North Tyneside General Hospital
G B Robinson 2009
Contents
Welcome to Theatres
Departmental Profile
Useful Information
Manual of Learning Opportunities
Operating Department Learning Zone
Key Elements
Recommended Reading
Useful Websites
Documentation
Induction Record
Application form for IT Log-In
Off Duty Allocation Record
Reflective Diary / Learning Log
Placement Evaluation form
G B ROBINSON 2009
Welcome to theatre…
...your initial feeling on joining the theatre nursing teams will be a mixture of
apprehension and, hopefully, excitement. The environment in the operating
theatre is completely different to any type of nursing you may have
experienced so far. Work is specialised, demanding and often stressful,
coping with totally dependant patients and technical equipment.
It is appreciated that you will not be able to operate to your usual capable
standards. It is not expected that in a short period you will be able to function
as a `theatre nurse` - it takes months and years to adjust and learn all the
necessary skills.
The overall aim of the theatre experience is that you will be able to
participate, with understanding, in the total care of the surgical patient,
having gained skills, knowledge and attitudes to meet the needs of patients
pre-operatively, intra-operatively and immediately post-operatively.
The first day in theatre can be a frightening experience, as we all remember
well! The environment, equipment and the uncertainty of what lies ahead
and what is expected of you can be very daunting.
All of the staff are only too willing to help you, and ensure that you gain the
most from this placement.
Our department offers a wide range of learning opportunities, and varied
experiences.
You will have the opportunity to not only gain experience in the perioperative
setting, but also the satellite areas covered by our department e.g. dentals,
radiology and the acute pain service.
We sincerely hope that you not only enjoy your placement with us but also
that we are able to assist you in the achievement of the required
competencies of your module.
Please do not be afraid to ask if you have any concerns or queries, your
mentor will be only too pleased to advise you.
The Theatre Team – North Tyneside General
G B ROBINSON 2009
North Tyneside General Hospital
G B Robinson 2009
Our theatre unit:
The operating department at North Tyneside General
Hospital performs approximately 8,000 operations annually.
The unit consists of eight operating theatres and a twelve
bedded recovery suite.
On arrival in the unit, patients are cared for in the four
bedded reception area, which has a designated area for
children.
The patients are then transferred to the appropriate theatre:
Emergency theatre
Trauma theatre
2 orthopaedic theatres
2 General theatres
1 Gynaecology theatre
1 ENT/ General / Dental theatre
Each operating theatre consists of an anaesthetic room,
operating room, clean utility room, and a large shared dirty
utility.
Theatres are in operation five days a week between 8a.m and
5.pm. for elective surgery. The emergency and trauma
theatres cover a 24 hour period.
The recovery suite is open from 8a.m until 12 midnight
seven days a week, and has facilities should a patient
require assisted ventilation.
Additional satellite areas covered by the anaesthetic staff are
Outpatient Dentals, ECT, CT Scan room and Accident and
Emergency, and occasionally patient transfer.
G B ROBINSON 2009
North Tyneside General Hospital
Operating Department
Philosophy of Care
The philosophy of this unit is to provide a safe and
caring environment, to assist the individual sick and
well, in the performance of those activities contributing
to health and its recovery, that he or she would
perform unaided if he or she had the necessary
strength, will or knowledge, and to do this in such a
way as to help him or her maintain dignity and gain
independence as rapidly as possible.
The staff are committed to gaining the knowledge
required to respond quickly and effectively in
emergency situations, making quick decisions
accurately and independently, functioning as an
effective member of the team in potentially stressful
situations, and using this specialist knowledge,
pertaining to the care of the post-operative patient.
We acknowledge that as practitioners we have a
responsibility to be involved in continuing education, to
be aware of recent research and base our practice
upon this.
G B ROBINSON 2009
Operating Department Objectives
The operating department is at the heart of the critical care unit, and we
care for a wide range of patients of all ages, some requiring only minimal
surgical intervention as day cases, to patients undergoing major
emergency or elective procedures.
