Page 1

November 2010

Issue No. 242

ISSN 1747-728X

PRO-Breathe® Tracheal Tube Introducers & Intubation Stylets

W NE IGN S DE

Newly designed - fully smoothed angled coudé tip and O2 outlets minimise the risk of patient trauma and facilitate easy positiioning

Reinforced with memory to mimic the ‘gold standard’ gum elastic bougie. Ultra-smooth surface for easy insertion and low friction withdrawal

PRO-Breathe® stylets offer Satin smooth coating over malleable aluminium to facilitate insertion of tracheal tube

The NEW PRO-Breathe® range of Tracheal Tube Introducers & Intubation Stylets offer effective clinical performance and superb value. Each are available in three sizes suitable for use with ET tubes ranging from size 2.5mm to 11.0mm. All are designed for single use to minimise the risk of cross infection and are supplied sterile in individual easy open sachets.


Canadian Surgeons Perform World’s First Robotic Surgery and Anaesthesia Surgeons at McGill University Health Centre (MUHC) in Canada have performed the world’s Àrst completely robotic surgery and anaesthesia. The surgeons used the DaVinci surgical robot and the McSleepy anaesthesia robot to perform a prostatectomy at the Montreal General Hospital, a part of MUHC. The DaVinci robot allows the surgeons to operate the robotic arms from a dedicated workstation via video control, while the McSleepy robot automates anaesthesia delivery. The researchers are planning to combine the two robots and test allrobotic surgery and anaesthesia on a larger number of patients for various forms of surgery.

Source: hospital management.net

Study backs chest compressions in resuscitation Concentrating on chest compressions rather than mouth-to-mouth when giving emergency resuscitation can produce better results, says research published in The Lancet. A study of 3,000 patients found that chest compressions alone increased chances of survival by more than 22%. But training in how to give both chest compressions and mouth-tomouth breaths is the best option, experts say. The UK Resuscitation Council is due to produce new CPR guidelines soon. Cardiopulmonary resuscitation (CPR) is a combination of chest compressions and mouth-to-mouth breaths, given in the event of a cardiac arrest. The study, compiled by doctors from the Medical University of Vienna in Austria, looked at the survival rates of people treated by untrained members of the public taking instructions from the emergency services over the phone. Dr Peter Nagele, from the department of anaesthesiology, critical care and pain therapy at the Medical University of Vienna, said that if untrained bystanders avoided mouth-to-mouth breaths during CPR, they were more likely to perform uninterrupted chest compressions. That then increased the probability of CPR being successful. Different techniques The research in The Lancet involved two analyses. The Àrst used data from three randomised trials involving more than 3,000 patients. It showed that chest-compression-only CPR was associated with a slightly improved chance of survival compared with standard CPR (14% v 12%). In the second analysis of seven observational studies, researchers found no difference between the two CPR techniques. The study authors maintain that continuous, uninterrupted chest compressions are vital for successful CPR. Dr Jas Soar, chair of the Resuscitation Council from Southmead Hospital in Bristol, said: “Any CPR is better than no CPR. If you witness a cardiac arrest, dial 999 immediately. Those trained in CPR should follow existing guidance of 30 chest compressions followed by two rescue breaths. “Those not trained should start compressions and follow instructions until an expert arrives,” Dr Soar said. Dr Meng Aw-Yong, medical adviser at St John Ambulance, acknowledged that rescue breaths could be off-putting. “The current advice is that if you’re unwilling or unable to do full CPR then chest compressions are better than nothing. “The best solution, however, is for people to get trained in how to carry out chest compressions and rescue breaths so they can be the difference between a life lost and a life saved,” he said. The British Heart Foundation says that being able to do CPR more than doubles the chances of survival. Claire O’Neill, community resuscitation programme lead at the BHF, said: “For someone who is untrained in cardiopulmonary resuscitation, doing both chest compressions and rescue breaths really can be difÀcult. “We also know that uninterrupted chest compressions are very important for increasing the chance of survival. So being directed to focus solely on chest compressions could make people more willing to attempt resuscitation, which could ultimately save lives,” she said.

GOVERNMENT CUTS COULD RESULT IN RAPID RISE OF SUPERBUGS Leading biohazard decontamination specialists Kays Medical has warned that funding cuts could ultimately be responsible for a rapid rise in fatal infections such as NDM-1, C. diff and norovirus. Body Áuids such as blood, vomit and urine require a proven cleaning protocol which meets COSHH guidelines to guarantee that the site of the spill is cleaned effectively and can be certiÀed as hygienically safe. However, many organisations are still employing cleaning methods which can spread potentially infected spills rather than containing them. This, coupled with a potential corner cutting mentality sparked by government cuts could have drastic implications. David King, national sales and marketing manager of Kays Medical said: In the current climate buyers or managers are likely to be much more inclined to cut corners on existing products and cleaning practice rather than introduce new products or review current practice. Cost cutting drives could easily result in cleaning solutions being diluted beyond their recommended limits or cleaners being given unachievable targets. With our research showing that using outdated methods can leave the risk of infection present and cost more, now is the time for organisations to think smart and embrace new technologies if they want to save money and reduce infections. Using outdated cleaning methods such as a mop and bucket or paper towels not only risks spreading infection and causing cross contamination but can actually also prove to be more expensive than employing a system designed speciÀcally to cope with biohazards. For example, new research by Kays Medical into the use of the mop and bucket in the NHS has shown that decontamination cleaning can take an extra 20 minutes and cost 32p more per clean up than when a cleaning operative uses a speciÀcally designed spill kit and biocidal disinfectant cleaner. With the Control of Substances hazardous to Health Regulations Regulation 2002 (COSHH) stating that employers must do all possible to prevent or control exposure to biohazards, there may be many companies who are failing to protect their employees and the public and so are risking expensive litigation. Please visit the following link to see the Response demo video: http://www.youtube.com/user/kaysmedical

Looking to advertise within

‘The OTJ’?

Next Issue Copy Deadline Wednesday 24th November 2010 All enquiries: Mr. L.A.Evans Editor/Advertising Manager Mr. A. Fletcher Graphics Editor The OTJ Lawrand Ltd PO Box 51 Pontyclun CF72 9YY Tel: 020 7100 2867 Email: admin@lawrand.com Website: www.lawrand.com The Operating Theatre Journal is published twelve times per year. Available in electronic format from the pages of www.otjonline.com and in hard copy to hospitals throughout the United Kingdom. Personal copies are available by nominal subscription. Neither the Editor or Directors of Lawrand Ltd are in any way responsible for the statements made or views expressed by the contributors. All communications in respect of advertising quotations, obtaining a rate card and supplying all editorial communications and pictures to the Editor at the PO Box address. No part of this journal may be reproduced without prior permission from Lawrand Ltd. © 2010

Source: BBC

Ànd out more 020 7100 2867 • e-mail admin@lawrand.com

Journal Printers: The Warwick Printing Co Ltd, Caswell Road, Leamington Spa, Warwickshire. CV31 1QD Issue 242

NOVEMBER 2010

3


Studies say Covidien devices lower post-operative pain A signiÀcant challenge of any surgical procedure but especially for hernia and abdominal wall repair procedures is postoperative pain and the risk of complications. According to studies presented at the 32nd International Congress of the European Hernia Society in Istanbul, Turkey, Covidien (Dublin, Ireland) may be on track to playing an important role in reducing such postoperative pain and complications in both open and laparoscopic procedures. “We had a strong presence at this year’s EHS meeting,” said Scott Herring, president of EMEA surgical devices at Covidien. “The clinical presentations demonstrated Covidien’s commitment to deliver innovative products that offer proven beneÀts and value to surgeons, patients and payors.” Surgeons presented data from three multicenter clinical trials sponsored by Covidien. The data included preliminary results on two prospective randomized studies comparing the company’s Parietex ProGrip mesh and AbsorbaTack absorbable Àxation device to their respective standards of care. Among the key Àndings, one study found that the Parietex ProGrip Mesh “signiÀciantly” reduced pain compared with gold standard Lichenstein sutured mesh repair at all time points measured from discharge to three months post-op. Results of this study also showed that use of the device shortened the surgery duration and reduced infection rates. According to preliminary multicenter study data presented by principal investigator Andrew Norman Kingsnorth, professor of surgery at Derriford Hospital (Plymouth, UK) use of Parietex ProGrip mesh reduced pain compared with the gold standard sutured mesh repair at all time points measured from discharge to three months postoperatively. Pain was signiÀcantly reduced at discharge and day seven, Norman reported. “By eliminating the need for abdominal wall sutures, Parietex ProGrip mesh makes hernia repair simple and fast, providing better outcomes for patients compared with the goldstandard Lichtenstein model,” said Kingsnorth. “We look forward to seeing additional data, including the Ànal results of the study, to conÀrm these promising results.” ProGrip vs. gold standard According to study authors, the Lichtenstein method is the gold standard for open mesh inguinal hernia repair with low recurrences.

However, an unresolved problem is postoperative pain, which may be related to mesh Àxation. So investigators conducted the study to compare the self-gripping Parietex ProGrip sutureless mesh repair vs Lichtenstein sutured mesh repair in a randomized study evaluating herniorrhaphy postoperative pain. In this study, 302 patients were randomized in eight centers. Among them, 153 patients were operated with Lichtenstein repair (L group) and 149 with Parietex ProGrip pre-cut mesh (P group) with or without Àxation. Patient pain (VAS scale) and other outcomes were assessed from the preoperative visit to the three-month follow-up visit. When compared to the baseline, the pain was reduced in P group at discharge (-10%) and at seven days (-12.8%); and enhanced in L group at discharge (+38.6%) and at seven days (+20.6%). The difference between both groups was signiÀcant at discharge, the authors noted, and at seven days. In P group, the pain was reduced at one and three months for patient without Àxation compared to patient with 1-stich (-20,9% vs -6,15% at one month and -24,3% vs -7,7% at three months). Infection rates were signiÀcantly higher in L group (7.2%) than in P group (2%) during the three months follow-up, the researchers reported. Surgery duration was also shorter using the Paritex ProGrip device (32.4 minutes) compared to the Lichtenstein repair (39.1 minutes). No recurrence was observed at three months in both groups. According to the study authors, these preliminary results are “promising” but need to be conÀrmed with longer follow-up and a larger population. Is absorbable Àxation the answer? In the second randomized study, preliminary results from 10 sites showed that the Covidien AbsorbaTack absorbable Àxation device demonstrated a signiÀcant reduction in VAS pain scores compared with permanent Àxation at one month follow-up after inguinal hernia repair. According to authors of that study, the ideal Àxation method for mesh placed during laparoscopic inguinal hernia repair remains unknown. An absorbable Àxation device might provide adequate initial Àxation strength while reducing long term postoperative discomfort, they noted.

Feasibility of con¿rming drugs administered during anaesthesia (National Patient Safety Agency – National Reporting and Learning Service) This report presents the results of a qualitative study to assess the feasibility of introducing the practice of con¿rmation of injectable drugs administered during anaesthesia, to reduce drug errors. The primary audience for the report is all members of the theatre team, particularly anaesthetists, operating department practitioners (ODPs) and theatre practitioners. The report also aims to highlight practical issues related to the practice of con¿rming drugs administered during anaesthesia by exploring the perceived bene¿ts, barriers and practicalities of the two different methods of drug con¿rmation that were studied (second person con¿rmation and electronic barcode con¿rmation). This is a collaborative project between the National Patient Safety Agency (NPSA), Royal College of Anaesthetists (RCoA) and Association of Anaesthetists of Great Britain and Ireland (AAGBI). Access the report at: http://www.nrls.npsa.nhs.uk/resources/clinical-specialty/anaesthesia/?entryid45=59845

4

THE OPERATING THEATRE JOURNAL

The researchers conducted a prospective randomized double blind multi institutional study comparing outcomes of absorbable versus permanent mesh Àxation during laparoscopic inguinal hernia repair. Operative techniques were standardized and pain was assessed using VAS scoring system. Standard statistical analysis was used, they noted. The investigators enrolled 89 patients in that study from 10 centers across the U.S., Germany, and France. Of those patients, 71 were available for one-month analysis (34 of them were treated with the AbsorbaTack device, 37 with the ProTack device). The prospective randomized double blind trial showed similar results of absorbable Àxation devices as compared to permanent Àxation devices for laparoscopic inguinal hernia repair. The researchers concluded that patients with signiÀcant preoperative inguinal pain might beneÀt from absorbable Àxation during laparoscopic inguinal hernia repair, but they noted that long term follow up will be necessary to determine the ultimate beneÀt of an absorbable Àxation device for laparoscopic inguinal hernia repair. ‘Giant and complex’ incisional hernias In the third multicenter clinical trial on Parietex composite mesh to treat giant incisional hernias, investigators reported a low recurrence rate (7% at two years) related to the device given the complexity of the indication. These Àndings support the use of an intraperitoneal polyester protected mesh as a relevant and safe solution for the longterm treatment of complex incisional hernias. The authors of that study noted that “giant and complex incisional hernias” represent a particular challenge for the surgeon, especially because it is frequently associated with a substance loss. In order to manage those severe patients, an intraperitoneal (IP) mesh positioning is the choice solution, they said. The multicenter study aimed to assess the performance and tolerance of a polyester protected mesh in those particularly complicated patients. Between March 2005 and July 2009, 54 patients with large, difÀcult and recurred ventral hernias associated with additional pathologies were treated in Àve academic centers with a polyester mesh protected on one side by a hydrophilic resorbable Àlm to prevent adhesions (Parietex Composite 37X28). Data were collected at one month (51 patients), one year (42 patients), two years (32 patients) and 3-4 years (24 patients). According to the Àndings, at one month roughly half (51%) of the patients experienced low residual pain. Short-term complications were minor, the researchers noted. Long-term complications also were minor, they said, and included: four minor residual pain (limited to scar), three enterocutaneous Àstulas, one absence of cutaneous healing, one superÀcial abscess and four recurrences. Considering the complexity of treated hernias, the complications rate related to the use of the device is low, the researchers said. Open intraperitoneal repair using an IP polyester protected mesh appears to be a relevant solution for the long-term treatment of complex incisional hernias.

www.otjonline.com


Fukuda Denshi exhibit key products at the Winter Intensive Care Society (ICS) Meeting Fukuda Denshi is a leading supplier of advanced patient monitoring and user-conÀgurable clinical information management systems. The company will be exhibiting a range of its key products at the Winter ICS Meeting in London.

Perioperative professional bodys new president relishes challenges ahead Building on a proud heritage and embracing the future will be crucial to enhancing patient care and professional development, according to the new president of the UKs leading body representing perioperative practitioners. Tracy Coates, who has taken up the role of president of AfPP, believes the national charity is at one of the most exciting stages in its history. Its four-year strategy sets out to boost practitioner membership, grow its services, set standards of clinical excellence and shape the healthcare agenda.

The Winter ICS Meeting brings together leading Àgures and international speakers within the Àeld of intensive care medicine to speak at one of the most prestigious and important national meetings of the year, and is being held on 13th & 14th December 2010 at the Hilton Metropole.

Tracy, who joined the board of trustees in October 2005, has worked at the National Patient Safety Agency as patient safety lead anesthesia since July 2008, where she has been involved in a series of improvement initiatives. Tracy had previously worked in the perioperative environment, in anaesthetics and recovery for 21 years, undertaking a variety of roles in management, education and Ànally as a matron in perioperative care.

Fukuda Denshi will be exhibiting their DS-7300 monitor, featuring a large, 19” colour LCD screen that can display up to 15 waveforms. The DS-7300 provides multi-parameter options with a 12-lead ECG ampliÀer as standard, and this high speciÀcation means the DS-7300 is an ideal monitor for the wide range of demands made by the ICU environment.

Tracy took over the role from current president Diane Gilmour after the charitys annual conference in October. As a past ofÀcer Diane will continue to represent AfPP on the national decontamination agenda and act as an ambassador for AfPP, supporting its aims by providing valuable knowledge, guidance, contacts and ideas to the successive board.

Alongside this popular patient monitor on the Fukuda Denshi exhibition stand will be the MetaVision Clinical Information System, the MVICU, which is speciÀcally designed to be used in intensive care. Experience has shown that it dramatically assists decision making and cost containment, while reducing nursing workload and improving associated documentation.

Tracy said: Over the years, AfPP has made enormous strides in improving patient care by constantly developing and promoting the leading standards for perioperative practice and practitioners. The future years will be crucial as we build on those achievements while working within the ever changing healthcare and economic environments.

Visitors will receive a warm welcome from the Fukuda Denshi team, who will be on hand to demonstrate these state-of-the-art products and provide full product information and answer any questions. Fukuda Denshi: Healthcare bound by technology.

Please quote ‘OTJ’

We have a fabulous history on which to build and will have the opportunity to improve and increase our services to practitioner members, build our forum for partnership with industry as well as help shape healthcare policy. I am certainly looking forward to the challenges.” Tracy lives in Peterborough with her husband Lee and two teenage daughters.

