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March 2012 Issue No. 258 ISSN 1747-728XThe Leading Independent Journal For ALL Operating Theatre Staff

nd out more 02921 680068 • e-mail [email protected] Issue 258 March 2012 3

The Next issue copy deadline, Monday 26th March 2012All enquiries: To the editorial team, The OTJ Lawrand Ltd, PO Box 51, Pontyclun, CF72 9YY Tel: 02921 680068 Email: [email protected] Website: www.lawrand.comThe Operating Theatre Journal is published twelve times per year. Available in electronic format from the pages of www.otjonline.comand in hard copy to hospitals throughout the United Kingdom. Personal copies are available by nominal subscription.Neither the Editor or Directors of Lawrand Ltd are in any way responsible for the statements made or views expressed by the contributors. All communications in respect of advertising quotations, obtaining a rate card and supplying all editorial communications and pictures to the Editor at the PO Box address. No part of this journal may be reproduced without prior permission from Lawrand Ltd. © 2012Journal Printers: The Warwick Printing Co Ltd, Caswell Road, Leamington Spa, Warwickshire. CV31 1QD

Small design changes could save lives by cutting hospital infections new researchDoor handles, security buttons and wash hand basins can have a major impact of the level of hospital associated infections, nds new research led from the University of Reading.

The work has been conducted by HaCIRIC*, the worlds largest research programme into healthcare infrastructure, part located at the University of Reading. The Health Service Journal recently reported ndings from the research. (http://www.haciric.org/news/redesigning-hospital-environments-can-help-tackle-infection)

The ndings follow the recent tragic cases of three babies whose deaths have reportedly been linked to Pseudomonas bacteria found on sink taps in the neonatal unit at the Royal Jubilee Maternity Hospital in Belfast.

The HaCIRIC research nds that:

• Handgrip handles on hospital doors typically become more densely contaminated with microbes than push doors with a at metal plate.

• Many hospitals are required for security reasons to have entry pass controlled doors which get touched by all staff, cleaners and visitors. Contamination of such buttons can act as a source for microbial spread. The NHS could consider designing alternatives: foot pedals, for example, are used in some countries to open doors.

• Some surfaces such as rims of sinks can be missed by regular cleaning - microbiological swabbing has demonstrated that these are sometimes heavily contaminated. Researchers have observed these contaminated surfaces being touched, or used to support other objects such as papers, notes, les and medical equipment, often because there may be nowhere else to put them. Such contamination may then be carried off around the hospital.

• Many more wash hand basins have been installed in recent years. Thats good if they are used, but the research shows that this depends on whether sinks can actually be seen. If visibility is obscured, either because of the design of the ward or because of curtains pulled around a patients bed, hand washing declines.

Professor Colin Gray of the School of Construction Management and Engineering at the University Reading commissioned and funded the research which was conducted by Nigel Klein, Professor and Consultant in Paediatric Infectious Diseases and Immunology at Great Ormond Street Childrens Hospital, London and by Dr Vanya Gant, Divisional Clinical Director for Infection, University College London Hospitals NHS Foundation Trust. This is part of a much bigger programme of research in this area.

Professor Gray said: These ndings are contributing to an increasingly sophisticated and evidence-based approach to understanding the environmental aspects of cross contamination and infection in hospitals, which we hope will save many lives and reduce the costs to the NHS.

Lives saved as more than 14 million patients are screened for blood clotsPatients are now almost twice as likely to be screened in hospital for venous thromboembolism (VTE) than in 2010, helping save thousands of lives, Health Minister Simon Burns announced 2nd March 2012.

Venous thromboembolism (VTE), which includes blood clots in one of the deep veins in the body, poses a serious risk to patients an estimated 25,000 patient deaths a year could be associated with VTE.

In July 2010, the Government introduced a measure to ensure the NHS assesses 90 per cent of admitted patients for the risk of VTE and treats those who need it.

Visiting one of the best performing hospitals in the country for VTE screening, Colchester Hospital University NHS Foundation Trust, Simon Burns today announced that:

• more than 14.3 million patients have been screened since July 2010;

• 91% of patients in England were now being screened for VTE; and

• around 230,000 patients are currently being screened every week.

Health Minister Simon Burns said: Deep vein blood clots are a serious risk to patients and can claim nearly 25,000 lives a year. It is due to our focus on patient safety that I am pleased to announce a world rst of over 90 per cent of patients admitted to hospital now being screened for venous thromboembolism (VTE), leading to better treatment before it can deteriorate.

The NHS must ensure that patients at risk of VTE receive appropriate preventative measures to help save lives. We expect hospitals around the country to continue to work hard and follow the example of high performing trusts.

Colchester Hospital has implemented a number of initiatives to prevent VTE, such as VTE Walkabouts by the Chief Executive, e-learning and has established VTE Champions on every ward healthcare professionals who ensure that the highest VTE standards are maintained.

Dr Gordon Coutts, Chief Executive at Colchester Hospital University NHS Foundation Trust, said:

It has been great to be able to show the impact of our work on venous thromboembolism (VTE), with 94 per cent of our patients being screened.

This is an important part of our patient safety agenda and is an area where we continue to enjoy considerable success. I am pleased that through initiatives such as the Stop the Clot campaign there is also now greater public awareness of this important issue.

Launched in July 2010, the VTE prevention programme in the NHS in England has grown into an internationally recognised patient safety initiative. Prior to this, clinical guidelines for VTE prevention were widely available but poorly implemented. Focusing on a national approach to VTE risk assessment has proved to be successful for implementing national clinical guidelines.

Researchers Develop Technique that Could Make fMRI More Useful in Medical DiagnosisOxford University researchers introduced a new approach to functional magnetic resonance imaging (fMRI) in the March issue of the journal NeuroImage The approach could make fMRI more useful in clinical settings. fMRI captures relative changes in MRI signals, providing information on how the brain works. The method is currently mostly used in research applications because it doesn’t provide speci c numerical measurements, only images of the brain, limiting its clinical applications.

The method developed by Oxford University researchers provides real measurements comparable to those produced by Oxygen-15 positron emission tomography (O-PET), according to an Oxford University press release. It is said to offer several advantages to O-PET, including that it’s much cheaper and quicker and doesn’t expose the patient to ionising radiation. O-PET is only done at a few places around the world and exposes patients to high amounts of radiation. The technique could offer more diagnostic information than current MRI methods, potentially improving patient outcomes, according to the press release.

Patients lie in the MRI scanner and breathe air through a mask or nose tubes. By varying the proportion of carbon dioxide and oxygen the patients breathe, the scientists could use the MRI signal to measure blood ow, blood volume, oxygen use and brain metabolism.

The study was funded by the EPSRC, MRC, Wellcome Trust, Dunhill Medical Trust and the NIHR Oxford Biomedical Research Centre.

4 THE OPERATING THEATRE JOURNAL www.otjonline.com

THE UK’s FIRST AMBIENTLINE THERAPEUTIC LIGHTING SYSTEMThe Park Hospital in Nottingham, the 6th largest in the BMI Group, is on the brink of completing an £8m investment in its facilities. The major focus of this programme is the refurbishment of three existing theatres and endoscopy units plus the installation of a fully integrated theatre. During a two year build project – and perhaps the jewel in the crown – is a state-of-the-art critical care unit complete with an AmbientLine therapeutic lighting system from TRUMPF Medical Systems.

Not only does The Park differentiate itself in the private sector by the enhancement of its level 2/3 critical care provision, but it also is the rst hospital in the UK to install AmbientLine. And the response of surgeons and patients to this product has been outstanding. AmbientLine works with the natural cycle of day and night, creating an environment that increases the wellbeing of patients and staff with its individual colour settings.

“We visited TRUMPF Medical Systems in Luton to discuss our theatre lighting requirements but when we saw AmbientLine, we thought wow!” explained The Park’s Theatre Manager, Simon Hardwick. “We had the same reaction from the consultants. It’s exactly what we need to give us the competitive edge, a product that represents new technology and clinical excellence.”

The investment in the latest theatre and critical care technology is in line with The Park’s strategy to attract high acuity cases. Simon Hardwick explains, “Rather than just be looking at simple and intermediate surgery, we want to provide the best facilities for thoracic, cardiac, neuro- and major laparoscopic surgery. And lighting is a very important issue.”

So in assessing which surgical lighting system would be the most appropriate, which were Simon’s top purchasing criteria? He continued: “Of course, the most important is functionality and ease of use and this is where the TRUMPF iLED system scored highest.”

All brands in contention were installed for a trial period during which time clinicians were asked to rate their preference. “What appealed to the surgeons was how the TRUMPF light could be adapted to individual needs, such as changing colour temperature and the way the light could be set to avoid shadows,” Simon added. “In fact one of our primary orthopaedic surgeons was so pleased with the performance he requested the TRUMPF light remain in the theatre after the trial.”

The second most important factor for Simon Hardwick is service and support and again, TRUMPF was the clear front runner. He continued: “It is vital that I have con dence in the company. We strive for minimum theatre downtime so our equipment must be easy to maintain. And if something does go wrong I need to be certain that the response will be swift and effective.”

Value for money is an important consideration for any business as it is the on-cost of running the product. The Park is justi ably proud of its green credentials and has a ‘green champion’ whose job it is to drive down wastage. The TRUMPF iLED ticks this box too as its LEDs have a minimum life of 30,000 hours and consume little energy.

http://www.trumpf-med.com/en When responding to articles please quote ‘OTJ’

ReCell® Spray-On Skin® Creates Revolution in HealingAvita Medical Ltd. (ASX: AVH): A ground-breaking technique which turns a tiny sample of a patient’s skin into a spray-on treatment for large-scale skin regeneration is revolutionising the way surgeons are able to treat burns, hard-to-heal wounds and skin trauma as well as giving new hope to patients with scars.

ReCell® Spray-On Skin®, which has been developed by Cambridge-based Avita Medical (ASX: AVH), is a unique, patented process which transforms a thin, split-thickness biopsy from the patient’s own skin into a cell suspension that can be immediately sprayed or dripped onto wounds to stimulate healthy new skin growth.