Primary objectives:
Commitment to ensuring that every patient has a positive experience
and the best possible outcome from their stay in the theatre unit.
Implementation of research based, patient centred care.
The continued promotion of the individuality and dignity of all patients is
paramount.
Provision of safe and efficient services for all patients, requiring any
surgical or anaesthetic intervention.
Ensuring all Trust policies and procedures are implemented.
Encouraging an open culture to allow effective learning from incidents
Sharing of best practice from local level, trust wide and nationally.
Implementing best practice through the use of evidence based care.
Provision of training, education and supporting professional development
for all staff within the unit.
G B ROBINSON 2009
Theatre Staff:
We have a large number of staff based within this department:
The nursing team have undertaken initial nurse training and have then
specialised in Perioperative nursing. Many of the nurses in our department
have undertaken further education in surgery, anaesthetics or recovery.
Operating department practitioners (ODP)
The ODPs have undertaken a two year programme of training and education
to work specifically in Operating Theatres. This course covers all aspects of
surgery, anaesthetics and recovery.
Support workers
The support staff are divided into portering and domestic staff.
Clerical Staff
The clerical staff work in the main reception area of the department, and assist
in the smooth running of the unit
The majority of staff wear raspberry theatre scrubs, which makes it difficult to
know who is who.
To help you identify some of the staff:
The senior nurses and ODP wear white hats, , the remaining theatre staff
wear pale blue hats, students,visitors and reps wear green, health care
workers yellow, support workers pink. Receptionists ,portering staff and the
domestic staff wear blue scrubs.
G B ROBINSON 2009
Theatres and Staff:
Mrs Wendy McDonaugh is the theatre manager.
Theatre One – Ortho/ Surgical
Charge Nurse Mr C Wynn/ Sister D Adams/ Sister D Jones
This theatre is used for Orthopaedic Surgery and General Surgery
depending on the allocation of lists.
Theatre Two – Gynaecology/ENT
Sister B Nelson, Charge Nurse P. Scott
Mr. M. Lawrence
Mr. R. Jaiyesimi
Mr. Gurgiss
Mrs. S. Maitra
Mr. Issing
Mr. Ullal
-
ENT
ENT
Theatre One, Three, Four and Seven
C/Nurse Mr C. Wynn, Sister D. Adams Sister G. Denholm, Sr C.
Hambley-Gay, Sister L Burkin
Theatre Four is the trauma theatre; theatres Three and Seven elective
orthopaedics
Mr. S. Asaad
Mr Cloke
Mr. D. Kramer
Mr Townshend
Mr. M. Scott
Mr Inman
Mr. J. Coorsh
Mr. G. Prasad
Miss. M. Van Kampen
Mr. R. Pratt
Mr. C. Goring
A/E Consultant
Hand Surgery
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Theatre Five/ Six and Eight
Sr D. Jones/ Mr M Brown/ Sr H Tully/ C/N P Scott
Mixed Speciality Theatres General, Urology, Dentals and Plastics
Mr Aspinall
Breast/General Surgery
Mr. I. Goulbourne
Breast / general surgery
Mr. L. Horgan
Laparoscopic / general surgery
Mr. B. Slater
Colorectal / general surgery
Mr. K. Seerha
Colorectal / general surgery
Mr S Woodcock
Laparoscopic / Bariatric Surgery
Mr. S. Ferozpuwalla Urology
Mr Johnson
Urology
Mr R Kasaraneni
General / Breast Surgery
Ms Serra
Plastics/Breast reconstruction
Mr. G. Johnson
Dental Surgeon
Theatre Six
Sr D Jones/ Mr M Brown/Sr H Tully C/N Mr. P. Scott
Mixed speciality General Surgery. Used by the General Surgical
Consultant on call and for all Emergency Procedures.
