MANAGING PERIOPERATIVE CARE WITHIN CHANGING ENVIRONMENTS . Professor Jean White Chief Nursing Officer/Nurse Director NHS Wales. Daisy Ayris – a true leader.
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MANAGING PERIOPERATIVE CARE WITHIN CHANGING ENVIRONMENTS
Professor Jean White
Chief Nursing Officer/Nurse Director NHS Wales
'After attending the International meeting of the Royal College of Surgeons at Harrogate in the mid-fifties I had a vision. What would it be like if theatre nurses could belong to such an organisation? This vision became a fixed idea. I must do some thing about it so that all theatre nurses could have some common ground for meeting to discuss problems and standardise procedures for the benefit of patients, nurses and medical staff'. (Daisy Ayris)
International recognition that current financial models for healthcare worldwide are unsustainable – more must be spent on prevention (4% only in EU at present)
New drugs, technologies and approaches – some surgical interventions will stop as other techniques replace it
More minimal invasive surgery
Increased day surgery and quicker discharge from hospital, eg enhanced recovery from surgery programmes for joints and bowel surgery
Improved patient pathways for specific conditions
Evidence from prevalence surveys indicates that surgical site infections (SSI) are still a problem – is the largest proportion of HCAI
Wales 2006 – 18% of HCAI
2011 – 24.3% of HCAI [adjusted]
While attention on specific infections, eg C.difficle and MRSA are showing huge improvements nationally –
re-focussed attention is needed on SSI
Devolution and health policy
1000 Lives Plus national patient safety programme
SKIN [Integrity] BUNDLE – widely adopted in clinical areas across in Wales
Is the patient on right mattress?
Skin to be kept dry, avoid moisture
Keep patient hydrated and well nourished
Examples that have led to cost savings: