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Operating Theatre

Address: 

Llandough Hospital, Penlan Road, Llandough CF64 2XX

Contact:

02920 711711

University Contact: 

Clinical Teacher Contact:

Remit: 

Perioperative care including anaesthetics, scrub, recovery and surgical day unit

Clients: 

Adult surgical patients

Key Learning Opportunities: 

Students will have the opportunity to observe and be involved in the care delivery and management of patients during anaesthesia, intraoperative care and post operative care  throughout a range of surgical specialties including orthopaedic surgery, gynaecology, colorectal surgery, breast surgery, renal surgery, hand trauma surgery, day surgical procedures, endoscopy and pain management lists.
Students will also be able to observe the role of the clinical nurse specialist within endoscopy and surgical pre-assessment. Whilst participating in many aspects of nursing care, students will develop knowledge and gain experience with the following: 

  • Anatomy and physiology, Fundamental Care provision
  • Patient safety mechanisms including the surgical safety checklist
  • Assessment, planning, implantation and evaluation of care
  • Evaluate the effectiveness of nursing, pharmacological and multi-disciplinary team interventions to overcome identified patient problems
  • Caring for patients with a range of pre-existing conditions, Administration of medicines
  • Documentation, Wound management, Handling and moving, Infection prevention
  • Liaising and working with the MDT
  • The importance of professional issues including confidentiality, informed consent and information giving, patient advocacy and maintaining dignity

Anaesthetic Practice Skills include:

  • Communication and relieving anxiety
  • Methods of anaesthesia including general, regional and local anaesthesia
  • Induction, maintenance and reversal of general anaesthesia
  • Principles of airway management and difficult airway management
  • Vital signs monitoring, Care of the unconscious patient
  • Administration of blood and /or blood products
  • Recognise normal sinus rhythm on a cardiac monitor
  • The process of patient preparation, including preoperative fasting for anaesthesia
  • Recognise essential anaesthetic equipment

Surgical Scrub Practice Skills:

  • Theatre checking procedures and preparation prior to the commencement of an elective operating list to include heating, lighting, humidity, instruments, packs
  • Principles and practice of aseptic technique, Patient positioning and moving
  • The role of the scrub and circulating nurse
  • Perform surgical scrub and donning of gown and gloves, Surgical diathermy
  • Swab, needle and instrument checks, Disposal of sharps, swabs and instruments
  • Sutures, drains and application of wound dressings

Post-Anaesthetic Care (Recovery) Practice Skills:

  • Patient safety and postoperative assessment, Care of the semi-conscious and unconscious patient 
  • Care for patients following general anaesthesia regional anaesthesia and local anaesthesia under direct supervision
  • Principles and practice of airway management in relation to post-anaesthetic care
  • Administration of oxygen
  • Vital signs monitoring including ECG, non-invasive blood pressure, oxygen saturation levels (SpO₂), temperature and respiratory rate
  • Pain assessment and management, Drug dosage calculations, Methods of drug administration
  • Administration of medicines, Fluid balance management, Care of an intravenous infusion
  • Management of postoperative nausea and vomiting
  • Patient positioning and pressure area care, Documentation
  • Patient discharge criteria, Postoperative complications of anaesthesia and surgery

Day surgical unit practice skills:

  • Principles of short stay surgery, Fundamentals of care
  • Preoperative preparation of surgical patients, Surgical admission process
  • Care of the patient following surgery, Postoperative assessment
  • Patient discharge criteria

Pre-assessment practice skills: 

  • Nurse-led assessment procedures, preoperative assessment
  • Physical, psychological and social assessment of surgical patients
  • History taking, observations, screening, Health education
  • Patient optimization, Anxiety management, Discharge planning, Documentation

Endoscopy practice skills:

  • Care of the patient under conscious sedation
  • Fundamental care, Vital signs monitoring, Airway management
  • Communication skills, Information giving, Anxiety management
  • Patient positioning
  • Caring for patients with a range of pre-existing conditions and co-morbidities

Visits to other departments relating to perioperative care include: pre-assessment clinic, endoscopy, intensive therapy unit, electroconvulsive therapy at Whitchurch hospital and the Cardiff and Vale Orthopaedic Centre (CAVOC).

Preparation for Practice:

Suitable for management placement

Shifts:

08.00-18.00 hours (x 3)

08.00-17.30 hours (x 1)

(Hours for students are fairly flexible in this department but do require negotiation)

Dress Code: 

Theatre scrubs to be provided. Students should bring a clean pair of trainers for the placement.

Last Updated:

December 2012