Mr. K. Seehra
Mr. S. Attwood
-
Colorectal / General surgery
Laparoscopic / general surgery
Theatre Eight
Sister H. Tully
Mr. S. Kelly
Mr. B. Slater
Mr. L. Horgan
Mr. K. Seymour
Mr Box
-
Colorectal / General Surgery
Colorectal / General Surgery
Laparoscopic / General Surgery
General / Biliary Surgery
Colorectal/General Surgery
Nurse Specialists
Helen Watson
Sue Colley
-
Colorectal Nurse Specialist
Minimal Access Nurse Specialist
G B ROBINSON 2009
Anaesthetics:
Sister G. Youseff
Sister A. Baird
Mr J Whitfield
Mr A Younger
Consultant Anaesthetists:
Dr. S. K. Greenwell
Dr. S. Ruff
Dr. A. Milner
Dr. P. Cooper
Dr. A. Taylor
Dr. K. Ingram
Dr. S. Israni
Dr. N. Corbett
Dr. A. McCutcheon
Dr. A. Tate
Dr. A. Leja
The anaesthetic team cover not only operating theatres but also, Radiology,
ECT, Dental, and Cardio-version sessions. Accident and emergency
department, and major trauma, is also covered by the anaesthetic team.
Recovery:
Sister G. Youssef, Sister A. Baird, Sister P Taws
This 12 bedded unit is operational between 8 am and midnight seven days,
and has facilities should a patient require assisted ventilation.
Pain Service:
Sister P. Jackson
Dr. P. Cooper
Dr. A. Taylor
At present the pain service is operational Monday to Friday, with the on-call
anaesthetist available out of hours.
The pain team run regular pain clinics, and have access to physiotherapy
and psychology input as required.
G B ROBINSON 2009
Education and Training Co-ordinator Theatres
Miss Lillian Broatch
Lillian is the trust wide co-ordinator for education and training in theatres.
Should you require any information or advice on training issues or you wish
to discuss anything in strictest confidence she will be only too willing to help.
Her office base is at North Tyneside, however she covers the whole Trust
and is therefore not always on site.
Lillian can be contacted as follows:
Tel: NTGH – 0191 203 2121 (Answer phone when out of office)
Email: Lillian.Broatch@northumbria-healthcare.nhs.uk
Alternatively a message can be left at theatre reception.
G B ROBINSON 2009
Useful Information
Prior to you allocation
We suggest that you contact the department approximately two weeks before
your allocation. If you wish you can arrange a visit to discuss your off duty,
learning requirements and if possible meet with your mentor. This would
further give you the opportunity to discuss any other concerns or queries you
might have pertaining to your placement with us.
Uniform
You will be provided with Theatre uniform (raspberry scrubs) and theatre
shoes during your allocation. The shoes are colour coded per shoe size and
should be placed in the washer after each day. However, we suggest that you
bring with you your ward uniform, as part of your experience may be gained
outside of the department.
Scrub suits must be changed following infected or high risk procedures, and
prior to working in another theatre.
YOU MUST NOT GO OUT OF THEATRES
WEARING THEATRE CLOTHING!!!
THE DEPARTMENT OPERATES A NO JEWELLERY POLICY
(WITH THE EXCEPTION OF PLAIN BAND RINGS)
Locker
You will be provided with a locker and key, during your allocation. Please do
not lose this key and hand back into reception before you leave the
department at the end of your placement. Valuables must be locked away at
all times as the Trust accepts no responsibility for lost/stolen items. Any
valuables brought into the department are brought at your own risk!
Meal / coffee breaks
Breaks may be taken on or off the department. The department has a “coffee
club” which is paid for monthly by staff, providing tea, coffee, milk, sugar and
fruit juices, you may join this for the period of your allocation for £2:20. If you
wish to bring meals with you, fridges are available for storage; stickers are
provided to mark your food. We also have microwaves, toasters and sandwich
makers available.
Off duty
Off duty will be arranged with your mentor. We have a flexible approach to off
duty hours and understand that some of you have family commitments and
childcare arrangements to organise. Under normal circumstances you will not
usually work late shifts, weekends or night duty due to the unpredictability of
`out of hours` patient case load. However, if it is felt advantageous to your
learning competencies, this could be arranged with your mentor.
