scholarly journals Did operating theatre staff understand the COVID ‐19 guidelines for surgery during Victoria's second wave?

2021 ◽  
Vol 91 (4) ◽  
pp. 515-518
Author(s):  
Henry R. E. Drysdale ◽  
Emma Downie ◽  
Steve Lau ◽  
Douglas A. Stupart ◽  
Richard Page ◽  
...  
Keyword(s):  
Operating Theatre ◽  
Theatre Staff ◽  
Second Wave

scholarly journals 764 Human Factors in Operative Theatres During the Covid-19 Pandemic: A Cross-sectional Analysis of Operating Theatre Staff Experiences in a Regional Centre

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
L E Murchison ◽  
R Anbarasan ◽  
A Mathur ◽  
M Kulkarni
Keyword(s):  
Human Factors ◽  
Online Survey ◽  
Situational Awareness ◽  
Negative Impact ◽  
High Stress ◽  
Operating Theatre ◽  
Free Text ◽  
Cross Sectional ◽  
Chi Squared ◽  
Theatre Staff

Abstract Introduction In the already high-risk, high-stress environment of the operating theatre, operating during Covid-19 has brought its own unique challenges. Communication, teamwork and anxiety related new operating practices secondary to Covid-19 are hypothesised to have a negative impact on patient care. Method We conducted a single-centre online survey of operating theatre staff from 22nd June–6th July 2020. Respondents completed 18 human factors questions related to COVID-19 precautions including communication, teamwork, situational awareness, decision making, stress, fatigue, work environment and organisational culture. Questions consisted of yes/no responses, multiple choice and Likert items. Kruskall-Wallis tests, Chi-Squared, Mann Whitney U tests, Spearman’s correlation coefficient, lambda and Cramer’s V tests were used. Free-text responses were also reviewed. Results 116 theatre staff responded. Visual (90.5%), hearing/ understanding (96.6%) difficulties, feeling faint/lightheaded (66.4%) and stress (47.8%) were reported. Decreased situational awareness was reported by 71.5% and correlated with visors (r = 0.27 and p = 0.03) and FFP2/3 mask usage (r = 0.29 and p = 0.01). Reduced efficiency of theatre teams was reported by 75% of respondents and 21.5% felt patient safety was at greater risk due to Covid-19 precautions in theatre. Conclusions Organisational adjustments are required, and research focused on development of fit-for-purpose personal protective equipment (PPE).

Fire in operating theatres: DaSH-ing to the rescue

2018 ◽  
Vol 28 (7-8) ◽  
pp. 188-193
Author(s):  
Liam Wilson ◽  
Omer Farooq
Keyword(s):  
Patient Care ◽  
Fire Safety ◽  
Training Session ◽  
Operating Theatre ◽  
In Situ Simulation ◽  
Safe Patient Care ◽  
Team Interactions ◽  
Operating Theatres ◽  
Theatre Staff ◽  
Safety Officer

Operating theatres are dynamic environments that require multi professional team interactions. Effective team working is essential for efficient delivery of safe patient care. A fire in the operating theatre is a rare but potentially life threatening event for both patients and staff. A rapid and cohesive response from theatre and allied staff including porters, fire safety officer etc is paramount. We delivered a training session that utilised in situ simulation (simulation in workplace). After conducting needs analysis, learning objectives were agreed. After thorough planning, the date and location of the training session were identified. Contingency plans were put in place to ensure that patient care was not compromised at any point. To ensure success, checklists for faculty were devised and adhered to. A medium fidelity manikin with live monitoring was used. The first part of the scenario involved management of a surgical emergency by theatre staff. The second part involved management of a fire in the operating theatre while an emergency procedure was being undertaken. To achieve maximum learning potential, debriefing was provided immediately after each part of the scenario. A fire safety officer was present as a content expert. Latent errors (hidden errors in the workplace, staff knowledge etc) were identified. Malfunctioning of theatre floor windows and staff unawareness about the location of an evacuation site were some of the identified latent errors. Thorough feedback to address these issues was provided to the participants on the day. A detailed report of the training session was given to the relevant departments. This resulted in the equipment faults being rectified. The training session was a very positive experience and helped not only in improving participants’ knowledge, behaviour and confidence but also it made system and environment better equipped.

