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PubMed1996

[Operating room assistance: an innovative practice].

Professional practice changes in the operating room have led to the development of a new role for nurses--as surgical assistants. Essentially, the surgical assistant nurse helps ensure the patient's safety while providing technical and clinical assistance to the surgeon in such areas as exposing and manipulating tissues, suturing fascia and using various specialized instruments. The surgical assistant nurse function is being implemented through a pilot project at the Institut de cardiologie de Montréal. Developed by representatives of the nursing and surgical departments there, the project was approved by the Collège des médecins du Québec in April 1995 and subsequently by the institute's council of physicians, dentists and pharmacists. It has also gained recognition from the Ordre des infirmières et infirmiers du Québec (OIIQ). The pilot project incorporated a 186-hour training program, which was delivered from May to September 1995 according to three distinct learning modules: maintenance of a safe environment for the patient, clinical assistance and technical assistance. A tutorial approach to learning included individual and team work, simulation exercises, technical courses, lab work and practical training in the operating room. At the end of the training program, two surgical assistant nurses began practising in their new role. An evaluation of the project will be performed in September 1996.

Curriculum↗
PubMed1996

Perioperative nursing--a course for the future.

Australia is home to a number of endangered species--the koala perhaps being the most well known. I will discuss another familiar species which is nonetheless in danger of extinction--the perioperative registered nurse. My paper will propose a strategy to increase their numbers within their normal habitat of the operating suite.

Australia↗
PubMed1996

Perioperative nursing education "down under".

Perioperative nurses in Australia are concerned with a number of significant challenges. First, they are concerned with the international trend of increased use of nonursing personnel within operating theaters. They believe that this may have detrimental effects on patient care. Second, is the issue of maintaining an adequate supply of professionally prepared perioperative nurses. Within this article, initiatives to address these challenges are discussed.

Australia↗
PubMed1997

Unlicensed assistive personnel in the perioperative setting.

The present climate in health care, including a tendency toward more managed care and capitation systems, has caused hospital administrators and perioperative managers to reexamine traditional work systems and their associated costs. Some decisions around work redesign may be financially driven or based on the decreased availability of qualified professionals in the job market. The use of an increased number of unlicensed assistive personnel (UAP) in hospital settings has become a common redesign strategy to address both issues. In the perioperative setting, some traditional roles are well established for UAP. Today, changes associated with downsizing, cost containment, and increasing technology have opened up new opportunities to explore ways to integrate UAP roles into the perioperative setting.

Clinical Competence↗
PubMed1997

Medieval surgery.

How many readers of this journal have tried to imagine what surgery was like before the sophisticated technical developments described in its pages? Not just before such important advances as blood transfusion, anaesthesia and asepsis, but long before the evolution of teaching hospitals, with their steeply-raked operating theatres, crowded with students and other curious onlookers. Today's medical experts tend to dismiss early practitioners of surgery as "primitive" and "unscientific" because their ideas about human physiology (which appeared perfectly rational at the time) now seem tinged with superstition. Surgery in medieval England was certainly very different from anything we are likely to encounter in the sanitized environment of the modern hospital, yet it was well organised, carefully regulated and made great demands upon the skill and dedication of the men and women who plied a difficult trade, in which the rewards could be considerable but the risks even greater.

Female↗
PubMedDate not supplied

RNFA programs.

Explore the source record for details and available documents.

Certification↗
PubMed1997

RN first assisting--1997 Canadian update.

Canada appears to have little formal history of nurses functioning in a RN first assistant (RNFA) role. On recent examination, however, perioperative nurses are first assisting in Canada daily, and several provinces have started programs. The following articles provides an overview of RNFA activities as of April 1997.

Canada↗
PubMed1976

Halothane abuse in hospital personnel.

Deaths assoicated with halothane abuse have occurred in employees in three different hospitals. The medical profession should be aware of the potential for abuse in this anesthetic drug.

Adult↗