Equipment Guide 2001

General Notes for GPs, Practice Nurses, GP Registrars and Medical Students

Most of our equipment is based on the ground floor in the Treatment Room, Minor Operating Theatre or Health Promotion Room. If you are part of an educational attachment here try and familiarise yourself with the items listed below and study some of our unusual diagnostic technology that we have in our Centre.

Minor Surgery

The basic requirements for GPs to perform minor surgery are a Minor Surgery Theatre or adequately sized clinical treatment room, an autoclave, a sink, a sharps & dirty dressings disposal service, sterile dressing packs, a histology service, some resuscitation equipment and a minor operations register. The GP should also have practice nursing support.

Minor Operating Theatre

Our operating theatre has an unusual sight and sound system with colourful tropical beach murals, seagulls on the ceiling and relaxing sounds to calm patients before and during surgical procedures. The theatre is equipped with a very high quality 'Specialist 4' Operating tables illuminated by a ceiling mounted Daray 4000 swivel operating light.

General Surgical Equipment

Four sets of general surgical instruments including one fine set for facial or paediatric surgery. Splinter forceps, curettes, probes, ring cutter, proctoscopes. Electro-cautery machine.

Obstetrics & Gynaecology

Large supply of sterile Cusco speculums, smear sets, two Sims speculums, coil insertion sets, coil check and removal sets, Emmett coil retrievers, glass vaginal dilators (for treating patients with severe vaginismus), Doppler ultrasound foetal heart monitors (one kept on each floor), Oestrogen implant kits, Depo-Provera injections.

ENT

2 Propulse 11 waterjet ear syringes, head torch for direct viewing of auditory meatus or indirect laryngoscopies, Tilleys Dressing Forceps, Hartmann's crocodile forceps, ribbon gauze and wicks for treating otitis externa, fine suction catheters, lignocaine spray, laryngoscopy mirror, laryngoscope, Thudichums speculum.

Ophthalmology

Tropicamide for fundoscopy, Amethocaine for corneal local anaesthesia, Fluorescein eye drops, blue torches for viewing fluorescein stained corneal ulcers, Berger's Loupe, needles for foreign body removal, Eye magnet for metallic foreign bodies, Schiotz tonometer, Meibomian cyst clamp.

Cryotherapy and Dermatology

Two Cryoguns with various sizes of probe and spray heads for liquid nitrogen treatment to warts and other sundry skin lesions. Stieffel disposable ring curettes. Stieffel Punch biopsies. Trichloroacetic acid for treating xanthelasma. On site 35 litre liquid nitrogen dewar. Each doctor or practice has his or her own liquid nitrogen session approximately every 3 weeks. A list of dates is kept in the Treatment Room.

Cardiovascular and Resuscitation

Orange Laerdal resuscitation box, (includes oxygen, masks, intubation equipment, emergency drugs and IV lines), Heartstart Automatic Defibrillator, two suction machines, (one mains operated in theatre, the other a lightweight portable model), Seca 12 channel interpretative ECG machine. Melker cricothyrotomy set. Each doctor has a Laerdal Pocket mask. Cardionet C.Net 2000 24-hour ambulatory ECG Monitor for diagnosing transient arrhythmias, ST depression during exercise etc. BCI hand held pulse oximeter for measuring oxygen saturation, SpaceLab ambulatory Blood Pressure monitor (bookings at first floor reception), MiniDopplex for measuring ankle systolic pressures.

Health promotion, Diabetes and Asthma

Reflotron for cholesterol estimations, glucometers, smokerlyser for carbon monoxide measurement, MicroLab 3300microspirometers for spirometry traces including pre and post bronchodilator printouts especially useful for COPD management. Handheld spirometers, peak flow meters, educational aids for asthma. 12 nebulisers for short term loan. Please note - nebulisers are individually numbered and must only be lent to reliable patients for short-term use, with the patient's name and telephone number clearly recorded on the nebuliser loan chart in the Treatment Room. Nebulisers cost £100 each and we have lost several due to the above procedure not being followed.

Paediatric

Weylux electronic baby weighing scales, two Magnimetre height measures, Rollametre baby length measuring board, developmental testing aids. Three Malem Enuretic alarms and resource pack from ERIC, the Enuresis Resource Information Centre.

Physiotherapy, Orthopaedic, Pain Control and Psychology

Physiotherapy adjustable Plinth 503 couch, Depomedrone for soft tissue or intra-articular injection, kept in stock. All stock has to be accounted for. Please only use Depomedrone with knowledge of treatment room nurses. Each doctor has one TENS machine for use in chronic pain. Patients can be given a trial for 30 minutes in an examination room. If the pain improves offer to loan the machine for 2 weeks. Keep a note of the patient and ask them to return the machine with a new battery. TENS machines can be purchased by patients for around £35.