In addition to informing the appropriate authority at the University, if you are
unable to attend for duty due to sickness or other reasons you must inform the
senior nurse in charge of theatres at your earliest convenience. Contact
theatre, via bleep 2046, through switchboard, 0191 2934092 to inform of your
absence. This is very important.
Mentors
You will be allocated a mentor who will work with you for the greatest period of
time during this placement. However due to the diversity of specialities and the
range of learning opportunities available, you may not spend all of your time
working with your allocated mentor.
In order to gain the most from your allocation and to achieve any specific
learning competencies you may have, you will be allocated to an associate
mentor/or qualified member of staff to work with.
One or two previous students, felt their individual learning was enhanced
working solely with their mentor. If you feel this would be more beneficial
please discuss this with your mentor.
You will also be given the opportunity to `follow through` some patients from
reception, to discharge from recovery. This is to ensure you gain an insight into
the total perioperative patient experience.
If you have any additional learning requirements please discuss these with
your mentor and we will endeavour to ensure that these are achieved.
Reflective diary / Learning Log
Throughout your allocation we ask that you complete a reflective diary or
learning log of your experiences/learning. These forms will be provided on the
first day of your allocation. These are useful to your mentor and associate
mentor to review your learning experiences, but you may also use this as a
private diary of reflection.
Theatre Etiquette
Your mentor should discuss theatre etiquette with you in your first meeting. For
example, the way in which we address staff members in the department,
adhering to the correct dress code, and the jewellery policy.
G B ROBINSON 2009
Learning Resources
The department has a seminar room with IT facilities and a reference library,
which you may use for quiet study. Free photocopying is available in the
reception area.
Pregnancy
If you are pregnant or think that you may be pregnant, it is important that
you ensure your mentor is aware of your condition (in confidence). It is
important that you avoid exposure to x-rays that may potentially harm your
baby.
Research has also suggested a link between exposure to anaesthetic waste
gases, and increases in rates of either, spontaneous abortion or congenital
abnormalities, (Vessey and Nunn, 1980 Grey, WA 1989, HSE 1994). By
informing your mentor we can ensure that yourself and your baby are not
exposed to any potential harm.
Conscientious Objection
If you have any objection to participating in certain procedures, i.e.
Termination of pregnancy, please inform your mentor in order that we
ensure you are not involved in these procedures.
However, you should be aware that conscientious objection has been
interpreted as those who assist with the abortion itself - whether in the
operating room or by giving abortifacient drugs in a ward. The Royal College
of Nursing suggests that it does not apply to nursing care given before or
after the abortion (RCN Guidelines on the termination of pregnancy,
London, May 1997).
Evaluation of allocation
At the end of your allocation we would be most grateful if you could spend a
few minutes to complete an evaluation of your experience. This will give us
the opportunity to evaluate the learning environment we provide, and listen
to any suggestions you may have to improve the future experience of other
students. Student comments really are important to us, and we do use your
feedback.
We sincerely hope that you enjoy your theatre placement, please do
not hesitate to ask if you have any further questions.
