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Telephone: 01633 234179

Royal Gwent Hospital Floor 3 C/D Block

Shifts: 07:00-19:40 19:00-19:40

Closed on Saturday nights and Sundays

Ward Manager

Esther McMahon

Deputy Ward Manager

Kelly Smith

Lowri Morgan

Practice Educator

Kelly Smith

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Our patients are housed on elective surgical wards prior to their admission to our unit.

The patient is collected from the ward by theatre staff and has their surgical procedure.

Once the patient is recovered from theatre, they are admitted onto our unit to monitor for post operative complications. Only patients with complex medical history are admitted to our unit, which is decided by their surgeon and anaesthetist.

The patient will be reviewed by our anaesthetic team, based on the unit and the patients surgical team prior to their discharge to their original ward.

The elective surgical specialities in this hospital are; Colorectal, General, Gynaecology, Breast and Trauma & Orthopaedics.

D3 East - Colorectal, General, Gynaecology & Breast

C7 West - Trauma & Orthopaedics

D2 West - Urology

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Meet some of the team ❤

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Our mission is to provide exemplary care to patients following their elective surgery in a high care environment. Our close nursing ratios enable us to provide care that meets the unique needs of patients post-operatively.

In Surgical High Care, patients will stay up to 48 hours for continous monitoring and optimisation prior to returning to their admission surgical ward. We foster collaborative working with the wider multi-disciplinary team to promote enhanced recovery after surgery.

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Guidelines - ERAS® Society

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ERAS® is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgery.

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Nurse to patient ratio is 1:3

Hourly observations for the first 6 hours post operative and then following 2 hourly observations until discharge.

Hourly observations for patients needing non invasive positive pressure therapy (High Flow) and meteraminol (Inotrope) infusion.

Pain management via Patient Controlled Analgesia (PCA) and Patient Controlled Epidural Analgesia (PCEA) and rectus sheath catheters.

Strict fluid maintenance (Input/output)

Liaising in a multi disciplinary team (Anaesthetist/ Surgeons/ Pain Team/ Physiotherapy/ Pharmacy/ Outreach/ Specialist Nurse (Stoma/ Breast)/ Theatres

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Delivery of drinking, eating and mobilising (DrEaMing) and its association with length of hospital stay after major noncardiac surgery: observational cohort study

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Enhanced recovery pathways are associated with improved postoperative outcomes. However, as enhanced recovery pathways have become more complex and varied, compliance has reduced. The ‘DrEaMing’ bundle re-prioritises early postoperative delivery of…