Ànd out more 020 7100 2867 • e-mail admin@lawrand.com

Issue 242

NOVEMBER 2010

5


The transfusion of blood and blood components in an emergency

Philips receives highest quality rating from Nuance Communications for its new SpeechMike dictation microphone Five dragons awarded for outstanding performance with Dragon NaturallySpeaking 11 speech recognition

(National Patient Safety Agency - National Reporting and Learning Service) Transfusions occur on a daily basis across a wide range of hospital clinical settings, and in both elective and emergency situations. The urgent provision of blood for life threatening haemorrhages requires a rapid, focused approach as excessive blood loss can jeopardise the survival of patients. Early recognition of major blood loss and immediate effective interventions are vital to avoid hypovolaemic shock and its consequences. One such action is the rapid provision of blood and blood components, for which effective communication between all personnel involved in the provision and transportation of blood is key. The Alert published on 21 october 2010 can be found here: http://www.nrls.npsa.nhs.uk/ resources/?EntryId45=83659

Vienna, Austria – Philips Speech Processing, a leading manufacturer of mobile and stationary dictation systems, today announced that its new SpeechMike handheld dictation microphone has been awarded Àve dragons by Nuance Communications, the speech solutions specialist. By awarding Àve dragons, the highest possible accolade for speech recognition compatibility, Nuance recognises the SpeechMike’s superior quality performance with Dragon NaturallySpeaking 11 speech recognition software. The new offering in the marketleading SpeechMike range of desktop audio recording devices is available early next month (October). “This top rating recognises the contribution of the SpeechMike in delivering accurate, enhanced speech recognition results for the users of our dictation devices and workÁow solutions,” says Gerhard Podhradsky, Director Program Management & Innovation Site

Speech Processing at Philips. Earlier this year, Philips released the SpeechExecSR Pro dictation management platform, which seamlessly connects with Dragon NaturallySpeaking Professional Series Editions from Nuance. Noise reduction technology: An advance in dictation acoustics The SpeechMike is equipped with noise reduction technology which cuts interference from other sounds, resulting in a distinct improvement in the accuracy of voice recognition systems like Dragon NaturallySpeaking. It is therefore even better suited for use in busy environments such as courts, hospitals or educational establishments. This innovative technology also beneÀts authors and transcriptionists for whom audio Àles are played back in crystal-clear sound quality – either directly on the device or through PC speakers.

The latest generation of SpeechMike devices also features an improved design, reÁecting state-of-the-art ergonomics. Slimmer than its predecessor, it now comes with an antimicrobial surface for safe, hygienic handling and is symmetrical, ensuring ease-of-use for both right and left-handed users. A new button layout – with bigger dictation function buttons – enables simple push-to-dictate operation with minimal thumb movements, while a clickable trackball makes mouse functioning easier. The new SpeechMike also boasts 28 per cent less CO2 emissions than the previous model, making it the most environmentally friendly SpeechMike ever! The new SpeechMike will be available in two versions – with push buttons or slide switch. All designs are also available with a barcode scanner, so data can be read directly from patient or client records and assigned with precision to the relevant dictation Àle. For further information visit www.philips.com/dictation or Tel: 01206 755504 When responding please quote ‘OTJ’

Dycem delivers proven solutions for wheel-borne contamination in critical environments Dycem, world leaders in providing high performance contamination control zones for critical environments, supplies the number one solution to control wheel-borne contamination.

It is applied in the most pharmaceutical production areas where maximizing yield and product quality is of paramount importance. This may be equally said in many environments across all industries including electronics, automotive, optics and IT production and development settings.

Dycems WorkZone has been speciÀcally designed to remove contamination from areas subject to heavy wheeled trafÀc. It effectively attracts, collects and retains contamination from the wheels of forklifts, pallet trucks, large trolleys and carts preventing particles and microbes from getting into critical areas. Unlike adhesive peel-off mats which tend to wrap around wheels, speciÀcally WorkZone with its larger continuous Áoor coverings provides the only effective form of wheelborne contamination control.

Dycems CleanZone technology is a proven active working Áoor covering which attracts, collects and retains foot, wheel and airborne contamination. Dycems products contain an integral anti-microbial additive, BioMaster. This has been successfully tested against Àfty common organisms including Salmonella, E.coli, Listeria, Campylobacter, Pseudomonas, A.Niger (black spot mould growth) and Algae. BioMaster has also been demonstrated to help combat MRSA.

It is designed to be used in all entrances to prevent ingress of contamination; in all exits to stop the spread of contamination, cross contamination and the spread of potent compounds. It will also be used in corridors to prevent cross contamination. WorkZone is being used in multiple areas where contamination is an issue.

6

Being environmentally friendly saving energy in both production and in disposal, CleanZone products are also quick and easy to maintain as part of the regular cleanroom wet cleaning schedule. The surface of the mat is cleaned with a damp sponge and detergent; then squeegeed dry and Ànally wiped clean of the detergent and contaminant residue. Dycems products using CleanZone technology have been shown to trap and contain more than 99% of all viable and non-viable foot and wheel borne contamination from entering a critical area. This has resulted in thousands of facilities around the world using Dycem as a key component in their battle against contamination. The complete solution starts with the deÀnition of needs and selection of the right product for the environment and the sources of contamination. THE OPERATING THEATRE JOURNAL

www.otjonline.com

Dycem invites prospective companies to contact them to arrange a trial to prove CleanZone technology in situ. To learn more about Dycem, their products and solutions for cleanroom users, visit the Dycem website (www. dycem.com) and learn more of users successes with Dycem products. Dycem Limited Ashley Trading Estate Bristol BS2 9BB T +44 (0) 117 955 9921 F +44 (0) 117 954 1194 Quote ‘OTJ’ Email: eva.paraskevaides@dycem.com


Anaxsys Announces Availability of respiR8 Worlds First Continuous Electrochemical Respiratory Rate Counter respiR8 Provides Early Indication of Patient Deterioration and Potential for Improved Patient Outcomes

Anaxsys Ltd, the medical device company developing innovative respiratory devices, announced on 13th October the availability of respiR8 - the world’s Àrst continuous electrochemical respiratory rate counter. Targeted at perioperative environments, respiR8 is an accurate, simple to use and cost effective means for enabling early detection of patient deterioration and providing improved patient outcomes. Respiratory rate has been identiÀed as a key predictor of potentially serious clinical events, yet it is the vital sign least often recorded and most frequently omitted from hospital documentation, stated Deryk Williams, CEO of Anaxsys. respiR8 has been developed to address this clinical need for more accurate monitoring of respiration rate in clinical environments such as perioperative, and is intended for use on patients requiring supplemental oxygen via a face mask. respiR8 consists of a consumable oxygen mask, Àtted with Anaxsys patented sensor which measures each breath, and a small electronic monitor that captures, displays and records the patients continuous respiratory rate.

The patients respiratory rate can be viewed in either real-time numeric breaths per minute display or trending display on the monitors easy to read AMOLED screen. respiR8 also allows healthcare professionals to monitor safely multiple patients at once, thereby improving hospital productivity while ensuring quality patient care. Deryk Williams added, The use of respiR8 provides more accurate information of a patients respiratory rate than existing clinical practice of manually counting chest excursions. respiR8s novel sensor measures continuous respiratory rate unlike any other respiratory device currently available on the market. And clinical trials and studies have concluded that the use of respiR8 is intuitive and Àts into the normal routine for patients receiving oxygen. respiR8s patented sensor responds rapidly and reversibly to moisture in exhaled breath. As the patient exhales, moisture from the breath condenses on the sensor and a signal is obtained. And as the patient inhales, the air Áow over the sensors dries off the moisture and the sensor returns to a baseline state. In this way a series of curves are obtained and the Àrmware in the electronic monitor calculates the breathing rate in breaths per minute. Anaxsys showcased respiR8 at the Association for Perioperative Practice (AfPP) Congress, in Harrogate. For more information Contact: Barbara Lead, Commercial and Development Director Anaxsys Ltd Tel: 01483 211011 Email: Barbara.Lead@anaxsys.com or visit www.anaxsys.com Quote ‘OTJ’

Ànd out more 020 7100 2867 • e-mail admin@lawrand.com

Issue 242

Mediplus – Supporting You in Critical Care Since its incorporation in 1986, Mediplus has become well established as a forward thinking company focusing on research, development, manufacture and marketing of innovative medical devices that meet the needs of patients and clinicians worldwide. The Mediplus Critical Care products portfolio includes infusion lines for TIVA, Ligating Clips and Appliers, and many other products designed to make procedures in Theatre easier and safer. Constantly striving to bring to customers the latest product innovations and ideas, Mediplus is establishing a programme of Study Days, so that clinical personnel will have an opportunity to learn about the latest ideas and techniques to beneÀt their practice. The Àrst of these – two very successful TIVA Study Days (in Leicester and Bristol) have already taken place and more are planned for the coming year. If you would like to learn more or would like to share with us your ideas for similar events, please contact:

Mediplus Ltd Unit 7 The Gateway Centre Coronation Road, High Wycombe Buckinghamshire HP12 3SU Tel: +44 (0)1494 551200 Fax: +44 (0)1494 536333 Email: help@mediplus.co.uk www.mediplus.co.uk NOVEMBER 2010

Please quote ‘OTJ’

7


Study Report Title

Noninvasive and Continuous Hemoglobin Monitoring in an Intensive Care Unit Patient with Low Hemoglobin Site Englewood Hospital and Medical Center (EHMC) Englewood, New Jersey Investigators Anna Juhl RN1, Sajjad Naqvi MD1, Oshuare Aregbeyen MD1, Aryeh Shander MD1,2 1 Englewood Hospital and Medical Center (EHMC), Englewood, NJ 2 Mt. Sinai School of Medicine, New York, NY Introduction Traditional invasive hemoglobin methods contain many drawbacks including their intermittent nature which may contribute to unnecessary blood transfusions and excessive blood loss contributing to iatrogenic anemia.[1] EHMC is a leading hospital that practices Patient Blood Management (PBM). PBM is a multi-modality approach to minimize the risk of blood loss and unnecessary blood transfusions to improve patient outcomes. Noninvasive and continuous hemoglobin monitoring is now available and has the potential to result in fewer blood draws and improved clinical management, especially in patients with very low hemoglobin values (<8g/dL). This report describes a case of one patient over the course of four days in the intensive care unit (ICU) at a hospital practicing PBM, measuring both invasive hemoglobin (tHb) and noninvasive continuous hemoglobin (SpHb). Materials and Methods An 84 y/o female patient being treated for pneumonia was admitted to the ICU with a hemoglobin value of 5.3g/dL. Once enrolled in this IRBapproved study, a Rainbow R2-25 ReSposable sensor (Rev E), attached to a Pulse CO-Oximeter (Radical-7, Masimo Corporation, Irvine, CA) was placed on the patient’s left middle Ànger, on the hand opposite the blood pressure cuff. The Pulse CO-Oximeter was attached to a laptop computer for the continuous recording of SpHb, pulse rate (PR), oxygen saturation (SpO2) and perfusion index (PI) at one data point per second, for the duration of the patient’s stay. The data were recorded for a period of 4 days (total of 92 hours) then downloaded into Excel for analysis. During the patient’s ICU stay, six invasive venous blood samples were obtained and the time of each blood sample was recorded. Blood samples were analyzed with a Beckman Coulter Counter LH 750 Analyzer. Laboratory hemoglobin values and continuous SpHb values were plotted against time to evaluate trending.

Figure 1. SpHb and tHb measurements over four days in the ICU Conclusion In this case, noninvasive continuous hemoglobin monitoring with SpHb exhibited a consistent trend compared to the changes in laboratory hemoglobin measurements over a period of four days. The ability to continuously monitor hemoglobin noninvasively may offer a new and effective strategy to facilitate blood conservation efforts and manage transfusions in the ICU and a variety of other medical applications. Financial Disclosure EHMC receives Ànancial support from Masimo Corp for this study. Dr. Aryeh Shander receives speaking honoraria and consulting fees from Masimo Corporation. References [1] Smoller BR, Kruskall, MS. Phlebotomy for diagnostic laboratory test in adults. Pattern of use and effect on transfusion requirements. N Engl J Med. 1986;314:1233-5.

Results The tHb ranged from 5.2 to 8.1 g/dL in 6 measurements over four days and the continuous SpHb measurements ranged from 4.9 to 11.2 g/dL over four days. Compared to the intermittent measurements of tHb, the bias of SpHb was 1.26 g/dL and the standard deviation was 0.43 g/ dL. Figure 1 shows the SpHb and tHb measurements over four days in the ICU.

The Resuscitation Guidelines 2010 The Resuscitation Guidelines 2010 are now published only in electronic format on Resuscitation Council (UK) website.

+ 2 6 3 , 7$ /

,1129$7,216

WƌŽǀŝĚĞƌŽĨ KƌƚŚŽďŝŽůŽŐŝĐ ^ŽůƵƟŽŶƐ

It’s not our goal. It’s our track record.

š Ikffb_[Z\hep[d š H[WZ_boWlW_bWXb[#el[hd_]^jZ[b_l[ho š >J7WYYh[Z_j[Z

The guidelines contain detailed information about emergency life support and deal with some of the issues of basic and advanced life support for adults, paediatrics and the newborn. Also included are guidelines for the use of Automated External De¿brillators and other related topics.

More than a million implants sterilised with no reported incidence of allograft-associated

>_]^F[h\ehcWdY[

infection. RTI Biologics, Inc is the leading provider of sterilised biological implants for surgery around the world, with a commitment to advancing science, safety and innovation.

>_]^[ijIjWdZWhZie\GkWb_joWdZIW\[jo

The guidelines can be viewed on screen, or you can choose to print a hardcopy. If you prefer to read a printed copy, you can help to reduce environmental impact by printing only those pages or sections you need.

With millions of implants used worldwide it’s not our goal but our track record that we’re proud of.

Proud To Be the Sole UK Distributor of Soft Tissue Allograft from

Please visit: http://www.resus.org.uk/pages/guide.htm

Call our Customer Service Team on: 0845 8803 545 or 029 2002 0858 E-mail: info@hospitalinnovations.co.uk

8

š š š

š š š

RTI prepares donated human tissue for transplantation through a process of extensive testing and screening; precision shaping; and proprietary, validated sterilisation processes.

THE OPERATING THEATRE JOURNAL

Ded#_hhWZ_Wj[Z H[ZkY[Zef[hWj_d]j_c[ I_cfb_Å[Zikh]_YWbj[Y^d_gk[

Ijh_d][djZedehiYh[[d_d] LWb_ZWj[Zij[h_b_iWj_edWdZj[ij_d]fheY[ii[i <kbbjhWY[WX_b_joe\[WY^Wbbe]hW\j

Wide Range of Options Available š š š š

Fh[#i^Wf[Z8ed[#FWj[bbWJ[dZed#8ed[8J8½i I[c_j[dZ_deiki"=hWY_b_i"J_X_Wb_iWdZF[hed[kiJ[dZedi Fh[#i^Wf[ZWdZ9edl[dj_edWb7Y^_bb[iJ[dZedi C[d_iY_m_j^8ed[8beYa

Stepping into the future www.hospitalinnovations.co.uk

www.otjonline.com


-¬)NFECTION¬0REVENTION

åå0ACKINGåMOREåIN TO

CUSTOMISED -åISåAåTRADEMARKåOFåTHEå-å#OMPANYå¥å-å(EALTHå#AREå

åååNEEDS

- ¬#USTOM¬0ROCEDURE¬4RAYS¬#04S ©

)TSåTHEåSUPPORTåBEHINDåEVERYå-å#04åTHATåREALLYåMAKESåTHEåDIFFERENCE 4AILORåMADEåSOLUTIONSåANDåAåDEDICATEDåSERVICEåAREåTHEåESSENTIALåINGREDIENTSå OFåEVERYåTRAYåTOåIMPROVEåTHEåEFlCIENCIESåINåYOURåTHEATREåANDåSUPPORTåOBJECTIVESåINå @4HEå0RODUCTIVEå/PERATINGå4HEATREå.(3åINITIATIVE 7HENåYOUåCHOOSEå-åASåYOURåCUSTOMåPROCEDUREåTRAYåPARTNER åYOUåCANåFEELåSAFEåINå THEåKNOWLEDGEåTHATåAåHIGHLYåPROFESSIONALåTEAMåISåCOMMITTEDåTOåMEETINGåYOURåSPECIALå NEEDSåANDåISåLEADINGåTHEåWAYåINåINFECTIONåPREVENTION &ORåAåPRODUCTåSAMPLEåORåTOåARRANGEåAåVISITåFROMåONEåOFåOURåQUALIlEDåTEAM åVISITåUSåATå WWWMCOUKCPTåORåCALLåUSåONåå


Birmingham medics save lives of three children in transplant mission to Trinidad BIRMINGHAM surgical staff have saved the life of three children in a mercy mission to the Caribbean. A team of seven surgeons and operating theatre technicians from Edgbaston’s Queen Elizabeth Hospital and Birmingham Children’s Hospital gave up their own holiday time to Áy to Trinidad and give the gift of life. Surgeon Andrew Ready and his colleagues carried out kidney transplants that could not have gone ahead without their expertise. The mission to perform kidney transplants on children Nyron, Aaron and Akila was organised by Transplant Links Charity (TLC). With kidney dialysis barely available on the island, the transplant using parents as donors was their only hope of life. Dr Jennie Jewitt-Harris, TLC’s founder and chief executive, said: “Thanks to team members from Birmingham, these three families have a very special Christmas to look forward to with the prospect of normal lives rather than trying to survive on kidney dialysis. “One of the children, Nyron, and his mum, Nanda, are home and making a good recovery. Nyron had kidney failure for quite some time and badly needed a transplant. “Kidney failure was affecting every aspect of his life, which meant a worrying time for his family. As with any transplant, the early months are crucial in ensuring the body does not reject the kidney. “Nanda’s goal was to give her son, and her family, a normal life back again – and it looks very hopeful that this will be achieved. “A vital aspect of our visit is the transferring of skills, and we worked closely with local doctors to ensure this happens. “This is essential so that many more children will beneÀt in the future” Operations took place at the Eric Williams Medical Centre at Mount Hope Hospital where local doctors picked up new skills to do transplants in the future. Transplant Links treats patients in the Third World dying from kidney failure due to poor facilities.

The Ascent of SimMan The evolution of a world class patient simulator NEW SimMan Essential

As the worlds most widely used advanced patient simulator, SimMan from Laerdal Medical Ltd (Laerdal), has played a signiÀcant role in the spread of simulation training. Providers of many healthcare services look to this training approach to promote patient safety and help to improve patient outcomes. After 10 years with SimMan in service, Laerdal Medical is now set to make the beneÀts of simulation even more accessible, building on the third generation of SimMan with its latest wireless innovation SimMan Essential.