Latex allergy: An emerging health hazard for operating theatre staff

1997 ◽  
Vol 84 (3) ◽  
pp. 289-290
Author(s):  
P. C. A. Kam ◽  
J. F. Thompson
Keyword(s):  
Health Hazard ◽  
Operating Theatre ◽  
Latex Allergy ◽  
Theatre Staff

Surgeons in the operating theatre: preparing to lead by example

2008 ◽  
Vol 90 (9) ◽  
pp. 306-307
Author(s):  
K Woo
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Adverse Events ◽  
Operating Theatre ◽  
Traditional Practices ◽  
Consent Forms ◽  
Operative Site ◽  
Current Climate ◽  
Theatre Staff

Surgeons, anaesthetists and theatre staff have always worked to ensure that no harm comes to their patients, particularly within the operating theatre environment. Patient safety and the prevention of adverse events underlie many of our traditional practices such as the use of identity bracelets, consent forms and marking of the operative site. Perhaps even more so today than ever, unnecessary or avoidable mistakes in the operating theatre cannot be afforded, with the current climate of increasing standards of health care and rising expectations.

Air Flow Patterns in the Operating Theatre

1980 ◽  
Vol 9 (2) ◽  
pp. 87-92 ◽  
Author(s):  
F H Howorth
Keyword(s):  
Air Flow ◽  
High Volume ◽  
Clinical Results ◽  
Flow Patterns ◽  
Operating Theatre ◽  
Anaesthetic Gases ◽  
Theatre Staff ◽  
Clean Air ◽  
Schlieren Photography ◽  
Total Body

Bacteria-carrying particles and exhaled anaesthetic gases are the two contaminants found in the air flow patterns of operating rooms. Their origin, direction and speed were illustrated by a motion picture using Schlieren photography and smoke tracers. Compared with a conventionally well air conditioned operating theatre, it was shown that a downward flow of clean air reduced the number of bacteria-carrying particles at the wound site by sixty times. The Exflow method of achieving this without the restriction of any side panels or floor obstruction was described. The total body exhaust worn by the surgical team was shown to reduce the bacteria count by a further eleven times. Clinical results show that when both these systems are used together, patient infection was reduced from 9 per cent to between 0.3 per cent and 0.5 per cent, even when no pre-operative antibiotics were used. Anaesthetic gas pollution was measured and shown to be generally 1000 p.p.m. at the head of the patient, in induction, operating and recovery rooms, also in dental and labour rooms. A high volume low pressure active scavenging system was described together with its various attachments including one specially for paediatric scavenging. Results showed a reduction of nitrous oxide pollution to between zero and 3 p.p.m. The economy and cost effectiveness of both these pollution control systems was shown to be good due to the removal of health hazards from patients and theatre staff.

MISCARRIAGES AMONG OPERATING THEATRE STAFF

1975 ◽  
Vol 19 (5) ◽  
pp. 461
Author(s):  
P. ROSENBERG ◽  
A. KIRVES
Keyword(s):  
Operating Theatre ◽  
Theatre Staff

MICARRIAGES AMONG OPERATING THEATRE STAFF

1975 ◽  
Vol 30 (4) ◽  
pp. 254-255
Author(s):  
P. ROSENBERG ◽  
A. KIRVES
Keyword(s):  
Operating Theatre ◽  
Theatre Staff

scholarly journals Assessment of Anxiety due to COVID-19 among the Surgery Staff of the René ESSOMBA Theater "BORE" at the Yaoundé Central Hospital

2021 ◽  
Vol 1 ◽  
pp. 19-25
Author(s):  
Biwole Daniel ◽  
Messina Ebogo ◽  
Bombah Freddy ◽  
Enrique Zoa Nkoa ◽  
Yannick Ekani Boukar ◽  
...  
Keyword(s):  
Negative Impact ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Operating Theatre ◽  
Central Hospital ◽  
Cross Sectional ◽  
Theatre Staff ◽  
Psychological Assistance ◽  
Collection Form ◽  
Professional Information

Background: The COVID-19 pandemic has had a negative impact on healthcare systems worldwide, including surgical disciplines. To date, only a few studies have assessed the effects of the ongoing pandemic on the mental state of those potentially exposed through their daily activities, such as operating theatre staff. The present study aimed to determine the prevalence of anxiety among the operating theatre staff "BORE" during the COVID-19 pandemic. Methods: From 13 January to 19 February 2021, we conducted a cross-sectional study using a pre-designed online form. This form was disseminated to participants via social networks. The data collection form was divided into three parts: one part was for socio-demographic information, the second part was for professional information, and the third part was for assessing the anxiety score by the Hamilton Anxiety Scale (HAM-A). Results: A total of 42 questionnaires were fully completed and retained for analysis. The sex ratio was 1.67, with 16 men and 26 women. COVID-19 anxiety with mild severity (HS ˂ 17) was found in 22 (55.4%) of the participants, and 33.3% had moderate to severe depression, while 11.3% had severe anxiety. Conclusion: About 4/5 of the participants in our survey suffered from anxiety due to the COVID-19 pandemic. This study highlights the need for psychological assistance for health care workers, especially the operating theatre staff of the Yaounde Central Hospital.