Using the ReCell® incubation and processing device, within 20 minutes a 2cm square skin sample can create a cell suspension able to treat an area 80 times ¹.² the size of the biopsy (about the size of an A4 sheet of paper). The solution looks like water but contains millions of microscopic skin cells which, when sprayed on to a wound, will multiply and grow into a natural layer of new skin that will be similar in tone and texture ³.4 to surrounding skin. In addition, unlike scar tissue, the new skin will stretch and grow completely normally.

The rst use of ReCell® has been in burns units to help speed up wound closure as it enables a natural layer of normal skin to develop, typically in a matter of 5-7 days5,6,7. This helps to minimise scaring, reduce the risk of infection and enables patients to have a shorter hospital stay¹ and get back to normal life more quickly. For burns patients who often need to spend long periods in hospital – up to a month in serious cases –

this makes a huge difference to their short and long term recovery while providing signi cant savings to the healthcare system.

Not only does ReCell® deliver rapid skin growth 5,6,7, it also has the ability to form skin that matches the texture and colour ³,4 of the surrounding area so its potential to help in plastics, reconstructive, cosmetic and even vascular surgery is now being fully explored.

Jeremy Rawlins, consultant plastic surgeon at Mid Yorkshire Hospitals NHS Trust said: “This technology came out of needing to use cell-based therapies to treat patients with major burn injuries that were life threatening. That’s still a main stay but there are lots of different areas in which we are now using it, both acutely in terms of injuries but also in reconstructive and aesthetic patients as well; for instance, with patients who come to us with problematic scars many years after a burn injury.”

With these new wider applications, ReCell® is not only revolutionising treatment but also helping to tackle the potentially devastating psychological and quality of life issues that patients can face following an accident or surgery.

Consultant Zahida Butt has successfully used ReCell® at her clinic in Norwich to treat a range of skin problems. She said: “Burns, surgical scars, acne scaring: they all have very psychological impacts on patients. Although you are treating the skin primarily, you are also helping these patients to improve their quality of life. No other treatment works like this.”

To nd out more about ReCell® visit a new, dedicated information site at www.recell.info

References:-

1. Gravante G, Di Fede MC, Araco A, Grimaldi M, De Angelis B, Arpino A, Cervelli V, Montone A. “A randomized trial comparing ReCell® system of epidermal cells delivery versus classic skin grafts for the treatment of deep partial thickness burns”. Burns. 2007 Dec; 33(8):966-72. Epub 2007 Sept 29

2. Wood FM. (2010), “Chapter 6” - H Hyakusoku et al (eds), “Colour Atlas of Burn Reconstructive Surgery”, Springer-Verlag Berlin Heidelberg 2010

3. Goodman G. “An automated autologous cell transplantation method for treatment of hypopigmented scarring”. Dermatology Surgery 2008; 34:579-581

4. Cervelli V, De Angelis B, Spallone D, Lucarini L, Arpino A, Balzani A. “Use of a novel autologous cell-harvesting device to promote epithelialization and enhance appropriate pigmentation in scar reconstruction”. Clinical and Experimental Dermatology 2010 Oct; 35(7):776-80

5. Navarro FA, Stoner ML, Park CS et al: “Sprayed keratinocyte suspensions accelerate epidermal coverage in a porcine microwound model”. J Burn Care & Rehabilitation. 2000 Nov-Dec; 21(6):513-8

6. Navarro FA, Stoner ML, Lee HB et al: “Melanocyte repopulation in full thickness wounds using a cell spray apparatus”. J Burn Care Rehabilitation. 2001 Jan-Feb; 22(1):41-6

7. Stoner ML, Wood FM: “The treatment of hypopigmented lesions with cultured epithelial autograft”. J Burn Care Rehabilitation. 2000 Jan-Feb; 21(1 Pt 1):50-4


Fukuda Denshi present their latest Anaesthesia patient monitor – the DS-8500 Fukuda Denshi is a leading supplier of advanced patient monitoring and user-con gurable clinical information management systems, as well as cardiac monitoring and imaging technology. The company is pleased to present the latest addition to their Dynascope patient monitoring range, the DS-8500 anaesthesia monitor.

The DS-8500 is a high end anaesthesia monitor incorporating Fukuda Denshi’s most intelligent user interface. It allows users to tailor the DS- 8500 to meet their speci c requirements by offering a full suite of modules as well as a full 5 agent gas bench. The DS-8500 is highly versatile and can be mounted as a standalone system or alternatively attached to any anaesthesia machine. In addition, all patient data can be collected and viewed at the bedside or central station with its seamless patient record transfer from monitor to monitor via an HS 8000 super module.

The DS-8500 also offers users total control of all elements of their display and patient condition noti cation through a variety of sounds and vivid colours.

The DS-8500 is equipped with a new secure connect cable system, which provides a positive cable/module interface, locked in place with a push-button release.

Two monitor size options are available; the clear and compact 15” display, con gured to deliver in space restricted critical care and anaesthesia environments, and the vivid and expansive 19” option, designed for the demands of modern critical care.

For further information on the latest Dynascope 8500 anaesthesia range, telephone Fukuda Denshi on:01483 728065.

Fukuda Denshi: Healthcare bound by technology.

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People covering their own backs instead of taking responsibility

At a speech to health and social care professionals recently, Care Services Minister Paul Burstow took a stand against the worrying trend in safeguarding, saying that its de nition has been widened to a ridiculous degree.

He said that a top-down culture has led to an over-reliance on checklists, process and procedure. People have been abdicating responsibility and covering their own backs instead of taking responsibility and sorting the problem.

Paul Burstow said: We need proper systems to report abuse.

Those systems only work if they are used properly and the people running them do not become bogged down investigating cases that have nothing to do with protecting people from abuse.

This is about common sense, trusting front line professionals to use their judgement so that the most serious cases of abuse don’t get lost amongst cases that should never have been referred in the rst place.

He said that procedure is no substitute for professional judgment and that we appear to have lost con dence in the abilities, common sense and skill of our highly trained professionals.

Paul Burstow cited some of the shocking examples he has heard where incidents that should have been dealt with through standard management processes have been escalated to safeguarding alerts:

• A care assistant falling asleep one night, on a single occasion, was reported as a safeguarding issue.

• A torn piece of carpet was reported as a safeguarding issue.

The Department of Health was told about a service user being given a new care plan to have more variety in their diet, by having several smaller meals each day. It was reported as a safeguarding issue because not enough main meals were being provided.

The result of over-reporting such as this leads to paralysis of the local safeguarding system. Countless hours can be spent reporting and investigating things that are clearly far beyond the realm of safeguarding and yet some genuine cases are missed.

Safeguarding Adult Boards are being made mandatory. They already exist in most local authorities, but we are putting them on a legal footing. They will need to make the difference between genuine safeguarding issues and issues of management, staff practice, quality and safety very clear to all.


PENTAX Life Care, experts in high de nition endoscopy, has introduced the world’s rst HD (high de nition) video bronchoscope. The newest addition to PENTAX Life Care’s well established range of high de nition HD+ endoscopes, the EB-1990i HD+ Bronchoscope sets a new standard for state-of-the-art bronchoscopy and provides incomparable image quality in pulmonology.

The new EB-1990i HD+ Bronchoscope is the rst high de nition bronchoscope with a megapixel CCD that presents clear high resolution images with highly accurate, natural colour reproduction. This provides users with excellent image quality in combination with leading ergonomics for better orientation and detection. Incorporated with PENTAX’s industry leading HD+ processors, the EB-1990i helps physicians clearly visualise the bronchial airways for increased clinical con dence in their diagnosis.

Delivering signi cant improvements in image resolution over standard systems, the EB-1990i can, for example, provide clear enhancement of anatomical details of the bronchial mucosa, such as longitudinal elastic bands, mucosal glands and vascularity. In addition, the advanced ergonomics and exibility of the lightweight scope ensure excellent manoeuvrability, insertion control, and comfort. A fully operational instrument channel also enables the use of small biopsy forceps for an adequate tissue diagnosis.

“Instilling greater clinical con dence by delivering high performance, reliability and value to our customers is at the core of everything we do,” said David Moore, Managing Director, PENTAX UK Ltd. “Bronchoscopy has proved to be an important and indispensable diagnostic tool in pulmonology and PENTAX took giant strides to offer the technological advances in the eld of bronchoscopy to our customers and the patients they care for.”

PENTAX Launches the World’s First HD Video Bronchoscope

The new EB-1990i HD+ Bronchoscope - Delivering unrivalled exibility and image quality in pulmonology

For more information please visit: www.hdbronchoscope.comOr call PENTAX UK Ltd on + 44 (0)1753 792733

Tristel launches sporicidal wipes you can actually see work

Tristel Sporicidal Surface Wipes are the latest addition to the ‘Tristel for Surfaces’ product range and provide a practical and highly effective way to decontaminate all hard surfaces, including those of non-invasive medical devices and food preparation areas. Quick and easy to use, the Tristel Sporicidal surface wipe uses chlorine dioxide to provide high-level disinfection against all microorganisms (spores, mycobacteria, viruses, fungi, bacteria) in under a minute. Once activated, the wipe changes colour so the user knows it’s ready for use. For improved safety, microorganisms are killed on the wipe so they are not simply transferred to another surface during the decontamination process.

The Tristel Sporicidal surface wipe system generates chlorine dioxide when the activator foam is applied to the wipe. An almost instant reaction generates a controlled level of chlorine dioxide in aqueous solution, which is contained within the wipe. The wipe changes from pink to white when the chemical reaction has taken place making it clear that the wipe is ready for use. Incorporated in the Tristel technology is a buffering system that stabilises the pH at close to that of the skin mantle and an inhibitor system that protects sensitive materials. Tristel Sporicidal surface wipes system can be used for the high-level disinfection of commodes, wheelchairs, mattresses, beds, near-patient areas and food preparation areas.