A Complete Simulation Solution As simulation has gathered universal acceptance over the years as an integral part of healthcare training, and seen by many as fundamental to patient safety practice, the challenge now for providers of healthcare education is how to make it more accessible to the wider healthcare community. Designed to meet this need, SimMan Essential is a realistic, adult, full body, advanced, wireless patient simulator, which offers comprehensive clinical functionality to teach the core skills of airway, breathing, cardiac and circulation management. With simplicity of use being a fundamental principle of its design, both novice and experienced instructors can now take full advantage of the beneÀts of simulation. With a range of Technical and Educational services to ensure simulation programmes are fully supported from the outset, and ready made patient cases to ease the instructors preparation time SimMan Essential is the solution set to deÀne a new era in simulation training. The Importance of Mobile Simulation In-Situ and interdisciplinary team training are now key requirements of simulation training. This enables multidisciplined healthcare professionals to come together in their workplace and rehearse both common clinical scenarios and emergency critical incidents for improved real patient outcomes. The wireless capability of the patient simulator is an essential element of these training programmes. Commenting on Laerdals advances into mobile simulation, Martin Hetland, Director of Strategic Marketing at Laerdal, said, SimMan Essential can facilitate diverse and versatile patient scenarios in a range of operational environments. From an emergency in a remote location through the process of deÀnitive care in a hospital, from a war-torn battleÀeld to a busy hospital ward we wanted to create a mobile simulation solution that injects a greater realism into scenario based training to further enhance and contextualise learning objectives in preparation for real patient encounters. Overcoming environmental challenges Increasing the accessibility of simulation to a wider community of healthcare professionals in a diverse range of workplaces means that the simulator must be able to withstand extensive handling and operate reliably in all manner of environments and terrains. A robust and rugged design is essential a feature that has differentiated Laerdal products from its rivals since the Àrst Resusci Anne in 1960. Like SimMan before, and with a complete range of Technical Services supporting it - SimMan Essential has been built to last. A Legacy of Learning SimMan is a milestone in Laerdals 50 year history of creating high quality basic, intermediate and advanced simulation training solutions for healthcare professionals. He has helped to transform simulation into a viable and essential training solution in healthcare. Laerdal is proud to introduce SimMan Essential in the spirit of further advancing the potential and value of simulation training in healthcare. The company is conÀdent that SimMan Essential will take over the mantle of its predecessors, further increasing the use of this training methodology in support of the companys long held mission helping save lives. www.laerdal.com

When responding to articles please quote ‘OTJ’

RSS Feed, Blogg, Twitter, and moreyour at: Use theyour Power of: News, Promote products, Àll your vacancies and share news, by using the power of

The Operating Theatre Journal

Available in Print Locally and Worldwide via the Internet

& www.OperatingTheatreJobs.com 10

THE OPERATING THEATRE JOURNAL

www.otjonline.com


395 Claremont Avenue Montclair, NJ 07042

INTRODUCING

The Sensible, Safe and Comfortable Surgical Gown Solution OPERATING from TABLESOrigami

Velcro tabs on both shoulders provide safe and immediate patient access if necessary.

“It’s amazing how such a small change to a garment can make a world of difference for our patients,our doctors and our staff!”

7KH(VFKPDQQ 6KRXOGHU3RVLWLRQHU —JUDITH BOEHM,RN, ADMINISTRATOR PARAMUS SURGERY CENTER,PARAMUS,NJ

6KRXOGHUVXUJHU\ PDGHVLPSOH

395 Claremont Avenue Montclair, NJ 07042

IT’S AN OPEN AND SHUT CASE: The Smartest Surgical Gown in the Industry for Patients, Doctors and Staff is an Origami. Developed by an anesthesiologist, Origami Surgical Gowns enhance patient modesty while giving surgeons and medical staff easy patient access when in the operating room. Velcro tabs open for better patient access during surgery. Easy to tie side closures simplify the patient’s dressing experience. Made in the USA and available in two sizes in both a solid or print, Origami products are a durable quality blend of cotton and polyester, are easy to wear and remove, and have reinforced ends on all ties for easy to find tie cords. Patients will love the simplicity. Doctors and nurses will wonder what took us so long to develop them!

Who should stock these gowns:

Top Tie

Ambulatory Surgery Centers • Plastic Surgery Centers • Breast and Mammography Centers • Endoscopy Centers •

Velcro Front Closure

What used to be in the center back is now at the base of the neck, and this sensible location makes the tie as easy to knot as tying a shoe!

Here's where the staff will appreciate the immediacy of access to the patient's front side with wit ithou hout rrotation hout ota t titio tion i n or or other oth ther the h r move m ovemen ove mentts men ts that tha th h t can can without movements iinterrupt and/or d/ endanger d h patient i when h the fast chest access is crucial.

The Side Tie

Your patients will love the simplicity of this dressing gown, and staff will appreciate it too. It's stressful enough for patients prepping for care.This simple tie makes comfort that much smoother, immediately.

395 Claremont Avenue Montclair, NJ 07042 973-619-2395 www.origamisurgicalgowns.com To order or for more information call Frank Sauchelli at 973-639-2395, or email info@origamisurgicalgowns.com. Downloadable order forms are available at www.origamisurgicalgowns.com Your purchase supports cancer research. A portion of Origami profits supports the Susan G. Komen Foundation. See www.orgiamisurgicalgowns.com for details


Birmingham medics save lives of three children in transplant mission to Trinidad BIRMINGHAM surgical staff have saved the life of three children in a mercy mission to the Caribbean. A team of seven surgeons and operating theatre technicians from Edgbastonâ&#x20AC;&#x2122;s Queen Elizabeth Hospital and Birmingham Childrenâ&#x20AC;&#x2122;s Hospital gave up their own holiday time to Ă y to Trinidad and give the gift of life. Surgeon Andrew Ready and his colleagues carried out kidney transplants that could not have gone ahead without their expertise.

The Ascent of SimMan The evolution of a world class patient simulator NEW SimMan Essential

As the worlds most widely used advanced patient simulator,, SimMan p from Laerdal Medical Ltd (Laerdal), has played a signiĂ&#x20AC;cant role in the spread of simulation training. Providers of many healthcare services look to this training approach to promote patient safety and help to improve patient outcomes.

After 10 years with SimMan in service, Laerdal Medical is now OPERATING set to make the beneĂ&#x20AC;ts of simulation even more accessible, building on TABLES the third generation of SimMan with its latest wireless innovation SimMan Essential.

The mission to perform kidney transplants on children Nyron, Aaron and Akila was organised by Transplant Links Charity (TLC).

A Complete Simulation Solution As simulation has gathered universal acceptance over the years as an integral part of healthcare training, and seen by many as fundamental to patient safety practice, the challenge now for providers of healthcare With kidney dialysis barely available education is how to make it more accessible to the wider healthcare community. on the island, the transplant using Designed to meet this need, SimMan Essential is a realistic, adult, full body, advanced, wireless patient parents as donors was their only simulator, which offers comprehensive clinical functionality to teach the core skills of %TKKXĂ&#x2DC;CDS@BG@AKDĂ&#x2DC; airway, breathing, hope of life. cardiac and circulation management. With simplicity of use being a fundamental principleRGNTKCDQĂ&#x2DC;QDRSR of its design, both Dr Jennie Jewitt-Harris, TLCâ&#x20AC;&#x2122;s novice and experienced instructors can now take full advantage of the beneĂ&#x20AC;ts of simulation. With a range founder and chief executive, said: 5IF5BOE5TIPVMEFSQPTJUJPOFSBSFFBTJMZBUUBDIFEUP of Technical and Educational services to ensure simulation programmes are fully supported from the outset, â&#x20AC;&#x153;Thanks to team members from and ready made patient cases to ease the instructors preparation time SimMan Essential is the solution set Birmingham, these three families UIFSFTQFDUJWFPQFSBUJOHUBCMFTBOEBSFTVJUBCMFGPSBMMQBUJFOU to deĂ&#x20AC;ne a new era in simulation training. have a very special Christmas to

6KRXOGHUVXUJHU\PDGHVLPSOH

TJ[FT5IFQPTJUJPOFSTBSFEFTJHOFEUPGBDJMJUBUFBMMQSPDFEVSFT look forward to with the prospect The Importance of Mobile Simulation of normal lives rather than trying to JOWPMWJOHUIFTIPVMEFSHJSEMFBOEVQQFSBSN In-Situ and interdisciplinary team training are now key requirements of simulation training. This enables multisurvive on kidney dialysis.

disciplined healthcare professionals to come together in their workplace and rehearse both common clinical â&#x20AC;&#x153;One of the children, Nyron, and his scenarios and emergency critical incidents for improved real patient outcomes. The wireless capability of the 5IF5BOE5TIPVMEFSQPTJUJPOFSTVUJMJTFUIFQPXFSFE mum, Nanda, are home and making patient simulator is an essential element of these training programmes. a good recovery. Nyron had kidney GVODUJPOTPGUIFPQFSBUJOHUBCMFUPTBGFMZQPTJUJPOUIFQBUJFOU  failure for quite some time and Commenting on Laerdals advances into mobile simulation, Martin Hetland, Director of Strategic Marketing at badly needed a transplant. NJOJNJTJOHNBOVBMIBOEMJOH*OEJWJEVBMSFNPWBCMFCBDLTFDUJPOT Laerdal, said, SimMan Essential can facilitate diverse and versatile patient scenarios in a range of operational â&#x20AC;&#x153;Kidney failure was affecting every FOTVSFUIFQBUJFOUJTBEFRVBUFMZTVQQPSUFEXIJMTUBDIJFWJOH environments. From an emergency in a remote location through the process of deĂ&#x20AC;nitive care in a hospital, aspect of his life, which meant a from a war-torn battleĂ&#x20AC;eld to a busy hospital ward we wanted to create a mobile simulation solution that VOSJWBMMFEBDDFTTGPSTVSHFSZ5IFNVMUJQPJOU GVMMZBEKVTUBCMF worrying time for his family. As with injects a greater realism into scenario based training to further enhance and contextualise learning objectives any transplant, the early months are IFBETVQQPSUFOTVSFTDPNGPSUBCMF TFDVSFQBUJFOUQPTJUJPOJOH in preparation for real patient encounters. crucial in ensuring the body does not reject the kidney. â&#x20AC;&#x153;Nandaâ&#x20AC;&#x2122;s goal was to give her son, and her family, a normal life backk again â&#x20AC;&#x201C; and it looks very hopeful that this will be achieved.

Overcoming environmental challenges Increasing the accessibility of simulation to a wider community of healthcare professionals in a diverse range of workplaces means that the simulator must be able to withstand extensive handling and operate reliably in all manner of environments and terrains. A robust and rugged design is essential a feature that has differentiated Laerdal products from its rivals since the Ă&#x20AC;rst Resusci Anne in 1960. Like SimMan before, and with a complete range of Technical Services supporting it - SimMan Essential has been built to last.

0RUHWKDQVKRXOGHUVXUJHU\

â&#x20AC;&#x153;A vital aspect of our visit is the transferring of skills, and we worked 5IF&TDINBOOTIPVMEFSJTNPSFUIBOBQSFDJTJPOTIPVMEFS closely with local doctors to ensure A Legacy of Learning QPTJUJPOFSEFWJDF JUDBOBMTPCFVTFEGPSBWBSJFUZPGPUIFS this happens.

SimMan is a milestone in Laerdals 50 year history of creating high quality basic, intermediate and advanced â&#x20AC;&#x153;This is essential so that many more QSPDFEVSFTTVDIBT simulation training solutions for healthcare professionals. He has helped to transform simulation into a children will beneĂ&#x20AC;t in the futureâ&#x20AC;? viable and essential training solution in healthcare.

Operations took place at the p &MCPXBSUISPTDPQZ Eric Williams Medical Centre at Laerdal is proud to introduce SimMan Essential in the spirit of further advancing the potential and value of Mount Hope Hospital where local simulation training in healthcare. The company is conĂ&#x20AC;dent that SimMan Essential will take over the mantle doctors picked uppnew4IPVMEFSBSUISPQMBTUZ skills to do of its predecessors, further increasing the use of this training methodology in support of the companys long transplants in the future.

held mission helping save lives.

patients in Transplant Links treats p )BOEBOEBSNTVSHFSZ the Third World dying from kidney www.laerdal.com failure due to poorpfacilities. (FOFSBMVQQFSFYUSFNJUZTVSHFSZ

When responding to articles please quote â&#x20AC;&#x2DC;OTJâ&#x20AC;&#x2122;

RSS Feed, Blogg, Twitter, and moreyour at: Use the t eyour Power owe of: News, Promote products, Ă&#x20AC;ll your vacancies and share news, by using the power of

The Operating Theatre Journal

Available in Print Locally and Worldwide via the Internet

& www.OperatingTheatreJobs.com 10

THE OPERATING THEATRE JOURNAL

www.otjonline.com

%T GD


395 Claremont Avenue Montclair, NJ 07042

INTRODUCING

The Sensible, Safe and Comfortable Surgical Gown Solution from Origami

Velcro tabs on both shoulders provide safe and immediate patient access if necessary.

XĂ&#x2DC;@CITRS@AKDĂ&#x2DC; CĂ&#x2DC;RTOONQS

â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s amazing how such a small change to!@KK INHMSĂ&#x2DC;BK@LOĂ&#x2DC;ENQĂ&#x2DC; a garment OQDBHRDĂ&#x2DC;ONRHSHNMHMF can make a world of difference for our patients,our doctors and our staff!â&#x20AC;? â&#x20AC;&#x201D;JUDITH BOEHM,RN, ADMINISTRATOR PARAMUS SURGERY CENTER,PARAMUS,NJ

%TKKXĂ&#x2DC;CDS@BG@AKDĂ&#x2DC; A@BJĂ&#x2DC;RTOONQSR

395 Claremont Avenue Montclair, NJ 07042 %TKKXĂ&#x2DC;CDS@BG@AKDĂ&#x2DC; RGNTKCDQĂ&#x2DC;QDRSR

ITâ&#x20AC;&#x2122;S AN OPEN AND SHUT CASE: The Smartest Surgical Gown in the Industry for Patients, Doctors and Staff is an Origami. Developed by an anesthesiologist, Origami Surgical Gowns enhance patient modesty while giving surgeons and medical staff easy patient access when in the operating room. Velcro tabs open for better patient access during surgery. Easy to Made in the USA and tie side closures simplify the patientâ&#x20AC;&#x2122;s dressing experience. 4UBOEBSEDPOĂ&#x2122;HVSBUJPO are a durable available in two sizes in both a solid or print, Origami products BEKVTUBCMFGPSBWBSJFUZ and remove, and have quality blend of cotton and polyester, are easy to wear PGQBUJFOUTJ[FT reinforced ends on all ties for easy to find tie cords. Patients will love the simplicity. Doctors and nurses will wonder what took us so long to develop them!

Who should stock these gowns: Ambulatory Surgery Centers â&#x20AC;˘ Plastic Surgery Centers â&#x20AC;˘ Breast and Mammography Centers â&#x20AC;˘ Endoscopy Centers â&#x20AC;˘

Top Tie

What used to be in the center back is now 4IPSUFSDPOĂ&#x2122;HVSBUJPO at the base of the neck, and this sensible location TVJUBCMFGPSDIJMESFO makes the tie as easy to knot as tying a shoe! PSTNBMMBEVMUT

Velcro Front Closure Here's where the staff will appreciate the immediacy of access to the patient's front side with wit ithou hout rrotation hout ota t titio tion i n or or other oth ther the h r move m ovemen ove mentts men ts that tha th h t can can without movements iinterrupt and/or d/ endanger d h patient i when h the fast chest access is crucial.

The Side Tie

Your patients will love the simplicity of this dressing gown, and staff will appreciate it too. It's stressful enough for patients prepping for care.This simple tie makes comfort that much smoother, immediately.

395 Claremont Avenue Montclair, NJ 07042 973-619-2395 www.origamisurgicalgowns.com To order or for more information call Frank Sauchelli at 973-639-2395, or email info@origamisurgicalgowns.com. Downloadable order forms are available at www.origamisurgicalgowns.com Your purchase supports cancer research. A portion of Origami profits supports the Susan G. Komen Foundation. See www.orgiamisurgicalgowns.com for details


The Ascent of SimMan The evolution of a world class patient simulator

Birmingham medics save lives of three children in transplant mission to Trinidad BIRMINGHAM surgical staff have saved the life of three children in a mercy mission to the Caribbean. A team of seven surgeons and operating theatre technicians from Edgbastonâ&#x20AC;&#x2122;s Queen Elizabeth Hospital and Birmingham Childrenâ&#x20AC;&#x2122;s Hospital gave up their own holiday time to Ă y to Trinidad and give the gift of life. Surgeon Andrew Ready and his colleagues carried out kidney transplants that could not have gone ahead without their expertise.

NEW SimMan Essential

As the worlds most widely used advanced patient simulator,, SimMan p from Laerdal Medical Ltd (Laerdal), has played a signiĂ&#x20AC;cant role in the spread of simulation training. Providers of many healthcare services look to this training approach to promote patient safety and help to improve patient outcomes.

(&/&3"-"/%035)01"&%*$

After 10 years with SimMan in service, Laerdal Medical is now OPERATING set to make the beneĂ&#x20AC;ts of simulation even more accessible, building on 01&3"5*/(5"#-&4 TABLES the third generation of SimMan with its latest wireless innovation SimMan Essential.

The mission to perform kidney transplants on children Nyron, Aaron and Akila was organised by Transplant Links Charity (TLC).

