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Theatre scrub

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A Christian midwife who claimed she was banned from wearing scrub dresses in theatre has lost her claim for £7,000 compensation.
August 10, 2011: Nursing Standard
Michelle Gracia
No abstract text is available yet for this article.
June 9, 2016: British Journal of Nursing: BJN
Jeff Bezemer, Terhi Korkiakangas, Sharon-Marie Weldon, Gunther Kress, Roger Kneebone
AIM: To explore the unsettling effects of increased mobility of nurses, surgeons and other healthcare professionals on communication and learning in the operating theatre. BACKGROUND: Increasingly, healthcare professionals step in and out of newly formed transient teams and work with colleagues they have not met before, unsettling previously relatively stable team work based on shared, local knowledge accumulated over significant periods of close collaboration. DESIGN: An ethnographic case study was conducted of the operating theatre department of a major teaching hospital in London...
February 2016: Journal of Advanced Nursing
Georgina J Williams, Marios Nicolaou, Thanos Athanasiou, David Coleman
INTRODUCTION: Suture needle handling methods vary extensively between units. Securing the needle tip by locking it against the shaft of the needle holder prior to transfer (protected method) has been suggested to improve safety, although this is not evidence based. Some teams prefer to transfer the needle mounted perpendicularly to the needle holders with the tip exposed (unprotected method). We investigated scrub nurses' preferred method of needle transfer, and noted the safety of each by investigating their experience of needlestick injuries (NSIs)...
April 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
Martine Siflova, Edward M Kiely, Lewis Spitz
The theatre staff would have been made aware of the special requirements for the operation at the planning meetings. Two sets of scrubs nurses will be required but only one set will be needed for the actual separation. The second set of scrub nurses will be needed only when both twins have survived the separation and the second twin is moved to another operating room for closure of the wound.
October 2015: Seminars in Pediatric Surgery
Hubert Murray
This article discusses the concept of conscientious objection in relation to surgical terminations of pregnancy. It explores a scrub nurse's duty of care not only to the patient but to themselves. It highlights the importance of being self-aware of one's moral and emotional attitude towards abortions in theatre. Doing so enables the nurse/ODP to practice professionally and autonomously, and to deliver the highest level of perioperative care whilst respecting their personal rights.
March 2015: ORNAC Journal
Karen Turton
A current review of the last thirty years is indicative of improvement in outcome across surgical specialities with the implementation of safer working practices and initiatives in enhanced recovery, preparing patients to be 'fit' for surgery. The focus of training for nurses and operating department practitioners lies with assuring technical competence and the drive is to establish best practice based on evidence. Once qualified, training for professionals within the perioperative environment is developed to enable participation in areas of anaesthesia, surgery and recovery roles...
October 2014: Journal of Perioperative Practice
Jonathan Wright, Steven Kahane, Abdul Moeed, Andrew MacDowell
Tip-apex distance is a well described method for assessment of screw placement in dynamic hip screw fixation of proximal femoral fracture. A distance of <25mm is associated with a significantly lower rate of cut out of the fixation device. Measurement is frequently performed retrospectively, although there has been no demonstration as to what accuracy the surgeon has of estimating tip-apex distance from image intensifier images, whilst scrubbed in theatre. Thirty-one clinicians working within orthopaedic departments were tested in their ability to identify adequacy of tip-apex distance on a series of image intensifier images...
July 2015: Injury
Minija Joseph, Rodolfo Relano
The operating theatre department is a high risk area and the expectations from the surgical teams are very high in terms of delivering safe and good quality patient care. As healthcare practitioners working in this complex environment we are the guardians of our patients and are their eyes and ears. Scrub practitioners need to be focused, alert and vigilant during all surgical procedures and avoid complacency. As this incident account shows, never take anything for granted.
September 2014: Journal of Perioperative Practice
Ahmed Ezzat, Muhammad Muneeb Safdar, Irfan Ahmed
BACKGROUND: Surgical site infections have an incidence as high as 10%. To reduce this, the World Health Organisation (WHO) recommends guidelines for surgical scrubbing. AIMS: We assessed adherence of surgical staff scrub practice before gowning to current WHO recommendations. METHODS: A prospective study conducted in operation theatres in a university hospital. Participants comprised of consultant surgeons, trainees and scrub nurses. Variables included staff grade, scrub order, length of scrub time and appropriate dress code...
November 2014: Scottish Medical Journal
J D Howard, C Jowett, J Faoagali, B McKenzie
BACKGROUND: Several studies have shown that rubbing hands with an alcohol/chlorhexidine solution provides equivalent microbial decontamination to a conventional surgical scrub using aqueous chlorhexidine. However, the authors believe that these studies have methodological flaws that limit their applicability to the operating theatre environment. As such, a method was developed to compare products in an everyday operating theatre environment using working operating theatre personnel. AIM: To determine whether or not an alcohol/chlorhexidine rub is as efficacious as a traditional surgical scrub using a novel method...
