The Operating Theatre Journal

March 2011 Issue No. 246 ISSN 1747-728XThe Leading Independent Journal For ALL Operating Theatre Staff

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The OTJ - Next issue copy deadline, Friday 25th March 2011All enquiries: Mr. L.A.Evans Editor/Advertising Manager, Mr. A. Fletcher Graphics Editor. The OTJ Lawrand Ltd,PO Box 51, Pontyclun, CF72 9YY Tel: 020 7100 2867 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. © 2011Journal Printers: The Warwick Printing Co Ltd, Caswell Road, Leamington Spa, Warwickshire. CV31 1QD

BMA expresses concerns over patient confi dentialityFlaws in the government’s Health and Social Care Bill could threaten the confi dentiality of patient records, doctors’ leaders have warned.

The British Medical Association says there are “serious concerns” about clauses in the bill on information sharing in a reshaped NHS.

The BMA says it fails to guarantee patients’ identities are kept secret.

But the government says the bill makes no changes to any of the existing legal safeguards on confi dentiality.

The BMA, which fears that patients might withhold important information because of confi dentiality issues, has written to Minister of State Simon Burns.

The letter says the bill gives very broad powers to a number of bodies, including the Secretary of State, the Commissioning Board and the NHS Information Centre “to obtain and disclose confi dential patient information for any number of unspecifi ed health purposes”.

“As currently drafted, there is very little in the Bill relating to confi dentiality and information governance controls, which are so fundamental to medical practice and the trust-based relationship between doctors and patients,” it says.

“In the course of consultation and treatment, patients will often disclose highly sensitive information to their doctors, information that can be vital to ensuring the optimal provision of appropriate care and treatment.”

Dr Vivienne Nathanson, head of science and ethics at the BMA, accused the government of placing its desire for access to information over the need to respect patient confi dentiality.

“There is very little reference to rules on patient confi dentiality that would ensure patients are asked before their information is shared, or guarantee that the patient’s identity will not be revealed.

“Fears that their data may be shared with others may result in patients withholding important information; this may not only affect their own health but has implications to the wider health service.

“By failing to put in place proper safeguards, the government is potentially removing the control doctors and, most importantly, patients have over their confi dential data. This confl icts with government promises that patients will be given greater control over their medical records.”

The BMA is proposing a number of amendments to the bill and their concerns are echoed by the Patients Association.

Chief executive Katherine Murphy said that very often patients had a very good relationship with their doctor and would disclose very sensitive information.

“Our concern is that patients won’t know if that information was going to be shared and that may have a detrimental affect on the doctor/patient relationship.”

A Department of Health spokesman said the government’s modernisation plans would allow patients to see where unacceptable NHS services were being provided and should drive up the quality of care.

“However, there is no question of the Health and Social Care Bill undermining the confi dentiality of patients and their clinicians. The bill does not change any of the existing legal safeguards, which are set out in the Data Protection Act and the common law of confi dence.

“We are happy to work with the BMA to understand their concerns.”

Source: BBC

NHS seeks innovations to shape the future of careHealthcare companies with new technologies, services or other innovations which could help improve the quality of healthcare for patients with cardiovascular problems or other long-term conditions are being invited to take part in a new NHS programme.

Smart Solutions for Healthcare aims to help the NHS make signifi cant improvements in Quality, Innovation, Productivity and Prevention. The programme is open to companies and other non-NHS organisations within any sector.

Products or services must address the priority areas of cardiovascular disease (including aneurysm, angina, atherosclerosis, atrial fi brillation, cerebrovascular accident or stroke, cerebrovascular disease, congestive heart failure, coronary artery disease, myocardial infarction or heart attack, venous thromboembolism peripheral vascular disease and hypertension) or long-term conditions (including respiratory conditions, cancer, diabetes, renal disease, hypothyroidism and epilepsy).

Entries will be assessed by a panel of experts and between four and ten products and services will be selected to undergo evaluation, depending on the type of technology and the scale of evaluation necessary to provide robust evidence of their effectiveness. Smart Solutions for Healthcare will offer successful applicants the opportunity to base their project team in the North West, making offi ce space and facilities available in the Manchester Medical Technology Development Centre as part of the award funding.

Smart Solutions for Healthcare is being delivered by TrusTECH, the North West NHS Innovation Hub. Programme Director Dr Bryan Griffi ths said: The NHS faces a monumental challenge in the years ahead. We need to fi nd smarter solutions and new ways of working and we will be challenging industry and other innovation suppliers to help us do this.

In many cases new technologies, devices and services will be required to help change the way care is delivered. Smart Solutions for Healthcare will consider all of these, as well as disruptive system changes which offer entirely new approaches to diagnosis and treatment.

We are specifi cally interested in new technologies, products, services and the application of scientifi c advances that enable patients to have a greater role in managing their own health, or help healthcare providers improve staff productivity and eliminate waste.

The closing date for applications is Wednesday 6 April 2011. For further information see the website at www.smartsolutionsforhc.co.uk which also includes an online application form.

Smart Solutions for Healthcare is supported by NHS North West, NESTA, Northwest Development Agency (NWDA), England’s Northwest, Manchester City Council, Manchester: Knowledge Capital, and New Economy through the Innovation Investment Fund Partnership.