A Complete Simulation Solution As simulation has gathered universal acceptance over the years as an integral part of healthcare training, and seen by many as fundamental to patient safety practice, the challenge now for providers of healthcare With kidney dialysis barely available education is how to make it more accessible to the wider healthcare community. on the3Ă&#x2DC;&$-$1 island, the transplant using +Ă&#x2DC;241&$18Ă&#x2DC;./$1 3(-&Ă&#x2DC;3 Designed to meet this need,!+$ SimMan Essential is a realistic, adult, full body, advanced, wireless patient parents as donors was their only simulator, which offers comprehensive clinical functionality to teach the core skills of airway, breathing, hope ofplife. 5SBWFSTJOHUPQXJUIPGGTFUDPMVNOCSFBLJNQSPWFTUIFUBCMFTJNBHJOHĂ&#x161; cardiac and circulation management.FYJCJMJUZ With simplicity of use being a fundamental principle of its design, both Dr Jennie Jewitt-Harris, TLCâ&#x20AC;&#x2122;s p -JHIUXFJHIU TFBNMFTTNBUUSFTTFTXJUITFDVSFn7FMDSPGSFFoĂ&#x2122; YJOHT can now take full advantage of the beneĂ&#x20AC;ts of simulation. With a range novice and experienced instructors founder and chief executive, said: Technical of and Educational services to ensure simulation programmes are fully supported from the outset, p *OUFSDIBOHFBCMFIFBEBOEMFHTFDUJPOTPGGFSPQUJNVNQBUJFOUQPTJUJPOJOH â&#x20AC;&#x153;Thanks to team members from and ready made patient cases to ease the instructors preparation time SimMan Essential is the solution set Birmingham, these three families p LHNBYJNVNQBUJFOUXFJHIUBOEFYUFOEBCMFNNXJEFUPQUP to deĂ&#x20AC;ne a new era in simulation training. have a very special Christmas to TVJUBMMCPEZUZQFT

look forward to with the prospect p lives &BTJMZNBJOUBJOFE JNQBDUSFTJTUBOU"#4DPWFSTQSFWFOUĂ&#x161; VJEBOEEJSUJOHSFTT The Importance of Mobile Simulation of normal rather than trying to In-Situ and interdisciplinary team training are now key requirements of simulation training. This enables multisurvive p on kidney dialysis. $PSEFEIBOETFUGPSTJNQMF JOUVJUJWFDPOUSPM â&#x20AC;&#x153;One of the children, Nyron, and his mum, Nanda, are home and making a good recovery. Nyron had kidney failure for quite some time and badly needed a transplant.

disciplined healthcare professionals to come together in their workplace and rehearse both common clinical scenarios and emergency critical incidents for improved real patient outcomes. The wireless capability of the patient simulator is an essential element of these training programmes. Commenting on Laerdals advances into mobile simulation, Martin Hetland, Director of Strategic Marketing at

3Ă&#x2DC;,.#4+ 1Ă&#x2DC;&$-$1 +Ă&#x2DC;

Laerdal, said, SimMan Essential can facilitate diverse and versatile patient scenarios in a range of operational â&#x20AC;&#x153;Kidney failure was affecting every environments. From an emergency in a remote location through the process of deĂ&#x20AC;nitive care in a hospital, of his life, which$#("Ă&#x2DC;3 aspect Ă&#x2DC;.13'./ meant a !+$ from a war-torn battleĂ&#x20AC;eld to a busy hospital ward we wanted to create a mobile simulation solution that worrying time for his family. As with 5IF5PQFSBUJOHUBCMFTZTUFNBMMPXTZPVUPDPOĂ&#x2122; HVSFUIFUBCMFJO injects a greater realism into scenario based training to further enhance and contextualise learning objectives any transplant, the early months are in preparationDSFRVJSFNFOUT for real patient encounters. in ensuring the body does crucialBOVNCFSPGEJGGFSFOUXBZTUPNFFUZPVSTQFDJĂ&#x2122; not reject the kidney. "DIPJDFPGPSUIPQBFEJDPSHFOFSBMTVSHFSZUSVOLTFDUJPOTUIBUDBO Overcoming environmental challenges â&#x20AC;&#x153;Nandaâ&#x20AC;&#x2122;s goal was to give her son, CFFBTJMZBOERVJDLMZJOUFSDIBOHFENFBOUIF5TZTUFNQSPWJEFT Increasing the accessibility of simulation to a wider community of healthcare professionals in a diverse and her family, a normal life backk range of workplaces means that the simulator must be able to withstand extensive handling and operate again â&#x20AC;&#x201C;USVFĂ&#x161; andFYJCJMJUZBOEDIPJDF it looks very hopeful reliably in all manner of environments and terrains. A robust and rugged design is essential a feature that has that this will be achieved. p 4JNQMFUPDPOĂ&#x2122;HVSFGPSHFOFSBMPSPSUIPQBFEJDUSBVNBTVSHFSZ differentiated Laerdal products from its rivals since the Ă&#x20AC;rst Resusci Anne in 1960. Like SimMan before, and â&#x20AC;&#x153;A vital aspect of our visit is the with a complete range of Technical Services supporting it - SimMan Essential has been built to last. p 8JEFSBOHFPGPSUIPQBFEJDBUUBDINFOUTBWBJMBCMF transferring of skills, and we worked local doctors to ensure closely with p LHNBYJNVNQBUJFOUXFJHIUBOEFYUFOEBCMFNN A Legacy of Learning this happens. XJEFUPQUPTVJUBMMCPEZUZQFT

SimMan is a milestone in Laerdals 50 year history of creating high quality basic, intermediate and advanced â&#x20AC;&#x153;This is essential so that many more p 4PGUTUBSUTUPQUFDIOPMPHZGPSQBUJFOUDPNGPSUBOETBGFUZ simulation training solutions for healthcare professionals. He has helped to transform simulation into a children will beneĂ&#x20AC;t in the futureâ&#x20AC;? viable and essential training solution in healthcare. p 4IPVMEFSTVSHFSZNBEFFBTZXJUIUIFQPXFSBTTJTUFE

Operations took place at the 5TIPVMEFSQPTJUJPOFS Medical Centre at Eric Williams Mount Hope Hospital where local doctors picked up new skills to do transplants in the future. Transplant Links treats patients in the Third World dying from kidney failure due to poor facilities.

Laerdal is proud to introduce SimMan Essential in the spirit of further advancing the potential and value of simulation training in healthcare. The company is conĂ&#x20AC;dent that SimMan Essential will take over the mantle of its predecessors, further increasing the use of this training methodology in support of the companys long held mission helping save lives. www.laerdal.com

&TDINBOO)PMEJOHT-UE 1FUFS3PBE  -BODJOH 8FTU4VTTFY #/5+

7HO   )D[   ZZZHVFKPDQQFRXN

When responding to articles please quote â&#x20AC;&#x2DC;OTJâ&#x20AC;&#x2122;

36

RSS Feed, Blogg, Twitter, and moreyour at: Use the t eyour Power owe of: News, Promote products, Ă&#x20AC;ll your vacancies and share news, by using the power of

'HWDLOVJLYHQLQWKLVSXEOLFDWLRQDUHFRUUHFWDWWLPHRIJRLQJWRSUHVV(TXLSPHQWPD\EHVXEMHFWWRDYDLODELOLW\(VFKPDQQUHVHUYHV WKHULJKWWRLPSURYHWKHHTXLSPHQWVKRZQDWDQ\WLPH7KHo(VFKPDQQpQDPHDQGORJRDUHWUDGHPDUNVRI(VFKPDQQ+ROGLQJV/WG o(VFKPDQQ(TXLSPHQWpLVDWUDGLQJQDPHRI(VFKPDQQ+ROGLQJV/WG

The Operating Theatre Journal

Available in Print Locally and Worldwide via the Internet

& www.OperatingTheatreJobs.com 10

THE OPERATING THEATRE JOURNAL

www.otjonline.com


395 Claremont Avenue Montclair, NJ 07042

INTRODUCING

The Sensible, Safe and Comfortable Surgical Gown Solution from Origami

Velcro tabs on both shoulders provide safe and immediate patient access if necessary.

“It’s amazing how such a small change to a garment can make a world of difference for our patients,our doctors and our staff!” —JUDITH BOEHM,RN, ADMINISTRATOR PARAMUS SURGERY CENTER,PARAMUS,NJ

395 Claremont Avenue Montclair, NJ 07042

IT’S AN OPEN AND SHUT CASE: The Smartest Surgical Gown in the Industry for Patients, Doctors and Staff is an Origami. Developed by an anesthesiologist, Origami Surgical Gowns enhance patient modesty while giving surgeons and medical staff easy patient access when in the operating room. Velcro tabs open for better patient access during surgery. Easy to tie side closures simplify the patient’s dressing experience. Made in the USA and available in two sizes in both a solid or print, Origami products are a durable quality blend of cotton and polyester, are easy to wear and remove, and have reinforced ends on all ties for easy to find tie cords. Patients will love the simplicity. Doctors and nurses will wonder what took us so long to develop them!

Who should stock these gowns: Ambulatory Surgery Centers • Plastic Surgery Centers • Breast and Mammography Centers • Endoscopy Centers •

Top Tie

What used to be in the center back is now at the base of the neck, and this sensible location makes the tie as easy to knot as tying a shoe!

Velcro Front Closure Here's where the staff will appreciate the immediacy of access to the patient's front side without rotation or other movements that can interrupt and/or endanger the patient when fast chest access is crucial.

The Side Tie

Your patients will love the simplicity of this dressing gown, and staff will appreciate it too. It's stressful enough for patients prepping for care.This simple tie makes comfort that much smoother, immediately.

395 Claremont Avenue Montclair, NJ 07042 973-619-2395 www.origamisurgicalgowns.com To order or for more information call Frank Sauchelli at 973-639-2395, or email info@origamisurgicalgowns.com. Downloadable order forms are available at www.origamisurgicalgowns.com Your purchase supports cancer research. A portion of Origami profits supports the Susan G. Komen Foundation. See www.orgiamisurgicalgowns.com for details


ConvaTec new Aquacel® Surgical Dressing helps expedite patient discharge

The company is now launching a notable advance in wound care management. Its combination Aquacel® Surgical cover dressing is ideally suited to address the post-operative challenges of patient bleeding, especially in the orthopaedic arena, although it can be used advantageously across all surgical procedures. The combination of HydroÀber® Technology chnology and hydrocolloid formulation in the Aquacel® Surgical dressing is designed to handle post-operative challenges: • Skin-friendly hydrocolloid technology Áexes with the skin during body movement • Patented HydroÀber® Technology absorbs and locks in Áuid, including harmful bacteria*1,2 • Unique construction enhances extensibility and Áexibility • Polyurethane Àlm provides waterproof viral and bacterial barrier (when intact and with no leakage). Compared to a non-woven post-operative surgical cover dressing regimen, Aquacel® Surgical cover dressings reduce superÀcial surgical site infection (SSI), reduce skin blistering, reduce incidence of delayed discharge and require fewer dressing changes.3a,4b Conclusions from a Scottish evaluation of the same component dressing state5, “The method is a highly effective, cost-saving dressing following elective primary total hip and total knee arthroplasty and should be considered as a preferable alternative to traditional dressings.” For more information on the new Aquacel® Surgical Dressing, or for further clinical evidence, please telephone ConvaTec on 01527 583600 or visit www.convatec.com.

Please quote ‘OTJ’

*as demonstrated in vitro 1 Warring MJ, Parsons D. Physico-chemical characterisation of carboxymethylated spun cellulose Àbres. Biomaterials. 2001; 22:903-912. 2 Walker M, Hobot JA, Newman GR, Bowler PG. Scanning electron microscopic examination of bacterial immobilisation in a carboxymethlcellulose (Aquacel) and alginate dressings. Biomaterials. 2003; 24(5):883-890. 3 Clarke JV, Deakin AH, Dillon JM, Emmerson S, Kinninmonth AWG. A prospective clinical audit of a new dressing design for lower limb arthroplasty wounds. J Wound Care. 2009; 18(1):5-11. 4 Laboratory Test Comparison of AQUACEL® Surgical Dressing ‘New Design’ and the Jubilee \method of Dressing Surgical Wounds. WHRI3264 TA180 October 7, 2009. Data on Àle, ConvaTec.. 5 Dillon JM. et al, Dept of Orthpaedics, Golden Jubilee National Hospital, Clydebank Glasgow. American Academy of Orthopaedic Surgeons, 2007 Annual Meeting, San Diego, California. ® a A post-operative dressing regimen using Mepore™ dressing covering AQUACEL dressing was compared to a new dressing regimen of DuoDERM™ Extra Thin dressing covering AQUACEL® dressing after application of a liquid Àlm-forming acrylate. A subsequent study demonstrated no Enhancement of the new dressing regimen by the acrylate. b Equivalent performance of AQUACEL® SURGICAL cover dressing to DuoDERM™ Extra Thin dressing demonstrated in in vitro testing.

ConvaTec: Realise the possibilities™ ™/® Indicates a trademark of ConvaTec Inc. ConvaTec Ltd is an authorised user. © ConvaTec Inc 2010

-----

S 12

Smart robotic micro-drill to help combat deafness to be showcased The world’s Àrst intelligent microdrill for surgery, which can help save the hearing of patients, was showcased in London on Wednesday 3 November. Attendees caught a glimpse of the device, which could potentially revolutionise microsurgery and signiÀcantly improve patient recovery. The medical robot, which has been successfully trialled in cochlear implant surgery, can intelligently distinguish between different types of tissues, identify the exact point of perforation and drill autonomously to a precise depth, all without having to be programmed. The sophisticated device is able to respond to tissue type, behaviour and deÁection in real time, and will be presented by Professor Peter Brett, who developed it. It was among a number of cutting edge medical robots highlighted at the Institution of Mechanical Engineers (IMechE) Robotics in Surgery conference at Birdcage Walk, London. Surgical robots are increasingly being used as surgeons are demanding more accuracy with smaller incisions. The beneÀts of utilising them, including allowing surgeons greater precision, less excess tissue damage and fewer complications all result in a reduced post-operative stay for patients. Innovative medical technology being used to design swimming and crawling robots which can move freely within body cavities will be discussed at the conference, proving a fascinating insight into surgeries in the future. Prof. Peter Brett, Brunel University, said: Medical robots are signiÀcantly improving the experience of surgery for patients. With the greater accuracy enabled by the devices, patients experience decrease blood loss, less pain and a quicker healing time. For example, the smart micro-drill can detect tissue interfaces before penetration and then intelligently either control penetration through such delicate structures or avoid penetrating altogether as required, reducing unnecessary tissue damage. Dr Patrick Finlay, Chairman of the event, added: It’s a very exciting time for medical robotics. Some of the second generation robots showcased at the event can for the Àrst time enable procedures that are not possible by hand and eye. Please quote ‘OTJ’

Stryker acquires Porex Surgical Medical technology company Stryker Corp. is acquiring privately held Porex Surgical, a medical products company and division of Porex Corp. The terms of the deal were not disclosed. Stryker, which announced the deal on October 29th, said Porex’s products -- used primarily in reconstructive surgery of the head and face -- complement its existing offerings in that Àeld, known as the craniomaxillofacial market. Source: Bloomberg Businessweek

ubscribe Delivered to your door every month to the OTJ

It’s easy to subscribe, just visit our website at www.otjonline.com and pay via Card or Paypal. Subscribing to the OTJ costs £14.00 per year for delivery in the UK or £21.00 overseas. Alternatively just Àll in your address details below and return with a cheque.

Name Address

___________________________________________ ___________________________________________ ___________________________________________ Town ___________________________________________ County ___________________________________________ Postcode ________________Tel_________________________ Please enclose cheque made payable to “Lawrand Ltd” and return to: Lawrand Ltd PO Box 51 Pontyclun CF72 9YY

THE OPERATING THEATRE JOURNAL

www.otjonline.com

----

-------------------------------

ConvaTec is a global company committed to serving healthcare professionals, hospitals and patients worldwide. In the ConvaTec Continence and Critical Care division they specialise in the development, manufacturing and distribution of single-use devices to hospitals and healthcare sectors around the world.

Medical Robots Fighting the War Against Deafness


The LARGEST Range of Allen Lithotomy Stirrups

For more information call: 01244 660 954

Yellofin® Stirrups

Ultrafin® Stirrups

www.melydmedical.com www.allenmedical.com

Exclusively from Melyd Medical

ages 7-11

ages 3-6 © 2010 Allen Medical Systems, Inc. All Rights Reserved

Junior PAL Stirrups

Little PAL Stirrups

D-770585-A1

NURSES will be encouraged to blow the whistle on inadequate care of patients.

TRUMPF PRODUCTS CHOSEN FOR ULSTER CRITICAL CARE

Monday (1st Nov) all registered nurses and preregistration nurses in the UK will receive information from the Nursing and Midwifery Council on how to raise any concerns they may have regarding a patient’s care. The aim of this initiative is to set out principles for best practice and work with local whistleblowing policies and safeguarding procedures. NMC Chief Executive and Registrar, Professor Dickon Weir-Hughes, said: “Poor care must never be tolerated. “This guidance will support nurses and midwives to effectively manage risk and empower them to speak out on behalf of the people in their care. “However, raising a concern is only the Àrst step. This guidance will only be effective if managers and senior staff are committed to a culture that openly encourages people to raise concerns.” Acting director of whistleblowing charity Public Concern at Work, Cathy James said the charity was in full support of this action taken by the NMC. She said: “Whether it be an elderly care ward, a maternity unit or in an operating theatre nursing and midwifery professionals should be able to speak up without fear of reprisal if a safe service is to be delivered. “This guidance will help and we hope employers will also take this issue seriously, providing a safe alternative to silence for their staff.” Policy ofÀcer for the Council of Deans of Health, which represents university health faculties, Catherine Deakin, said: “Nurses, midwives and students should have access to clear information about steps that should be taken when raising or escalating a concern. “Importantly, the guidance emphasises the need to act promptly, safely and professionally, and to seek advice when uncertain about the process.” When compiling the guidance document, 16 different organisations were consulted including Care UK, Unison, the National Union of Nursing and NHS employers. The document explains the process of raising a concern, offers information about legislation and indicates where staff can get conÀdential support and advice. Employers will also receive details as to how they should implement the new guidance. Source: Deadline Press Agency

TRUMPF Medical Systems UK has recently completed the installation of a range of products at the £340 million critical care complex at the Ulster Hospital in Dundonald, Northern Ireland. Working with main contractor MET Healthcare, TRUMPF provided pendants, operating theatre lights, operating tables, workstations and associated engineering support.

For more than 20 years, TRUMPF has had a determining inÁuence over ceiling mounted workstation technology. Its systems are characterised by safe and hygienic design, high product quality and good ergonomics. The latest generation of these systems are now installed in seven operating theatres at the Ulster complex. This prestigious order also included TRUMPF’s supply of pendants for 16 intensive care beds and 14 recovery beds. Intensive care, patient data management systems (PDMS) installed at the foot of each ICU bed and a complete endoscopy theatre project. On TRUMPF’s involvement, MET Healthcare’s Gregory Turtle, commented: “TRUMPF is the recognised global market leader in pendant systems and, with its ongoing product development, it will provide additional peace of mind for the Ulster Hospital.” www.uk.trumpf-med.com

Ànd out more 020 7100 2867 • e-mail admin@lawrand.com

Issue 242

When responding to articles please quote ‘OTJ’

NOVEMBER 2010

13


Yes Sister, No Sister My Life as a Trainee Nurse in 1950s Yorkshire by

Jennifer Craig Published by Ebury Press on 1st October 2010, Paperback £6.99

A fascinating memoir of the life of a trainee nurse in the 1950s ‘What is your name?’ she asks, staring at me. ‘Jennifer Ross.’ ‘Jennifer Ross, Sister. Well, Nurse Ross, you are dressed in the uniform of a nurse from the Leeds General In¿rmary. Such a uniform is not worn with a cardigan. Take it off at once.’ ‘Yes Sister.’ I can feel my face turn red.

Rich in period detail, and told with a good dose of Yorkshire humour, Yes Sister, No Sister is a lifeaf¿rming true story of a life long past. Author Details Jennifer Craig trained at Leeds General In¿rmary and rose to become Ward Sister. She emigrated to Canada in 1961, where she married and had two children.

The Vernatray was developed by medical products manufacturer Vernacare (www.vernacare.co.uk) in partnership with NHS Innovations South West and front-line theatre practitioners to provide safer care in the hospital environment particularly for anaesthetists and perioperative care practitioners. It is intended to replace plastic and stainless steel trays where the medication is stored in one single compartment. The Vernatray has six individual channels to ensure the correct alignment of syringes, with larger channels for 30ml+ syringes, and has a separate storage area for ampoules and sharps. This makes it easier for clinicians to locate the correct syringe and medication, therefore reducing the risk of errors.

Later she studied for a Bachelor’s degree in nursing, followed by a Masters degree in education and ¿nally a Ph.D. Ten years as an educational consultant in a medical school preceded semiretirement when she became a student of homeopathy and obtained her diploma. She now lives in the mountains of British Columbia with a dog and a cat. She is also the author of Jabs, Jenner and Juggernauts, a look at vaccination from 1746 to the present day, which might be particularly useful to parents who are facing the decision of whether to vaccinate their children. For further information, please contact: Hannah Robinson at Ebury on Tel: 020 7840 8750 or email: hrobinson@eburypublishing.co.uk

3M Completes Acquisition of Arizant Inc. 3M announced on 13th of October it had completed its acquisition of Arizant Inc., a leading manufacturer of patient warming solutions designed to prevent hypothermia in surgical settings. Patient warming is a highly strategic adjacency for 3M and integral to infection prevention. Arizant expands 3M’s infection prevention offerings and will help to drive growth internationally. Arizant, which was majority-owned by Court Square Capital since 2004, created the category of forced-air patient warming with the introduction of Bair Hugger(R) therapy in 1987. Today, Arizant products help maintain normal body temperature, known as normothermia, in more than 20 million surgical patients annually as part of an effort to help prevent surgical site infections and other serious complications associated with surgical hypothermia. 3M’s infection prevention business helps hospitals reduce healthcareassociated infections. Its wide variety of products and systems for controlling the risk of infection includes applications for sterilization and monitoring, hand hygiene, perioperative preps, and surgical drapes. Learn more at www.3m.com/infectionprevention (BUSINESS WIRE)

14

Vernacares new Vernatray - a single-use anaesthetic medication safety tray - has won the Association for Perioperative Practice (AfPP) 2010 award for Best Innovation in Patient Safety. The award celebrates a product innovation that contributes signiÀcantly to perioperative practitioners delivering safer patient care.

A trainee nurse in the 1950s had a lot to bear. In Jennifer Craig’s enchanting memoir, we meet these warm-hearted yet naïve young girls as they get to grips with strict discipline, long hours and bodily Àuids. But we also see the camaraderie that develops in evening study sessions, sneaked trips to the cinema and mischievous escapades with the young trainee doctors. The harsh conditions prove too much for some girls, but the opportunity to help her patients in their time of need is too much of a pull for Jenny. As she commits to her vocation and knuckles down to her exams, she is determined that when she reaches the heights of Ward Sister herself she will not become the frightening matron that struck fear into her student heart …

Vernatray wins top award for patient safety in perioperative practice

The single-use Vernatray, made of biodegradable pulp, also helps avoids infection risks associated with re-using plastic and stainless steel receptacles. It saves cleaning time and improves environmental performance because the vessel can be simply disposed of in clinical waste or via maceration. The Association for Perioperative Practice stated that the majority of critical incidents in anaesthesia arise from human error. They reported 128,000 patient safety incidents from surgical specialities from October 2006 to September 2007. Jane Kent, New Product Development Manager for Vernacare: The Vernatray makes it easier for theatre staff to locate the relevant equipment and reduces the risk of incorrect medication being administered. It is a pulp product made from recycled newspaper, making it both robust and stable, as well as environmentally sustainable. The Vernatray was developed to meet a critical safety need identiÀed by theatre staff at Poole Hospital in Dorset. The need was also highlighted by many perioperative practitioners across the UK who raised concerns about the risk of medication error caused by the centuries old method of selecting syringes and ampoules using a pick and mix approach. The design was prepared with input from clinicians and a model prototype was used to gain feedback from anaesthetists. Feedback was also obtained from theatre staff at the Infection Prevention Societys Surgical Site Infection Study Days, and delegates at the 2009 AfPP exhibition. Chris Sawyer, Business Development Manager, NHS Innovations South West, said: The Vernatray has been designed by theatre staff for theatre staff. The original idea and thinking came from anaesthetists who identiÀed the need to increase safety by organising medication better. Vernacare has taken their concepts to a new level and created a single-use tray that meets the safety needs of modern healthcare practice. The new tray makes it easier to perform the Surgical Safety Checklist, following the WHO Safe Surgery Saves Lives Global Patient Safety Challenge. This recommends: VeriÀcation of the completion of an anaesthesia safety checklist is required to conÀrm the formal inspection of the anaesthetic equipment, medications and the patients anaesthetic risk. Evaluation of the Vernatray has been carried out at four UK hospitals, with 99% of clinicians reporting that they found it easier to correctly identify labels on syringes and 100% of respondents stating that the syringes were stable in the tray. Commenting on the Vernacare award, judges said: The Vernatray is user-led and the Àrst of its type. It addresses real clinical need and demonstrates value of clinical engagement in development and evaluation. The Vernatray is a good example of partnership working and innovation, and demonstrates evidence of customer participation in product development. It is a practical design, improves infection control and is environmentally friendly. To register for free samples of the Vernatray or set up a trial, please email vcorders@vernagroup.com or contact Vernacare. When responding please quote ‘OTJ’ Tel: 01204 555999, www.vernacare.co.uk

THE OPERATING THEATRE JOURNAL

www.otjonline.com


www.operaĆ&#x;ngtheatrejobs.com A one-stop resource for ALL your theatre related Career opportuniĆ&#x;es For he adver ser we o er

Whe her you re ook ng or a ro e n Anaes he cs Surgery or Recovery y ou re of e ca l tak n a c n ca or managemen Weâ&#x20AC;&#x2122;l rs e n o ctiti Pra ODPS ro e w h n he NHS atre The red iste .D.Ps g e R sO or pr va e sec or R/N

Make your move to

New Zealand!

es. elin ate guid in close immigr the best ar or ks nge ds in s. r a ye rk with cha t that wor e olfo h Boar for Scho cular ! We wo us Com Healt ta ently nda dation Tr Nursing specan aliďŹ ed tiful District d age for qu d arm t, beau its and ith ring Founedical an rk anpe en l un nities w m pi e ica Pa M portu citerg nal exsu thâ&#x20AC;&#x2122;s anc an as its . reer op ith nd ala ca ord Trust is Plymou oor Natio at offers w t c Ze ea c on a of S th Ned w rtm t the of gr regi recent mber ry in spitals NHUniversity tween Da storic city e abou e t an nu or th la us a m u a s. hi Tr Ho S rn be the d by so yo the eateW life. oured ODP and e have joinnc est, outh with for y to lea and â&#x20AC;&#x201C; rant ality of uthw Plym ership s, cr ide f to rie nt e toda uth Isl e So is a vib rful qu of pr facilitie stafpe excelle e anindg ex partn th althcar rth and So in th de rb urce ribut sit.He ated , Plymou a won nurs deliver nted a so d supe No Situ d M ouac . us actot co libre an re is r un le in the tline s an build high ca helpingCot,nt Cent tation and ab of w coas unding s ic Based in the City of Sails, Auckland District Health Board is one of the ail For more information, please contact Michelle on as ac to ing e ne ding av repu n! Wes an st cl , surro rdiothor ational novativ st ncies seek mitted South va natio lca leading public healthcare providers within New Zealand. mluoni@adhb.govt.nz or call + 64 9 638 0364. , a fir tions m are in e Ca rn iona ur desti we Our ing inte a truly be co le of th ternat dly team ation ambi se yo ions in ust of op frienchooyour immigrWe haveok overing 32 soperating theatres (adult and paediatrics) covering Relocation assistance will be offered to all successful and grow etion omot , you m the pe you: and achieve nal pl n and al pr ul offer l bo cardiothoracic, com th to natio u tern ccessf xible a transplants, vascular, ophthalmology, applicants (conditions apply). tratio s can traveneurosurgery, to gis d ac heal of the of a fle ing yo to in re su an ed ing al e M lp t ion Du . To be surgic with rt movurology, orthopaedics, ORL (including major head and neck general, to he . pmen g pa on, tance modat cts of ners team rds of develo y bein itment s Hollbsassis accom many aspe surgery), obstetrics and gynaecology. We are looking for skilled and titio da jo m anFu stan further will en a com f benefit ed prac http://www.adhb.govt.nz/careers/ ent of on Sr.â&#x20AC;˘Je e u t, enthusiastic Registered Nurses and Anaesthetic Technicians looking to act alifi staf rangem assistance to th rn, yo onmen cont â&#x20AC;˘ Ar tu rous newly qu relocate to our beautiful country. ing vice and ease . In re ng envir of gene r its pl quot p fo ki today! country ray rshi wor uk â&#x20AC;˘ Ad r vis 3 853 an ar ecepto hs. call us city ord is or fo Auckland City Hospital is a major teaching hospital, offering a 76 n w so es s s. and Pr 2 ne an iri ur r .job offe 0175 tâ&#x20AC;&#x2122;s 24 ho oyer usin enqu supportive environment for education and learning. 69 We ww Tr th 08. empl th rmal ager, on e w 17 wi s fo 20 0 in nitie reply e at a. der 9 63 For tre Man July nz Senior Clinicians will bel:in London portuWet. Un onlin rdiac5 +6 4to interviewacapplicants : 27 s.c o.in May 2008. en l op ply Thea ions Ca on teyour time eddirectly with our .n z Contact equa vironm ricted. to speak icat se ap 284coClinicians. en todausynow to book st fo @ m is an appl Plea Mer-2 hool ust working ing is re team to: in .medacs. for S Trare 26 al Sc t the 216ur CV litye There quafre date Grols park edic up.NH , www Contac email yo ing e ita highest site oke-teamon aM Car sp f the sm or Clos TheatresHo nsul vide a ing our ,staf s

atre

cic

The

ora

ioth

Card

Compe

ve ra es

ealand New Z

Calling all Anaesthetic Technicians & Registered Nurses

Opera ng Thea re Jobs com w have some h ng o o er you

Letâ&#x20AC;&#x2122;s ge t you

working!

gy Peni outh ards rate the Plym ng tow uter St with ki ship wor n Comm rtner Gree in pa king Wor

and our pro the is to are exp develop further e up aim d, we mak ks to t and that s). Our workloa vely see elopmen suites theatre easing acti l dev atre ery team incr iona fess six the day surg to our icated the ded s for pro five . Due t from s and care ro. Our nitie re we Trus neu ical ortu whe area and ss the very ellent surg iac andge of opp ston. cialties ENT acro reco ery g card in: s exc ran King ices g spe udin a wide s, five provide serv ity of eatre followinexperience Plastic surg atre , incl r t Th ics, theatretient the eons to erience we offe the Univers of the surg atien ancies fore variety y, Obstetr deliver inpa of exp d work and We tre, Inp s (21 to enable e variety olog har vac r wid cen aec theatre ment have you a , Gyn a wid rn for you t-grad We r pos Urology offe environoffers you In retu via our can . ls. facial, s. ODP which ir skil illoouse, Max the in-h opaedic nurse or and Orth both er a and s training be eith eatre Youâ&#x20AC;&#x2122;ll

tres Thea

Face Pres To Face tigio us A Interview ODPs & Sec uckla s GIB ure Theatre you nd H In April Mercy r ne RA N Asco As a spe W ospit ur w ro se off cialist age er job st and Ge al, N ith LT le an ncy our understan and Th s to skille neva Healt knowledge ew Z d ne AR d your nee able con eatre an d and pro h Internati O ds. w lif The ealanPE fessio onal are The prisultantds Reco â&#x20AC;˘ Excelle e HE na very nowmo Gib d RAT l Regis coming nt rates Nu surge vate se of

ho

uth rs â&#x20AC;&#x201C;mohe tics ione ly rs â&#x20AC;&#x201C; .p aest actit &wAn ione tre Pr wbw pa inc actit Thea ical Scru 0,508 rs b tr Pr pa inc - ÂŁ3 ione rgical Thea ical Scru- ÂŁ30,508 Surg ÂŁ23,619 1-KR rosu ical actit 0 neu Surg ÂŁ23,619 9-KR ertake 4,00excellegentofclinmajor Band 5, 0-SJJE-18 eatre Pr 20 -17 und 5, with tion r Th rota Ref: h yea challen Band 0-SJKD building, we 20 the art cedures eac enjoy thetheatres but rub nced pa inc . of Ref: and of pro ODP Adva ical Sc - ÂŁ37,558 state oracic iastic in one set se or rg In our ioth on enthus based er nur card R be â&#x20AC;&#x2122;ll be 8,149 - Su Castrill r, eith and lts. You â&#x20AC;&#x2122;ll initially 6, ÂŁ2 JJE-182-K practitione rs â&#x20AC;&#x201C; Alberto1958. resu nd You ne tact 5 b Ba ery. io surg ouraged. 200-S anced scru please conon 020 872 actit Ref: adv is enc ussion, Savage be an b tre Pr pa inc l disc Maggie d Youâ&#x20AC;&#x2122;ll rma or Thea ical Scru- ÂŁ37,558 â&#x20AC;&#x2122;ll nee . an info 5 2129 t, you For 872 cialties s rs â&#x20AC;&#x201C; ic spe or ODP, Surg ÂŁ28,149 0-KR the band 5 pos on 020 tic ne ry orac he io -18 6, ioth nurse t for work Surge actit Anaest Band 0-SJKD uiremenrgical or cardr, either ability ton in an Day 20 req one the b, tre Pr Ref: ition to the er neurosub practitiskills andparticipatio eith scru Thea ical Scru ion tact In add nce in include anced municat pa inc se con ng plea experiebe an adv nt com duties will Surg covery - ÂŁ30,508 r elle operati es posts, Youâ&#x20AC;&#x2122;ll l as exc five . You ent. serv above R prises which 3,619 & Re ut the as wel of a team compet

ac Th Cardi e

AL

tivar ra rses tered cto to fo pay â&#x20AC;˘ Regular ons, ING with a Oper the UK thi ted20lt0 a proce r in New Ze facilit work ating goal sC ies Op r8He du DE â&#x20AC;˘ Flexible to live De thAparil n to range , with sta res and aland offers e a hours to PA and wo partm at tdidaintteerview anratin lth A te-ofoppo of su you suit you rk inUro en gD â&#x20AC;˘ Recomm rtunit proPr s rgica RT titmu d ies. As the best l spec the-art ho As a epa uthori endation w Ze vidac ME OrtNelo of the sp ialitie ser RODP es ion bonus rtm ty is t sfe nd hop gy, ala s and itals base New Ze NT to sc . ent We have aland best in ter rub an or Theatre d in Au aed Obs a com el c a supp PR exclusive â&#x20AC;&#x2122;s Pra look ms o T surge & d ck ortive lar ic contracts ctiti ing AC ons an assist in /Recover G pre mfo and Priv , top-ra land, Mede hegeast pri ofsfac iesy,na hen rtab with NHS y Nu ate Hospita bov vate anilit rcypAs one for a varie d d TIT te the s rs e e T team.Ad Tru Ide atre sta e ndcot offe a surgicarau , O ive le w ls with imm r. ty of an allsts ION y if wi l ma ph proce in MercyAs e t ÂŁ2 abo ff. ran ork papodiv ediate astar For more -184-Kgery Unit comt centre, em dition able ers enth 1492. as par rota onc ussion ll nd 5, th du JLA Th atre in men g co yo ers disc Sur 8725 S Ba call ER l in res the ea info ts. ess u onDay a urg alm e o g in rmation , worki t yopua wiploy ally on our 200-S tm e -ass usia on 020 informa and . Youâ&#x20AC;&#x2122;ll be or ga nis tre Su ite ha ve a mi a pre ients. Ref: y stand-alone fs contact the Staff Rec yabll hamvee ery ic, For an Prescott and ng alo work a expe ent ab very stic /O R an rew rs - hetics u s bus recovery diatric pat ma nim ruit reco ODP. n E ati And . tres u rg le The ne Our trau men w ng ta the and t s, ea on for NT pae bsid s um of u atre io st side in and t Special d ha ve Th se or is p pox-f rien ill b Stirling atre and theatre lt and tive , D ical s sy O n the either nur actit adu Mercy yo u. ists near Cathie Anae 24 mo ise NewfullZe op Neuro ayarturenitey ce ra e o yo ur ke elec betwee both rs, Lon e e erta te p contact one As you tre Pr rub & 08 pa inc hig d don F ala nth rv n a und e sig se rota ctiti : co . â&#x20AC;&#x2122;ll ea b n rs - 0845 130 tals ice rati nd ndâ&#x20AC;&#x2122;s le gra ng We t are succes plea s cu rre urth hts on Sc one tic pra hly , you Th 0,5 ion, ODP off ical Nu nt RO tran topon tuit es contr 5150 practiti naesthe discuss - ÂŁ3 , M s s ng er Ne w Midland se or a valuable . b/a l rs of the sful cand ering an y Surg ÂŁ23,619 3-KR r, either Nurpro d scru rma u D fr s vide patients a Ze s a s DP e info 3. in c a o c 084 e p xillo h ala nd g 5, -18 to idates ta an ex m t 57 23 24 way. orta tisfa of p 5 022 to our contact one For 872 ctiti , theSe exilspeorie nc Band 0-SJAA NW & Yor se ent teamlity care , and cellent rel -Fa as G artm 25 Fo plea tic pra our curr tion cto 25% ÂŁ15 terms 20 on 020 qua n rvMe t n e wi uk ks - 0845 Gene To bo e posts, high cia Ref: b/anaesthe icercy As on of suppor above ine at nhs.8. of ry co of ,964 for va He ocation pa He r an 1306209 l, P enera nt s o thcoet a thi n A scru hen and the provisi about the ly onl ges. pers m app alth are cke ag alth Ap cont ok your ngt 2. n to n T isbothe las l, bas to ÂŁ one stre ussion 5 149 utio p geor ts: 3 July 200 Please e x p ac (so le st l disc 020 872 in sed v t o lic A ti e -y he contrib pos rma terv nal tion ic 2 c, l: 0 e p re to 208 meuthco ati on . info freep t Julia adverti e www.firs www.date for all 21 July 2008. For an Prescott on re the received 0-3 ost orind supp1) effe of sala 0,202 ar a tpointhea John iew very hone rew w/c rs s are e befo ns P tyitio ort And (F Closing lthca ne 5 n Reco em a clos lication date: tal c ry c ap t w , so io yo 0 d re.co re p inc 08 a spi a will ts a ontr en ply ail y -72 app m n e Ho x:ur0 moSve ck ) to 00 to Intervie actit 0,508 pa able vacanc suit forthatdworks Inpati Plymouth Hospitals NHS Trust iskan aspiring Foundation in close partnership with the University nd act. earn r an salary 266 obta or re juliaj@ge 404 75 on BedTrust co all uspin the 0-3 t Bev e this icient e NHS Trust tre Pr - ÂŁ3 R s.u n patient ip in the e acc se not e if suff gi 50-2 rnery ext inab d .nhbetween ardstenta Plea Thea ÂŁ23,619JJD-185-Ksupport to leadershexp ecte Situated in the South West, Dartmoor National Park and a spectacular coastline, Plymouth is a vibrant www ster on nevahe 91 ing dat om Pass d du um*. loyer. orges , 5, 231 le fr clos s is t and and care 00-4 â&#x20AC;&#x2122;s Hp ct the alth es emp lin .gen mo age ring care w.stge Band ref: 200-S suppor to all area DU/ITU ns beautiful and aniti wonderful quality of life. om 3. .com wwsurroundings ical atio n ortu ential ry/H evah e at dati s a 386 ospit GH al opp Post provide esswell as clin f. Rotatioin Recove ric qualific the ealth staf on re 4) o al, Aâ&#x20AC;&#x2122;s an equ NHS Trust Cardiothoracic Centre is a source of pride for the Trust and region with its growin nce , as Plymouthare Hospitals Paediat Reid Youâ&#x20AC;&#x2122;ll area e senior experie De .co. We e are very ilable. r (e Gib Re Derek mor reco ly hav be ava irable. puty nz facilities, created by the recent completion of a truly innovative new build. e of erab ra will c contact r absenc â&#x20AC;&#x2122;ll pref ly des se you trainingare high fopromotions plea inwe are seeking high calibre nursing staff at Band 5 and Band 6 to join Clo .mail: ltar o ruitme Dir and h full Due toa internal our team. You ff s nce M oug ussion, e k erie st ed alth n disc sin cto n a exp l st standards ic Intern rma excellent po of surgical health to the people of the South West, and contribute to the further developmen and/or ro info *P g D iane.a (Tel: t Sec 9. an 5 350 f ational eed hoIncreturn, you will enjoy being part of a flexible and friendly team, a first class workingH For environment, an 872 tio 0 ld ate Pa lease ealth on 020 y n ourdunit. y sc no is part : 31 st orino 0-350 n, Gib care, on ale te th entl and aa committment to helping you achieve your ambitions. @g -20 of Pinn sa e of the urg 0 ralt Ma h of sp re cuat th acle rch a.gi) -7226 ar We g term larges rre ese a 6 Band Band 6 Scrubec P ialist 200 ntly re W 5 Scrub Practitioners lon u n d 200 8 to the N nurses and th t suppliers & N216-MER-2284-CARDIAC5 Team Leader Ref: er 6 fig r y ea e ne g HS and e tre staf otia ures, Surr nchest s2EQUIREDTOPROVIDETHEHIGHESTSTANDARDSOFHOLISTICEVIDENCE Ref: 216-MER-2285 privat f tio a

We a so a m o prov de he a es vacanc es n he A ed areas o S er e Serv ces Endoscopy Cr ca Care and Educa on

tes r y ra Da ÂŁ35/h

on te L edia

n aca

based patient care with the ability to support and supervise the e sector s2EQUIREDTOPROVIDEEXPERIE Ma don learning of others . to the theatre team. We urge Lon x s%XCELLENT0RECEPTORSHIPPACKAGEAVAILABLE ntly req e Ess olk s%XPERIENCEDANDNEWLYQUALIFIEDCANDIDATESCONSIDERED uire: ODPs & Suff ex Th or to arrange a visit please contact Sr Jean Hobson, Theatre Manager 01752 763 Sconru n Suss t For informaltoenquiries b, Anae eatre Nurses; svisit our website: www.plymouthhospitals.nh p particulars and to apply please For m further n ie e sthetic K c a date: Monday, 7th April 2008 hClosing rtd ith & Re can la Non

s esource R l a c i g Sur cian Techni

W a April 2008. v22nd Interview date: Tuesday, Zea pril nal 2 ew In A atio ws pital, N 2008 831 andN wte rvie awww.plymouthhospitals.org.uk rvie 33s.com rs inted 3 Inte nd Hos fe in toto ione li e ril tit 0 c Ap 7 cum ew Prac this up ent o Fa Auckla dn e UKfor rtm and.08 n-lo T th n al m 9 to a pa e o : Ze os, 439 c w De ing ow le cilitriie .o ing rk in Ne ne w com er n Fac tigious ms. l are w fa surg6ic8al24 w ro ll natan s of ectio d wo hoterm s ocu :w r ne InternationagisterCedaOp e Insp Pre to liv lepbestbinsite priva: te012diverserion-l are you th

Te

Re t x rs a al e C oyer @o fe ial of th Wselarges Fa ure Geneva Healofessional with a go pl Soc ties Em best dâ&#x20AC;&#x2122; cot of min es for u the w Zealan MercyAs : ad t and d and pr ry Nurs nity pportuni on il rs yo Asco ille issirtu Ne ve nd, lO mpo . ma op d offe s. As ckla Mercy jobs to sk d Reco s top thoem ananEq alan dâ&#x20AC;&#x2122;ua tie in Au rate teame an y C Ze habve w Ze portuni based offer eatre s isal pill Ne m d to w w ls op in Th u nse en Lo Necu and ctor and t hospita pportive, t yoe rio a gsOid te se edures Asco Lic ar su in on cy eiva a al ith er d pr e ew in M working , proc ate-of-th lities an The rie nc co t is th rse , st eons ia ex pe surg ies, with al spec ry Nu ocedures As ic cove pr RO DP M er cy facilit of surg en t e/Re riety of l th en e cu rr eatr to al va rang th s Ze al an d, ply) or Th t in a m on s ap step w RODP d assis er y staff. ition of 24 on Ne As a cond move ev um ts b an d theatre e ru im gh in si to sc ns an e (som your am yo ur eo ckag support ha ve d ha ve pa surg ill n to tio an uw reloca are here lly yo ite /O R u. Id ea llent th tre Su ffo r yo e ce ex Heal Th ea sa tio n g an G neva ni offerin , and Ge or ga t are es Assccoot ndidat yA Merrccy sssffuull ca es w ce e cc ie . vi suuc n terrv e way no inte of th your Johnso 7591 om ook lia 404 ealth.c To b ac To t Ju a tac 0800 evah nta ont ne co c en at epho liaj@g ine a ee .nz re fre fr onl h.co a aiill ju em gister ahealt em eg or rre .genev w ww

Sec

June/July 2009

TH

n.

s2 00

A on

OR

ITY

7/0

8

covery

On-going placeme Contrac nts UK wi ted supp lier to NH de Excellen S Scotla t rates of pay nd

Call All ison on 0844 or e-m

the ilities at y surgical fac rger pment of inimal access su help r develo m of a majo skills labs and ating theatre to rt pa As d g ock oper includin ture. College, are opening a m teams for the fu ing l tup, runn ss suites, we ns and surgica in the se eo ed team tre, minimal acce d rd ga train surg -re in a highly ses in the thea odels, animal an jo ll wi m You cour ulator s, own of and setd lab, using sim an ODP and skills tissue. theatre as her operating be open to ot an cadaveric in rked uld wo co le ve ro ha willll1747-728X u wi nce. h the YoISSN rie ug pe ho ex alt ), te apply (or ODA ff with appropria le and to on this ro theatre sta rmation email her info For furt it our website or .uk rcseng.ac oupleahse vis oppo un Ć&#x; sources@ d C humanre ference 25/08. re lity otinyourg move . quMake our equa to : 12th May mitted to date NewingZealand! ployer fully com Clos em an e ies. We ar rsity polic ac.uk and dive

Issue No. 225

www.operaĆ&#x;ngtheatrejobs.com op

ou

o A you

of care take Weâ&#x20AC;&#x2122;ll ers

Persona Serv ce

S and a one adver semen s and banners n e her med a

Proven Record

s. ion eline ctit ate tres close guid inPS immigr the best Pra geOD ic Thea atre in year or with ls. a chan that works for Boards orac The We work Health g Schoo cular da for Trust Come ed ently! ful red agen Foundationand Nursinperman a specta for qualiďŹ and District iste al and ment, beauti g l units unities Park Medic aspirin Reg s O.D.Psrdance with opport surgica excite itsd. uthâ&#x20AC;&#x2122;s National is an career with offers Zealan R/N in acco NHS Trustsity of PlymoDartmoor city that the New region r of great

ioth Card

recent about c and en a numbe more Trust d by the betwe and historilife. have the our ODPs. â&#x20AC;&#x201C; so you t to learn with of west, for createWe Plymo rship Island to joinnced nt es, South is a vibran quality of pride care todayand South staff excelle the faciliti rful andg experie partne r uth ute s Health ed in nursin delive wonde is a source superb North contrib unit. Situat ine, Plymoand a and calibre g us and tot Medac our le in the coastl ndings ic Centre tion new build. g high to helpin Contac Based in the City of Sails, Auckland District Health Board is one of the ng ofavailab West, l reputa tive ies class tion! thorac surrou seekin itted South vacanc l standi a first leading public healthcare providers within New Zealand. ationa innova are destina Cardio ationa team, yourons, be comm of the Our ation ambiti g internof a truly tions we ly must people and intern friend choose immigrWe have over 32gsoperating theatres (adult and paediatrics) covering growin etion e your you: you al promo bookin a offer e and achiev to the national tion and ssful, compl intern transplants, vascular, ophthalmology, s can to health of the of a flexibl g you to registra ion and travelneurosurgery, cardiothoracic, succe Medac Due To be surgical moving urology, orthopaedics, ORL (including major head and neck part ofgeneral, n, nce with to helpin . pment modat team. rds of develo being itment ts assista Hobso ioners Full r of accom many aspects surgery), obstetrics and gynaecology. We are looking for skilled and â&#x20AC;˘Jean standa furthe will enjoy a comm benefi ed practit t Sr. ement , enthusiastic Registered Nurses and Anaesthetic Technicians looking to nce on , you nment ous staff to the qualifi contac â&#x20AC;˘ Arrang g and assista relocate to our beautiful country. In returng enviro of gener for newly please quotin Advice or country. ip visits workin array us today! Auckland City Hospital is a major teaching hospital, offering a .uk â&#x20AC;˘ ptorsh or for 763 853 an .nhs so call ies and Prece new city and is yer .jobs offer al enquir 01752 supportive environment for education and learning. 24 hours We Trustâ&#x20AC;&#x2122;s er, on at www 1769 within s emplo the 2008. inform 9 630 in Mayz 2008. a. tunitie For July Under Senior Clinicians will be in London We. reply e Manag online +64to interview applicants : 27 oppor s.co.n rdiac5 tel: Theatr apply nment Contact us nowon ations an equal your time tomedac speak directly with our Clinicians. ted. e 84-Ca today to book l is g enviro restric info@ applic Pleas er-22 team 26 for g is Trust Schoo workin are CV to: t the 216-M date There quality NHS parkin Medical -free g Group. als Contac email your team, site Care the highest our ula on smoke or staff ClosinTheatresHospit our provide expanding gy, sa uth Penins is to up the further we are to develop Strate make Our aim the t and Plymo seeks that g toward workload, uter with suites theatres). actively l developmen team increasing workin theatre rship surgery Comm six to our dedicated professiona day the Due five Our es forGreen from we partne care. Trust areas and neuro. where and the g in surgical and of opportuniti ENT k recovery cardiac range specialties tresservices acrossfiveprovide in: s excellent surgery Workin of Kingston. including a wide hs.u following Plastic als ry Sala uth Hospit the Univer

Calling all Anaesthetic Technicians & Registered Nurses

land

working! istered charity Reg .meda www

theatres, to t Theatre the of experience we offer the University for deliver inpatient surgeonsof experience, work and y, Obstetrics, variety (21 We Inpatien hard enable variety vacancieswide centre, t to Gynaecolog theatres have you a a wide for your We post-grad you offer al, Urology, environmen In returnvia our offers can s. skills. which or ODP. Maxillo-faci their in-house, and Orthopaedic a nurse both and s training be either Youâ&#x20AC;&#x2122;ll Theatre

als.n

spit

s s â&#x20AC;&#x201C;mouthho thetic tioner .ply e Practi & Anaes www pa inc Theatr al Scrub s - ÂŁ30,508 al tioner Surgic ÂŁ23,619 neurosurgic 5, -181-KR e Practi Band 200-SJJE Theatr Ref: ced pa inc Advan al Scrub or ODP. - ÂŁ37,558 nurse - Surgic Castrillon , either sâ&#x20AC;&#x201C; 6, ÂŁ28,149 -182-KR Alberto1958. practitioner Band 8725 tioner 200-SJJE scrub please contact on 020 Ref: advanced Savage e Practi be an discussion, pa inc Youâ&#x20AC;&#x2122;ll or Maggie need Theatr al Scrub 2129 an informal youâ&#x20AC;&#x2122;ll - ÂŁ37,558 For 8725 sâ&#x20AC;&#x201C; s 5 post, specialties. R Surgic on 020 ODP, cic band tioner thetic

ODPs & Theatre

sâ&#x20AC;&#x201C; tioner e Practi pa inc Theatr al Scrub - ÂŁ30,508 Surgic

Cardiac

eng. www.rcs

For more information, please contact Michelle on mluoni@adhb.govt.nz or call + 64 9 638 0364.