If you have any queries about your practice placement or require any
additional information please contact:
Sister Dawn Jones
North Tyneside General Hospital, Operating Department
0191 293 4092 Ext: 2214
G B ROBINSON 2009
North Tyneside General Hospital
G B Robinson 2009
GENERAL SURGERY
SR D JONES / MR M BROWN
SR H TULLY / CN P SCOTT S
SR C MIDDLETON
GENERAL
SURGEONS
MINIMAL
ACCESS
SURGERY
SR JONES
SR TULLY
MR BROWN
CN SCOTT
ORTHOPAEDIC
SURGERY
ORTHOPAEDIC
SURGEONS
CN C WYNN
SR D ADAMS
SR G DENHOLM
SR C HAMBLEY-GAY
SR L BURKIN
RADIOLOGY
THEATRES
EDUCATION
CO-ORDINATOR
MISS L BROATCH
ORTHOPAEDIC
SURGICAL
ASSISTANTS
PERIOPERATIVE
SPECIALS
SN J BAILEY
SURGICAL
DAY UNIT
BARIATRIC
SURGERY
SR D JONES
MR BROWN
UROLOGY
SURGERY
I.T.U
SR D JONES
H.D.U
BREAST
SURGERY
SR D JONES
EMERGENY
SURGERY
OPERATING
DEPARTMENT
CARDIOVERSION
C.C.U
STAFF
RECOVERY
UPPER / LOWER
GI NURSE
SPECIALISTS
NURSING
SR G YOUSSEF
SR P TAWS
GYNAECOLOGICAL
SUGERY
ACUTE PAIN
SR B NELSON
DENTAL
SURGERY
MR P SCOTT
SR JACKSON
ANAESTHETISTS
GYNAE
SURGEONS
ENT
SURGERY
DENTISTS
ANAESTHETICS
DENTAL
NURSES
SR G YOUSSEF
SR A BAIRD
MR J WHITFIELD
CN P SCOTT
PRE-ASSESSMENT
NURSE
MR A YOUNGER
ENT
SURGEONS
PAEDIATRIC SURGERY
ORTHO AND ENT
OPERATING DEPARTMENT
LEARNING ZONE
KEY ELEMENT – CLINICAL
SKILLS
RESOURCE / RELEVANT
LEARNING OPPORTUNITIES
PERSONNEL / DEPT
Pre operative Phase
Patient Pre-assessment
Admission of patient to reception
Patient Handover
Patient transfer
Welcome
Safety checks – pre op checklist
Correct Surgical Site Checklist
Psychological/physical and administration
preparation
Anaesthetic Nursing
Preparation of patient for anaesthesia
Preparation of equipment
Preparation of IV equipment
Assisting the anaesthetist
Monitoring the patient
Intra operative Phase
Preparation of the operating theatre
Transfer of patient onto the operating table
Positioning the patient for surgery
Preparation of the patient (sterile field/skin)
Preparation of equipment
Preparation of surgical team
Aseptic behaviour
Skills and role of circulating nurse
Skills and role of scrubbed nurse
Use of electrosurgical equipment
Count procedures
Female urinary catheterisation
Pre-assessment nurse / Nurse Specialists
Reception nurse
Reception and Ward Nurse
Reception nurse / Anaesthetic Staff
Reception nurse
Theatre Safeguards Document
Northumbria Surgical Site Documentation
Anaesthetic staff
Anaesthetic Resource File
NATN Principles of Safe Practice File
Anaesthetic and Recovery Staff
Anaesthetic Nurses / ODPs
Anaesthetic and Recovery staff
Theatre staff
Anaesthetic and Theatre Staff
Anaesthetic and Theatre Staff
Theatre staff / NATN Principles of Safe
Practice File
Theatre Staff / Surgical Resource File /
NATN Principles of Safe Practice File
Theatre Staff / Principles of Safe Practice
Theatre staff / NATN Principles of Safe
Practice / Surgical Resource File
Theatre staff / Infection control & Surgical
Resource Files
Theatre staff
Theatre staff
Theatre staff / Surgical Resource File
Theatre staff / Theatre Safeguards Doc
NATN Principles of Safe Practice File
Theatre staff
G B ROBINSON 2009
LEARNING OPPORTUNITIES
CLINICAL SKILLS
RESOURCE / RELEVANT PERSONNEL /
DEPT
Post operative Phase
Care of airway
Anaesthetic and Recovery staff
Assessment of conscious level
Assessment and control of pain
Anaesthetic and Recovery Staff
Anaesthetic and Recovery Resource Files
Relevant Journals
Internet
Anaesthetic and Recovery Staff, Acute Pain control
team- Sr Jackson, Anaesthetic and Recovery
Resource Files
Relevant Journals
Internet
Use of patient controlled analgesia
