The department recognised a large number of cancellations due to urine dipstick analysis for all patients, regardless of symptoms for a urine tract infection on the day of surgery.
An audit and literature review was conducted by the microbiology and orthopaedic departments and the results were in agreement with the published literature that the vast majority of positive dipsticks in an asymptomatic patient may not be of any significance and the patient being cancelled on this basis was unnecessary.
The policy will define who needs pre-operative urinalysis, when urine analysis should be conducted and what to do if positive, in order to prevent unnecessary cancellations on the day of surgery.
This guide is useful to: Infection control, pre-assessment staff, elective ward (Dickens) staff, all doctors involved in elective orthopaedic surgery including juniors and consultants, microbiology doctors, management trauma and orthopaedics.
‘The purpose of this document is to set out a policy for routine pre-operative urine analysis for elective joint replacement surgery. The policy will define who needs pre-operative urinalysis, when urine analysis should be conducted and what to do if positive, in order to prevent unnecessary urine dipstick tests and cancellations on the day of surgery.’
|Compiled by:||Mr Rishi Chana FRCS (Tr&Orth)|
|Ratified by:||Quality Governance Committee|
|Date Ratified:||May 2018|
|Date Issued:||June 2018|
|Review Date:||August 2020|
|Target Audience:||Infection Control, Microbiology, Orthopaedics|
|Contact name:||Mr Rishi Chana|
- Any relevant trust policies/guidelines or procedures