Chlorine dioxide is a powerful oxidising agent and a well-documented, highly effective and safe biocide. Tristel’s patented chlorine dioxide chemistry can kill all organisms on a surface from which excess soil and organic matter have been removed, with a contact time of only 30 seconds. Biocidically, the Tristel Sporicidal surface wipe is far superior to a wipe that uses alcohol, a quaternary ammonium compound, a biguanide, chlorhexidine gluconate or any other chemistry. Tristel’s chlorine dioxide is completely and rapidly biodegradable.

For more information contact: Polly Oates, DirectorTristel Solutions Limited Lynx Business Park, Fordham Road, Snailwell Cambridgeshire, UK CB8 7NYTel: +44 (0) 1638 721500 Fax: +44 (0) 1638 [email protected] www.tristel.com

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£5m to clear backlog after policy change

ALMOST £5 million of taxpayers’ money is being used to tackle the huge waiting lists caused by the controversial practice of removing patients from of cial gures when they refused treatment in England.

The practice was condemned by Nicola Sturgeon and in response NHS Lothian called a halt to it but as a result, waiting lists shot up.

The health board said today that it was investing £4.8m in cutting waiting times, of which £3m had come from its own coffers. The rest has been provided by the Scottish Government.

Measures being used to cut the backlog have included opening an additional operating theatre at the Western General, opening theatres at evenings and weekends, and treating some patients in the private sector.

The board’s chief operating of cer, Jackie Sansbury, said: “The short-term picture is not favourable as we knew in January we had a higher number of people waiting too long but we expect to see this resolved by June 2012.”

Source:Scotsman.com


Patient’s Skin Set On Fire At NHS HospitalA patient undergoing surgery was set on re when the solution used to clean their skin ignited, an NHS Trust has con rmed.

The incident happened at Scarborough Hospital in North Yorkshire on Monday, February 27.

Staff were also burned during the incident.

The patient was treated for the injuries and transferred to Castle Hill Hospital in East Yorkshire “as a precaution”. They were later returned to Scarborough Hospital and then discharged.

Liz Booth, director of operations at Scarborough and North East Yorkshire NHS Trust, said they were “extremely sorry”.

She said: “I can con rm that during a surgical procedure a solution used to clean the skin ignited, causing skin burns to the patient.

“The skin burn was treated immediately and the patient was kept in hospital overnight. As a precaution, the patient was transferred to Castle Hill for further assessment and on return was discharged.

“We are extremely sorry for any pain and distress caused to the patient.

“A full investigation commenced within minutes of the incident occurring and a nal report will be produced and shared with the family.”

It comes just days after it was con rmed another NHS patient, this time at St Ebba’s hospital in Surrey, was attacked by a rat as he lay sedated.

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Proven effi ciency, proven effectiveness

Thames Barrier: The Thames Barrier celebrated its 25th anniversary in 2009. Its reliance on proven engineering technology, resilience and reliability, should ensure that the barrier is operational into the 22nd century, far exceeding its anticipated design life.

When fl uid management really matters,there’s only one choice.

When the consequences of mismanaging fl uid are potentially catastrophic, the chosen engineering solution must be reliable and quality assured. Technological claims must be substantiated by independent research and robust data, instilling confi dence in the operator.

www.deltexmedical.com

www.thinkdoppler.com

Evidence_01

During the intraoperative period, clinicians measuring the fl ow of blood in the central circulation require the same level of confi dence in patient data to precisely manage the level of fl uid. Oesophageal Doppler Monitoring (ODM) using the CardioQ-ODM, is the only therapy that immediately detects changes in blood fl ow, thus enabling early and individualised fl uid management intervention.

To date, more than 500,000 patients have benefi ted from the use of the CardioQ-ODM, and the NHS National Technology Adoption Centre’s (NTAC) audit of over 1300 patients reported the benefi ts of ODM implementation in three hospitals. The post-operative stay was reduced by 3 and a half days, CVC use was reduced by 23%, readmission rates were reduced by 29%, reoperations by 30%, and Level 3 ICU stays were reduced by 5 days. The technology constitutes a cornerstone of Enhanced Recovery.

Recommended by NICE for use across the surgical population, ODM has established a substantial evidence base supporting its wide-scale use on both clinical and economic grounds. We are working with leading hospitals worldwide to introduce ODM-guided Fluid Management into routine use, and momentum is gathering. The NHS Operating Framework 2012 and more recently the NHS Innovation Wealth & Health report, have called for the routine implementation of ODM in surgery because when fl uid management matters, there really is only one choice.


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WHEN SCIENCE FICTION BECOMES SCIENCE FACTSince their inception in the 1960s, lasers have turned science ction into science fact. Lasers are now well established in medicine and surgery, and dramatic advances can be anticipated in the future as developments continue at an ever-increasing pace. The use of lasers does, of course, present its own safety challenges, and stringent guidelines exist to ensure organisations comply with best practice when providing end users with a safe environment in which to operate potentially hazardous laser equipment. Guidelines can be met by the use of a laser interlock system, which provides automatic shut-off of the laser beam if safety doors, covers or blinds are opened. The most effective option is to install the system right at the start of the operating room design and build, making theatre safety a priority from the beginning of the process, rather than responding to an incident further down the line.

Starkstrom’s Lasermet Interlock Systems ICS-5e and ICS-5s allow hospitals to meet – and exceed – laser safety requirements.

Based on a tried and tested safety control system, the newest incarnation of the Lasermet Interlock System has been totally updated internally to include the latest in electronic technology and design, and is now supplied fully integrated into the market-leading Starkstrom eTCP Touch Screen Theatre Control Panel, or on a standalone enclosure. It has a simple, easy-to-use touch screen control panel which is durable and wipe-clean for enhanced infection control. Illuminated warning signs can also be integrated in the Lasermet Laser Interlock System, allowing accurate indication of room use and equipment status. An important element of the system is that it can be “future proofed”, and then activated when the technology comes on-line without disrupting the operating room fabric or necessitating extended shutdowns.

Starkstrom is rare in the world of operating room and critical care area design in that it is able to put together an integrated package primarily featuring products built in its own manufacturing facilities, rather than having to source them from other companies.

This means projects run smoothly, with lower administrative and commissioning costs. It also ensures faultless communication between products.

In this challenging nancial climate, British-owned and based Starkstrom is proud to be winning contracts, and supporting British industry.

Further information:StarkstromTel: 0208 868 3732www.starkstrom.com [email protected] Amanda Parkin07810 [email protected]

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SUNLIGHT ACHIEVES UK FIRST WITH

HIGHEST LEVEL OF EUROPEAN

BIO-CONTAMINATION CONTROL

Sunlight, the UK’s market leader in textile rental and laundering services and a major supplier to the NHS, has become the rst UK-based organisation in its sector to obtain EN14065, the highest level of bio-contamination control certi cation. All of the company’s healthcare facilities have now been accredited with EN14065, which is independently assessed and awarded.

The highest European standard on bio-contamination control, EN14065 applies to industrial laundries that provide services to hospitals, health, food, pharmaceutical, catering and hotel sectors. It has taken Sunlight up to a year to put the necessary systems in place to gain accreditation for all its facilities.

Steven Finch, Sunlight’s managing director UK and Ireland, says: “Our goal is always to lead and not follow. While this has involved a signi cant investment on our part, both in training and internal systems, it demonstrates our commitment to maintain our position as the market leading provider. Microbiologically clean linen plays an essential role in helping to eliminate Hospital Acquired Infections (HAIs), and in achieving EN14065 we are maintaining our critical role in that process.”

Sunlight carries out regular microbiology tests on surfaces, staff hands, washing machine processes, vehicles, containers and water samples, through its own UKAS (United Kingdom Accreditation Service) accredited laboratory. Sunlight is the only linen provider to have such a microbiological lab. The EN14065 accreditation also covers Sunlight’s Irish operation, Spring Grove Services.

Sunlight is the UK leader in textile rental and laundering services for industry, commerce and the NHS and public sector organisations. It has more than 9,000 employees across 60 sites in the UK, and services thousands of organisations across all sectors of the economy.


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Heart attack patients: emergency hospital admissions drop by a quarter while death rate nearly halves in a decade

Hospitals in England have seen the annual number of emergency admissions for heart attacks among patients aged 35 to 74 drop by more than a quarter in a decade and the death rate nearly halve.

Emergency admissions fell from 42,400 in 2000/01 to 30,600 in 2009/10, NHS Information Centre gures show.

During the same period the death rate for within 30 days of an emergency admission for heart attack almost halved; dropping from one in 11 to one in 20.

Todays report; Hospital Episode Statistics: Deaths within 30 days of a hospital procedure or of an emergency admission to hospital - Financial year 2009/10; presents mortality information on selected conditions and procedures2, to help the NHS monitor potential avoidable deaths following hospital treatment.

As well as the notable changes for heart attacks, the report also shows that while the death rate has reduced for stroke (among all age groups) between 2000/01 and 2009/10, the annual number of emergency admissions has not changed greatly.

In 2009/10 there were 64,300 emergency admissions; a four per cent fall compared to 2000/01 (67,000). During the same period the death rate fell from one in four to one in ve

Figures have been standardised to consider factors including the age of the population over time; but not factors like socio-economic status, co-morbidities or severity of illness.

NHS Information Centre chief executive Tim Straughan said: The majority of admissions to hospital for people suffering a heart attack or stroke are emergency cases. This report focuses on such admissions; providing the NHS and the public with a vital 10 year snapshot of the number of patients treated by our hospitals for such serious conditions and whether they survive or not.

The report ndings can be accessed at: www.ic.nhs.uk/pubs/hesdeaths0910

The report data is available on the NHS Information Centres Indicator Portal (under the Compendium section on the left hand menu, listed under hospital care/outcomes/deaths) which can be accessed via the report home page.

AORN Issues Implementation Guide for Prevention of Retained Surgical Items

The Association of periOperative Registered Nurses (AORN) has published an Implementation Guide for the “Recommended practices for prevention of retained surgical items (RSIs).” The guide, in the February 2012 issue of AORN Journal, is the third in a series of Journal articles that are designed to bridge the gap between standards and their implementation. The Implementation Guide for the Recommended Practices for Prevention of RSIs includes real life scenarios for ambulatory and hospital patients as they may be experienced by the perioperative nurse.

