Contents
THE CLINICAL SERVICES JOURNAL
OPERATING THEATRES
Inside this issue
5 Editor’s Comment Sustainable operating theatres: big impact from small changes
6 Cover Story - Versatile and reliable range of operating tables
A range of tables, available from Brandon Medical, is ensuring high levels of reliability, with “fail-safe” backup systems.
9 News 13 Moving perioperative care towards a greener future
As operating theatres are responsible for three to six times more emissions than the rest of the hospital, tackling the issue must be made a top priority. Kate Woodhead RGN DMS looks at how perioperative teams can help to reduce their carbon footprint and contribute towards a greener future.
17 Getting elective surgery back on track
The National Performance Advisory Group (NPAG) recently hosted the Theatres and Decontamination Conference at the Coventry Building Society Arena, tackling key issues and challenges within the acute sector – from elective recovery and safe surgery to efficient theatre flow. Louise Frampton reports.
22 AfPP moving and handling survey report
Lindsay Keeley provides an insight into the findings of a survey by the Association for Perioperative Practice (AfPP) aimed at understanding the levels of moving and handling training provided. It is important that safe and appropriate patient positioning provides optimum exposure for operative procedures while safeguarding both patients and staff. But are we doing enough to ensure staff and patient safety?
60 Delivering a shift to sustainable healthcare
As the NHS embarks on its journey to become the first health system in the world to reach Net Zero, ABHI’s sustainability executive, Addie MacGregor, shares her thoughts on why it will take more than recycling tools to shift to sustainable healthcare – and the critical role that health technology can play on the sustainability front.
www.clinicalservicesjournal.com l July 2023 THE CLINICAL SERVICES JOURNAL
OPERATING THEATRES
28 Reducing mortality in emergency laparotomy
Jose Lourtie, head of research for the Royal College of Anaesthetists, explains how the National Emergency Laparotomy Audit is helping hospitals to reduce deaths and deliver better patient outcomes.
Getting elective surgery back on track AfPP report: moving and handling survey
Moving perioperative care towards a greener future
32 Could pre-operative body washing help prevent SSIs? Dr. Kayleigh Cox-Nowak examines the evidence for pre-operative decontamination to reduce micro-organisms as potential pathogens on the skin and mucous membranes.
37 A human factors approach in surgery Dr. Richard Sherry, a resident clinical psychologist for the Confederation
of British Surgeons (CBS), discusses the human factors and psychological insights that could lead to an important revolution in better understanding the human dimension and its critical role within the demands of surgery.
43 Developing a live fire exercise for theatres
Kris Birney, a registered ODP, discusses the planning and development of a multi-agency live fire exercise within the operating theatre suite at a large acute NHS hospital as part of its obligatory assurance processes.
49 Giving ‘push’ gowns the shove
Under the PPE Transition strategy, the provision of items sourced by the Government during the COVID-19 pandemic – including disposable surgical ‘push’ gowns – will continue to be free of charge until 31 March 2024 or until stocks are depleted. This is simply too late, says Roberta Charlett.
55 Digital operating theatres: ethical considerations
Richard McAuley explains the implications of digital technology in operating theatres – from stringent data privacy regulations, challenges around obtaining informed consent, to clinical training.
July 2023
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