Psychology and Mental Health

Seasonal Affective Disorder Light Box for patients to trial. Nelson psychological questionnaires for anxiety, depression, causal and control beliefs, pain and pain behaviours. Relaxation tapes and stress videos.

Vaccinations

The treatment room holds stocks of all the normal childhood immunisations, as well as Havrix, Typhim Vi, and Mengivac for travel vaccinations. Again all this stock has to be accounted for. Please only use through the treatment room nurses, as there is a very thorough accounting system for the GP dispensing of all these vaccinations.

Urology

Dantec Urodyn 1000 Uroflowmeter in the urodynamics room (the sluice). New patients with suspected bladder outlet obstruction should be given a green uroflow referral card and asked to book an appointment with the treatment room. As men have to attend with a full bladder they do not have to wait in the normal treatment room queue. They usually knock on the treatment room door, flash the green card at the nurses, and they are then whisked straight into the Uroflow room. New referrals should complete a symptom questionnaire and have routine urinalysis, an MSU, U/E'S and PSA. Follow-up patients would normally only have a repeat uroflow unless otherwise clinically indicated. We also have access to a Residual Volume ultrasound scanner.

Educational Services

Our first floor boardroom and medical students reference room house a library and educational computing facilities. Some medical CD-Roms are listed below.

Harrison's Principles of Internal Medicine -14th ed.
Illustrated Merck Collection
Nord Manual to Chronic & Uncommon Disorders
Oxford Clinical Mentor Plus
CD Atlas of Clinical Gastroenterology
CD Atlas of Infectious Diseases
Nelson Textbook of Paediatrics - 15th Edition
Illustrated Dermatology; Basic Ophthalmology
The Anatomy Lab; Clinical Examination; Cardiac Auscultation
Examination of Eye and Ear, Nose & Throat -WelchAllyn
Minor Surgery & Skin Lesions - RCGP
PEP Educational Self Assessment - RCGP
EPIC Encyclopaedia of Morbidity Data
Patient Wise - Detailed Patient Information Leaflets
Mediclip - medical clipart


