Guide 1: Preparation for Circumcision Procedure

The process of carrying every surgical procedure includes the various stages of preparation pre-operatively, local anaesthesia (no injection), consent, the circumcision procedure and the care following the circumcision procedure post operative and continued aftercare. These four aspects of the circumcision procedure requires preparation planning and care for patient safety with an excellent result.

• Pre-assessment for circumcision procedure:

Dr Harris will see and examine your baby. This includes a consultation to consider all medical and surgical aspects.

Dr Harris has the knowledge and skills to use local anaesthesia which he will administer.

 

• Timing for circumcision procedure:

Babies are typically instructed by Dr Harris to avoid eating or drinking for a specific period before circumcision; following the circumcision surgery baby is encouraged to feed. Dr Harris will agree with Parents the date and time set with you for the circumcision procedure . Dr Harris will advise regarding the feeding time with relevance to the date and time of the procedure. Dr Harris will advise you in advance regarding the Circumcision surgical Kit and contents including dressings.

 

• Sterility for Circumcision procedure

Dr Harria will advise to bath baby in advance of the circumcision procedure to reduce the risk of infection. After the bath, Dr Harris applies a widely used antiseptic and disinfectant effective against a broad spectrum of bacteria. This is the equivalent of hospital operating theatre surgical scrubs which removes, reduces and prevents bacterial growth on skin.

 

• Medication for Circumcision procedure:

Dr Harris has an Honorary Contract Consulting at Great Ormond Street Hospital for Children London and follows the GOSH pain protocol and guidelines Good practice in postoperative and procedural pain

Paracetamol (also known as medinol, or acamol) is commonly used at GOSH Great Ormond Street Hospital for Children in London. Paracetamol is for pain and fever management in babies and children. Paracetamol for babies is available in oral form as a liquid paracetamol suspension. Paracetamol is given to babies for and after the circumcision procedure for the management of pain and reduce high temperatures. 

 

• Consent for Circumcision procedure:

The surgical team requires both Parents to sign the consent corm for the circumcision procedure-please see next section CONSENT.

 

• Patient Safety for Circumcision procedure:

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.

 

 

 

 

 

 

 

Frequently Asked Question FAQs Preparation Circumcision Procedure

 

Will it be Dr Harris giving me preparation advice?

Yes. Dr Harris will be giving you preparation advice and guidance. 

 

Does Dr Harris give local anaesthetic?

Yes. Dr Harris gives local anaesthetic as a  cream, not an injection.

 

Does Dr Harris use the Plastibel or ring?

No. Dr Harris does not use the plastibel or ring since he has no experience or expertise in this method.

 

What is the date and time for the circumcision procedure?

Your consent for the operation of circumcision process is written consent with both parents signing the consent form giving Dr Harris permission for your baby to undergo circumcision procedure.

 

When do I feed baby before the circumcision procedure? 

Dr Harris will advise you the time to feed your baby, relative to the time of the circumcision procedure.   

 

 How do I dress my baby for the circumcision procedure?

Dr Harris will advise you how to dress your baby for the   circumcision procedure.

 

 

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 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.