t
AfPP RESIDENTIAL CONFERENCE 2019
ether onto the patient’s mask, with his hand on the patient’s temple to check the pulse and temperature. Surgeons did not wear masks or gloves, and there were few gowns or drapes available. They would, however, wear an apron.”
The other re-enactments were of a cholecystectomy from 1984, and a laparoscopic cholecystectomy from 2014. The present day demonstration featured screens, monitors, and high tech equipment, but was notably more cramped. “The environment was more relaxed than the previous scenarios, with a radio playing, someone’s phone ringing, and surgeons chatting about sport, said Harriet” “The event prompted a number of discussions, particularly how power and hierarchy have changed in theatres, enabling people to speak up. However, some visitors were less shocked about the 19th century procedures, and more concerned about the ‘relaxed’ environment of the modern theatres. “The scenarios highlighted how communication, consent and respect have improved. There is now a better understanding of who is who in a theatre. Ultimately, the feedback from audiences was that they were less concerned about technology and more about improved patient safety.”
Breakout sessions
A number of breakout talks provided visitors with a broad range of topics. Allan Marriott,
surgical care practitioner at Northumbria Healthcare NHS Foundation Trust, hosted a session outlining the importance and benefits of a single practitioner performing hip joint aspirations. Allan has worked in the NHS for more than 30 years – 28 of those in an operating theatre. He highlighted the benefit of the practitioner to the department and patients, and the importance of joint aspiration for the diagnosis of joint infection. Oliver Tierney, clinical lead for education & development, Walton Centre NHS Foundation Trust, looked at the human factors of dual role and the Walton Surgical Assistant (WSA) project. Oliver started working in the NHS in 1999 and he qualified as an operating department practitioner in 2008. He described how the WSA project was created to develop an understanding of the human factors surrounding dual role in the operating theatre, and what the affect the project had on theatre culture, leadership and staff development. Dr Steve Ray, senior lecturer, acute and emergency care, Oxford Brookes University, explored the development of the use of stem cell generated secretions as an alternative to whole cell transplantation. Dr Ray has extensive experience in the development of cell free therapy and maintains active research programmes on the biochemistry of learning and memory, and neural plasticity. He explored the development of cell free, stem cell generated, injectables, which offer
a safer form of stem cell treatment with fewer regulatory hurdles. They achieve this by exploiting the clinical benefits of stem cell paracrine stimulated tissue repair and maintenance. He focused on the characterisation of stem cell secretomes, routes of administration, safety and efficacy. He also examined the potential impact of stem cell therapies and their use in theatres, the impact of regenerative medicine, and the potential role of ODPs. Maxine Page, theatre matron, Princess Alexandra Hospital in Harlow, explored the concept of competence in relation to professional registrable requirements, their assessment, mitigation of risk and improved patient safety. Maxine has more than 27 years of perioperative experience. For the past 10 years she has been the matron for theatres, PACU, pre-assessment and the day surgery at Princess Alexandria. She described the importance of developing an awareness of competency frameworks and the assessment of competence, as well as providing practical guidance on how competencies can minimise the risk to patient safety.
Linda Hindle is the lead AHP and public health engagement lead for the emergency services. She is responsible for championing and supporting the contribution of the 14 Allied Health Professions, fire, ambulance and police services, to improve the public’s health across England. She also supports the national health and wellbeing programmes
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