SAFE SCRUB AND CIRCULATING PRACTICE

SHE Level 3
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M3B723123
Module Leader Agnes Lafferty
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)
  • C (May start)

Pre-Requisite Knowledge

Four months experience in a perioperative setting as a Registered Healthcare Professional

Summary of Content

This module focuses on developing the key skills and knowledge that are necessary for scrub/circulating practitioners to provide safe, effective and evidence based care. It will allow students the opportunity to explore how patient safety can be maintained during the surgical/perioperative period and it will focus on the national initiatives that are being employed to improved perioperative patient safety.

Syllabus

Professional accountability Local anaesthetics Medical terminology Legal and ethical issues Scottish Patient Safety Programme Thermoregulation in the perioperative patient Lasers, x-ray, COSHH Infection control, standard precautions Design and function of perioperative environment Methods of cleaning, decontamination and sterilisation Principles of asepsis and scrub technique Prepping and draping the surgical patient Patient positioning and pressure area care VTE prophylaxis Electrosurgery and electrical safety Minimally invasive surgery and endoscopy Tourniquet management Principles of wound healing, wound closure and surgical drains Principles of specimen handling and processing Policies for provision and monitoring of accountable items Receiving patients into the perioperative environment Care of the emergency patient Human Factors in peri-operative care

Learning Outcomes

On successful completion of this module the student should be able to:1. Demonstrate skills, knowledge and judgement in the role of the scrubbed / circulating practitioner.2. Explore the principles of patient safety within the perioperative environment.3. Utilise a knowledge of infection control strategies and health and safety issues within the perioperative environment.4. Using knowledge of wound healing, demonstrate skills in utilising wound closure, drainage and dressing materials.5. Explore the legal, professional and clinical strategies that are employed to prevent the retention of surgical items during surgery. 6. Appraise perioperative practice in own practice area and identify opportunities to implement evidenced based practice.

Teaching / Learning Strategy

This module can be delivered as either face to face or using a blended approach. Different combinations of lectures, seminars, tutorials, interactive discussions, workshops, directed and self-directed study will be utilised depending on where the 'blended' delivery is taking place eg at a venue other than GCU The student will always obtain the equivalent of 36 hours of contact time with the module team, excluding individual academic support. The fundamental aim of the teaching and learning strategies, irrespective of delivery mode is to support the development of autonomous, independent problem solving and decision making within the parameters of their profession competence, role and employers agreed vicarious liability (or equivalent). A combination of modified lectures, seminars, tutorials and group work will be employed. Practical workshops and demonstrations will be used to help students to integrate theory with practice. The module will be delivered over 6 days, 4 of these will be face to face delivery and two days will delivered as online learning. Supervision by an experienced mentor within the student's clinical area will provide them with flexible learning opportunities to assist them in achieving the module learning outcomes.

Indicative Reading

Cunnington, J,. (2006) Facilitating benefit, minimising risk: Responsibilities of the surgical practitioner during electro surgery. Journal of Perioperative Practice. Vol 16, no. 4, pp. 195 - 210. Flin, R. O'Connor, P. Crichton, M. 2008. Safety at the Sharp End, A Guide to Non-Technical Skills Ashgate, Farnham. Hughes, S. & Mardell, A. 2009, Oxford Handbook of Perioperative Practice, Oxford University Press, Oxford. O'Connor, C,. Murphy, S,. (2007) Pneumatic tourniquet use in the perioperative environment. Journal of Perioperative Practice. Vol 17, no. 8, pp 391 - 397. Radford, M., County, B., Oakley, M. (2004) Advancing Perioperative Practice, Nelson Thornes Ltd: Cheltenham Rothrock, J.C. 2011, Alexander's Care of the Patient in Surgery, 14th edn, Mosby, St. Louis. Scottish Executive (2006) A Good Practice Guide on Consent for Health professionals in NHS Scotland. HMSO : Scotland. Seifert P.C. (2002) Ethics in Perioperative Practice - Duty to Foster an Ethical Environment, AORN Vol.76, no. 3, pp. 490-494, 496-497 Shields L., Werder H. (2002) Environmental Safety, Perioperative Nursing, Greenwich Medical Media: London, pp. 27-78. Wicker, P. & O'Neill, J. 2010, Caring for the Perioperative Patient, 2nd edn, Blackwell Publishing Ltd, Oxford

Transferrable Skills

Develop independent learning by working in a self-directed manner. Develop study and IT skills to underpin effective learning. Develop critical thinking skills. Work effectively with others. Underpin professional practice through the intergration of theory and practice. Appreciate the need for a high level of ethical and professional conduct.

Module Structure

Activity Total Hours
Practicals (PT) 4.00
Assessment (PT) 20.00
Tutorials (PT) 5.00
Seminars (PT) 3.00
Independent Learning (PT) 144.00
Lectures (PT) 24.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 2 n/a 0.00 40% Clinical Competencies
Coursework 1 n/a 100.00 40% Written Assignment (3000 words)