Anaesthetic, Recovery Staff, Acute Pain Team
Monitoring of patient
Vital Signs
Fluid Balance
Anaesthetic and Recovery Staff, Anaesthetic and
Recovery Resource Files
Relevant Journals
Internet
Checking of emergency equipment
Recovery Staff / Recovery Resource Files
Care of the ventilated patient
Anaesthetic and Recovery Staff
Intensive Care Staff
G B ROBINSON 2009
KEY ELELMENT –
INTERPERSONAL SKILLS
RESOURCE / RELEVANT PERSONEL /
LEARNING OPPORTUNITIES
DEPARTMENT
Use of telephone
Answering calls
Making calls
Answering bleep system
Taking and relaying of messages
Use of computer
Internet access
Intranet access
Communication – Verbal
Patients – (and tactile)
Relatives
Nursing staff / Theatre staff
Medical staff
Ancillary staff
Non – verbal communication and
team working
Caring for patient undergoing local or
regional anaesthesia
Handover to ward staff
Reception of pre operative patient
Theatre nursing and ODP staff
Clerical Staff
Theatre staff
Theatre seminar room
Nursing staff
Nursing staff
Multi disciplinary team
All nursing and ODP staff within theatre and
recovery
Nursing and ODP Staff
Theatre / Recovery Staff
G B ROBINSON 2009
KEY ELELMENT – HEALTH
DEVELOPMENT
RESOURCE / RELEVANT PERSONEL /
LEARNING OPPORTUNITIES
DEPARTMENT
Use of patient controlled analgesia
Sr P Jackson and pain team
Post operative instructions
Anaesthetic, theatre and recovery staff
Dental care advice
Dentist / dental nurses / recovery staff
Deep vein thrombosis prevention
Theatre/ anaesthetic and Recovery Staff
Nurse Specialists
G B ROBINSON 2009
KEY ELELMENT –
ORGANISATIONAL AND
MANAGERIAL ISSUES
LEARNING OPPORTUNITIES
RESOURCE / RELEVANT
PERSONEL / DEPARTMENT
Organisation and structure of unit
Qualified Theatre staff
Layout/ location/ aseptic zones/ traffic
Qualified Theatre Staff
Relationship between operating and other
units
Qualified Theatre Staff
Multidisciplinary personnel
Theatre staff
Administration of operating department
Theatre manager / Senior nurses / ODP
Occupational Health and Safety
Theatre staff / NATN Principles of Safe
Practice / Resource Files / Policy File
Working hours and schedule
Theatre staff
Potential emergency situations
Qualified Theatre staff
Formation of a surgical team
Senior Theatre staff / NATN Staffing in
Theatres File / NATN Principles of Safe
Practice File
Materials management
Senior Theatre Staff
Clinical governance
Mrs.Bivona- Clinical Governance Nurse
To include all aspects of individualised care
for patients for each speciality of surgery
Theatre staff
Management of quality assurance
Senior Theatre staff
G B ROBINSON 2009
KEY ELELMENT –
PATHOPHYSIOLOGICAL
PROCESSES
LEARNING OPPORTUNITIES
Maintaining body temperature
Use of warming devices
Tissue Viability
Use of pressure relieving devices
RESOURCE / RELEVANT PERSONEL /
DEPARTMENT
Anaesthetic and theatre staff
Anaesthetic and Recovery Resource Files
Principles of Safe Practice File
Anaesthetic and theatre staff
Resource Files
Principles of Safe Practice File
Use of anti-embolitic devices
Theatre Staff / DVT Nurse specialists
Resource Files
Anatomy and Physiology
The structure of
The circulatory system
The respiratory system
The neurological system
The digestive system
The urinary system
Defence systems
The importance of homeostasis
Physiological changes caused by
anaesthesia and surgical intervention
Anaesthetic / theatre staff / medical staff
Theatre seminar room Resource Files
Reference and Text Books
Internet
G B ROBINSON 2009
KEY ELELMENT –
PATHOPHYSIOLOGICAL
PROCESSES
RESOURCE / RELEVANT PERSONEL /
LEARNING OPPORTUNITIES