Relocation assistance will be offered to all successful applicants (conditions apply).

http://www.adhb.govt.nz/careers/

Letâ&#x20AC;&#x2122;s get nz cs.co. you

Thea theatre

08 No. 2128

SOLE

provider

to Vanguard Healthcare Mobile Operating Theatres

Face Pres To Face tigio us AucInterview s In re your klan Apri d

Secu MercyA Nurse s

GIBR

AL

Hos new As a specialist scot offer pital l With role agency our jobs and Geneva , New understand and Theatreto skilled and Health knowledgea your needs. new Internat and ble consultants Zealand OP life now The The private and Recoveprofessional ional are ER â&#x20AC;˘ Excellent moti Gibr ry Nurses Registe coming AT rates of surgeon sector to the for pay vate 2008 â&#x20AC;˘ Regular red altar ING UK this facilities s, procedu in New Zealand with a goal Operati work d Ope Hea Can April ng Departm DE â&#x20AC;˘ Flexible res and to live to interview range , with state-of that dida ratin lth hours to PA and work opportu offers you of surgica ent Practiti tes suit you and g Dep Auth -the-art â&#x20AC;˘ Recommen RT the inUrol prov nities. l speciali As a oners ME hospita ogy, dation bonus ides mus OrthNew Zealand As Newbest of the artm ority RODP t NT to scrub or Theatre ties and a ls based Zealand best in opae Obs . a comfeel ent is look We have in Aucklan termsdics & support PR exclusive â&#x20AC;&#x2122;s The Prac surgeon and assist /Recov largest prehcomforta of contracts AC and Private tition ing and Gyn s and ery Nurse ive, top-rate d, MercyA depe abovprivate facilities in with NHS ensi TIT Hospitals theatre a variety scot offers Trau, ae, er. for an team.Add ndab Trusts surgica e ve ble work with immediate Ideally of proceduin MercyA staff. ION l ma Oph if rang For more a emp ition le appo enth astarts. scot Theatre will you Surg thalm e ing ER intm res, working information ally on diverse you usia paya Suite/O have a organis willloym contact the Staff Recruitmen expe ent ery. ic, of surgin a stic subs blehaveentthe a tax-f alongsid ENT busy Theatre ation for R and minimum rienc will t Specialists in full is opportu and have e New of 24 idise , Denical serv Ope MercyA you. paya ree e be your near you: London high d. Zealand Furt and â&#x20AC;&#x2122;sblenity grat rang on sights months - 0845 1305150 tals, ices ratin success scot are ly on New current offering Nurs her tran topon uity es contract Midlands Max such g Dep RODP of the ful candida deta Zealand ing spor satis an - 08457 23 5, to of from an 0223. our way. A-183-K illo-F as artm tes, and excellen For team care to ils contact 8725 term , then 24 25 Serv experie Band NW & Yorks practitioner For please current quality 200-SJA on 020 on nce within tation factory 25% ÂŁ15, acia Gen ent our sthetic MercyA Geneva t relocati To book .uk Ref: ices of high above posts, at 0845 964 s for the an support Hea of 1306209 l, Plas eral, the and online A scrub/anae Health on package lth App es.nhs pers com of basi to the provision about onscot abov apply your conta 2008. one1492. strengthen to are here ext (some Please 3 July tgeorg Tel: is the discussion8725 onal pletion c ÂŁ20, year licat tic, contribution 020 posts: 2081 Authconditio informal on freeph ct Julia interview advertised 2008. www.firstpoin for all www.s to support 00-3e post the y For an Prescott 21 July date effec of sala 202 Johns s before ) (Faxority ion are received. w/c thealthcare.co and Andrew Closing 50-7 are email one 0800 close date: apply) t Recover tioner your , Stns Pac will on on ts andcont ry earnper applications Hospital with the Universitym pa inc to Interview moveBern k cont : 00-3 juliaj@ to all 2266 obta vacancysuitable ract. Inpatien e Practi 404 Plymouth Hospitals NHS Trust is an aspiring Foundation Trust that works in close partnership annusalary or regist this Bedford upin the every NHS Trust the - ÂŁ30,508 note genev 7591 sufficient acco Pas ed hs.uk to patients in 50-2 ardâ&#x20AC;&#x2122;s ext inab stepact Please date if Theatr ÂŁ23,619 -185-KR m*. er online ahealt Situated in the South West, between Dartmoor National Park and a spectacular coastline, Plymouth is a vibrant www. leadership support le is expected 5, eorges.n and 2313 closing mmo sage durin and employer. care, 00-4 the from ies genev Hos s Band ref: 200-SJJDcare supportto all areas DU/ITU beautiful surroundings and a wonderful quality of life. h.com www.stg . datio s are g 3864 pital GHA opportunit as clinical ahealt at Rotation Post provide essential the in Recovery/Hqualification staff. as well an equalNHS Trust Cardiothoracic Centre is a source of pride for the Trust and region with its growin Plymouthare Hospitals n are Paediatric ) or , Gibr â&#x20AC;&#x2122;s Reid Youâ&#x20AC;&#x2122;ll area, h.co.n senior experience Dep We Derek Rec have recovery of more facilities, created by the recent completion of a truly innovative new build. (e.m be available. z uty desirable. contact absence preferably will highly youâ&#x20AC;&#x2122;ll please ail: altar ruitm Dire Clo full trainingare and f forpromotions Due to internal our team. You Medic ts inwe are seeking high calibre nursing staff at Band 5 and Band 6 to join althoughexperience discussion, sing kaia on (Telent ctor stafstandards excellent posof surgical health to the people of the South West, and contribute to the further developmen Intern and/or Sec d informal *Plea of an 3509. Dat ne.aldori : 00-3 ationa For our unit. In return, you will enjoy being part of a flexible and friendly team, a first class working environment, an 8725 tion, hoc Health nee Pay se 020 on e: 31 l is part ad a committment to helping you achieve your ambitions. scale note no@ 50-2 Gibr care, ntly st of Pinnac s are that urge and Mar gha. 00-7 altar of specia one of the largest gi) 2266 le currethese We term ch

clinical 4,000 R excellentof major 5, ÂŁ23,619 with D-179-Kwe undertake year Band but rotation each the challenge 200-SJK art building, enjoy of theatres Ref: and of the set cic procedures

TA

R HE

AL

state in one In our be enthusiastic cardiothora be based and Youâ&#x20AC;&#x2122;ll initially results. Youâ&#x20AC;&#x2122;ll . surgery. is encouraged

or 6, ÂŁ28,149 D-180-Kt for thecardiothora nurse to work Band an al or , either ability n in 200-SJK requiremen the and to the Ref: neurosurgic practitioner skills participatio

www.

TH

Band

OR

operating five serves which

comprises Unit 5, ÂŁ23,619 centre, A-184-K ent Surgery Day 200-SJL

AU

TH

Surgery

e Practi , Anaes Theatr al Scrub pa inc Surgic ery - ÂŁ30,508 R & Recov

Day

either scrub tion In addition in include contact advanced communica will please experience be an duties posts, Youâ&#x20AC;&#x2122;ll as excellent Your the above as well of a team. competent. about 1492. as part rota once discussion8725 on-call 020 informal on For an Prescott s Andrew

our

ITY

theatrea be

Ser es book ng & D scoun s

and a pre-assessm Ref: Youâ&#x20AC;&#x2122;ll and s stand-alone work patients. sbusy recovery recovery. Our thetic paediatric and trauma and or ODP. Stirling tioner Theatre theatres, and nurse theatres adult Cathie elective Neuro s, either both between e Practi & Anaes contact pa inc undertake s rotate practitioner please We youâ&#x20AC;&#x2122;ll Theatr al Scrub practitioner sthetic discussion, - ÂŁ30,508 or ODP, a valuable R Nurse Surgic ÂŁ23,619 scrub/anae informal provide patients. , either

es y rat r Da ÂŁ35/h

W

ies

operatingtheatrejobs.com

ng te Lo

dia Imme

nc vaca Term

Band 5 Scrub Practitioners

Band 6 Scrub P

Te

June/July 2009

Call Allison on 0844 or e-mail 736

at the l facilities of surgica surger y development minimal access to help of a major skills labs and theatre As part operating future. op includi includ ngg College, are opening a mock for the running l teams suites, we ns and surgica the setup, l access team in train surgeo highly-regarded theatre, minima and join a s in the models, animal You will tors, n of course and setdow lab, using simula as an ODP and skills tissue. ing theatre to other cadaveric be open d in an operat worke could have ISSN will1747-728X the role You experience. althoughh , althoug (or ODA) with appropriate and to apply this role on theatre staff ation r inform email For furthe our website or c.uk please visit ces@rcseng.a resour human ce 25/08. g referen equality quotin to our Make your move to 12th May. date: committed New gZealand! Closin yer fully an emplo We are ty policies. k and diversi

Issue No. 225

care

take

Weâ&#x20AC;&#x2122;ll

of you

rs

Practitione

ODPS

guidelines. in close or immigratethe best c Theatres in change works for a year work with Boards for Trust thatCome Schools. We Health ed Nursing a spectacular District agenda for qualiďŹ permanently! beautiful and Foundationand and units with aspiring Medical Park excitement, opportunities surgical its is an National offers career with Zealand. Trust of Plymouthâ&#x20AC;&#x2122;s that the New of great region NHS in accordance Dartmoor city about and the recent number a more historic Trust by Hospitalsthe University between the and of life. â&#x20AC;&#x201C; so you to learn We have join our ODPs. with for created Plymouth Island to today vibrant quality Southwest, of pridefacilities, staff excellent is a and experienced partnershipin the and South Healthcare source nursing deliver North a wonderful is a and superb Situated Plymouth Medacs unit. us to contribute and in the build. high calibre Centre and of our Contact coastline, Based in the City of Sails, Auckland District Health Board is one of the available to helping class reputation new West, surroundings standinga first seeking leading public healthcare providers within New Zealand. South vacancies innovative are destination! Cardiothoracic we team, your international Our of the be committed truly ambitions, international of a must choose your We have over 32 operating theatres (adult and paediatrics) covering growing you: promotionsyou to the people and and friendly and immigration bookings a achieve completion national can offer transplants, vascular, ophthalmology, travelneurosurgery, cardiothoracic, to to internalsuccessful,health of the of a flexible you Medacs Due To be surgical with registration and ofgeneral, moving urology, orthopaedics, ORL (including major head and neck part to helping of team. assistance of accommodationaspects surgery), obstetrics and gynaecology. We are looking for skilled and Hobson, developmentbeing Full practitioners. standards further will enjoy a commitment on many benefits Sr.â&#x20AC;˘Jean enthusiastic Registered Nurses and Anaesthetic Technicians looking to you staff to the qualified contact â&#x20AC;˘ Arrangement and assistance relocate to our beautiful country. newly please In return, environment, of generous for quoting visits 853 working array uk â&#x20AC;˘ Advice or country. us today! Auckland City Hospital is a major teaching hospital, offering a an or for 763 so call and Preceptorship new city and is offer enquiries supportive environment for education and learning. 24 hours on 01752www.jobs.nhs. We Trustâ&#x20AC;&#x2122;s employer 1769 within 2008. the informal at 9 630 Manager, For July Under Senior Clinicians will be in London We reply 27 online diac5a. +64to interview applicants in May 2008. opportunities tel: Theatre apply Contact us nowon your time to speak directly with our Clinicians. an equalenvironment. today to book info@medacs.co.nz applications:is Please is restricted. for Trust working School CV to: the team 216-Mer-2284-Car NHS date parking Medical Contact email your on site or Closing Hospitalsa smoke-free Peninsula Plymouth towards Strategy,with the working Commuter Green in partnership

Theatre

Registered O.D.Ps R/Ns

New Zealand

Salary

Calling all Anaesthetic Technicians & Registered Nurses

Practitioners inc pa need Theatre Scrub youâ&#x20AC;&#x2122;ll - ÂŁ37,558 5 post, specialties. Surgical or ODP, ÂŁ28,149 the band

www.

be discussion, Youâ&#x20AC;&#x2122;ll or Maggie 2129 an informal For 8725 on 020

ODPs & Theatre

GIBRA LTAR

In April

RITY

London - 0845 1305150 Midlands - 08457 23 24 25 NW & Yorks - 0845 1306209

k

rates www.stgeorges.nhs.u Day ÂŁ35/hr

Practitioners

operatingtheatrejobs.com

althoughexperience discussion, and/or informal an 3509. For 8725 on 020

up

W

www.firstpointhealthcare.com

to

Bedford

ies vacanc

are that these currently

March

2008

are under 2006 figures, negotiation. as

2266

2007/08

rces l Resou Surgicacian Techni

Zealand In April New 8312 andNational 2008 date interview 333 Hospital,life in Interviews www.plymouthhospitals.org.uk toto this April up Practitioners cums.com To FaceAuckland and new to the UKDepartment m for Zealand.0870 Face role now work in Newne:of facilities, 244399 are coming Operating www.orion-lo new surgical Call Inspection in terms 01268 n-locums.co live and Prestigious International private a diverse best your Registered to Care

Telepho

Health a goal of theWebsite: largestFax: offers Social Employer Geneva professional with the bestZealandâ&#x20AC;&#x2122;s for and and Nurses you MercyAscot admin@orio Opportunities offers As New opportunity to skilled Recovery MercyAscot email: Commission the an Equaltop jobs in Auckland,team. and Zealand is have offer will byNew Zealandâ&#x20AC;&#x2122;s in New opportunities.based top-rate Theatre Locums you and and hospitals sector a Licensed Orion a supportive,MercyAscot alongside private procedures within and in The working is the state-of-the-art Nurse experience surgeons, with specialities RODP MercyAscot of procedures, facilities,of surgical then current to all variety range or Theatre/Recovery in a apply) step months Zealand, RODP assist staff. of 24 on New and As a conditions every theatre sights (some your move to scrub and a minimum your have package have surgeons will to support and you here relocation are Ideally Suite/OR you. f for e Health an excellent Theatre G Geneva nisation organisation are offering and rcyAscot candidates, MercyAscot ie uccessful successful ervie on way. interview int of the your Johnso Johnson 7591 ok ook book 404 Julia alth.com To b To ac tact 0800 nta nt on contact co hone a at eep juliaj@geneva frre fr freephone onlinealt a juliaj@genevahe ail ma alth.co.nz email em em egister or rregister or www.genevahe ww

Secure

Hospital

forpromotionsinwe are seeking high calibre nursing staff at Band 5 and Band 6 to join Due to internal our team. You Medic staffstandards excellent of surgical health to the people of the South West, and contribute to the further developmen International posts our unit. In return, you will enjoy being part of a flexible and friendly team, a first class working environment, an hoc Healthcare, need is part ad a committment to helping you achieve your ambitions. of Pinnacle urgentlyand of specialistone of the largest We term Band 5 Scrub Practitioners Band 6 Scrub P nurses suppliers long to the NHS and theatre & NW Team Leader Ref: 216-MER-2284-CARDIAC5 and private s2EQUIREDTOPROVIDETHEHIGHESTSTANDARDSOFHOLISTICEVIDENCE staff Surrey Ref: 216-MER-2285 based patient care with the ability to support and supervise the sector. s2EQUIREDTOPROVIDEEXPERIE Manchester learning of others to the theatre team. We urgently London s%XCELLENT0RECEPTORSHIPPACKAGEAVAILABLE require: s%XPERIENCEDANDNEWLYQUALIFIEDCANDIDATESCONSIDERED Essex ODPs & Suffolk Theatre or to arrange a visit please contact Sr Jean Hobson, Theatre Manager on 01752 763 Scrub, n Sussex For informal enquiries s Anaesthetic Nurses; Kent For further particulars and to apply please visit our website: www.plymouthhospitals.nh Closing date: Monday, 7th April 2008 & Recovery Northampto With Interview date: Tuesday, vacancie 22nd April 2008.

Term

te Long

Immedia

+ Excellent ÂŁ24,800 C. London

On-going placements Contracted UK wide supplier Excellent to NHS rates of Scotland pay

Call Allison on 0844 or e-mail 7 36 0280 info@pinnacle-theatres.co for a chat, .uk

Benefits

www.pinnacle-staffing-grou p.co.uk

at the facilities of surgical surgery development minimal access to help of a major skills labs and theatre As part operating op includingg includ the future. College, are opening a mock teams for running suites, we the setup, access and surgical team in train surgeons highly-regarded theatre, minimal and animal join a in the models, You will of courses and setdownlab, using simulators, an ODP and skills tissue. theatre as to ot other cadaveric in an operating be open have worked the role could You will experience. although (or ODA), with appropriate and to apply on this role theatre staff information email For further our website or eng.ac.uk please visit 25/08. humanresources@rcs reference equality quoting May. to our date: 12th fully committed Closing an employer We are policies. k and diversity

www.lawrand.com

New Zealand aland offers an amazing of life!

www.rcseng.ac.u

Registered

www. operatingtheatrejobs.com

or

For online Recruitment advertising

www.otjonline.com

For advertiser rates & information

www.lawrand.com

For reader information, including subscription & downloads

your

theatrea our be Youâ&#x20AC;&#x2122;ll busy recovery recovery. Our paediatric and trauma and or ODP. Stirling theatres, and theatres nurse Cathie adult elective either both between contact undertakerotate practitioners, We please practitioners discussion, scrub/anaesthetic 5, to an informal 0223. our For team care to contact 8725 Band practitioner, please current quality 200-SJAA-183-KR on 020 our Ref: of high above posts, at support the and online A scrub/anaesthetic the provision about apply 2008. 1492. strengthen to Please 3 July discussion8725 contribution posts: on 020 informal advertised 2008. for all the For an Prescott 21 July date received. before w/c are Andrew Closing Recovery date: close will applications pa inc Interview vacancysuitable Inpatient in the Plymouth Hospitals NHS Trust is an aspiring Foundation Trust that works in close partnership with the University this NHS Trust the - ÂŁ30,508 note sufficient to patients in Please date if Situated in the South West, between Dartmoor National Park and a spectacular coastline, Plymouth is a vibrant leadership support is expected 5, ÂŁ23,619 and closing and employer. care, care Band ref: 200-SJJD-185-KR supportto all areas beautiful surroundings and a wonderful quality of life. www.stgeorges.nhs.uk opportunities as clinical qualifications Post provide essential Rotation in Recovery/HDU/ITU staff. as well an equalNHS Trust Cardiothoracic Centre is a source of pride for the Trust and region with its growin Plymouthare Hospitals Paediatric Reid Youâ&#x20AC;&#x2122;ll area, senior experience We Derek have recovery of more facilities, created by the recent completion of a truly innovative new build. be available. desirable. contact absence preferably will highly youâ&#x20AC;&#x2122;ll please full trainingare and

Theatre

For advertiser rates & information

.rcseng.ac.u www.rcs

212808

charity No.

Face To Face Prestigious Interviews Auckland

Secure

H AUTHO

comprises Unit 5, ÂŁ23,619 centre, Surgery Band Day 200-SJLA-184-KR and a pre-assessment Ref: and stand-alone work patients.

-

Theatres

Practitioners & Anaesthetics pa inc youâ&#x20AC;&#x2122;ll Theatre Scrub - ÂŁ30,508 or ODP, a valuable Nurse Surgical ÂŁ23,619 either provide patients.

