OSC for lap. Cholecystectomy is one of the initiatives of the new Model of Care (MoC) in the Al-Qassim
Region, linked within the programs of the planned care system. One-stop clinics are equipped and staffed
so that patients may undergo a range of tests carried out at the same location and in one appointment to
reduce number of visits for each patient and ensure maximum convenience for the patients. It aims to
Accelerating a process and reaching a decision, this will Increase patient satisfaction and contributing to
financial efficiency.
OSC for lap. Cholecystectomy will be applied in healthcare facilities to cover all levels of healthcare.
it will be mainly applied at secondary care (hospitals) level.
Before the establishment of OSC for lap. Cholecystectomy, all cases of gallstones were referred from
health centers to specialized clinics (general surgery) through Mawid system. This led to long waiting
periods for patients to reach the clinic, often requiring multiple visits for diagnosis, consequently
increasing the incidence of complications.
Referral process to the OSC for lap.cholecystectomy:
Based on the initial patient's assessment,PHC physicians assess the patients
who have signs and symptoms of gall stones are recommended to be
referred to OSC through mawid system by the PHC physician
PHC physicians will document history and physical examination of the patient
in mawid system to be referred
The patient will Booking an appointment at PHC physician in primary health care center
nurses will document patient vital signs ( blood pressure,tempreture,heart rate)
The physician will take history and physical examnation
referral criteria for OSC for lap.cholecystectomy:
Recurrent episodes of right-upper-quadrant or epigastric pain.
Intense pain in the upper-right side of the abdomen
Pain occur after fatty meal and almost always happen at night
Known case of gall bladder stones
if the patient have these criteria will be referred by PHC physician
surgeon will assess patient condition by takeing history and examination.
surgeon will order labs and ultrasound for the patient
patient complete the required investigations at same day
After surgeon consultation patient will booked to see Anesthetist in the same day to provides pre-anesthetic preparation and patient evaluation.
Operation Room coordinator will scheduled patient surgery within 3 weeks from first visit of one stop clinic , enter data and complete paperwork.
OR coordinator will remind and confirmed patient appointment 48 hours before day surgery
The patient will undergo to Laparoscopic cholecystectomy procedure
Complete Blood Count (CBC): This test helps evaluate for signs of infection or other abnormalities.
Liver Function Tests (LFTs): These blood tests help assess liver function and determine if there's any
evidence of bile duct obstruction or liver disease.
Coagulation Profile: This assesses the patient's blood clotting ability to ensure they can safely undergo
surgery.
Ultrasound: This is usually the initial imaging study of choice to diagnose gallstones and assess the
gallbladder's condition.
One stop clinic toolkit:
https://drive.google.com/file/d/1wSYw9Jbzk0bySxm09Hr4uArOtRUtHsPs/view?usp=sharing
One stop clinic policy:
https://drive.google.com/file/d/1h2XoDTOIA9scfWb77uipkvQo7kXQLsou/view?usp=sharing