SAFE SCRUB AND CIRCULATING PRACTICE

SHE Level 4
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code MHB726212
Module Leader n/a
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)
  • C (May start)

Summary of Content

This module focuses on developing the key skills, knowledge and judgements that are necessary for scrub / circulating practitioners to provide safe, effective and evidence based care. It will allow students the opportunity to explore and link the theoretical and clinical elements of scrub / circulating practice. This module will assist scrub / circulating practitioners to develop confidence, practice with integrity, be responsible practitioners and become responsible leaders.

Syllabus

-360-58b7 Professional accountability b7 Local anaesthetics b7 Medical terminology b7 Legal and ethical issues b7 Scottish Patient Safety Programme b7 Thermoregulation in the perioperative patient b7 Lasers, x-ray, COSHH b7 Infection control, standard precautions b7 Design and function of perioperative environment b7 Principles of asepsis and scrub technique b7 Prepping and draping the surgical patient b7 Patient positioning and pressure area care b7 VTE prophylaxis b7 Electrosurgery and electrical safety b7 Minimally invasive surgery and endoscopy b7 Tourniquet management b7 Principles of wound healing, wound closure and surgical drains b7 Pressure area care in the perioperative environment b7 Principles of specimen handling and processing b7 Policies for provision and monitoring of accountable items b7 Receiving patients into the perioperative environment b7 Care of the emergency patient b7 Human factors and non-technical skills in perioperative care

Learning Outcomes

On successful completion of the module the student should be able to:1. Demonstrate skills, knowledge and judgement in the role of the scrubbed / circulating practitioner providing evidence of successful completion of the competency document.2. Critically analyse and evaluate scrub / circulating practices that safeguard the patient during the operative period3. Critically appraise and develop one's own professional practice and identify opportunities to implement evidence based practice.4. Critically evaluate and analyse scrub circulating practices that safeguard the patient undergoing surgical procedures.5. Demonstrate skills, knowledge and judgement in the legal, professional and clinical strategies that are employed to prevent the retention of surgical items during surgery.6. Critically review strategies used to identify and manage surgical emergencies.

Teaching / Learning Strategy

Lecturers, service partners, users, carers and students will contribute to the authenticity of the teaching and learning experience using case-based scenarios. Following the spiral curriculum some previously explored concepts will be related to more complex patients and scenarios. The care of a selection of patients will be explored in relation to underpinning pharmacology and pathophysiology. Learning and teaching strategies will enhance student engagement, accessibility, flexibility and personalisation of the curriculum through the use of technology/digital learning where appropriate. A series of core lectures will be supported with facilitator and student-led tutorials and directed learning utilising facilitator and student-led activities. Practical workshops and clinical simulation will be used to help students to integrate theory with practice. Supervision by an experienced supervisor within the students' clinical areas will provide them with flexible learning opportunities to assist them in achieving the module learning outcomes. Guided and self-directed study, including interactive resources supported by a virtual learning environment, will be used to prepare students for each week's activities and assist in consolidation of their learning.

Indicative Reading

ABBOTT, H. & WORDSWORTH, S. 2016. Perioperative Case Handbook. London, Open University Press. ASSOCIATION FOR PERIOPERATIVE PRACTICE, 2016. Standards and Recommendations for Safe Perioperative Practice. Harrogate, AfPP. FLIN, R. O'CONNOR, P. CRICHTON, M. 2008. Safety at the Sharp End, A Guide to Non-Technical Skills. Farnham, Ashgate. HUGHES, S. & MARDELL, A. 2009. Oxford Handbook of Perioperative Practice. Oxford, Oxford University Press. PEATE, I. & NAIR, M. 2017. Fundamentals of Anatomy and Physiology for Nursing and Healthcare Students. 2 nd ed. Chichester, Wiley Blackwell. WICKER, P. & O'NEILL, J. 2010. Caring for the Perioperative Patient. 2nd ed. Oxford, Blackwell Publishing Ltd. Useful websites <https://www.afpp.org.uk/home> <http://www.mddl.org.uk/mddl/mod-basic-electrosurgery.php> <http://www.scottishpatientsafetyprogramme.scot.nhs.uk> <https://www.abdn.ac.uk/iprc/splints/> <https://www.who.int/patientsafety/safesurgery/en/>

Transferrable Skills

Development, or enhancement, of; -360b7 Independent learning skills b7 Critical thinking and decision making skills b7 Study, IT and time management skills b7 Professional and ethical values aligned with professional practice b7 Communication and team working b7 Theory and practice integration and problem solving b7 Reflection

Module Structure

Activity Total Hours
Practicals (FT) 4.00
Lectures (FT) 24.00
Independent Learning (FT) 148.00
Tutorials (FT) 4.00
Assessment (FT) 20.00

Assessment Methods

Component Duration Weighting Threshold Description
Clinical Competency Document n/a 0.00 40% Clinical Competency Document (Pass/Fail)Exceptions case submitted and outcome pending regarding minimum threshold and module pass mark
Written Assignment n/a 100.00 40% Written Assignment (4000 words)Exceptions case submitted and outcome pending regarding minimum threshold and module pass markEXCEPTIONS CASE 188 APPROVED NOV 2019