Each article in the Journal implementation series features an RP summary that can serve as a reference, a visual aid, a means to resolve disputes, and materials to help prepare for the CNOR exam. The RP Implementation Guide focuses on a single recommended practice document, describing signi cant changes, areas of risk or concern, elements of compliance with accreditation and regulatory requirements, and strategies for successful implementation.

Strategies for implementing the recommended practices for prevention of RSI include teamwork and the perioperative RN taking on an active role by providing an accurate accounting of items that are dispensed before and during a surgical or invasive procedure, using appropriate detection technologies, and advocating for patients through collaboration with risk managers and other professional colleagues.

The AORN Journal is peer reviewed and provides registered nurses in the operating room and related services with information based on scienti c evidence and principle. Articles cover the nurse’s roles before, during, and after surgery and include patient teaching and preparation, use and care of surgical instruments and supplies, asepsis, sterilization, anesthesia and related topics. Source: Infection Control Today


NICE Guidance supports the caseto adopt Indithermpatient warmingsystems in the NHS• Clinical evidence supports Inditherm’s

effectiveness at preventing hypothermia • Annual cost savings of £9800 per

Operating Theatre• Additional savings from reductions in

post-operative infections, energy usageand clinical waste

Contact any of our Medical team today for furtherinformation or a free trial, on +44 (0) 1709 761000 oremail: [email protected], and quote Ref: MTG0811

www.inditherm.com/medical

The new standard in patient warming

Full guidance can be found at www.nice.org.uk/guidance/MTG7

The Next Generation – Atlas® Medical Pendant

HCA’s Portland and London Bridge Hospital’s have equipped their brand new PICU and ICU with Brandon Medical’s next generation Atlas Medical Pendants. A total of 17 pendants were installed at the head of each bed to maximize the number of patient services immediately accessible around the patient.

Brandon Medical worked with the hospitals to install state of the art pendant systems in their PICU and ICU departments. The Atlas Medical supply pendants have been upgraded with new rounded arms, smooth exteriors and all hardware is concealed with no visible screws.

The pendants loading capacity has been improved in terms of weight and the amount of services available (gas outlets, power sockets, data points etc). This can make working much easier for clinical teams in what is traditionally one of the most overcrowded and cramped areas of a hospital. Future access for servicing is also improved, reducing downtime and maintenance over the lifespan of the pendant.

Further improvements include a pendant brake indication. Blue and green markers give a visual indication of the brake button and respective bearing improving user manoeuvrability.

New lighting options can also be integrated, including LED up lighters in the extension arm, service head or both. These are also available with a dimming function improving patient comfort in the ICU.

The HCA group offer private healthcare with the very highest standards of clinical skills and nursing care. The Portland Hospital is the only private hospital in London entirely dedicated to the care of women and children and the London Bridge Hospital advanced surgical and medical facilities provide their patients with excellence across a wide range of specialties.

Brandon Medical specialises in creating solutions, and through working closely with the Portland and London Bridge Hospital’s, they were able to develop a design to match their exact requirements.

For more information on the Atlas Medical Pendants or any other products, please contact, Tel: 0113 277 7393 Email: [email protected] or visit www.brandon-medical.com


Sensor Monitors Patient Recovery

In VivoAn implantable sensor that provides surgeons with detailed, real-time information from a surgery site could lead to more accurate assessments of a patient’s recovery.

Developed at Rensselaer Polytechnic Institute by Faculty Researcher Eric Ledet, the sensor is attached to commonly used orthopaedic musculoskeletal implants such as rods, plates or prostheses.

Scalable, tunable and easy to con gure, the sensor monitors the implants and wirelessly transmits data about the load, strain, pressure or temperature of the surgery site.

Inexpensive to make and highly reliable, the sensor measures 4 mm diam and 500 microns thick. It is powered by the external device that is also used to capture sensor data.

Ledet and his research team have led for patent protection for their new sensor. They currently make each sensor by hand, but are investigating methods for mass production.


King sher Solution / Blanket Warming Cabinets

High level of speci cation, including: 6 models in range 72 to 228 litres (12-48 bottle) Precise temperature control Tamper-proof controls Special IV rack available

Call now for prices and brochure:LTE Scienti c Ltd, Greenbridge Lane,Green eld, Oldham, OL3 7ENTel. 01457 876221 Fax. 01457870131E-Mail: info@lte-scienti c.co.uk www.lte-scienti c.co.uk

Infection Prevention Society West Midlands Study Day

Delegate registration is open for the IPS West Midlands Study Day.

Further details are below and online: https://www.eventsforce.net/IPSWestMidlands2012

Organiser: Infection Prevention SocietyDate and Time: Thursday 31st May 2012, 8.45am 16.00pmLocation: Clarendon Suites, BirminghamCost: FREE for IPS members, £35 fee for Non-MembersRegistration website: https://www.eventsforce.net/IPSWestMidlands2012

Programme overview:

• Welcome and Housekeeping: Speaker TBC

• Quality Improvement: Evonne Curran

• Decontamination: Christina Bradley

• RCN Update: Rose Gallagher

• Route Cause Analysis: Speaker TBC

• Multi-Resistant Organisms: Donald Dobey

• CA-UTI: Speaker TBC

Aims for the meetingThe Infection Prevention Society West Midlands Study Day aims to contribute to the professional development of healthcare practitioners with a common interest in infection prevention and control. This one day conference represents an important educational activity for the West Midlands Branch in an area of current strong clinical and commercial interest.

Fujifilm’s new NHYes website

Fuji lm is a pioneer in diagnostic imaging and information systems for healthcare, with a range of constantly evolving, clinically proven, products and technologies designed to assist medical professionals perform ef ciently and effectively. The company are proud to be launching their new website, dedicated to their range of DR solutions that are now approved and available via the NHS Supply Chain Framework.

Fuji lm’s NHYes website can be found at http://www.fujimed.co.uk/yes, and explains how their innovative new DR technology can improve image quality and increase throughput, as well as help to streamline procurement and reduce costs. With a collaborative approach, Fuji lm delivers exceptional solutions and support, which is now all available via the NHS Supply Chain.

The informative website also features the range of equipment available from Fuji lm, via the NHS Supply Chain:

• The newly developed direct conversion Flat Panel Detector, FDR AcSelerate.

• The FDR Amulet, providing enhanced breast imaging capability, increased usability and patient comfort.

• The fast, exible and lightweight FPD System, FDR D-EVO.• The high performance and highly mobile portable CR X-ray unit, FCR Go.

A brief synopsis of each product, as well as full product and technical details are available, as well as informative product demonstration video clips. There is also a contact page that enables visitors to leave feedback comments and subscribe to the Fuji lm newsletter.

For further information on accessing the NHYes website, telephone Fuji lm on 01234 326780.

Fuji lm – pioneers in diagnostic imaging and information systems. Quote ‘OTJ’

New intensive care unit for Lister Hospital approved

Plans to expand the intensive care unit at a Hertfordshire hospital have been given the go-ahead.

The East and North Hertfordshire Trust has approved the £2m proposal to develop the existing unit at Lister Hospital in Stevenage.

The 20-bed unit will match the current combined capacity of the Lister and the QEII hospital in Welwyn Garden City.

All the trust’s intensive care services will be brought together in Stevenage by 2014.

The expansion of the intensive care service is part of the £72m phase four redevelopment programme for the Lister, which by 2014 will have had some £150m invested in it and will see it become the main emergency and inpatient hospital for east and north Hertfordshire.

Work on this latest project is due to be completed in October 2012, although some beds will remain at the QEII prior to their nal relocation to the Lister.

‘Improved exibility’

The trust said the new centralised service will reduce patient transfers between the Lister and the QEII for non-clinical reasons and allow more patients to receive their intensive care at the trust, rather than being transferred to other hospitals.

Consultant anaesthetist Dr Pin Patel said: “We know that having the inpatient services located in one place improves our exibility in supporting the patients who need to be admitted for intensive care.

“We know that we will be able to provide our patients with improved levels of care, whilst at the same time in a much better environment for them, their families and our staff.”

It was a 2007 consultation which led to the decision to close many of the services at the QEII and transfer them to Stevenage, with the aim of providing all acute services for the area on one site.

The business case for a new £19m emergency department is awaiting nal approval from the Treasury and the boards of NHS Hertfordshire and NHS Midlands and East will consider a £39m proposal for new ward and operating theatre blocks at the hospital in March. Source: BBC

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Infection PreeeevvvvvvvvvvvvWest Midlaannnnnnnnnnnn

Delegate registration is opeeeeeeeeennnnnStudy Day.

Further details are below aaaaaaaannnnnnhttps://www.eventsforce.nneeeeeeeeettt

Organiser: Infection PPPPPrrrrrrreeDate and Time: Thursdayyy 333333Location: Clarendooooonnnnnnnn Cost: FREE for IPS memmmmmmmmbbbbbRegistration website: https://www.eventtsssssssfffffoo

Programme overview:

• Welcome and Houuussssssseee

• Quality Improvemeeeeeeeennnnnnt

• Decontamination: CCCCCCCCCCCCh

• RCN Update: Roseeeeee GGG

• Route Cause Analyyyyyysssssssiis

• Multi-Resistant Orrrrgggggggggaaa

• CA-UTI: Speaker TTTTTTTTTBBBBB

AiAiAiAiAiAiAiAiAiAiAiAimsmsmsmsmsmsmsmsms fffffffffff fororororororororor tttttttttt thhhhehehehehehehehehe mmmmmmmm meeeeeeeeeeeeeeeeee itititititititititititingngngngngngngngnggg

Fuji lm is a pioneer in diagnostic imaging and information systems for healthcare, with a range of constantly evolving, clinically proven, productsand technologies designed to assist medical professionals perform ef cientlyand effectively. The company are proud to be launching their new website,dedicated to their range of DR solutions that are now approved and availablevia the NHS Supply Chain Framework.

