, reconstructive surgery or, in this case, cosmetic surgery, are fully informed of how Covid-19 can affect your wellbeing should you be Covid-19 positive at the time of being operated and the precautions taken to avoid this. 

In the email sent that provided the link to this page will contain two consenting forms that will need to be read in preparation for the day of your treatment. 

Vulnerable Patients

Surgery, no matter how short and minor places a degree of physical and emotional stress upon a patient. The body recovers through ‘Response to Trauma’ of the surgery. The trauma is reduced by the anaesthetist and surgeons with appropriate preparation, IV fluids and medications, adequate anaesthesia and analgesia, proper surgical techniques and homeostasis etc. Nevertheless, the body still suffers from  a controlled trauma.

Considering the nature of COVID-19 Infection and its particular attack on those vulnerable, Berkeley Square Medical will not allow elective cosmetic surgery on all those who fall under the identified vulnerable group below:

Latest data released by UK Government on 14 May indicates that following underlying diseases make patients highly vulnerable to COVID-19 infection resulting in death.

  • Diabetes

  • Chronic Lung disease , COPD, Asthma

  • Chronic Kidney and Liver disease

  • Ischemic Heart Disease, cardiomyopathy , valvular disease and any CVS problems

  • Clotting disorders

  • Use of immunosuppressants, long term steroids

  • Age over 70

  • Obesity

Should you have any of the underlying conditions above, your surgery will have already been cancelled.

 

 

 

 

Last Updated: Sunday 02 August 2020 – 21:30pm

 

Sanjay Rai
Sanjay Rai

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