Neuro

www.otjonline.com

SOLE

provider

to Vanguard Healthcare Mobile Operating Theatres

MercyAscot Nurses

Hospital, With new As a specialist offer role agency our jobs and Geneva understand New and Health knowledgeable and Theatreto skilled your needs. new International Zealand OPERATI consultants and professional life now The The private and Recovery â&#x20AC;˘ Excellent are motivated rates of Nurses Registeredcoming to surgeons, sector forGibraltar pay â&#x20AC;˘ Regular the UK NG in New with a Operating 2008 facilities, procedures work this April goal Candidates Operating Zealand Health DEPARTM â&#x20AC;˘ Flexible to live Department with state-of-the-art range and offers that to interview hours to and work opportunities. of surgical you the suit you Authority and â&#x20AC;˘ Recommendation Practitioners inUrology, Department New provides best As a specialities hospitals Orthopaedics Zealand. must As of the RODP bonus ENT feel best to scrub based New Zealandâ&#x20AC;&#x2122;s and a or Theatre/Recovery is We have in terms Obs a comprehensiv looking supportive, in Auckland, comfortable Practitioner. PRACTITI exclusive The surgeons and assist & largest of contracts and Private and Gynae, top-rate MercyAscot dependable above private facilities, and theatre in a variety with NHS for Nurse Hospitals Trauma Trusts surgical in MercyAscot team.Additionally offers with immediate Ideally an e rangeworking of procedures, Ophthalmic, staff. appointment if For more a employment enthusiastic ONER astarts. Theatre will you Surgery. information on diverse payable working you of in organisationSuite/ORhave a minimum will have contact the Staff Recruitment a experience subsidised. alongside ENT,surgicala busy Theatre will tax-free and have Specialists in fulltheis opportunity and of 24 New MercyAscot for you. be payable Operating Dentals,services your near you: Zealandâ&#x20AC;&#x2122;s highly Further rangeson and sights months gratuity successful are contract on New current top offering Nursing transportation on Maxillo-Facia such Department of the candidates, an details satisfactory Zealand, RODP of from excellent experience way. terms as Services then 25% ÂŁ15,964 and Geneva relocation For on General, MercyAscot To book the within Healthan of for l, Plastic, of completion Health package personal Application on above contact your one-year basic to are here ext (some Tel: is the ÂŁ20,202 2081)Authority, Julia interview freephone conditions post to support 00-350-72266 effects of salary Johnson and (Fax: email are contract. apply) your St Pack per 0800 salary moveBernardâ&#x20AC;&#x2122;s on juliaj@genevahealth earned annum*. obtainable to all and 00-350-200-4 404 or register every contact 7591 accommodati ext Passages step www.genevahealth. during online 2313. from the Hospital, .com at 3864) GHAâ&#x20AC;&#x2122;s the on are Deputy or (e.mail: co.nz are GibraltarRecruitment Director Closing on kaiane.aldorin (Tel: Section, *Please of Date: 00-350-200-7 Pay scalesnote 31 st o@gha.gi) Gibraltar

HEALT

â&#x20AC;&#x201C;

Surgery

Practitioners Anaesthetics Theatre Scrub, pa inc Surgical operating - ÂŁ30,508 five serves & Recovery which

Day

either scrub In addition in include contact will advanced communication please experience be an duties posts, Youâ&#x20AC;&#x2122;ll as excellent Your the above as well of a team. competent. about 1492. as part rota once discussion8725 on-call 020 informal on For an Prescott Andrew

For more information, please contact Michelle on mluoni@adhb.govt.nz or call + 64 9 638 0364.

Registered

hs.uk

6, Alberto1958. practitioner, Band contact 8725 scrub 200-SJJE-182-KR please on 020 Ref: an advanced Savage

6, for nurse work or cardiothoracic Band either ability to in an 200-SJKD-180-KR requirement the and Ref: to the neurosurgical practitioner, skills participation

Relocation assistance will be offered to all successful applicants (conditions apply).

www.medacs.co.n

Working

thhospitals.n â&#x20AC;&#x201C; â&#x20AC;&#x201C; Practitioners & Anaesthetics pa inc www.plymou Practitioners inc Theatre Scrub pa - ÂŁ30,508 Theatre Scrub Surgical neurosurgical - ÂŁ30,508 5, ÂŁ23,619 clinical Practitioners 4,000 Surgical Band excellentof major 200-SJJE-181-KR 5, ÂŁ23,619 with we undertake Theatre year Ref: Band but rotation each the challenge 200-SJKD-179-KR art building, pa inc enjoy of theatres Ref: of the proceduresand set Advanced Scrub or ODP. state in one - ÂŁ37,558 In our nurse be enthusiastic cardiothoracic be based either - Surgical Castrillon and Youâ&#x20AC;&#x2122;ll â&#x20AC;&#x201C; ÂŁ28,149

Cardiac

initially results. Youâ&#x20AC;&#x2122;ll surgery. is encouraged.

http://www.adhb.govt.nz/careers/

Letâ&#x20AC;&#x2122;s get z you

working!

26 are There quality Group. team, Care the highest our Theatresprovide expanding our staff is to up the further we are to develop and make Our aim seeks that workload, suites theatres). actively development surgery our increasing team six theatre to day the dedicated Due for professional five Our from we and care. Trust areas neuro. where and the surgical and of opportunities ENT across recovery cardiac range specialties in: excellent five surgery of Kingston. including a wide following Plastic to provide Theatres the of experience we offer the University for Obstetrics, inpatient surgeonsof experience, deliver work and variety (21 We Inpatient vacancieswide centre, to enable varietyyour hard theatres Gynaecology, have you a a wide for We post-grad you Urology, offer environment In returnvia our offers can skills. which or ODP. Maxillo-facial, their in-house, and Orthopaedics. both a nurse and training be either Youâ&#x20AC;&#x2122;ll Theatres

services Theatres theatres, theatre

For online Recruitment advertising

200 ntly are unde 2006 8 r nego figur tiatio es, as n. 2007 /08

info@pi 0280 for nnacle-t a chat, heatres. Benefits co.uk + Excellent www.pin nacle-sta ÂŁ24,800 on ffing-gro up.co.uk C. Lond

Cardiothoraci

For advertiser rates & information or

supplie

& Recov

ery On-goin g placeme Contrac nts ted supplier UK wide Excellen to NHS t rates Scotland of pay

l yer ure Geneva Health sionals with a goal best of theWeb larges Fax offers in@ Socia Emplo dâ&#x20AC;&#x2122;s profes Ascot adm the for rtunities and and Zealan Mercy Nurse you on unity Ascot ery New ail: nd, Oppo missi top opport d offers . As Mercy jobs to skilled Recov em the an Equal dâ&#x20AC;&#x2122;s in Aucklate team. Zealan unities re and have Com offer s is will byNew Zealan in New opport als based top-ra Theat you sed rtive, and ide Locum hospit sector ures and a Orion AscotLicen private proced of-the-art and a suppo in Mercy g alongs within The ns, workin ience is the lities stateexper Ascot y Nurse ures, surgeo es, with al specia cover of proced t RODP Mercy faciliti of surgic re/Re then to all variety s curren d, range or Theat in a Zealan apply) step month RODP assist e staff. ions of 24 on New and As a condit move every um theatr sights to scrubns and a minim your ge (some rt your have packa to suppo have surgeo will tion and you here OR nt reloca are Ideally re Suite/ you. ffor eexcelle a Health Theat isationn g an G nisatio offerin and Genev organ ot are ates, Ascot rcyAsc candid Mercy sful ssful ie ucces way. view succe on intervie inter son of the your Johnso 7591 ok ook book 404 ealth.com Julia To b To ac act 0800 evah ntta eva ont con cont phone @gen e a at ree fre fr freep o.nz a aill juliaj er onlin alth.c ma alt ter emai em em egist vahe or rregis or .gene ww www

Sec

www.lawrand.com

list nurses

to the NHS and theatr rs & NW Team Leader Ref: 216-MER-2284-CARDIAC5 ey e staff and private Surr chester s2EQUIREDTOPROVIDETHEHIGHESTSTANDARDSOFHOLISTICEVIDENCE Ref: 216-MER-2285 based patient care with the ability to support and supervise the sector. s2EQUIREDTOPROVIDEEXPERIE Man don learning of others to the theatre team. We urgently Lon x s%XCELLENT0RECEPTORSHIPPACKAGEAVAILABLE require: Esse olk s%XPERIENCEDANDNEWLYQUALIFIEDCANDIDATESCONSIDERED ODPs & Suff ex Theatre or to arrange a visit please contact Sr Jean Hobson, Theatre Manager on 01752 763 Scrub n Suss t For informal enquiries Nurses; , Anaes pto iesvisit our website: www.plymouthhospitals.nh Ken For further particulars and to apply please thetic

long

ces l Resour Surgica ian Technic

tham h Closing date: Monday, 7th April anc 2008 Nor Interview date: Tuesday, vac il Wit Zealand al 22nd April 2008. In Apr tion ws pital, New2008 8312 andNa rvie ewte in s da 333 m www.plymouthhospitals.org.uk to intervi life tioner e Inte d Hos April to 70 cums.co Practi Fac new klan UK this up m for tment Zealan:d.08es,n-lo 399 Auc and e To g to the Depar s.co .orio al244 Fac role ting in Newne of faciliti ious are comin ll now ction work ho : www cum stig 68 e surgic and CaOpera r new International tered Inspe in terms 012 Pre to live lep : a diversorion-lo Care best sitet private you Regis

For online Recruitment advertising

For reader information, including subscription & downloads

AU

736 02 ail info@ 80 for a pinnacle efits chat, -theatre s.co.uk ent Ben + Excell 0 0 ww w.pin ,8 4 2 na ÂŁ cle-st aff ing -gr ou n o d p.c o.u k C. Lon

New Zea

Many nd v dua s may w sh o ocus he r c n ca sk s n he hosp a sa es env ronmen Opera ng Thea re Jobs com o ers an oppor un y o exp ore curren med ca represen a ve vacanc es

TH

Comb na on adver semen s n bo h he popu ar pages o The Opera ng Thea re Journa and on Opera ng Thea re Jobs com

W

s cie

v rm g Te

Imm

you d pre er o work or a med ca recru men agency he r recen career oppor un es are a so us ra ed

Reaches he s a you need Na ona y and n erna ona y

SOLE

provider

to Vanguard Healthcare Mobile Ope rating Theatres

s.uk

h als.n spit

charity No.

212808

Anaesthetic

Technicians/ODPâ&#x20AC;&#x2122;s

We are looking for are a Kiwi returning Anaesthetic Techâ&#x20AC;&#x2122;s to join our theatre teams positions within home or a Brit looking for based a change in climate, at North Shore and Waitakere our Anaesthetics services and Hospitals in If this sounds are offering short then we want to hear from like you. We currently Auckland. If you or long-term Angela Shaw something youâ&#x20AC;&#x2122;d be interested contracts to experienced have four vacant on +64 9 487 in knowing more 1551 or email AT/ODPâ&#x20AC;&#x2122;s. about, please angela.shaw@healthalliance.c contact o.nz.

www.auckland

or

www.otjonline.com

healthcareers.

co.nz/wdhb

For reader information, including subscription & downloads The OTJ is a Lawrand Ltd, Publication. blica ation.

The OTJ is a Lawrand Ltd, Publication. blica ation.

Using the Power of: Available in Print Locally and Worldwide via the Internet

For ur her n orma on regard ng recru men adver s ng w h n Opera ng Thea re Jobs com and he The Opera ng Thea re Journa OTJ p ease con ac Ema adm n@ awrand com Te ephone +44 0 20 7100 2867


Prestigious surgical award winners announced

endless opportunities with BMI Healthcare

There are

From family businesses to global leaders - the Association for Perioperative Practice (AfPP) has presented a range of pioneering medical device manufacturers and service providers with prestigious Innovation Awards at this year’s premier perioperative congress and exhibition, AfPP2010 (14-16 October at Harrogate International Centre). The winners are:

Competitive salary & benefits BMI Shirley Oaks Hospital • Croydon

• Ambu, international developer of diagnostic and life-supporting equipment; its aScope videoscope has won Best Innovation in Anaesthetics

SENIOR/THEATRE PRACTITIONERS – ANAESTHETICS (Full or part-time) Qualified as a Registered General Nurse (with an ENB Certificate) or Theatre Practitioner, you will have relevant experience within a similar role. You will have substantial experience in anaesthetics and have undertaken ILS or ALS although training will be given if required. As part of this role you will be expected to participate in on-call duties. You will work well as part of a diverse team and your skills will include being responsible, reliable, flexible and motivated.

• Surgical Holdings, family business supplying theatrequality surgical instruments to the NHS; the Whitlow Retractor took the award for Best Innovation in General Surgery

SENIOR/THEATRE PRACTITIONER – SCRUB/RECOVERY (Full-time) Acting as a crucial member of our Theatre team, you will help to provide an efficient and effective service for our patients and will be responsible for the provision of the high standards of care that we pride ourselves on. With great communication skills you will provide our patients with the level of care and attention that is required. As a qualified Registered General Nurse or Theatre Practitioner, you will have experience of working in theatres together with NMC/HPC registration. Your skills will include being responsible, reliable, flexible and motivated and you will be able to work well as part of a team. There will also be a requirement to participate in an on-call rota.

• Vernacare, global leader in safer, greener human waste management in healthcare, whose Vernatray took the award for Best Innovation in Patient Safety

For further information about these posts, please call Leilani Willemse, Theatre Manager on 0208 655 5500 (ext 336) or Karen Smith, Director of Nursing on 0208 655 5500 (ext 327). To apply please visit the careers section of our website www.bmihealthcare.co.uk/careers or email your CV and a covering letter to careers5@bmihealthcare.co.uk

• Ethicon, worldwide leader in surgical solutions for wound healing; its Halo Effect solution won Best Innovation in Infection Prevention

Closing date for both posts: 6th December 2010. Successful candidates will require an enhanced CRB Disclosure. We are an equal opportunities employer.

www.bmihealthcare.co.uk

• Molnlycke, global provider of wound healing products, whose Partnership Programme has won Best Overall Innovation The inaugural AfPP2010 Innovation Awards were designed to recognise and celebrate innovations and developments that genuinely contribute to a safer, more productive perioperative environment. An adjudication panel of independent industry leaders judged the entries and plaques were presented during a dedicated awards ceremony at the congress delegates welcome evening.

Your ideal base for that self-planned holiday

AfPP Head of Events, Joanna Ripley, explained: The Innovation Awards are just one of the many new initiatives we have introduced to add value to our annual congress and exhibition the leading medical device event in the UK. Congratulations are due to all the winners for their dedication to creating innovative products and services that put quality, efÀciency and patient safety at the heart of their development.

Sun, Beaches, Golf, Hiking, Countless Water Sports

Fuerteventura Apartments www.fuerteventura-apartments.net

The cream of the UKs medical device industry were exhibiting over 125 companies in total, a number of which also hosted free workshops. For more information visit www.afpp.org.uk

Something for Everyone Winter or Summer.

When responding please quote ‘OTJ’

Ànd out more 020 7100 2867 • e-mail admin@lawrand.com

Issue 242

NOVEMBER 2010

17


Theatre staff needed urgently throughout the country Due to our continued growth and increased demand, we need more staff

now!

Our rates of pay are excellent and we have Clients nationwide. We offer free training and CRB’s.

Call to register today and work tomorrow! tel:

0870 833 9777

email: theatres@genepoolmedical.com



sponsored charity event raises £26,000 for HAI research

More funding is required to effectively Àght the war against healthcare associated infections (HAIs). And support is needed by the Centre for Healthcare Associated Infections* (CHAI) whose groundbreaking research is taking that Àght to the genetic level. This has been acknowledged by infection control specialists Tristel plc. Tristel, with their high-level disinfection products, currently help hospitals worldwide to Àght HAIs on the front line. On Thursday 30th September 2010, Tristel sponsored a fundraising gala dinner and charity auction for CHAI. Tristel made a considerable donation towards the total funds raised of £26,500, helping to make the evening a great success. The event was organised by CHAI supporter Graziella Kontkowski, whose grandmother contracted C.diff and died after initially having been admitted to hospital for a urinary tract infection. Further donations can be made to CHAI at www.hcai.nottingham.ac.uk Professor Richard James, Director of CHAI, said: “The support of fundraising events such as this is vital in providing us with a cash lifeline to underpin research, at a time when the future of funding from central government is uncertain, ahead of the awaited Comprehensive Spending Review. “Unlike other medical causes such as cancer, there is currently no national charity dedicated to raising money to fund research into these deadly bacteria.” The talented charity auctioneer for the night was ITN’s Alastair Stewart OBE who skilfully sold many of the exclusive lots to the Tristel team. These included a tour of the BBC and the chance to see the national TV news air live. In his speech, Alastair Stewart said: “This is an enemy that does not stand still and does not rest on its laurels, with a death toll of 37,000 in the last 10 years.” CHAI is aiming to raise £1.4 million to fund research into the clinical strains that cause serious infections such as Methicillin-resistant Staphylococcus aureus (MRSA), Clostridium difÀcile and Pseudomonas aeruginosa, a gram-negative bacterium which is particularly dangerous to those with weak immune systems, such as babies and young children.

18

Professor Richard James, Director of CHAI, said: “This important research will examine the genetic differences between different strains of superbug, which will give us a greater insight into the mechanisms they use to multiply and attack the human body. It will be instrumental in helping us to develop rapid diagnostic tests for the detection of these evolving pathogens.” CHAI also recognises that public awareness of HAIs is of paramount importance in turning the tide against HAIs, a view they share with Tristel.

Richard James, Director of CHAI with Actress, Leslie Ash

Education and global understanding is needed regarding the overuse of antibiotics, and the practical methods to clean and disinfect the routes of transmission of HAIs. This education is needed for healthcare professionals as well as the general public. Tristel hope that they will be able to join forces with CHAI in the future to do this. Further information from Tristel Solutions Limited: Polly Oates, Director Tristel Solutions Limited Lynx Business Park, Fordham Road, Snailwell Cambridgeshire, UK CB8 7NY Tel: +44 (0) 1638 721500 Fax: +44 (0) 1638 721911 mail@tristel.com www.tristel.com When responding to articles please quote ‘OTJ’

THE OPERATING THEATRE JOURNAL

www.otjonline.com


INTRODUCING THE ALLEN® BOW FRAME™

More Versatile Than the Wilson™ Frame, With An INCREASED Patient Weight Capacity! • Radiolucent • Lightweight for easy set-up

• Patient weight capacity: 227 kg (500 lbs.) • Compact for easy storage

Single device fits multiple tables!

Bow Frame on Operating Theatre Table

Bow Frame on Jackson™ Table

NEW! from Melyd Medical For further information:

01244 660 954 www.melydmedical.com © 2010 Allen Medical Systems, Inc. All Rights Reserved D-770584-A1

Bow Frame on Allen Flex Frame™


Simple + secure + safe = Sentri The Intersurgical Sentri ETCO2 mask has been designed specifically for End Tidal Capnography for the sedated patient requiring oxygen. The integral port makes it simple and safe to use.

www.intersurgical.co.uk/info/sentri

Quality, innovation and choice

The Operating Theatre Journal  

November 2010 Edition 242

Read more
Read more
Similar to
Popular now
Just for you