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At least 307 records · Page 17Linked to original sources
PubMed1990

Health effects associated with exposure to anaesthetic gases in Ontario hospital personnel.

In a retrospective study (by questionnaire) of 8032 personnel exposed to anaesthetic gases in operating and recovery rooms in Ontario hospitals, and 2525 non-exposed hospital staff, the response was 78.8% for the exposed and 87.2% for the unexposed personnel during the period 1981-5. Logistic regression analysis, with age and smoking standardised, showed that women in the exposed group had significantly increased frequencies of spontaneous abortion and their children had significantly more congenital abnormalities (p less than 0.05). No chronic disease was significantly associated with the exposed group. These findings, together with similar ones from other studies, suggest that it is prudent to minimise exposure to waste anaesthetic gases.

Abortion, Habitual↗
PubMed2006

A new oxygenator change-out system and procedure.

Official reports relate that, in the US, one patient/month dies as a result of the emergency oxygenator change-out procedure, and the permanent injury of some patients is the result of current oxygenator change-out procedures or oxygenator failures, both in extracorporeal circulation (ECC) and extracorporeal membrane oxygenation (ECMO). The aim of this article is to evaluate a new system and procedure, dedicated to oxygenator change-out, represented by two three-way stopcocks inserted in the ECC line in use. A dedicated back-up oxygenator and circuit can be easily primed and connected to the dedicated connector on the stopcocks, then blood flow is diverted to the new oxygenator without interruption of the ECC. Tests performed showed that oxygenator change-out can be completed by perfusionists in 62.13 +/- 11.12 sec. Results obtained show that the new system and procedure allows fast, safe and reproducible oxygenator change-out without interruption of the ECC.

Anesthesiology↗
PubMed2000

The support worker in theatres.

This article will consider various aspects of the use of the support worker in theatre and will propose that the support worker can undertake the scrubbed role. The position of NATN is that it 'does not recommend that the role of the support worker encompasses the scrub role' (NATN 1996): it will be argued here that this stance is based on arguments which are fundamentally flawed.

Clinical Competence↗
PubMed2003

The ethics of theatre nurse practice under the microscope.

Perioperative practice is a multidisciplinary environment. In some theatres, student nurse allocations are at last becoming longer, although some theatres still only get a brief visit from student nurses who wish to watch an operation all the way through. Furthermore, practically all operating departments have trainee operating department practitioners (tODPs). Diploma and degree level tODPs are now beginning to produce higher academic levels of coursework and many warrant recognition. We should remember that these 'learners' are potentially the theatre practitioners of the future and we should encourage them, not only within the perioperative environment but also towards their academic achievements. Qualified nurses and operating department practitioners (ODPs) now have access to various multi-disciplinary post-registration/gradate courses, which not only build upon theoretical knowledge, but also enhance practical skills. Individuals work long and hard to achieve high level academic pieces of coursework. Unfortunately after courses finish many assignments are packed away, collect dust and get forgotten, instead of the authors being brave enough to submit them for consideration for publication. This new series offers all practitioners the chance to share with others their work within this speciality. Whether you are a nurse or an ODP undertaking, or having recently completed a course, tODP or student nurse (but preferably a member of NATN) the possibility to share your experiences or coursework with other perioperative practitioners is available to you in these articles. It has always been so, but this new series is dedicated to you all and to the hard work you put into your coursework.

Codes of Ethics↗
PubMed2003

Healthcare assistants. To scrub or not to scrub?

The appropriateness of healthcare assistants expanding their role into the domain of scrubbing has been a contentious issue for a long time. Whenever the shortage of theatre staff becomes a major concern, expanding the role of the healthcare assistant into scrubbing is discussed and decided against. Although allowing healthcare assistants to scrub is not the sole answer for all theatre's problems, Hazel Smith argues that it would ease a difficult situation.

Asepsis↗
PubMed2006

Achieving level three of the Clinical Negligence Scheme.

This article discusses my experience, from a theatre nurse's perspective, of meeting Level Three of the Clinical Negligence Scheme for Trusts (CNST). As the practice development sister for Theatres, Day Unit and Endoscopy and as a member of the CNST group, it is my responsibility to gather evidence for my areas.

Humans↗
PubMed2006

Inter-professional education: registered nurses + ODPS = theatre practitioners.

The structure of theatre management should ensure that the patient receives the most appropriate care available, with every team member knowing their role and their expected contribution in order to meet the needs of the patient. Inter-professional healthcare is an integral feature of the NHS and this article will focus on the interaction and teamwork experienced in the theatre department between qualified nurses and qualified operating department practitioners (ODPs) and the perceived differences and similarities in their roles both historically and in future practice. Taylor and Campbell (1999) state the operating department is unique in that various members of the multidisciplinary teams are all present at the same time and work together for the successful completion of the perioperative period of care. Anonymous clinical examples have been used to highlight certain points and to illustrate the differing roles of the perioperative staff.

Attitude of Health Personnel↗
PubMed1999

Enhancing perioperative nursing practice: developing a course for the surgeon's assistant.

This article describes the development of a new English National Board (ENB) course for nurses wishing to adopt the role of the surgeon's assistant. The original request for a course of this nature came from the clinicians working in hospitals in the Manchester area, including not only theatre nurses and managers but also surgeons and individuals already practising as surgeon's assistants. This course has been designed with the support of the nursing and medical staff in local trusts, who have been widely consulted. It was developed collaboratively with nurse educationalists, in order to standardise training and education for nurses in practice who wished to adopt this expanding role.

Curriculum↗
PubMedDate not supplied

Development of the cardiac surgeon assistant.

In 1989, a pilot scheme to evaluate the role of a non-medically qualified assistant working in cardiac surgery was commenced. The appointee was a registered nurse and, 3 years on, the scheme is now in its final stages of evaluation. Approval has been given for other hospitals to adopt such schemes. This article examines the implications that this decision might have for the nursing profession in the future.

Cardiac Surgical Procedures↗
PubMedDate not supplied

Role definition: nurse practitioners or clinicians' assistants?

This article discusses two different types of nursing role currently being developed and highlights their impact on professional practice. One role type is concerned with meeting trusts' needs to reduce junior doctors' hours and costs, and includes specific aspects of medical practice. The second seeks to advance nursing practice and patient care. Both however, lack organization and clarity of definition. Developing the first type will not achieve the objectives of the second, even if the title of nurse practitioner is attached to the role. The nurse surgical assistant provides a lucid example of a role that is being medically defined, driven and supervised. Although individual nurses are clearly enjoying their new roles, the unique and valued characteristics of nursing are being threatened. This retrograde step should be viewed as unacceptable to the profession.

Humans↗