Abstract: Liu, Liang Qin This systematic review aimed to critically appraise and synthesise updated evidence regarding the effect of surgical scrub techniques on skin integrity and the incidence of surgical site infections.
Abstract: Hains, Toni; Strand, Haakan; Turner, Catherine The term Non-Medical Surgical Assistant (NMSA) is not widely acknowledged in Australia but is used to describe the role of clinicians without a medical degree or qualification who provide clinical services during the perioperative phase of a patient's journey. The role of NMSA has many configurations internationally and not all NMSA roles arise from a nursing platform. To date, the implementation of many Advanced Practice Nurse (APN) roles have lacked educational support or professional direction. The literature supports the standardisation of APN roles where they are regulated by the profession and attained through an appropriate tertiary level qualification. In this paper, we review characteristics of the roles of the NMSAs in the United States of America, Canada, the United Kingdom and New Zealand, countries that have similar standards for practice to Australia and provide a similar standard of health care. We will discuss implications for perioperative nurses and make recommendations for a future approach which formalises the role of the NMSA for the Australian context.
Abstract: Cooney, Maureen F One of the most challenging aspects of acute pain management is the management of pain in patients who are opioid tolerant, whether tolerant from opioids prescribed for chronic pain or from opioid use related to addiction.
Abstract: Gilbert, Julia; Gillespie, Brigid M At law, adults are presumed to have legal competency to provide consent for or refusal to consent to health care treatments unless they have cognitive impairment. But what of the adolescent who is, at law, a child but who refuses to undergo elective surgical treatment' This paper discusses the issues surrounding the case of Keith, a 14-year-old boy with ulcerative colitis, who refuses consent to undergo an elective ileostomy.
Abstract: Davies, Menna On entering any present-day operating theatre donning 'scrubs', cap, shoes, mask and protective eye wear are actions we take for granted. However, have you ever stopped to consider how we arrived at a time when donning our attire has become such a natural activity' This article uses a series of images to examine the evolution of operating theatre attire.
Abstract: Foran, Paula As you may all be aware, the Education, Research and Journal (ERJ) Committee has been restructured with three subcommittees: Journal; Hospital and University Collaboration and Accreditation (HUCA) and Grants, Awards and Scholarships (GAS).
Abstract: Levada, Lilliana; Osborne, Sonya The patient has the right to an infection-free perioperative journey, without suboptimal outcomes or poor experiences.
Abstract: Gore, Amanda; Osborne, Sonya Posthumous organ procurement is a critical procedure in which perioperative nurses contribute significantly to the conduct of the procedure and viability of organs and tissues for later transplant. The rate of organ donation has increased over 70 per cent in recent years, which saw, in 2016, a record 1440 Australians receiving transplants as a result of 503 deceased organ donors'. However the rate of donation in Australia is still relatively low compared to other nations, and occurs so sporadically in most operating rooms that it is difficult to acquire expertise as a perioperative nurse.
Abstract: Sutherland-Fraser, Sally Perioperative nurse, Sally Sutherland-Fraser, has also studied fine arts. In this column, she draws on both disciplines to reveal the history behind an intriguing photograph of surgery from World War One.
Abstract: Gilbert, Julia; Gillespie, Brigid M At law, all individuals are presumed to have the legal capacity to provide consent or refusal of treatment unless there are clinical indications of cognitive impairment. Once concerns are raised regarding the ability of an individual to provide valid consent for a surgical procedure, the use of a substitute decision-maker may be necessary. In this paper, we present an analysis of a clinical case study to illustrate the principles of valid consent. As part of the analysis, we discuss the issues relating to obtaining valid consent for an operative surgical procedure from an elderly client with obvious cognitive impairment. We also explore the role of a substitute decision-maker to obtain the requisite valid consent.
Abstract: Gill, Arron; Randell, Rebecca Effective teamwork in the operating theatre is important for safe patient care. In robotic surgery, the surgeon is physically separated from the operating theatre team, which could potentially have an impact on teamwork. With robotic surgery increasing internationally, this article reviews relevant published literature on teamwork in the operating theatre and reflects on how this might be impacted by robotic surgery. We conclude by describing a research study we are currently undertaking on this topic.
Abstract: Mangham, Mandy Safe, patient-centred care is a large part of our trust values at the Royal Wolverhampton NHS Trust. Robotic assisted laparoscopic surgery (RALS) is still in its infancy within our trust, and we decided to look at what we have learned so far regarding patient positioning during robotic surgery for gynae-oncology and uro-gynae procedures. We also considered what we believe needs to be achieved in order to deliver high standards of care in positioning patients during robotic surgery, not only now, but also for the future of robotic surgery.
Abstract: Kynoch, Kate; Crowe, Linda; McArdle, Annie; Munday, Judy; Cabilan, CJ; Hines, Sonia Perioperative nurses recognise that family members experience increased levels of anxiety during the wait for a relative undergoing a surgical procedure. It is often during this time that little or no meaningful communication occurs between family members and health professionals. It has been suggested that a structured information intervention has the potential to increase communication between families and health care professionals as well as decrease family members' anxiety.
Abstract: Freeling, Michelle; Parker, Steve; Breaden, Katrina While the new graduate nurse journey has been well documented, little research exists from the perspective of the experienced nurse, particularly in the perioperative environment. Barriers to graduate nurse support need to be understood, as job satisfaction, nurse wellbeing and quality of patient care can be negatively affected.
Abstract: Davies, Menna; Sutherland-Fraser, Sally; Mamea, Natasha; Raddie, Nerrie; Taoi, Mabel Hazelman This article is the second in a series that describes the a collaborative project between Australia and the Pacific Island countries (PICs) to develop and implement a set of infection prevention standards which are context-specific to 'limited resource settings', such as those found in PICs.
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