The nature of perioperative practice
Perioperative practice is to be said the nursing activities done in the operation theatre or in the perioperative environment. Perioperative nursing is in growing status as a profession and it is improving in regarding standards and applicants. The nurse practitioners in a teaching method are the want of current situation at every aspect. It is because the lack of understanding about the nurse practitioners may lead to a negative outcome of the healthcare professional. The perioperative practitioners are obligated to respect the dignity and worth of individual patients.
The innovative framework in regard to perioperative nursing profession provides the opportunity to the health and social care which is related with the theatre practitioners. The perioperative practitioners generally wish to extend their professional role through achieving skills and experience. It should be stated that the reflecting of any critical incident in most of the cases helps to recognize the knowledge & experience and also motivations which guide the practitioners during the incident. It provides the personal and professional development through connecting similar incidents. With the help of this method the perioperative nursing practice and knowledge gaps can be exposed.
Nursing around the world needs to feel the confident and the essential and significant contribution to the provision of safe, quality patient care. It is known that the nursing workforce is the largest group within the health care system. The theoretical and practical knowledge not only guide the theatre practitioners, but also the beliefs, values and personal thinking help them to emerging advance scope of practice.
Though perioperative practice is manipulated by a number of factors, but it is also needed to state that the total outcome of these challenges is in favor of mankind. Therefore, in every practice the reflection provides a professional development of knowledge and skills. “The process of reflecting on practice to develop and maintain a professional portfolio is a time consuming but rewarding process.”(Hilliard, 2006 & Leinonen, et. al., 1996).
However, Nurses have the potential to continue integrated interventions from the perspective of health care setting. The needs of the patients vary with the change of health care setting and the function of theatre practitioners as well. So, theatre practitioners need to clarify their roles and functions in relation to both the setting where they work and the patients to whom they deal with. The healthcare professionals need to demonstrate the effectiveness of what they are used to do and how they do to maintain the quality of patient care.
Traditionally, the surgeons are assisted primarily by the nurses. It is known that the scrub nurses do their daily job mostly with the surgeon in the sterile field. They provide the surgeon the required equipment with their skilled assistance. Consequently, the nurses become responsible for handling and selecting over the appropriate instrument, swabs and supplies which are required in the operation theatre at the time of surgical procedure. They scrubbed their hands and arms with special disinfecting soap and wear surgical gowns, shoe covers, gloves or so many other things. By doing this the safety surgical experience by the patient is ensured. In addition, the nurses help and assist the surgical team in creating and maintaining a safe surgical environment.
The nurses are the link between the sterile team and the rest of the environment and are liable for the nursing activities outside the sterile field. After the operating theatre the nurse becomes responsible about the safety and monitoring the patient until he or she recovers.
Now whatever they do, the factor is that what are the legal issues and accountability on what the theatre nurse do in theatre. Are they covered by the trust to do that?
Another type of nurse in operating theatre is nurse anaesthetist (Roemer, 1991). They are advanced registered nurses trained specially both in the art and science of anaesthesia. They provide a lot of activities such as administering anaesthesia and related care to the patients, monitoring every significant function of the patient’s body, regulating the anaesthesia as necessary. They also analysis how and when the patient is responding, then they make swift decision in appropriate manner. According to Joyce (18 May 2008), “[t]he nurse anaesthetists play their role by:-
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