Fuji lm’s NHYes website can be found at http://www.fujimed.co.uk/yes, andexplains how their innovative new DR technology can improve image qualityand increase throughput, as well as help to streamline procurement andreduce costs. With a collaborative approach, Fuji lm delivers exceptionalsolutions and support, which is now all available via the NHS Supply Chain.

The informative website also features the range of equipment available fromFuji lm, via the NHS Supply Chain:

• The newly developed direct conversion Flat Panel Detector, FDRAcSelerate.

• The FDR Amulet, providing enhanced breast imaging capability, increasedusability and patient comfort.


A brief synopsis of each product, as well as full product and technical detailsare available, as well as informative product demonstration video clips. Thereis also a contact page that enables visitors to leave feedback comments andsubscribe to the Fuji lm newsletter.

For further information on accessing the NHYes website, telephone Fuji lmon 01234 326780.



Plans to expand the intensive care unit at a Hertfordshire hospital have beengiven the go-ahead.

The East and North Hertfordshire Trust has approved the £2m proposal todevelop the existing unit at Lister Hospital in Stevenage.

The 20-bed unit will match the current combined capacity of the Lister andthe QEII hospital in Welwyn Garden City.

All the trust’s intensive care services will be brought together in Stevenageby 2014.

The expansion of the intensive care service is part of the £72m phase four redevelopment programme for the Lister, which by 2014 will have had some£150m invested in it and will see it become the main emergency and inpatienthospital for east and north Hertfordshire.

Work on this latest project is due to be completed in October 2012, althoughsome beds will remain at the QEII prior to their nal relocation to theLister.


The trust said the new centralised service will reduce patient transfersbetween the Lister and the QEII for non-clinical reasons and allow morepatients to receive their intensive care at the trust, rather than beingtransferred to other hospitals.

Consultant anaesthetist Dr Pin Patel said: “We know that having the inpatientservices located in one place improves our exibility in supporting thepatients who need to be admitted for intensive care.

“We know that we will be able to provide our patients with improved levelsof care, whilst at the same time in a much better environment for them, their families and our staff.”

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LLLLLLLLLLL

For further details, visit: www.eschmann.co.uk OR CALL 01903 875 747

Spring Off ers

*All prices quoted excl. Delivery and VAT.

Direct Placement Legholders

Introductory offer £1,000*

Lightweight Leg Plus

Accepts maximum patient weight of up to 300kg Velcro free mattress xings 850mm x 562mm wide

Accepts maximum patient weight of up to 159kg Lithotomy range: +84° to –33° Abduction range: +25° to –9°

Feat

ures

Feat

uresNEW

£3,000*

TA-030-1077 - Lightweight leg section plus complete with 50mm Mattress.

81-272-10 - Direct placement legholders with clamps.


























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rch 2012 ao availabil

ann Holdin

upppppppppports Inditherm’seeevvvvvvvventing hypothermia ssss ooof £9800 per

frrrrroooooom reductions inccctttttttions, energy usage

Contact any of our Medical team today for furtherinformation or a free trial, on +44 (0) 1709 761000 oremail: [email protected],and quote Ref: MTG0811


rrrddddddddddd in patient warming

aaaaattttttt www.nice.org.uk/guidance/MTG7

eneration – The Next Gecal PendantAtlas® Medic

HCA’s Portland and London Bridge Hospital’s have equipped their brandnew PICU and ICU with BrandonMedical’s next generation AtlasMedical Pendants. A total of 17pendants were installed at the headof each bed to maximize the number of patient services immediatelyaccessible around the patient.

Brandon Medical worked with thehospitals to install state of the art

The pendants loading capacity has been improved in terms of weight and the amount of services available (gas outlets, power sockets, data points etc). This can make workingmuch easier for clinical teams in what is traditionally one of the mostovercrowded and cramped areas of ahospital. Future access for servicing is also improved, reducing downtime and maintenance over the lifespan of the pendant

New lighting options can also be integrated, including LED up lighters in the extension arm, service head or both.These are also available with a dimming function improving patient comfort in the ICU.

The HCA group offer private healthcare with the very highest standards of clinical skills and nursing care.The Portland Hospital is the only private hospital in London entirely dedicated to the care of women and children and the London Bridge Hospital advanced surgical and medical facilities provide their patients with excellence across a wide range of specialties.


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For further details, visit: www.eschmann.co.uk

The details given in this lea et are correct at time of going to press. Special offers are valid until 31th MarcEschmann reserves the right to improve the equipment shown at any time. Equipment may be subject to aEschmann Holdings Ltd. ‘Eschmann Equipment’ is a trading name of Eschmann Holdings Ltd. Eschmann

OR CALL

*All

pri

ces

quo

ted

exc

l. D

eliv

ery

and

VAT.

Spring Off ers

81-270-25 - Narrow arm table with 50mm pad and integral clamp

£250*

81-368-23 - Perspex arm supports

£22*

TA-020-1084 - Drop handle direct on clamp UK/Euro

£60*

TA-020-1082 - Rotary accessory clamp UK

£110*

81-273-49 - Blade clamp UK/EURO

£60*

81-271-33 - Anaesthetic screen (Requires Direct on or rotary clamp)

£80*









Programme overview:
































1th March 2bject to avachmann H

LL

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Call now for prices and brocchhhhhhhhhhhhuuuLTE ScientiLTE Scienti c Ltd, Greenbriddddggggggggggggee c Ltd, GreenbriddddgggggggggeeGreen eld, Oldham, OL3 7ENNNNNNNNNNTel. 01457 876221 FFFFFaaaaaaaaaxxTel. 01457 876221 FFFFFaaaaaaaaaxxxE-Mail: info@lte-scienti c.coooooo....uuuu

Infection PreeeevvvvvvvvvvvvWest Midlaannnnnnnnnnnn

Delegate registration is opeeeeeeeeennnnnStudy Day.

Further details are below aaaaaaaannnnnnhttps://www.eventsforce.nneeeeeeeeettt

Organiser: Infection PPPPPrrrrrrreeDate and Time: Thursdayyy 333333Location: Clarendooooonnnnnnnn Cost: FREE for IPS memmmmmmmmbbbbbRegistration website: https://www.eventtsssssssfffffoo

Programme overview:

• Welcome and Houuussssssseee

• Quality Improvemeeeeeeeennnnnnt

• Decontamination: CCCCCCCCCCCCh

• RCN Update: Roseeeeee GGG

• Route Cause Analyyyyyysssssssiis

• Multi-Resistant Orrrrgggggggggaaa

• CA-UTI: Speaker TTTTTTTTTBBBBB

AiAiAiAiAiAiAiAiAiAiAiAimsmsmsmsmsmsmsmsms fffffffffff fororororororororor tttttttttt thhhhehehehehehehehehe mmmmmmmm meeeeeeeeeeeeeeeeee itititititititititititingngngngngngngngnggg

Fuji lm is a pioneer in diagnostic imaging and information systems for healthcare, with a range of constantly evolving, clinically proven, productsand technologies designed to assist medical professionals perform ef cientlyand effectively. The company are proud to be launching their new website,dedicated to their range of DR solutions that are now approved and availablevia the NHS Supply Chain Framework.

Fuji lm’s NHYes website can be found at http://www.fujimed.co.uk/yes, andexplains how their innovative new DR technology can improve image qualityand increase throughput, as well as help to streamline procurement andreduce costs. With a collaborative approach, Fuji lm delivers exceptionalsolutions and support, which is now all available via the NHS Supply Chain.

The informative website also features the range of equipment available fromFuji lm, via the NHS Supply Chain:

• The newly developed direct conversion Flat Panel Detector, FDRAcSelerate.

• The FDR Amulet, providing enhanced breast imaging capability, increasedusability and patient comfort.


A brief synopsis of each product, as well as full product and technical detailsare available, as well as informative product demonstration video clips. Thereis also a contact page that enables visitors to leave feedback comments andsubscribe to the Fuji lm newsletter.

For further information on accessing the NHYes website, telephone Fuji lmon 01234 326780.



Plans to expand the intensive care unit at a Hertfordshire hospital have beengiven the go-ahead.

The East and North Hertfordshire Trust has approved the £2m proposal todevelop the existing unit at Lister Hospital in Stevenage.

The 20-bed unit will match the current combined capacity of the Lister andthe QEII hospital in Welwyn Garden City.

All the trust’s intensive care services will be brought together in Stevenageby 2014.

The expansion of the intensive care service is part of the £72m phase four redevelopment programme for the Lister, which by 2014 will have had some£150m invested in it and will see it become the main emergency and inpatienthospital for east and north Hertfordshire.

Work on this latest project is due to be completed in October 2012, althoughsome beds will remain at the QEII prior to their nal relocation to theLister.


The trust said the new centralised service will reduce patient transfersbetween the Lister and the QEII for non-clinical reasons and allow morepatients to receive their intensive care at the trust, rather than beingtransferred to other hospitals.

Consultant anaesthetist Dr Pin Patel said: “We know that having the inpatientservices located in one place improves our exibility in supporting thepatients who need to be admitted for intensive care.

“We know that we will be able to provide our patients with improved levelsof care, whilst at the same time in a much better environment for them, their families and our staff.”

11ttthhh MMarch 2bbjjeeeeeccct to avacccchhhhmmann H

LLLLLLLLLLL01903 875 747 Quoting: WS12

General Accessory TrolleyThe general accessory trolley has been

developed to carry a wide range of

table accessories including the T20/T30

shoulder positioner, direct placement

legholders and lightweight leg section.

h 2012 and cannot be used in conjunction with any other offer. Equipment may be subject to availability. availability. All prices quoted excl. Delivery and VAT. The ‘Eschmann’ name and logo, are trade marks of n Holdings Ltd, Peter Road, Lancing, West Sussex, BN15 8TJ. PS 628 02 03/12

R10-387-UK-H - Ball joint armboard with pad and clamp

£770*

81-569-13 - Laminectomy support pad (990mm x 130mm)

£250*

81-270-35 - Lateral brace kit (Requires 3 x clamps 81-273-49)

£890*

£888*

81-582-57 - Trolley complete with accessory box (UK sidebars).


























upppppppppports Inditherm’seeevvvvvvvventing hypothermia ssss ooof £9800 per

frrrrroooooom reductions inccctttttttions, energy usage

Contact any of our Medical team today for furtherinformation or a free trial, on +44 (0) 1709 761000 oremail: [email protected],and quote Ref: MTG0811


rrrddddddddddd in patient warming

aaaaattttttt www.nice.org.uk/guidance/MTG7

eneration – The Next Gecal PendantAtlas® Medic

HCA’s Portland and London Bridge Hospital’s have equipped their brandnew PICU and ICU with BrandonMedical’s next generation AtlasMedical Pendants. A total of 17pendants were installed at the headof each bed to maximize the number of patient services immediatelyaccessible around the patient.