This latest programme follows the success of Smart Solutions for HCAI, a previous programme seeking new technologies to combat healthcare-associated infections.

How can you reduce the incidence of the most common, preventable

complication of surgery?

Welcome to the Safe Surgery Iniative:

http://www.jjhcsfoundations.com/?quality-safety/login.html

4 THE OPERATING THEATRE JOURNAL www.otjonline.com

MP boosts charitys drive to improve patient safetyThe Association for Perioperative Practice (AfPP) has welcomed the backing of an MP in its drive to improve patient safety. AfPP is lobbying for more time to be released for front line medical staff to pursue essential educational and CPD activity seen as vital to underpinning the highest safety standards in practice.

Andrew Jones MP has taken up the cause of patient safety following a visit to Harrogate District Hospitals operating theatres with AfPP Managing Director Dawn Stott. AfPP which provides education and support to its theatre staff members - organised the visit so that Mr Jones could experience fi rst hand the crucial role of theatre practitioners and the perioperative team in patient care.

Mr Jones toured all areas of the theatre environment, including initial pre-operative assessment, via a working theatre, through to recovery and handover back to the wards. Theatre Manager Steven Burns explained the implementation of the Surgical Safety checklist and the departments work to ensure effi cient use of the theatres through specialised IT systems.

After listening to the concerns of the perioperative team, Mr Jones put his backing behind AfPPs campaign. He explained: The visit was a real eye-opener. I expected the staff to be impressive and they were, but I didnt realise the scale of preparation for an operation in order to care for the patient properly throughout the process. Having a skilled workforce is critical to safe, effective and effi cient care.

Too often issues are overlooked simply because not enough people are aware of them. I can now take the issues of funding and time release for CPD and speak directly to the decision-makers. I want to enable direct conversations between AfPP members and the Government; in the meantime I have written to Andrew Lansley MP, the Secretary of State for Health, asking him to look at how these issues can be better handled.

Dawn Stott, AfPPs Managing Director, added: I would like to thank the hospital for facilitating this visit which was an invaluable opportunity for Mr Jones to see AfPP members at work, and help him to understand the concerns of frontline theatre personnel relating to the Health White Paper and changes within the NHS.

My own discussions with the theatre team demonstrated just how much they value AfPPs training and publications to support their professional development, and I am delighted that Andrew Jones has embraced this very important cause. It is vital that theatre staff have ongoing access to CPD and Mr Jones active support will enhance AfPPs efforts in promoting patient safety both locally and across the UK.

Steve Burns, Theatre Manager at Harrogate District Hospital, said: Carrying out an operation is a large and complicated task, requiring a great deal of preparation and training by everyone involved. Our fi rst priority is patient safety and we were delighted to have the opportunity to show our MP around the facilities we have here at the hospital and to explain some of the procedures we use to ensure operations take place safely and effi ciently.

Theatre Manager Steve Burns (far left) with Andrew Jones MP, AfPP Managing Director Dawn Stott, and Senior Practitioner and AfPP member Les Smart.

Andrew Jones MP (right) has put his backing behind patient safety after Theatre Manager Steve Burns showed him around the theatre environment at Harrogate District Hospital.

When responding to articles please quote ‘OTJ’

Surgeons Predict the Future of Nanomedicine in PracticeNanotechnology Holds Promise for Developing Surgical Measures

A new review published in WIREs Nanomedicine and Nanobiotechnology explores how nanotechnology may provide powerful new tools that could have a marked impact on the therapeutic and diagnostic measures available to surgeons.

Nanotechnology uses very small objectsbillionths of a meterto achieve tasks that would be diffi cult at larger scales. Nanodevices travel relatively freely throughout the body and can enter cells, making them useful for drug delivery, or mimic the features of the environment outside cells, making them useful for tissue engineering.Their very properties can change as they become very small, allowing them to be triggered by external energy sources. Incorporation of nanoparticles into other materials can also change the latters properties, making them stronger, or more fl exible.

All of these properties can potentially be usefully harnessed by surgical practitioners to move their fi eld forward. For example, review author Dr. Christopher Weldon MD, PhD of Childrens Hospital Boston is developing everyday surgical implements enhanced by nanoscale features for improved performance and drug delivery. Review author Dr. Bozhi Tian, PhD, of Harvard Medical School and the Massachusetts Institute of Technology is developing an approach for integrating nanoscale digital electronics with engineered tissues. The goal of that project is to combine prosthetic devices and conventional engineered tissues at the cellular level, so that parallel diagnostics and tissue repair can be achieved. He is also working on designing a 3D tissue scaffold with nanoscale surface patterns and electronically active nanoscale elements for stem cell differentiation. Review author Dr. Daniel S. Kohane, MD, PhD, of Childrens Hospital Boston is developing a wide range of nanotechnology-based drug delivery devices that could be triggered by a patient or physician on demand.

Dr. Kohane notes that Surgeons are effective gatekeepers in controlling access of technology to their patients. It is therefore important for surgeons to know what nanotechnology is and is not. The ability to assess the merits of nano-based approaches is crucial for the protection of the best interests of patients and for the assessment of the cost-effectiveness of new therapies.