October 2014: Journal of Hospital Infection
H Murray
This article discusses the concept of conscientious objection in relation to surgical terminations of pregnancy. It explores a scrub nurse's duty of care not only to the patient but to themselves. It highlights the importance of being self-aware of one's moral and emotional attitude towards abortions in theatre. Doing so enables the nurse/ODP to practice professionally and autonomously, and to deliver the highest level of perioperative care whilst respecting their personal rights.
June 2014: Journal of Perioperative Practice
Yvonne Smith, Linda Burke
This article presents the results of an audit of swab and instrument count practices in the operating department of a large hospital NHS Trust in South East England. A literature review of the subject is presented followed by the methodology used including questionnaires and observation of practice. Findings are discussed in terms of compliance with the department's swab and instrument count policy and observed practice mapped against the recommendations for best practice in the literature. The findings show that audit of practice is still treated with suspicion by many and that a number of practices of scrub and circulating personnel in operating theatres need to be improved...
June 12, 2014: British Journal of Nursing: BJN
H I Hee, S Lee, S N Chia, Q S Lu, A P Q Liew, A Ng
In this study, we aimed to evaluate the bacterial contamination of surgical scrub suits worn outside the operating theatre. We randomised 16 anaesthetists on separate occasions into one of 3 groups: restricted to the operating theatre only; theatre and surgical wards; and theatre and departmental office. For each group, sample fabric pieces attached to the chest, waist and hip areas of each suit were removed at 150 min intervals between 08:30 and 16:00 on the day of study, and sent for microbiological assessment...
August 2014: Anaesthesia
James Nutt, Roshana Mehdian, Catherine Kellett
BACKGROUND: Prior to 2008 medical students at the University of Dundee had no formal teaching in scrubbing, gloving and gowning for theatre. The students had reported high levels of stress, and a lack of knowledge and confidence, when asked to scrub, glove and gown for theatre. We present a cohort study of the effect on students' experiences in theatre following the implementation of a new theatre etiquette course to the undergraduate curriculum. DESIGN: We implemented a new theatre etiquette course for medical students, in which they learned scrubbing, gowning and gloving for theatre...
April 2014: Clinical Teacher
Ranieri Y I Koh, Taezoon Park, Christopher D Wickens
BACKGROUND: Literature has identified failures in task management as direct determinants leading to accidents in the operating theatre. However, very few studies have investigated the factors underlying task management that directly influence the performance of the scrub nurses. The traditional belief that expertise is a general indicator of performance has been empirically investigated with varying results, but none has attempted to identify the task management determinants affecting performance, as influenced by the level of expertise...
September 2014: International Journal of Nursing Studies
Terhi Korkiakangas, Sharon-Marie Weldon, Jeff Bezemer, Roger Kneebone
BACKGROUND: One of the most central collaborative tasks during surgical operations is the passing of objects, including instruments. Little is known about how nurses and surgeons achieve this. The aim of the present study was to explore what factors affect this routine-like task, resulting in fast or slow transfer of objects. METHODS: A qualitative video study, informed by an observational ethnographic approach, was conducted in a major teaching hospital in the UK...
September 2014: International Journal of Nursing Studies
Jenny Cuttell
The aim of this study was to improve the knowledge and understanding of the evidence which encompasses extended roles and advanced practice for theatre scrub practitioners. The intention was also to develop a local policy and training strategy for advanced roles, benchmarked against professional standards (PCC 2007) and clinical practice audit.
November 2013: Journal of Perioperative Practice
S M McHugh, M A Corrigan, A D K Hill, H Humphreys
INTRODUCTION: Clean surgical scrubs, surgical gowns and headgear are worn by operative teams to decrease bacterial contamination and lower surgical site infection (SSI) rates. METHODS: A detailed review was undertaken of peer-reviewed publications and other sources of material in the English language over the last 50 years included. RESULTS: Surgical scrubs should be clean and made of tightly woven material. Studies investigating single-use gowns and drapes versus reusable gowns report conflicting evidence...
February 2014: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Yasmeen Khan, Szymon Tokarczyk, Imran Khan, Kyriacos Eleftheriou, Christopher Pearce
OBJECTIVE: There have been concerns about the potential increases in operating time associated with the use of individually wrapped presterilized small orthopaedic implants compared with our traditional method of screw banks. We set out to quantify this theory. DESIGN: Prospective experimental study. SETTING: Theatre. PARTICIPANTS: Orthopaedic Surgical Trainees and Theatre Scrub team. MAIN OUTCOME MEASURE: The time taken to complete the operation...
June 2013: JRSM Short Reports
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