Brandon Medical worked with thehospitals to install state of the art

The pendants loading capacity has been improved in terms of weight and the amount of services available (gas outlets, power sockets, data points etc). This can make workingmuch easier for clinical teams in what is traditionally one of the mostovercrowded and cramped areas of ahospital. Future access for servicing is also improved, reducing downtime and maintenance over the lifespan of the pendant

New lighting options can also be integrated, including LED up lighters in the extension arm, service head or both.These are also available with a dimming function improving patient comfort in the ICU.

The HCA group offer private healthcare with the very highest standards of clinical skills and nursing care.The Portland Hospital is the only private hospital in London entirely dedicated to the care of women and children and the London Bridge Hospital advanced surgical and medical facilities provide their patients with excellence across a wide range of specialties.


Radiolucent spine surgery frame system

For further details, visit: www.eschmann.co.uk OR CALL 01903 875 747

*All prices quoted excl. Delivery and VAT.

81-271-33 - Radiolucent spine surgery frame system with storage trolley.

Radiolucent supporting patient weights up to 227kg.Patient supports are adjustable to t patients of various sizes.Patient supports adjust laterally up to 254mm to relieve pressure on the patient’s abdomen.Lightweight for simple set-up Compact for easy storage Storage trolley included for easy transport

Feat

ures

NEW

£4200*









Programme overview:

































Good Hope Hospital chooses SonoSites M-Turbo®

Clinicians at the Heart of England NHS Foundation Trust are bene tting from using SonoSites MTurbo® and MicroMaxx® hand-carried ultrasound systems for vascular diagnostics and treatment guidance. Corinna Gomm, Clinical Vascular Scientist at the Trust, explained: The Vascular Centre is at Birmingham Heartlands Hospital, which has numerous SonoSite instruments, mainly MicroMaxx systems. These are used in both outpatient clinics where their main uses are for scanning aortas, surveillance of abdominal aortic aneurysms (AAA) and for assessing veins prior to treatment and in theatre, for ultrasound-guided treatment such as radiofrequency ablation of varicose veins (EVLA). Outpatient clinics and treatments also take place at Good Hope Hospital, where we have recently purchased an M¬-Turbo, and at Solihull, and the SonoSite systems have proved very capable of supporting satellite outpatient work when needed.

I also use the M-Turbo on the wards to perform carotid and leg arterial duplexes, and have been very pleased with its performance. It is robust, easy to use and the image is really clear, allowing me to perform intricate scans. We look at grey scale, colour and Doppler images and, as the system can penetrate down to 20 cm, it is very sensitive even in larger patients. The advanced needle visualisation feature is also popular with our consultants when performing ultrasound guided interventions. Minimal training was required as the systems are quite intuitive, and SonoSites technical advisors are very accessible. That is the beauty of SonoSite.

For more information about SonoSite products, please contact: [email protected] House, 40A Wilbury Way, Hitchin SG4 0APTel +44 (0)1462 444 800, Fax +44 (0)1462 444 801www.sonosite.com© 2012 SonoSite, Inc. All rights reserved.

Dycem inhibits growth of MRSA and Ecoli in 15 minutesContamination of the operating theatre can provide a signi cant increase in the risk of hospital acquired infections such as MRSA, E.coli and Listeria.

Air borne contamination in particular poses a threat to the cleanliness of hospital operating facilities. Particles, mainly derived from the personnel in the operation theatre and their activities, can be suspended in the air for hours where they undergo rapid proliferation, contaminating the surrounding environment.

Dycem can provide a microbiologically safe environment in the theatre from bacterial airborne contamination thus preventing air borne infection in operating theatres.

Test results reveal Dycem’s polymeric ooring has been proven to successfully inihibit the growth of MRSA and Ecoli after just 15 minutes.

After 15 minutes of exposure to the oor surface, the antimicrobial ef ciency of Dycem’s contamination control ooring had reduced the growth of MRSA and e-coli by more than 60%.

After two hours, recovery counts revealed a further signi cant reduction in antibacterial activity, with a decrease of between 89 and 99% in the number of viable organisms recovered from Dycem ooring.

The greatly improved ef cacy rates for MRSA and e-coli are attributable to the antimicrobial agent incorporated in all of Dycem’s High Performance Contamination Control Zones.

Independent tests have proved that the silver based anti microbial, manufactured by BioMaster, is effective in reducing the growth of

gram positive and gram-negative bacteria by 99.9% over a 24-hour period. It is effective in attracting, collecting and retaining foot and wheel borne microbial contamination and has been proven to inhibit the growth of over 50 other organisms including Salmonella, Listeria, Campilobactor, Pseudomonas, A.Niger (black spot mould growth), and Algae.

Dycem is of immense bene t to Nuclear Medicine, Hospitals and Pharmacy units as it prevents contamination from being carried into the critical area. Dycem is used in Nuclear Medicine and Pharmacy Aseptic units to help prevent contaminants from getting into medicines and drugs. Dycem is also used outside Operating Theatres, Post Recovery Areas, ITU’s, CSSD, Isolation Wards and many other critical areas to help protect the health of the patient and staff.

For further details please contact Kayley Rogers- 0117 955 9921Dycem Ltd, Ashley Trading Estate, Bristol, BS2 9BB.www.dycem.com

Hospital bid fuels debateBicester is being offered a second new hospital after a private rm launched a consultation on proposals rivalling an NHS scheme.

Specialist medical developer Arkanum said it could invest up to £30m in a hospital at the new Kingsmere housing estate.

The scheme would be in direct competition with plans by NHS Oxfordshire to replace the town’s 12-bed community hospital in Kings End with a care home and 12-bed ward, a rst-aid unit, therapy centre and x-ray unit.

Arkanum, based in Cheltenham, said it was considering building a hospital and care home with 65 beds. Of these, about 30 would be hospital beds. There could also be extra services such as MRI and ultrasound scans and a small operating theatre.

The company would then bid for contracts to treat NHS patients.

The plan comes amid the controversial changes in the NHS, with primary care trusts being abolished, and GPs taking charge of nances and decisions on where patients are treated.

Arkanum is asking residents and GPs whether they would support its project.

Spokesman John Lucken said: “The private sector will build the hospital for free and will be paid out of payments for patients’ treatments.

“What we need to do is discover whether the people of Bicester want this, whether GPs want this and whether the council wants this.“What we offer would be based on what the community needs.“If it can be demonstrated there is enough demand for services, then it will be worthwhile building the hospital, but if people don’t want them, it won’t be built.“The PCT will have to take a view whether it wants to continue – if they do, we will decide whether it is still worthwhile.”He said if the plan went ahead, work could start this autumn, with the hospital opening in 2014.Hospital campaigner Les Sibley said: “The Kingsmere site is there waiting to be developed.“It has already got planning permission for a health village.“We would be foolish not to take a look at this proposal.”Oxfordshire PCT project director Riana Relihan said: “The procurement process to replace the existing facilities in Bicester with a new hospital is reaching the nal stages of evaluation and appointing our preferred bidder.“A private company undertaking to build a private facility will not affect this process.”For more details, email: [email protected]

Source: The Oxford Times Sam McGregor

The 8th International Healthcare Infection Society (HIS) Conference and Federation of Infection Societies (FIS) annual conference

The HIS conference takes place every two years and is the major international conference focusing on infection control attracting leading world experts in healthcare associated infections as speakers and delegates. As well as attracting accreditation from both the ACCME and the Royal College of Pathologists, it will provide a unique opportunity for everyone involved to learn the latest developments in this rapidly expanding and changing eld.The meeting is driven by an excellent scienti c programme covering topics such as infection prevention and control, epidemiology and surveillance, decontamination, new technologies, infectious diseases, laboratory microbiology and antimicrobial agents to name a few. There will also be an opportunity for delegates to exchange views and ideas about the latest developments in nosocomial and hospital acquired / healthcare associated infections.HIS is returning to Liverpool, one of Britains most vibrant and cosmopolitan cities, after the very successful 2010 HIS International Conference. The 2012 event will again be located in the BT Convention Centre, a purpose built, state of the art facility situated in the heart of Liverpool along the historic, world heritage waterfront on the 19-21 November 2012. Early bird registration rate closes after 10th September 2012Abstract submission closes 21st September 2012For more information and to register visit www.hisconference.org.uk email: HISconference@ twise.co.uk / Phone: 01506 811077 When responding to articles please quote ‘OTJ’

Please quote ‘OTJ’


HOWORTH AIR TECHNOLOGY – NEW EXFLOW EVOLUTION SCREENLESS ULTRA CLEAN CANOPY FOR 21st CENTURY OPERATING THEATRES

As operating theatres become ever more high tech, featuring integrated digital technology requiring monitors and touchscreens within the operating site clean zone, as well as integrated scanners, X-rays and microscopes, space, particularly at ceiling level, is at an ever-increasing premium. A 21st century operating theatre needs to allow for exibility of equipment choice and changing work practices, as well as looking streamlined and almost futuristic in design.

In response to this, clean air engineering specialist, Howorth Air Technology, has developed a new Screenless Ultra Clean Canopy, the Ex ow Evolution, to complement the range of Ex ows it has been installing in private and public hospitals around the world for over 40 years. In keeping with the company’s innovative approach to design, Howorth chose to follow a different path than competitors and developed its own unique system, which is suitable for both retro ts and new builds.