This review is published in WIREs Nanomedicine and Nanobiotechnology. Full citation: Kohane et al. Nanotechnology for Surgeons. WIREs Nanomedicine and Nanobiotechnology; http://wires.wiley.com/WileyCDA/WiresArticle/wisId-WNAN128.html


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More intelligence, precision and convenience from Fukuda Denshi’s new Dynascope

DS-7700 Central Station MonitorFukuda Denshi is a leading supplier of advanced patient monitoring and user-confi gurable clinical information management systems, and has just launched its latest Central Station Monitor, the new Dynascope DS-7700.

The DS-7700 offers multiple display confi gurations, precise Arrhythmia analysis and maximum convenience with the aid of its bed transfer between the central stations.

Up to 100 beds can be connected to the DS-7700 via a DS-LAN III network, and 16 wired/wireless beds can be monitored at any one time on each station. Additionally it offers 96 hours/32 waveforms of Full Disclosure recording utilising its 3-channel recorder, and has an in-built alarm indicator.

The DS-7700 is available in both 15in and 19in widescreen, and provides a simple touch-screen and fi xed key interface making it straightforward to use and saving staff time.

The DS-7700 is an ideal Central Station Monitor for busy wards, with a small footprint and user-friendly confi guration to help staff provide better care to patients.

Fukuda Denshi: Healthcare bound by technology.www.fukuda.co.uk When responding to articles please quote ‘OTJ’

European Operating Room Nurses Demand Unifi ed Training;

Greater Recognition at EU LevelOn the occasion of the 6th European Day of Perioperative Nursing, celebrated on 15 February 2011, the European Operating Room Nurses Association (EORNA) called for the urgent implementation, at EU level, of a minimum basic level of perioperative nursing education, a credit-based continuous education system, and the mandatory rotation of student nurses into the operating department in order to expose students to this critical care area and encourage recruitment.

This crucial nursing specialisation is facing a labour shortage exacerbated by the lack of uniform training programmes and diplomas recognised at EU level by fellow Member States. This creates a barrier to mobility within the EU, contributes to keeping salaries low and hinders recognition of a key nursing specialisation.

EORNA, which represents 50,000 members, is lobbying for greater equity across EU countries, and points out that even continuous education based on a credit system (as offered to its members via the EORNA Accreditation Council for Education, or ACE programme) pre-supposes a common level of initial training. In order to address the growing shortage of perioperative nurses in Europe, EORNA also emphasises the need to encourage the perioperative nurse training pathway, through the mandatory rotation of student nurses through operating theatre departments.

Perioperative Nursing Day 2011

The 6th European Day of Perioperative Nursing theme “Effective Team Communication improves Patient Safety” aimed to draw attention to the critical role that perioperative nurses play in ensuring positive patient outcomes in surgery. In line with the WHO ´Safe surgery saves Lives´ initiatives, they ensure all identifi ed aspects are checked and verbalized as accurate and correct by each relevant team member.

“With this initiative we want to obtain more recognition for our profession. We also want to draw the EU´s attention to the barrier to free movement which is the result of such a disparate approach to education among other issues, “ explains Caroline Higgins, President of EORNA.


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Innovative Dressing Design Improves Healing Time For PatientsA novel dressing for treating wounds which result from temporary tracheostomies, devised by two consultants at Addenbrooke’s Hospital in Cambridge, is delivering a number of benefi ts – both to patients and the NHS.

Mr Malcolm Cameron and Mr Luke Cascarini, both Consultant Maxillofacial Surgeons, have developed a Tracheostomy Wound Dressing with a unique design, with the help of Health Enterprise East (HEE), the regional NHS Innovation Hub.

Temporary tracheostomies are used in many areas of surgery and anaesthesia. Following decannulation - or removal of the tube - it is important that the tracheostomy wound heals as quickly as possible, preventing a delay which can be problematic for the patient.

The new Tracheostomy Wound Dressing is the fi rst to be used after the removal of the tracheotomy tube, with an integrated button plate, enabling easy, accurate and consistent location of the tracheostomy wound. There are a number of benefi ts including quicker wound healing – reducing it to just fi ve from the current seven to 15 days - faster restoration of speech and no damage to the skin when the dressing is removed.

The design includes a plate that the patient can easily locate and press on to prevent unwanted air passage through the wound during actions such as coughing and sneezing.

Both consultants work closely with Addenbrooke’s Tracheostomy Services which include nurses who oversee tracheostomies from insertion to removal, wound healing and discharge.

HEE helped with patents and design rights and funded prototyping designs and proof of concept, as well as fi nding a suitable licensee - P3 Medical - and negotiating the deal terms. HEE is now working in collaboration with P3 Medical and Addenbrooke’s to achieve regulatory approval prior to a market launch in mid 2011.

Stuart Thomson, Head of Medical Technology at HEE said: “The Tracheostomy Wound Dressing is a perfect example of a simple but effective design that delivers benefi ts to patients and also to the NHS, with faster healing time meaning shorter stays in hospital. Once this product is launched in 2011, it will improve the whole patient experience following a tracheostomy.”

P3 Medical specialises in high quality and cost-effective medical devices for use by healthcare professionals in hospitals and other healthcare settings.