DEPARTMENT
General Surgery
Anatomy and physiology of abdomen
Biliary disease
Aetiology of herniae
Tumours
Gastro-intestinal disorders
Tumours
Gastro-intestinal disorders
Enlarged thyroid
Relevant theatre staff
Medical Staff
Nurse Specialists
Theatre seminar room Resource Files
Reference and Text Books
Internet
Gynaecological Surgery
Anatomy and physiology
Hysterectomy
(Vaginal and abdominal)
Investigations and treatments
Repair procedures
ENT Surgery
Grommets
Investigations
Bronchoscopy
Oesophagoscopy
Laryngoscopy
Nasal surgery
Dental procedures
Dental Staff
Use of intra operative X Ray
Radiographers
G B ROBINSON 2009
KEY ELELMENT –
PATHOPHYSIOLOGICAL
PROCESSES
RESOURCE / RELEVANT PERSONEL /
LEARNING OPPORTUNITIES
DEPARTMENT
Urology Surgery
Cystoscopy
Circumcision
Prostatectomy
Bladder tumours
Ureteric catheterisation
Minimal Access Surgery
Creating pneumoperitoneum
Cholecystectomy
Upper G I hernia repair
Inguinal hernia repair
Fundoplication
Bariatric Surgery
Relevant theatre staff
Medical staff
Nurse Specialists
Resource Files
Reference and Text Books
Relevant Journals
Internet
Orthopaedic Surgery
Anatomy and physiology of bones
and skeletal muscle
Treatment of trauma - fractures
Total Hip Arthroplasty
Total Knee Arthroplasty
Investigations
Shoulder surgery
Hand surgery
Foot surgery
G B ROBINSON 2009
KEY ELELMENT –
PATHOPHYSIOLOGICAL
PROCESSES
RESOURCE / RELEVANT PERSONEL /
LEARNING OPPORTUNITIES
DEPARTMENT
Infection Control
Theatre Ventilation System
Personal hygiene and behaviour
Aseptic classification of surgical
procedures
Spread of infection
Aseptic working methods
Use of theatre clothes / masks
Universal precautions
Handling and disposal of waste
Principles of cleaning
Disinfection
Sterilisation
Anaesthetic pharmacology
Medicines used during induction,
maintenance and reversal of
anaesthesia
Medicines used during C.P.R.
Infusions and transfusions
Methods / types of anaesthesia
Factors affecting choice of
anaesthesia
Examinations required by
anaesthetist
Theatre staff
NATN principles of Safe Practice
Theatre staff/ infection control policy
Theatre staff / NATN Principles of Safe Practice
Infection Control Policies
Sterile services (SASD)
Anaesthetic Staff
Reference Books and Journals
Anaesthetic and Recovery Resource Files
Internet
G B ROBINSON 2009
KEY ELELMENT –
PATHOPHYSIOLOGICAL
PROCESSES
RESOURCE / RELEVANT PERSONEL /
LEARNING OPPORTUNITIES
DEPARTMENT
Knowledge of surgical techniques
Abdominal surgery
Minimal invasive surgery
Orthopaedic and trauma surgery
Urological surgery
Surgery of the breast
Surgery of the Thyroid
Ear, Nose and Throat surgery
Gynaecological surgery
Emergency surgery
Dental procedures
Theatre staff
Medical Staff
Relevant surgical staff
Reference and Text Books
Resource Files
Internet
Anatomy and physiology
Of all organs and organ structures
related to the above mentioned
G B ROBINSON 2009
Recommended Reading
Principles of Safe Practice in the Perioperative Environment
National Association of Theatre Nurses 1998
Safeguards for Invasive Procedures:
The Management of Risks Guidelines for Practice
National Association of Theatre Nurses 1998
Journal of Perioperative Practice
Association of Perioperative Practice
Journal of Operating Department Practitioners
Association of Operating Department Practitioners
Journal of Anaesthetic and Recovery Nursing
British Anaesthetic and Recovery Nurses Association
There are resource files available in the seminar room and recovery,
containing articles that may assist with your learning, please use these as a
source of reference.