The Ex ow Evolution essentially retains the basic construction of Howorth’s market leading existing models, the Ex ow 28 and Ex ow 32, but, with some innovative engineering at the air discharge, the company has recreated, and in many ways improved, the performance of the systems without the need for the traditional partial walls or the additional requirement of low level recirculation ducts, remote fans or cooling coils that many competitors’ models require. The unit remains an integral fan unit of modular construction, ideal for new build or retro- t situations. Installation time is kept to an absolute minimum and, as primary air ow to the theatre remains the same as with other Ex ow models, long term maintenance and running costs can be lower than competitive products.

At the core of this new product are the patented Passive Coanda and Active Coanda systems. These are unassisted (Passive) or assisted (Active) air displacement devices, designed to replicate the controlled air ow of a solid side screen. Both the Evolution models, designated the Ex ow 28-12 and Ex ow 32-12, exceed the performance requirements of HTM 03-01 in many areas, particularly with regard to the non-entrainment test.

Backed by the Howorth’s 150 years of experience in engineering clean air, the new Ex ow Evolution takes operating theatre design into the 21st century and beyond.

Further information: www.howorthgroup.com [email protected] Philippa King-Smith [email protected]

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AfPP Career Day boosts job prospects

The Association for Perioperative Practice (AfPP) has announced details of an inspirational career day for healthcare professionals at all levels aiming to make their mark in a competitive job market.

The AfPP Perioperative Career Day takes place on 10 May 2012 at Old Trafford, Manchester, as part of the charitys annual Perioperative Week, and offers an exceptional opportunity to pick up tips and advice from continuing professional development (CPD) experts. Through a series of talks and workshop sessions delegates can learn how to make the right impression throughout the application process, whilst companies with current vacancies will be among the many exhibitors on hand to offer information and guidance.

The sessions include valuable insights from Guy Hirst, founder of Atrainability Ltd on the social and communication skills needed to make teams safer, happier and more productive in the healthcare setting. Motivational speaker Lisa Clifford will share 20 tactics designed to help you boost your presentation

skills and maximise the positive impact you can have on yourself and others in the workplace. Finally, Sumeyah Sallam, general manager of Lancashire Teaching Hospitals NHS Trust, will share the tools and techniques for being successful at interview.

AfPP chief executive Dawn Stott commented: The combination of front line job cuts and squeezes on managing time for training is putting more and more pressure on staff at all levels. The Career Day is intended to support all perioperative practitioners whether they are theatre managers, clinical educators, healthcare support workers, theatre nurses or ODPs. The day will provide invaluable advice on extending skills and achieving prominence.

The Perioperative Career Day is open to AfPP members and non-members alike but all delegates should pre-register via the website to be sure of a place. For more information and registration details visit www.afpp.org.uk/eventsYou can also follow us on, Twitter @SaferSurgeryUK

included in NHS Supply Chain Framework

Xograph Healthcare, a leading independent medical imaging equipment supplier to the UK and Republic of Ireland, is pleased to announce that its advanced range of diagnostic imaging products are now available through the NHS Supply Chain National Frameworks for imaging equipment in England, Wales and also selected products in Northern Ireland.

The Gloucestershire-based company, which provides innovative medical imaging technology and services to hospitals, diagnostic centres, medical services and veterinary practices, have products available in four categories: Static general X-ray rooms and wireless DR detectors and options, Mobile X-ray systems and wireless DR detectors and options, Mobile Image Intensi ers and Mammography X-ray equipment. This compliments the company’s existing inclusion in the NHS Supply Chain Dental Framework agreement.

NHS Supply Chain is uniquely positioned as a national provider, working alongside trusts to respond to the evolving landscape. It provides a wide range of healthcare products and customer focused supply chain services and its aim is to provide more than £1 billion of savings to the NHS by 2016. NHS trusts and other healthcare organisations are able to focus on quality frontline patient care whilst managing costs and achieving sustainable value.

Peter Staff, CEO at Xograph Healthcare commented “I am delighted that Xograph Healthcare products are now available via the NHS Supply Chain Framework. The company’s involvement will open up new opportunities for both Xograph and our customers with innovative and unique imaging products now available to a wider audience.”www.xograph.com When responding to articles please quote ‘OTJ’


Timesco’s new ION-AIR range of Resuscitation &

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Surgical Catastrophes Affect Anesthesiologists Too (US)

Time Off and Support May Help to Avoid ‘Second and Third Victims’

More than 80 percent of anesthesiologists have been involved in a catastrophic event involving death or injury to a patient during surgery, suggests a survey study in the March issue ofAnesthesia & Analgesia, of cial journal of the International Anesthesia Research Society (IARS).

Such surgical catastrophes can have signi cant and lasting effects on anesthesiologists and other professionals, who could bene t from time and support to recover from the incident, according to the new research, led by Dr Farnaz M. Gazoni of University of Virginia Health System, Charlotte. They write, “These emotional and potentially cognitive effects can have repercussions not only for the physician involved but also, conceivably, for patients subsequently cared for.”

Lasting Impact of Catastrophic Events

The researchers sent a survey regarding surgical catastrophes—events leading to unanticipated death or injury of a patient—to a nationwide sample of anesthesiologists. Of 659 responders, 84 percent had been involved in a surgical catastrophe—an average of 4.4 events over an entire career.

Asked to recall their “most memorable” catastrophic event, more than 70 percent of respondents said they experienced guilt, anxiety, and reliving of the event. Most felt personally responsible for the death or injury of the patient—even if they considered the event to be unpreventable.

Nearly 90 percent of the anesthesiologists said it took some time to recover emotionally from the catastrophic event; nearly 20 percent said they had never fully recovered. Twelve percent even considered changing careers in the aftermath of the catastrophe.

Two-thirds of the anesthesiologists felt their ability to care for patients was compromised in the hours after the event. Yet nearly all had to carry on with their usual work schedule—only seven percent were given time off after the incident. Most respondents felt that some sort of formal debrie ng session after the event would have been helpful.

Call for Changes to Prevent ‘Second or Third Victims’

While previous research has shown that the death or injury of a patient is a major source of stress for doctors, the new study is the rst to focus on surgical catastrophes involving U.S. anesthesiologists. “A perioperative catastrophe may have a profound and lasting emotional impact on the anesthesiologist involved and may affect his or her ability to provide patient care in the aftermath of such events,” Dr Gazoni and coauthors conclude.

Surgical catastrophes may have additional victims as well, according to an editorial by Drs Timothy W. Martin of University of Arkansas for Medical Sciences, Little Rock, and Raymond C. Roy of Wake Forest University School of Medicine, Winston-Salem, N.C. As shown in the new study, such incidents can have a lasting emotional impact on anesthesiologists, making them the “second victim” of the event. In addition, if anesthesiologists are required to return to their usual duties immediately—despite feeling that their ability to care for patients is compromised—it raises the possibility that subsequent patients could become the “third victims.”

The study suggests some “new imperatives” in the way health care organizations respond to catastrophic events, according to Drs Martin and Roy. They believe that anesthesiologists (and other professionals) should probably not be allowed to return to patient care duties immediately after being involved in a surgical catastrophe. The authors also suggest some type of formal mental health screening after the incident, as well as ongoing monitoring for signs of long-term psychological impairment.

http://www.anesthesia-analgesia.org/content/114/3.toc

Source: Newswise.comInternational Anesthesia Research Society (IARS)

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£1,000 prize for medical volunteersPerioperative practitioners are being urged to submit their applications for this years Hilda Winifred Mears Award to be in with a chance of winning £1,000 towards a trip overseas as a medical volunteer.

The Hilda Winifred Mears award is presented annually and allows members to share their knowledge and experience in areas that do not bene t from free, quality healthcare.

Hilda Winifred Mears was an active member of the AfPP and held many perioperative posts both within the UK and abroad. She died in 2008, leaving a legacy to the Association used to fund the award named in her honour.

One of the winners in 2011 was Katie Lai Choy Budden, who used the award to work with Mercy Ships, a global charity providing free surgery and medical support to some of the worlds most disadvantaged people. She joined the ship for two weeks during a voyage to Sierra Leone:

Living and working on a hospital ship was a unique experience and one that introduced to me fellow health professionals across the world who came together to support this very important cause.

At one time there were more than thirty different nationalities on board the ship. We even had a visit from Princess Anne and her husband! The time I spent on the ship was a unique experience and enabled me to share my skills, helping to make a genuine difference to people less fortunate than myself. I feel privileged and very grateful that I was chosen for the Hilda Winifred Mears Award, and would recommend anyone who is interested in volunteering overseas to apply.

For more information on the Hilda Winifred Mears Award, visit www.afpp.org.uk/careers/awards where an application form is available to download. The closing date for applications is 14 April 2012.

Award winners will be expected to undertake their placement within 18 months of the award being granted and funds will be released once a letter con rming their placement has been received.

Katie Lai Choy Budden receives the Hilda Mears Award 2011

www.OOpera ngpera ngTTheatreheatreJJobs.comobs.comA one-stop resource for ALL your theatre related Career opportuni es


Why Do Engineers Hate Marketing?Have you heard about the lost balloonist?

A man is ying in a hot air balloon and realises he is lost. He reduces height and spots a man down below. He lowers the balloon further and shouts: “Excuse me, can you help me? I promised my friend I would meet him half an hour ago, but I don’t know where I am.”

The man below says: “Yes. You are in a hot air balloon, hovering approximately 30 feet above this eld. You are between 40 and 42 degrees N. latitude, and between 58 and 60 degrees W. longitude.”

“You must be an engineer” says the balloonist.

“I am” replies the man. “How did you know?”

“Well” says the balloonist, “everything you have told me is technically correct, but your information is useless, and the fact is I am still lost.”

The man below says “You must be in marketing.”

“I am” replies the balloonist, “but how did you know?”

“Well”, says the man, “you don’t know where you are, or where you are going. You have made a promise which you have no idea how to keep, and you expect me to solve your problem. The fact is you are in the exact same position you were in before we met, but now it is all my fault.”