Left to right: Mr Malcolm Cameron, Consultant Maxillofacial Surgeon; Claudia Russell, Nurse Consultant in Tracheostomy Management; Simon Talbot, Managing Director P3 Medical Ltd; Dr Basil Matta, Associate Medical Director, Addenbrooke’s Hospital and Stuart Thomson, Head of Medical Technology HEE.

Established in 2001, the company works closely with clinicians and other healthcare professionals to develop its products and provide solutions for optimum effi ciency and patient care. www.hee.org.uk www.ideasforhealth.org.uk When responding to articles please quote ‘OTJ’

Hospitals start to prohibit surgical attire from being worn outside (US)

Although wearing surgical scrubs outside a healthcare facility is generally acceptable, leaders in infection control and prevention are trying to fl ip the switch on the potentially dangerous practice, according to a Pittsburgh Tribune-Review news report.

“It’s not what medical professionals bring into the hospitals; it’s what they bring out,” said Betsy McCaughey, chairman and founder of the committee to reduce infection deaths. Clostridium Diffi cile is a common bacteria that could easily be transferred from healthcare workers’ uniforms to their homes and other public spaces, such as restaurants and schools. Rather than wearing surgical attire outside of the hospital, Dr. McCaughey suggests hospitals wash the attire internally.

Other hospitals, such as West Penn Allegheny Health System and Jefferson Regional Medical Center, are catching onto that line of thought. These organizations require healthcare workers who work in clinical areas to come into work and leave work in their street clothes, leaving their surgical attire at the hospital to be washed. Surgical scrubs are prohibited from being worn outside the hospital, according to the report. Source: ascreview

RCS comment on NHS Obesity statistics

The NHS Information Centre recently (Thursday 24th Feb) published their annual statistics on obesity treatment, including statistics demonstrating a seventy per cent increase in obesity surgery in the past year.

Commenting on the statistics John Black, President of the Royal College of Surgeons, said: “There remains signifi cant unmet patient need for bariatric surgery in the UK. The Royal College of Surgeons predicts that these procedures are only going to become increasingly frequent in the future as only a fraction of those severely obese patients who are eligible can access treatment. An economic analysis last year found that this surgery paid for itself within a year in curing co-morbidities and getting people off benefi ts and into work.”

The RCS commissioned the Offi ce of Health Economics last year to undertake an economic analysis of the impact of bariatric surgery and this may be found here:

http://www.rcseng.ac.uk/media/medianews/obesity-surgery-pays-for-iteself-in-12-months-says-new-report


New Rigel carry case and back pack solutions

A new range of lightweight carry cases and back packs for the easy and convenient transportation of medical device analysers and simulators from site-to-site are available from Rigel Medical.

A sling-style, water repellent carry case is available for the Rigel 288 electrical safety analysers and the combination vital sign simulator UNI-SIM. It can be quickly confi gured to hold several items of test equipment and accessories such as a label/results printer and a barcode scanner.

The new back pack-style Med-ePack can be confi gured to accommodate up to fi ve items of electrical safety, vital signs simulator, ventilator test equipment to provide an easy-to-carry, lightweight and versatile test solutions package. There’s also space for a laptop and asset management software

Also available as part of the range is the Med-eKit trolley case-based biomed fi eld service kit used for the rapid testing of electrical safety and operation of medical devices and equipment used in hospitals, operating theatres and other facilities.

The Rigel fi eld service kit can be customised to hold up to two individual testers – the Rigel 288 and UniSIM – as well as a label and results printer, barcode scanner and PC software

Rigel Medical (part of the Seaward Group), Bracken Hill, South West Industrial Estate, Peterlee, Co Durham SR8 2SW. Email [email protected] or call +44 191 5878730.

www.rigelmedical.com Please quote ‘OTJ’

Long and short sleeved physician workwear receive the same amount of bacterial and

mrsa contamination Governmental agencies in the United Kingdom recently instituted guidelines banning physicians white coats and the wearing of long-sleeved garments to decrease the transmission of bacteria within hospitals due to the belief that cuffs of long-sleeved shirts carry more bacteria. However, a new study published today in The Journal of Hospital Medicine shows that after an eight-hour day, there is no difference in contamination of long and short sleeved shirts, or on the skin at the wearers wrists.

A group of researchers from the University of Colorado, USA, decided to assess the accuracy of the assumption that longer sleeves lead to more contamination by testing the uniforms of 100 physicians at Denver Health randomly assigned to wearing a freshly washed, short-sleeved uniform or their usual long-sleeved white coat. We were surprised to fi nd no statistical difference in contamination between the short and long sleeved workwear, said lead researcher Marisha Burden, MD. We also found bacterial contamination of newly laundered uniforms occurs within hours of putting them on.

50 Physicians were asked to start the day of the trial in a standard, freshly washed, short sleeved uniform, and the 50 Physicians wearing their usual long sleeved white coats were not made aware of the trial date until shortly before the cultures were obtained, to ensure that they did not change or wash their coats. Cultures were taken from the physicians wrists, cuffs and pockets. No signifi cant differences were found in bacteria colony counts between each style.

The researchers also found that although the newly laundered uniforms were nearly sterile prior to putting them on, by three hours of wear nearly 50% of the bacteria counted at eight hours were already present.

