This article is based on the Daisy Ayris lecture given at the 2003 Congress by Sheila Allen, former Association of Perioperative Registered Nurses president. In it she explores the history and definition of mentoring. Mentors may be persons of rank, achievement and prestige, or they may be a knowledgeable colleague or teacher. They serve as a catalyst to transform as they instruct, counsel, guide and facilitate the development of others.
This is a tale of when radio-opaque strips in surgical swabs aren't always radio-opaque. Sue Lamont has a 30-year background as a theatre nurse and a theatre manager. Her current role is clinical procurement and risk management coordinator for Surgical Services at the University Hospitals of Leicester NHS Trust. A recent experience illustrated her job's many challenges.
Perioperative hypothermia can be followed by severe complications. The greatest proportion of temperature decrease is attributed to heat redistribution, which mainly occurs during the first hour of anaesthesia and is difficult to treat intraoperatively. Prewarming, based on active warming techniques, has been proposed. Even a short period of prewarming may significantly increase peripheral tissue temperature, minimise normal core-to-peripheral temperature gradient, and keep core temperature within normal limits.
Theatre practitioners have been involved in patient safety for years. Each time you check a patient into the department you are using a risk management tool: the check-list. Each time you check the position of a patient on the operating table, check their consent form, ensure the sterile field is maintained and that the instrument count is correct, you are intrinsically involved in patient safety.
Our fifteen bed, five day recovery unit accepts adult and paediatric patients and serves seven theatres dedicated to eye and ENT surgery. The aim of this article is to provide an insight into the practicalities involved in introducing a preoperative visiting programme and associated leaflet. These initiatives aim to give continuity of care, reduce stress and anxiety, and promote patients' coping strategies, by increasing the patients' knowledge and understanding of their perioperative journey (Malin & Teasdale 1991).
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