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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:


If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.


  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell


  • touch your eyes, nose or mouth if your hands are not clean

A shoulder plaster spica is a plaster cast that is made to fit around your chest, shoulder and arm. This is to keep the limb immobilised, supported and protect the surgery. It is usually made before your surgery and put on in theatre after your operation.

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Your plaster spica will be checked by the plaster theatre team before you are discharged home to ensure it is comfortable, it fits well and is secure.


The following symptoms could be a sign a pressure ulcer is developing. Discoloured skin, pinkish red and/or purple bluish in colour*, which does not go pale when pressed (reddening of the skin that disappears when pressure is removed is normal and not a pressure ulcer).

  • Blisters, dry, cracked, orshinyareas
  • Skin may go darker and breakdown to cause an open wound
  • A hard swollen area of skin that may be painful to touch

(*This is not always as obvious in dark skin)

Immediately contact the plaster theatre if you start feeling any of the following:

  • Feeling a rubbing or blister – like pain or discomfort within the cast
  • Complaining of something wet or sticky inside the plaster cast
  • The plaster cast has developed an unusual smell
  • Staining has developed on the outside of the cast
  • Areas of pain or local heat

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