By the end of an eight-hour work day, we found no data supporting the contention that long-sleeved white coats were more heavily contaminated than short-sleeved uniforms. Our data do not support discarding white coats for uniforms that are changed on a daily basis, or for requiring health care workers to avoid long-sleeved garments, concluded burden.

This study is published in The Journal of Hospital Medicine. Full citation: Burden M, Cervantes l, Weed D, Keniston A, Price CS, Albert RK; Newly cleaned physician uniforms and infrequently washed white coats have similar rates of bacterial contamination after an eight-hour workday: A randomized controlled trial; Journal of Hospital Medicine, 2010, doi: 10.1002.jhm864

http://doi.wiley.com/10.1002/jhm864mailto:[email protected]


New SpeechExec Pro improves on

‘BEST DICTATION SOLUTION ON THE MARKET’

Philips’ new dictation workfl ow management software, SpeechExec Pro 7, comes with a state-of-the-art web-based licensing system and improved usability – making it one of the most intuitive and easy-to-use speech-to-text solutions on the market!

Streets ahead of the rest‘SpeechExec Pro 7 is a signifi cant improvement over its predecessor, SpeechExec Pro 6, which end users refer to as “the best dictation solution on the market”,’ says Thomas Brauner, Category Leader at Philips Speech Processing. ‘Not only does this new version feature a web-based licensing system, it also has enhanced usability including a refreshing new user interface design, application icons, splash screens and toolbar icons – developed following extensive scientifi c usability research. All elements now follow an intuitive pattern that makes it easy for new and experienced users to fi nd their way around the application.

‘For example, the new SpeechExec Pro Transcribe Carousel view option makes life easier for typists who want to concentrate on getting jobs done one after another, providing the most relevant information at-a-glance in a modern and convenient way. Also, only the most common toolbar functions are now displayed, following widespread feedback that displaying unused keys affected ease-of-use. The toolbar buttons have been made much bigger and placed into task groups. ‘SpeechExec Pro 7 benefi ts from being part of a complete professional Philips dictation solution and is optimised for use with the latest Philips hardware products. It can also be used with third-party hardware and provides improved support for this purpose.’

The system offers an enhanced speech recognition workfl ow making it even more attractive to the pushed-for-time executive or budget-conscious offi ce manager, it can be easily upgraded with speech recognition workfl ow support (Dragon Professional from Nuance Communications) – with no extra hardware needed! It’s now possible to control speech recognition with a SpeechMike in applications like Microsoft Word and Microsoft Outlook with SpeechExec Pro running in the background, closing the gap between document creation and the review process.

In addition, quick and easy installation means shorter start-up times, lower start-up costs and lower maintenance costs compared to integrated solutions. Manual workload distribution balances the workload in typing pools for highest effi ciency of transcriptionists, while automatic import of sound fi les recorded with a Digital Pocket Memo keeps manipulation time to a minimum. Top-notch data security together with optional automatic backup in case of a system crash, makes the benefi ts of this product diffi cult to ignore.


Flexibility and high performance from Fujifi lm’s new FCR Go2 portable X-ray unit

Fujifi lm is a pioneer in diagnostic imaging and information systems for healthcare facilities, with a range of constantly evolving clinically proven products and technologies designed to assist medical professionals perform more effi ciently and effectively. Their Computer Radiography (FCR) offers the broadest product range to suit virtually every imaging application.

Fujifi lm‘s latest addition to the FCR range is the highly mobile Go2 digital X-ray unit, offering quick and accurate X-ray exposures and images just about anywhere - enhancing effi ciency by responding to the multitude of diverse hospital needs.

At the bedside, in the operating room or within intensive care settings, this lightweight and compact unit provides excellent mobility and easy manoeuvrability, even in tight spaces. This is assisted by dual motors that enable simple, smooth steering.

In addition, four acceleration modes are incorporated as standard. The Go2 even has a touch sensor on the front of the unit that will stop it

automatically, should it make contact with an obstacle.

The Go2 incorporates a large 15” display that allows users to easily input and manage patient data, whilst

its 32kW generator reduces exposure times to prevent motion artefacts. Go2 also offers a simple exposure adjustment facility enabling any fi nal alterations to be made directly from the remote panel on the tube head.

In addition, fl exibility comes from its adjustable telescopic arm with extended horizontal and vertical movement,

enabling longer exposure distances without compromising image quality.

A wide range of rugged, durable and light weight IP cassettes are available to enhance

performance. Additionally, cassettes can be processed and previewed immediately, whilst subsequent data transfer to a PACS can be achieved through either wireless or wired network connection or via encrypted USB fl ash drive transfer.

For further information on Fujifi lm’s new Go2 high performance digital portable X-ray unit, telephone 01234 326 780 or visit www.fujimed.co.uk.

Fujifi lm – leading the way in X-ray every day

Ecolab Introduces Disposable Helmet

System for Use During Surgical Procedures

Ecolab Inc. today introduced the new Stackhouse® Disposable Helmet System, a unique, fully disposable product that offers a clean, sterile helmet for medical staff performing surgical procedures.

Invented by an orthopedic surgeon, the disposable helmet system is made with a breathable viral barrier tri-laminate material. It offers effective barrier protection and eliminates the cleaning and equipment maintenance associated with reusable helmet systems.

