Guide 1: Preparation

Dr Harris will provide you with full preparatory notes for Parents. and will ask you to please read carefully all written notes.

The date and time will be set with you for the procedure .

Dr Harris will advise regarding the feeding time with relevance to the date and time of the procedure.

Dr Harris will advise you regarding preparation of the baby in advance of the date and time of the procedure. In particular regarding oil avoidance and then dressing the baby.

Dr Harris will advise you in advance regarding the Kit and contents including dressings.

Dr Harris will advise regarding full explanation with both parents signing the consent form, as with procedures and operation in medical practice.

Dr Harris will advise regarding position of furniture and household items such as spare nappy.

Please inform Dr Harris in the event of any change in the condition of the baby.

Dr Harris wishes you to be fully informed with the circumcision process and circumcision procedure, including the indications, contraindications, surgical method (NO plastibel or ring) and the potential complications.

Dr Harris follows the Great Ormond Street Hospital for Children written guidance compliant with the NHS England mandate to implement the National Safety Standards for Invasive Procedures (NatSSIPs). The ultimate aim of NatSSIPs is to eradicate the occurrence of the Patient Safety Never Events, which occur around invasive procedures.

The aim of this policy is to:

 Standardise the management of invasive procedures during the pre-operative, intra-operative and post-operative period.

 Provide a clear definition of invasive procedures, multidisciplinary team roles and responsibilities.

 Provide the standard against which Local Safety Standards for Invasive Procedures (LocSSIPs) are developed within procedural areas and outside areas where procedures are performed.

 Ensure the monitoring and governance as a continuous cycle of improvement.

 Maintain a safe culture to promote team work, minimise avoidable complications, and prevent patient safety never events.

Dr Harris will personally administer the local anaesthetic cream topically, and the oral dose of liquid paracetamol suspension. Please do NOT give any medication to your baby for the circumcision.

Please do not hesitate to ask Dr Harris any questions.