Home About Us Disclaimer Contact Us Feedback Form Practice Area A-Z of Services Who's Who News Building Development Patient's Charter Privacy Comments / Complaints Vacancies GP Training GP Registrars Equipment Medical Student Info How do I? Resources Deakin, Norman and Bull Practice Dr Shekar Practice Saxena, Bowden and Saxena Practice Accessibility Sitemap Login/Logout	Equipment Guide 2001 General Notes for GPs, Practice Nurses, GP Registrars and Medical Students Most of our equipment is based on the ground floor in the Treatment Room, Minor Operating Theatre or Health Promotion Room. If you are part of an educational attachment here try and familiarise yourself with the items listed below and study some of our unusual diagnostic technology that we have in our Centre. Minor Surgery The basic requirements for GPs to perform minor surgery are a Minor Surgery Theatre or adequately sized clinical treatment room, an autoclave, a sink, a sharps & dirty dressings disposal service, sterile dressing packs, a histology service, some resuscitation equipment and a minor operations register. The GP should also have practice nursing support. Minor Operating Theatre Our operating theatre has an unusual sight and sound system with colourful tropical beach murals, seagulls on the ceiling and relaxing sounds to calm patients before and during surgical procedures. The theatre is equipped with a very high quality 'Specialist 4' Operating tables illuminated by a ceiling mounted Daray 4000 swivel operating light. General Surgical Equipment Four sets of general surgical instruments including one fine set for facial or paediatric surgery. Splinter forceps, curettes, probes, ring cutter, proctoscopes. Electro-cautery machine. Obstetrics & Gynaecology Large supply of sterile Cusco speculums, smear sets, two Sims speculums, coil insertion sets, coil check and removal sets, Emmett coil retrievers, glass vaginal dilators (for treating patients with severe vaginismus), Doppler ultrasound foetal heart monitors (one kept on each floor), Oestrogen implant kits, Depo-Provera injections. ENT 2 Propulse 11 waterjet ear syringes, head torch for direct viewing of auditory meatus or indirect laryngoscopies, Tilleys Dressing Forceps, Hartmann's crocodile forceps, ribbon gauze and wicks for treating otitis externa, fine suction catheters, lignocaine spray, laryngoscopy mirror, laryngoscope, Thudichums speculum. Ophthalmology Tropicamide for fundoscopy, Amethocaine for corneal local anaesthesia, Fluorescein eye drops, blue torches for viewing fluorescein stained corneal ulcers, Berger's Loupe, needles for foreign body removal, Eye magnet for metallic foreign bodies, Schiotz tonometer, Meibomian cyst clamp. Cryotherapy and Dermatology Two Cryoguns with various sizes of probe and spray heads for liquid nitrogen treatment to warts and other sundry skin lesions. Stieffel disposable ring curettes. Stieffel Punch biopsies. Trichloroacetic acid for treating xanthelasma. On site 35 litre liquid nitrogen dewar. Each doctor or practice has his or her own liquid nitrogen session approximately every 3 weeks. A list of dates is kept in the Treatment Room. Cardiovascular and Resuscitation Orange Laerdal resuscitation box, (includes oxygen, masks, intubation equipment, emergency drugs and IV lines), Heartstart Automatic Defibrillator, two suction machines, (one mains operated in theatre, the other a lightweight portable model), Seca 12 channel interpretative ECG machine. Melker cricothyrotomy set. Each doctor has a Laerdal Pocket mask. Cardionet C.Net 2000 24-hour ambulatory ECG Monitor for diagnosing transient arrhythmias, ST depression during exercise etc. BCI hand held pulse oximeter for measuring oxygen saturation, SpaceLab ambulatory Blood Pressure monitor (bookings at first floor reception), MiniDopplex for measuring ankle systolic pressures. Health promotion, Diabetes and Asthma Reflotron for cholesterol estimations, glucometers, smokerlyser for carbon monoxide measurement, MicroLab 3300microspirometers for spirometry traces including pre and post bronchodilator printouts especially useful for COPD management. Handheld spirometers, peak flow meters, educational aids for asthma. 12 nebulisers for short term loan. Please note - nebulisers are individually numbered and must only be lent to reliable patients for short-term use, with the patient's name and telephone number clearly recorded on the nebuliser loan chart in the Treatment Room. Nebulisers cost £100 each and we have lost several due to the above procedure not being followed. Paediatric Weylux electronic baby weighing scales, two Magnimetre height measures, Rollametre baby length measuring board, developmental testing aids. Three Malem Enuretic alarms and resource pack from ERIC, the Enuresis Resource Information Centre. Physiotherapy, Orthopaedic, Pain Control and Psychology Physiotherapy adjustable Plinth 503 couch, Depomedrone for soft tissue or intra-articular injection, kept in stock. All stock has to be accounted for. Please only use Depomedrone with knowledge of treatment room nurses. Each doctor has one TENS machine for use in chronic pain. Patients can be given a trial for 30 minutes in an examination room. If the pain improves offer to loan the machine for 2 weeks. Keep a note of the patient and ask them to return the machine with a new battery. TENS machines can be purchased by patients for around £35. Psychology and Mental Health Seasonal Affective Disorder Light Box for patients to trial. Nelson psychological questionnaires for anxiety, depression, causal and control beliefs, pain and pain behaviours. Relaxation tapes and stress videos. Vaccinations The treatment room holds stocks of all the normal childhood immunisations, as well as Havrix, Typhim Vi, and Mengivac for travel vaccinations. Again all this stock has to be accounted for. Please only use through the treatment room nurses, as there is a very thorough accounting system for the GP dispensing of all these vaccinations. Urology Dantec Urodyn 1000 Uroflowmeter in the urodynamics room (the sluice). New patients with suspected bladder outlet obstruction should be given a green uroflow referral card and asked to book an appointment with the treatment room. As men have to attend with a full bladder they do not have to wait in the normal treatment room queue. They usually knock on the treatment room door, flash the green card at the nurses, and they are then whisked straight into the Uroflow room. New referrals should complete a symptom questionnaire and have routine urinalysis, an MSU, U/E'S and PSA. Follow-up patients would normally only have a repeat uroflow unless otherwise clinically indicated. We also have access to a Residual Volume ultrasound scanner. Educational Services Our first floor boardroom and medical students reference room house a library and educational computing facilities. Some medical CD-Roms are listed below. Harrison's Principles of Internal Medicine -14th ed. Illustrated Merck Collection Nord Manual to Chronic & Uncommon Disorders Oxford Clinical Mentor Plus CD Atlas of Clinical Gastroenterology CD Atlas of Infectious Diseases Nelson Textbook of Paediatrics - 15th Edition Illustrated Dermatology; Basic Ophthalmology The Anatomy Lab; Clinical Examination; Cardiac Auscultation Examination of Eye and Ear, Nose & Throat -WelchAllyn Minor Surgery & Skin Lesions - RCGP PEP Educational Self Assessment - RCGP EPIC Encyclopaedia of Morbidity Data Patient Wise - Detailed Patient Information Leaflets Mediclip - medical clipart
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