“Surgeons and staff need barrier protection that is comfortable, breathable and easy-to-wear,” said paul chaffi n, healthcare vice president and general manager for ecolab healthcare north america. “the stackhouse disposable helmet system allows surgeons and staff to focus on the task at hand, while helping to protect their health and safety.”

Surgical helmets are primarily used during orthopedic procedures to help protect the surgical team from fl uids and debris. In addition, helmets are used in open surgical procedures during which airborne contaminants and potential infections for health care associates are a signifi cant concern.

The new disposable helmet keeps surgical team members cool during long procedures via breathable garment material and helmet air circulation. The lightweight helmet includes a fan and four-hour battery pack for routine and extended procedures. Additionally, the helmet offers a superior fi eld of vision via oversized lens and greater freedom of head movement by eliminating a chin bar, which is a common design in reusable helmets.

The new Stackhouse Disposable Helmet System further expands Ecolab’s portfolio of infection prevention solutions for the operating room. Learn more at www.ecolab.com/healthcare .


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New non-surgical autopsy technique set to revolutionise post-mortem practiceBreakthrough science is cost-effective and easy to use

A new non-surgical post-mortem technique that has the potential to revolutionise the way autopsies are conducted around the world has been pioneered by forensic pathologists and radiologists at the University of Leicester in collaboration with the University Hospitals of Leicester NHS Trust.

The technique developed by a team in the East Midlands Forensic Pathology Unit, at the University of Leicester, has been published today (1 March) in International Journal of Legal Medicine. This paper presents the development of the methodology and protocol for this technique from independent research commissioned by the National Institute for Health Research (NIHR).

The study has taken another step towards a minimally invasive autopsy for natural and unnatural deaths, for either single cases or mass fatalities. It could also potentially allay qualms from certain faith groups that object to autopsies.

Professor Guy Rutty, Chief Forensic Pathologist to the East Midlands Forensic Pathology Unit, which is part of the Department of Cancer Studies and Molecular Medicine, University of Leicester, said the pilot study had demonstrated

the potential of the technique to change the future of post-mortem procedures.

He said: Autopsies are not popular with the general public and are viewed with great distaste. There are a number of faith groups who voice objections to the autopsy. The development of a minimally invasive autopsy technique would reduce the overall number of invasive autopsies performed in the UK but would still provide a service to the Coroner and determine the cause of a persons death. Currently, without the use of angiography, cardiac related death cannot be reliably diagnosed using a post mortem CT (Computed Tomography) scan so we needed to develop a system that could do this.

In collaboration with the radiology team, lead by Professor Bruno Morgan, we have successfully developed a quick and simple technique of minimally invasive targeted coronary angiography where we inject contrast into the body of a deceased person through a small incision in the neck and then perform a full body CT scan. Using this method we are able to determine the cause of death in up to 80% of cases (in the series analysed to date).

Basically, the technique is used to highlight and examine the vessels of the heart in people who have died. The technique is inexpensive, easy to use and applicable to natural and unnatural death, both single and mass fatalities.

Professor Rutty explained the technique was novel because it uses catheterisation, contrast and imaging techniques that have not been reported previously. Developing a new catheterisation system and using two different types of contrast to highlight the coronary vessels (air and standard coronary radio-opaque contrast media) sets us apart from other research groups, he said.Professor Rutty added: We were the fi rst Unit in the world to our knowledge to propose targeted angiography as the way forward, and are now the fi rst to describe the development, methodology and protocols involved for cadaver cardiac CT angiography. Other groups have done whole body angiography which is time consuming and expensive and is unlikely to be implemented in the UK for everyday autopsies.

We are incredibly excited about the potential of this new research. This technique could see the beginning of a permanent change in autopsy

practice in the UK, with fewer autopsies being performed. This technique could be used in other centres across the world.

The research paper presents the results from an initial pilot of 24 cases. The University team will now complete a further 200 cases this year to further evaluate the technique and build a bigger evidence base.

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your current address. This can be e-mailed or faxed

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UK manufacturer plays pivotal role in supporting Britain’s

Fattest ManWhen Chichester Hospital discovered that they were to be performing a gastric bypass procedure on Paul Mason, as featured in the recent Channel 4 documentary Britain’s Fattest Man, it was quickly identifi ed that before they could carry out such a major procedure they would need to acquire a specialist operating table that could safely support his weight and body mass without compromising surgical access.

Enter Eschmann, a leading ‘UK healthcare equipment manufacturer based in Lancing, Sussex; who were approached by the team at Chichester with a request to deliver an operating table that would be capable of bearing a weight load of almost 60 stone. The project team at Eschmann advised their general surgery operating table, the T20, with a standard patient weight capacity of up to 450kg (70 stone) would meet the demanding requirements of this particular procedure.

As it was anticipated Paul’s weight would be close to the upper extremities of the capacity, Eschmann conducted simulation tests that refl ected the proportions of Paul’s body to provide the added assurance for all concerned that the table would perform to the desired specifi cation during the procedure. In order to provide the necessary support Paul’s unusual proportions a number of specialist bariatric accessories from Eschmann’s range were utilized including width extenders, leg abduction support, arm tables and bariatric thigh.