Everyone knows that engineers and marketers mix like oil and water, which is a shame because incorporating essential marketing information into research and development is what drives successful innovation. Rivalry between Engineering and Marketing has been around for a long time in the medical equipment business because engineers accustomed to having a lot of clout are not keen to share power with marketers, and often mistrust the quality of the marketing information they receive.

This painful situation has its roots in the history of “industrial marketing,” where traditionally, a company has a manufacturing arm and a sales group. Manufacturing makes the product, and sales takes it to market. Sales people operate on quotas, with incentives, and have complete responsibility for revenues. Beyond commissions, they might incur some other selling expenses, known as “sales support,” like creating promotional material, running seminars, and what-not.

Eventually, sales support morphed into “marketing.” But it continued to be viewed as an expense, something to be cut when times are tough. Hard to measure. Subject to great scrutiny at budget-setting time. Almost as fuzzy as advertising.

The upshot is a wide chasm in understanding between engineers and marketing. In short, they hate each other. Sales people think marketing is irresponsible and irrelevant. Marketing thinks sales are arrogant and lazy. Marketing says they never get anything useful from engineering. Engineering says marketing ignores their contribution.

No doubt you’ve been there.

But instead of moaning, what can we do about it? Launching a product six-months earlier can increase a product’s life cycle pro ts by 33%, so here are some ideas for building bridges across the chasm:

• Waiting for marketing to change its stripes is an exercise in futility. They are who they are. If marketing has the problem, engineers have to nd the solution. So it’s up to them to get proactive, and make some changes.

• Read the marketing plan. If engineers are the hand-maiden of marketing, they have to share their goals. R&D objectives should mirror marketing objectives.

• Plan together. You don’t have to sing Kumbaya, but you must bring the engineers in at every stage of the marketing process, to create a common vision, and gain their buy-in.

• Get input from sales, but don’t let them push you around. Some reps will say they want to be copied on every customer communication into their territories. You have to nd a middle ground that makes sense economically, and satis es the sales rep’s need for account control.

• Get senior management support. They consider marketing a cost centre, too. Show them your numbers.

• Take great care when claiming results. You may have the greatest Operating Theatre product around, but it’s a slippery slope when you brag that your program drove the sale. It’s teamwork that counts.

So if you want to combine oil and water, shake the concoction a bit. When the technical expertise of R&D personnel interacts with the deep customer knowledge of marketers, companies can enjoy improved products and higher customer satisfaction. The mix is greater than the sum of its parts.

Consultants Online can organise a hands-on half-day “Innovation Workshop” for engineers and marketing staff to meet across departmental boundaries.

Call Mike Warren on 07879 884167 or visit the website www.Consultants-on-Line.com.


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LONDONTHEATRE PRACTICE DEVELOPMENT LEAD

You will be either RGN or ODP quali ed with at least ve years experience working at a senior level in a UK theatre. You will have a demonstrable track record, and a natural air for providing and facilitating appropriate training for

all staff within the theatre environment. It will be part of your role to ensure that good clinical practice is consistently delivered and to promote the well being of all patients and theatre personnel. You will have a comprehensive

clinical background and excellent communication skills to be able to assume a close working relationship with the Senior Management Team, the Theatre,

Cath Lab & Cardiology teams and Consultant staff.



SURREYOPHTHALMIC BANK NURSES & HEALTHCARE TECHNICIANSThis fantastic hospital has state of the art surgical equipment for procedures in laser

vision correction, cataract removal, refractive lens exchange as well as cosmetic cases.

There are opportunities for enthusiastic and exible RGN’s or Healthcare Technicians to join their bank. You will ideally have current ophthalmic experience from within a theatre environment. However, individuals who have scrub skills in different specialities or who

are working in an out-patient or ward setting, but do have a genuine interest in ophthalmics are also invited to apply.



ESSEXTHEATRE PRACTITIONERS

This busy Day-Case Unit requires RGN or ODP quali ed individuals to join their highly professional team. You will have several years experience and multi skilled applicants are ideal. Enthusiastic and exible applicants who have anaesthetic and/or scrub skills are required for this unit where they carry out procedures for Ophthalmology, Urology, Gynaecology, General

Surgery, Orthopaedics, Plastics and ENT.



NORTH WEST LONDONANAESTHETIC PRACTITIONERS – BAND 5 & BAND 6

You will have current experience in a UK Theatre and RGN applicants with a UK recognised anaesthetic quali cation or ODPs are welcome to apply. This

busy and highly professional department requires exible, competent andpatient focused team players. This is a fantastic opportunity to work in a

mixture of specialities and our Client has gained particular recognition for their work in colorectal and maxillo facial surgery.

Nurse Manager - Perioperative Service (1.0FTE) Are you looking for a leadership role? The Perioperative Service is looking to attract a senior health professional who has proven ability in leadership and change management. The overall responsibility of the unit manager is the ef cient supervision and direction of all activities and related activities of the unit, with the primary management function being effective patient care with budgetary constraints whilst adhering to the policies, procedures, objectives and the values of the organisation.

Key responsibilities include: • Management of patient care • Maintaining and improving standards throughout the Perioperative Unit • Quality management, including systems and process in the unit • Budgetary management • Effective management of staff • Ensuring operational ef ciencies and key performance indicators are

measured and met • Maintaining professional quali cation and keep abreast of current

developments and trends in relation to the Perioperative service.

Quali cations and experience: • Must hold a health professional quali cation • At least 5 years experience within an operating department • A postgraduate theatre quali cation will be advantageous • Management training and experience will be advantageous • Computer literacy • Sound knowledge of budgetary processes

Vacancy No: NS12-020Closes: 30 March 2012

Job Description and Of cial Application Form are available from our website www.northlanddhb.org.nz/careers or by contacting Recruitment Of cer, Tel: +64 9 430 4101 ext 3198, Email: [email protected], Postal: c/o Northland District Health Board, Private Bag 9742, Whangarei 0148, New Zealand

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Operating Theatre Technicians (OTT)Operating Department Assistants (ODA)

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Subscribing to the OTJ costs £14.00 per year for delivery in the UK or £21.00 overseas. Alternatively just ll in your address details below and return with a cheque.

Be sure to view the latest vacancies from the following organisations:

Theatre Practitioners Recovery Nurses Anaesthetic Nurses ODPs Scrub Practitioners

Nurse Practitioners Medical Representatives and Clinical Advisers

www.OOpera ngpera ngTTheatreheatreJJobs.comobs.comA one-stop resource for ALL your theatre related Career opportuni es

NHS Employers organisation publishes guidance for employers on ensuring staff

are competent with English languageDetailed guidance was published recently to help NHS trusts ensure new staff have the language skills needed to provide safe, quality care to patients.

Language competency: good practice guidance for employers is published by the NHS Employers organisation and was produced in consultation with key partners including the professional regulators and the Department of Health:

Dean Royles, director of the NHS Employers organisation, said:

“We owe a debt of gratitude for the contribution that staff from other countries have made over the years to the NHS. The patients we serve today from many different nationalities bene t greatly from the diversity of front-line health workers, with many bringing their skills from overseas.

“We recruit thousands of new staff every week and employers know that staff need the right level of English language skills to perform effectively in their role. Many employers have processes in place to assess the language competency and communication skills of all prospective new staff. But we recognise that for some roles and posts, assessment can be challenging and there is some complexity and uncertainty about the rules.

“This new publication will provide employers with good practice guidance when carrying out an assessment of an individuals language competency, clari es the role of the professional regulators and describes the current European law(1).

“Attention has been focused in recent times on doctors but the assessment of language competency is important for all staff working in the healthcare sector. The guide will help employers develop a system to be assured that all new recruits can communicate clearly with both patients and others members of staff at a level that re ects their role and responsibility.

“It also recommends employers to check that agreements with suppliers of temporary staff include an obligation to supply employees to the organisation with satisfactory language competency.”

Niall Dickson, Chief Executive of the General Medical Council, said:

The General Medical Council welcomes this new guidance, which should help employers to ensure that their healthcare professionals have the necessary language skills to practice medicine safely. Patients must have con dence that the doctor who treats them has the necessary communication skills for the job.

Duncan Rudkin, Chief Executive of the General Pharmaceutical Council, said:

“It is absolutely essential that pharmacy and other health professionals can communicate well with their patients and colleagues. This useful guide is a timely reminder of the key responsibilities of employers to make sure those they employ have the necessary language skills.”

Michael Guthrie, Director of Policy and Standards at the Health Professions Council, said:

“The Health Professions Council welcomes the introduction of good practice guidance on language competency for NHS organisations. Our standards re ect the need for professionals to communicate effectively with service users and other practitioners, and this new guidance supports employers in achieving this.”

The full guidance is available here: http://www.nhsemployers.org/RecruitmentAndRetention/InternationalRecruitment/Pages/CheckingLanguageCompetency.aspx

Xograph favours charity e-cards over Christmas cards

Leading independent medical imaging equipment supplier Xograph Healthcare chose to send electronic Christmas cards to its customers, associates and suppliers last year and donate the money saved to the Meningitis Trust.

Electronic Christmas cards are becoming more and more popular with charities that can bene t greatly from increased donations at Christmas time. Peter Staff, CEO at Xograph Healthcare said: “We decided to send e-cards last Christmas and put the money saved from buying cards and postage to better use. E-cards do the same job, add a little more fun with a personal touch or two and uphold the festive sprit of friendship - whilst allowing us to support a charity that we care about. We will certainly be doing the same again for Christmas 2012.”

Catherine Ind, Director of Fundraising at the Meningitis Trust said in acknowledgement of the donation made by Xograph to the Trust: “Thank you so much for your kind donation. Your gift is gratefully received and will help us to be there for the many thousands of people who are affected by meningitis every year. Your generosity and support really does make a difference.”

Contact us now for a quotation and free trial:t: +44 (0)20 8868 3732

e: [email protected]: starkstrom.com

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Reference (1): 14th National Audit Project of The Royal College of Anaesthetists and the Difficult Airway Society. Major complications of airway management in the UK. Report and findings. March 2011. Chapter11. Page 95

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