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A CLINICAL GOVERNANCE FRAMEWORK FOR THE DEVELOPMENT OF THE ADVANCED SCRUB PRACTITIONER

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A CLINICAL GOVERNANCE FRAMEWORK FOR THE DEVELOPMENT OF THE ADVANCED SCRUB PRACTITIONER

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    2. Setting The Scene Risks including the dual role Current Guidance Definition Your own accountability Employers responsibilities

    4. Reflection

    5. Have I failed in my duty of care to the patient?

    6. The main issues of concern include: Clarification on the role and definition of the First assistant Legal implications of the Dual role/accountability Competencies for a First assistant Availability and access to validated training Formulation of a local policy to support first assisting within the operating theatre Job description / specification and clinical grading Professional Indemnity insurance required How to implement the role effectively.

    7. The Perioperative Care Collaborative September 2003 Position Statement

    8. POSITION STATEMENT ON THE ROLE OF THE FIRST ASSISTANT (ADVANCED SCRUB PRACTITIONER) IN THE INDEPENDENT SECTOR (August 2003)

    9. Definition: Advanced Scrub Practitioner

    10. “A Surgical Practitioner/Assistant is a Perioperative practitioner working both in and out of the operating room, who undertakes specified surgical intervention, either under direct, indirect or proximal supervision”. NASSP 2002

    11. Advanced Scrub Practitioner Specification Enhancing communication link between theatre, patient and ward including pre-operative assessment and post- operative care evaluation. Assisting with patients positioning including tissue viability assessment Skin preparation prior to surgery Draping Skin and tissue retraction Handling of tissue and manipulation of organs for exposure or access Handling instruments Male/female catheterisation

    12. Advanced Scrub Practitioner Specification Cutting of sutures and ties Assisting with haemostasis in order to secure and maintain a clear operating field. Use of suction Indirect application of electro-cautery under supervision Camera holding for minimal invasive access surgery Use and maintenance of specialised surgical equipment relevant to area of working Assistance with wound closure Application of dressing Transfer of patient to Post Anaesthetic Care Unit

    13. The Dual Role

    14. Captain of the Ship Doctrine?

    15. So what is my key message to you?

    16. Pace yourselves for this role

    17. Policy Accountability Competency Employers Responsibility

    18. Accountability 6.2 To practice competently, you must possess the knowledge, skills and abilities required for lawful, safe and effective practice without direct supervision. You must acknowledge the limits of your professional competence and only undertake practice and accept responsibilities for those activities in which you are competent NMC Code of Professional Conduct June 2002

    19. Competency - How do you achieve this? Greenwich University Manchester University John Moores University

    20. Employers Responsibility Job Description Job Specification

    21. Strategic Planning

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