Speaking after the successful procedure, Mr Shaw Somers, Leading Consultant for the treatment of Paul Mason and Specialist Consultant in bariatric procedures, commented “Our patients represent both a medical and an engineering challenge. The techniques of safe surgery are taken to their limits, and we need our equipment to do the same. In the case of Mr Mason, our normal limitations were tested to the extremes. The Eschmann T20 general surgery table and accessories met that challenge and enabled us to undertake surgery in a safe, secure environment”

According to the Department of Health, obesity is one of the biggest health challenges faced in the UK. Currently almost one in four adults and one in six children in England are obese. Bariatric surgery is on the rapid increase with a 40% rise in operations between 2007 and 2008 alone.

Eschmann, Eschmann House, Peter Road, Lancing, West Sussex, BN15 8TJTel: +44 (0)1903 753322Fax: +44 (0)1903 [email protected] When responding to articles please quote ‘OTJ’

Putting patient safety back at the heart of the NHS

NHS never events list to be extended to 25An extended list of events that should never happen during care in the NHS has been unveiled today along with a powerful fi nancial disincentive, as the Government affi rms that substandard care will not be tolerated in the NHS.

After engaging publicly with health partners like the NHS, health professionals, the Royal Colleges and the public, the current list of eight never events is to be extended to 25, and will now include events like:• severe harm/death due to transfusing the wrong type of blood; • severe scalding; and • severe harm/death due to misidentifying patients by failing to use standard

wristband identifi cation processes

Never events can cut a life unnecessarily short or result in serious impairment. It is important that the NHS tackles this issue head-on and continuously strives to provide the safe and high quality care patients expect. The NHS will still have a statutory requirement to report all serious patient safety incidents to the National Reporting and Learning System and to the CQC. Reporting of patient safety incidences plays a fundamental role in ensuring that the NHS learns the lessons from its mistakes, and makes sure they are never repeated.

Health Secretary, Andrew Lansley said: “Our ambition is to modernise the NHS so that people have the highest quality healthcare, and live healthier, independent lives. Improving patient safety is central to this. We have identifi ed 25 preventable incidents never events which should never happen in a high-quality healthcare service and for which payment can be withheld across the NHS.

Never events will be enshrined in the NHS Standard Contract, meaning that payment from GPs or other commissioners will be withheld where care falls short of the acceptable standard. The measures will help to protect patients and give commissioners the power to take action if unacceptable mistakes do happen.

NHS Medical Director, Professor Sir Bruce Keogh said: “The extended list includes avoidable incidents with serious adverse consequences for patients. No one wants these to happen, therefore we should not have to pay hospitals when these events occur. This will send a strong signal to leaders of the organisation to learn from their mistakes so they don’t happen again.”There were 111 never events last year and more generally, medical errors of all kinds have been estimated to cost the NHS around £2bn a year. It is clear that safer care is cheaper care and that resources can and should be used to develop better health outcomes from the start of treatment rather than in putting things right when they have avoidably gone wrong.

Where “never events” do occur in the NHS, comissioners will now have the power to withhold payment for this extended list of events to NHS providers. Never events are so serious that the Government is defi ning the list of events on a national basis. However, it is right that local commissioners decide to what extent they will recover the costs of care associated with a never event. Commissioners will be able to cap the amount recovered if they choose to.

The full list of the 25 Never Events-

1. Wrong site surgery (existing)2. Wrong implant/prosthesis (new)3. Retained foreign object post-operation (existing)4. Wrongly prepared high-risk injectable medication (new)5. Maladministration of potassium-containing solutions (modifi ed)6. Wrong route administration of chemotherapy (existing)7. Wrong route administration of oral/enteral treatment (new)8. Intravenous administration of epidural medication (new)9. Maladministration of Insulin (new)10. Overdose of midazolam during conscious sedation (new)11. Opioid overdose of an opioid-naïve patient (new)12. Inappropriate administration of daily oral methotrexate (new)13. Suicide using non-collapsible rails (existing)14. Escape of a transferred prisoner (existing)15. Falls from unrestricted windows (new)16. Entrapment in bedrails (new)17. Transfusion of ABO-incompatible blood components (new)18. Transplantation of ABO or HLA-incompatible Organs (new)19. Misplaced naso- or oro-gastric tubes (modifi ed)20. Wrong gas administered (new)21. Failure to monitor and respond to oxygen saturation (new)22. Air embolism (new)23. Misidentifi cation of patients (new)24. Severe scalding of patients (new)25. Maternal death due to post partum haemorrhage after elective caesarean section (modifi ed)


Made in Wales drug delivery device set to save livesA revolutionary medical device - developed and designed in Wales - is set to save lives and prevent tragic accidents that occur when drugs are incorrectly administered in hospitals.

Hall Lock, developed by Professor Judith Hall, of Cardiff University, School of Medicine, in collaboration with South Wales based Flexicare Medical, is one of a number of made-in-Wales devices and products to be launched at the BioWales 2011 conference and exhibition March 1 & 2.

Hall Lock is a simple but highly effective system to prevent drugs being accidentally administered via the wrong route, which can prove fatal.