The above publications and many others are available in the theatre
seminar room, and we actively encourage you to use this resource.
This literature has been donated by Theatre Staff for use by students and
colleagues undertaking units of study.
Please DO NOT remove these from the department
Free photocopying is available in Theatre Reception, please use this facility
and ensure resources remain available for future students.
Thank you
Useful Websites
Association for Perioperative Practice
(incorporating National Association of Theatre Nurses)
http://www.afpp.org.uk
College of Operating Department Practitioners
(incorporating Association of Operating Department Practitioners)
http://www.aodp.org
British Anaesthetic and Recovery Nurses Association
http://www.barna.co.uk
The Royal College of Anaesthetists
http://www.rcoa.ac.uk
The Association of Anaesthetists of Great Britain and Ireland
http://www.aagbi.org
Anaesthesia UK
http://www.frca.co.uk
Cochrane Anaesthesia Group
http://www.carg.cochrane.org
UK Society for Intravenous Anaesthesia
http://www.sivauk.org
The British Pain Society
http://www.britishpainsociety.org
The Royal College of Surgeons of England
http://www.rcseng.ac.uk
British Society of Gastroenterology
http://www.bsg.org.uk
British Orthopaedic Association
http://www.boa.ac.uk
British Dental Association
http://www.bda.org
Infection Control Nurses Association
http://www.icna.co.uk
National Resource for Infection Control (NRIC)
http://www.nric.org.uk
The Hospital Infection Society
http://www.his.org.uk
Institute of Decontamination Services
http://www.idsc-uk.co.uk
The Medicines and Healthcare Regulatory Agency (MHRA)
http://www.mhra.gov.uk
Training Hub for Operative Technologies in Healthcare
http://www.thoth.uk.com
National Institute for Health and Clinical Excellence
http://www.nice.org.uk
The Health Care Standards Unit
http://www.hcsu.org.uk
National Confidential Enquiry into Patient Outcome and Death
www.ncepod.org.uk
British Association of Day Surgery
www.bads.co.uk
National Association of Assistants in Surgical Practice
http://www.naasp.org.uk
Comments from Students following placements in
Theatres at North Tyneside General Hospital
“The support and supervision that I have received from my mentor and
all other members of staff has been excellent”
“Given that there are 93 permanent staff on the unit and many surgeons
and anaesthetists, this has provided me with a wealth of knowledge and
understanding that I would not have gained in another area”
My mentor has been pro-active in helping me devise strategies for
achieving competencies, and has helped to organise my time efficiently to
help me meet my learning outcomes. I have achieved all competencies to a
high standard by providing research-based evidence to inform my practice.
I have also achieved all of the competencies linked to the modernisation
agenda”
“Regardless of whether a student would like a career in theatres or not, I
believe it would be beneficial to them to have this placement. It allows them
to have insight into what patients undergo, and thus inform post operative
care”
“In previous portfolios I have repeatedly identified skills and knowledge that I
have wanted to gain, and this placement has provided me with the
opportunity to comfortably learn all these skills”
“On prior placements experiences have often been unavailable, or there has
not been adequate time to thoroughly learn these skills. I feel that I have
learned more from this placement than I have from any other during the past
two and a half years”
“This final internship placement has been one of the most positive and
satisfying placements to date. Having been undecided on whether I had
made the right choice prior to commencing the placement, I was particularly
surprised how much I enjoyed it, and I feel that the skills that I have learned
will be valuable to my future career. Upon qualification, I look forward to
commencing my first post in this department where I know I will be well
supported and supervised during the comprehensive preceptorship
programme, which will help me to become a competent and confident
practitioner”
G B ROBINSON 2009