scholarly journals Surgical caps displaying team members' names and roles improve effective communication in the operating room: a pilot study

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ned Douglas ◽  
Sophie Demeduik ◽  
Kate Conlan ◽  
Priscilla Salmon ◽  
Brian Chee ◽  
...  
Keyword(s):  
Operating Room ◽  
Pilot Project ◽  
Median Number ◽  
Operating Theatre ◽  
Post Intervention ◽  
Team Members ◽  
Medical Practitioners ◽  
Staff Members ◽  
Cooperative Relationships ◽  
Theatre Staff

Abstract Background Teamwork in the operating theatre is a complex emergent phenomenon and is driven by cooperative relationships between staff. A foundational requirement for teamwork is the ability to communicate effectively, and in particular, knowing each other’s name. Many operating theatre staff do not know each other’s name, even after formal team introductions. The use of theatre caps to display a staff member’s name and role has been suggested to improve communication and teamwork. Methods We hypothesized that the implementation of scrub hats with individual team members' names and roles would improve the perceived quality and effectiveness of communication in the operating theatre. A pilot project was designed as a pre-/post-implementation questionnaire sent to 236 operating room staff members at a general hospital in suburban Melbourne, Victoria, Australia, between November 6 to December 18, 2018. Participants included medical practitioners (anaesthetists, surgeons, obstetricians and gynaecologists), nurses (anaesthetic, scrub/scout and paediatric nurses), midwives and theatre technicians. The primary outcome was a change in perceived teamwork score, measured using a five position Likert scale. Results Of 236 enrolled participants, 107 (45%) completed both the pre and post intervention surveys. The median perceived teamwork response of four did not change after the intervention, though the number of low scores was reduced (p = 0.015). In a pre-planned subgroup analysis, the median perceived teamwork score rose for midwives from three to four (p < 0.001), while for other craft groups remained similar. The median number of staff members in theatre that a participant did not know the name of reduced from three to two (p < 0.001). Participants reported knowing the names of all staff members present in the theatre more frequently after the intervention (31% vs 15%, p < 0.001). The reported rate of formal team introductions was not significantly different after the intervention (34.7% vs 47.7% p = 0.058). Conclusions In this study, we found that wearing caps displaying name and role appeared to improve perceived teamwork and improve communication between staff members working in the operating theatre.

scholarly journals Implant wastage in orthopaedic trauma: a UK experience

2020 ◽  
Vol 102 (3) ◽  
pp. 225-228
Author(s):  
N Jayakumar ◽  
S Munuswamy ◽  
R Kulshreshtha ◽  
S Deshmukh
Keyword(s):  
Operating Theatre ◽  
Orthopaedic Trauma ◽  
Planning Techniques ◽  
Total Cost ◽  
Patient Demographics ◽  
Primary Operator ◽  
Raising Awareness ◽  
Financial Climate ◽  
Theatre Staff ◽  
The Uk

Introduction Implant wastage is an under-reported issue in orthopaedics, yet it has been shown to have a significant cost burden on healthcare budgets. In a background of a perilous financial climate in the UK health service, our aim was to define the frequency and costs of implant wastage in orthopaedic trauma. Materials and methods The trauma theatre’s implant logbook was retrospectively analysed between April 2017 and April 2018. Wasted implants were identified by the study authors independently. Patient demographics, implant details and costs were among the data collected. Product codes of wasted implants were used to identify implant costs through the manufacturer. Results Implant wastage occurred in 25.1% of trauma procedures during the study period. Most wasted implants (91%) were screws. The total cost of implant wastage was £8,377.25 during the 12-month period, accounting for 2% of the total implant budget. Wasted intramedullary nails accounted for almost 50% of the total cost. More than 51% of affected procedures involved a trainee as the primary operator. Discussion We report the first study of implant wastage in orthopaedics from the UK. Total implant wastage was higher than reported in most of the published literature, although it represented a small portion of the budget. Implant wastage is attributable to surgeons or operating theatre staff in most cases and is compounded by surgeons’ limited understanding of implant costs. Initiatives to reduce implant wastage should include raising awareness of costs and departmental wastage to surgeons and operating theatre staff as well as employing preoperative planning techniques.

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