Drugs are administered to the body by many different routes including intravenous, intra-arterial, epidural and gastric, with patients in operating theatres or intensive care units often receiving drugs by many of these routes at the same time.

Tragic accidents occur if, for example, a drug meant to be delivered intravenously is injected into the space around the spinal cord or an injection of air meant for a gastric tube is injected into an arterial or venous line.

Accidents occur because an identical standard connector is used for all of these drug delivery methods or routes and they are completely interchangeable. Hall Lock makes a misconnection impossible.

A separately shaped series of connectors has been developed for spinal, nasogastric, arterial and intravenous uses. The external shape and internal fi tting of each system is different and not compatible with each other and none can interconnect. They are also colour coded.

Prof Hall explained: One reason for drug errors in medicine is that humans make mistakes and wrong route administration is a recurrent cause of drug errors. This can be avoided by the use of connectors that simply make it impossible for drugs meant for one injection route to be given via another route.

The Hall Lock system has been developed over the past two years with plans to introduce respiratory and urinary connectors into the range. Having been well received by clinicians during the pre-launch phase at various UK and international exhibitions that Flexicare has attended, it is anticipated that they will be made available in early March.

Lesley Griffi ths, Deputy Minister for Science, Innovation and Skills, who is speaking at the conference, said the Hall Lock system was one of several highly innovative products that would be launched and featured at the conference.

We have a dynamic bioscience sector in Wales and BioWales provides the opportunity to promote the success of the sector in Wales and highlight the range of expertise there is in Wales.

“I am delighted that a number of companies based in Wales are launching some exciting products and devices at BioWales, several of which are the result of collaborative work with the NHS and academia

and have benefi ted from the close local networks we have in Wales.

These products and devices have the potential to improve the health and wellbeing of people as well as delivering economic benefi ts to Wales.

Professor Hall and Mr Hash Poormand, Business Development Director at Flexicare Medical, gave a presentation at the conference on Wednesday March 2nd.

Flexicare Medical LimitedCynon Valley Business ParkMountain Ash CF45 4ERTel: +44 (0)1443 474647Fax: +44 (0)1443 474222Email: enquiries@fl exicare.com


Safety Dossier published to help healthcare organisations plan a compliance strategy with EU Directive on Sharps Injury Prevention

Needlestick Injury Prevention —

Preparing for the new EU DirectiveEU law is now being nalised re uiring all healthcare

organisations to implement mandatory healthcare

worker safety standards. EU Employment and Social

Affairs Ministers have adopted a Directive1 to prevent

injuries and infections to healthcare workers from

sharp objects such as needles, along with the risk of

subse uent infection with blood-borne pathogens such

as Hepatitis or HIV. Needlestick injuries are described

by the EU as “one of the most serious health and safety

threats in European workplaces…estimated to cause

one million injuries each year.”2 The new law will legally oblige healthcare organisations

to take measures to prevent needlestick injuries to their

staff, making the use of safety-engineered medical

devices, both needles and intravenous catheters, a very

important element of ensuring compliance.

The speci c clause in the Directive refers to

“…providing medical devices incorporating

safety-engineered protection

mechanisms.”A number of public and private healthcare organisations

across Europe — recognising the need to improve

healthcare worker safety, reduce the cost of treating

injured workers, and avoid expensive legal actions —

have already converted to the use of safety-engineered

medical devices well in advance of the impending

legislation. Yet many others have not yet done so.

This Management Guide aims to provide healthcare

executives with a brief factual summary of the new

legislation, along with a more detailed analysis of the

scope and implications of the new law.

In the UK, access to safety-engineered

medical devices in NHS hospitals is limited, and so this

guide is designed to provide non-converted hospitals

with a head start in understanding the implications of

the new EU legislation, and initial support in planning

a path towards compliance.

In March 2010, European Union Ministers adopted an EU

Directive to prevent injuries to healthcare workers caused by

sharps objects (e.g., needlestick injuries) and potentially leading

to an infection. This Directive came into legal force in June 2010,

and must be transposed into national law in all

EU countries, at the latest by May 2013.

The legislation is the result of a joint re uest from employer and

employee organisations in the sector.

There is likely to be little or no delay in transposing the new

Directive, with the Declaration recommending that “the

measures de ned in the proposed directive be urgently adopted

and implemented.”

Both the public and private healthcare sectors are affected by

the legislation, which is designed to “ensure the highest possible

level of safety in the working environment in hospitals and

wherever healthcare activities are undertaken.”

The Directive declaration speci cally de nes better training,

better working conditions and the general use of safer medical

instruments incorporating sharps protection mechanisms.

Safety-engineered medical devices have already

been adopted in parts of Europe, ahead of the Directive

becoming law.

Management Summary

A Manifesto for Safety

designed to help prevent injuries and infections to healthcare workers from sharp objects such as needles and intravenous catheters. Estimated by the EU to “cause more than one million injuries each year”, the prevention of needlestick injury has become an issue that all healthcare organisations throughout Europe have to address. The new Directive, which must be transposed into national law in each Member State by May 2013

“providing medical devices incorporating safety-engineered protection mechanisms”, since numerous studies have demonstrated their key role in reducing needlestick injuries.In order to help European healthcare organisations build the ethical and business case for conversion to safety-

engineered devices, this short document lays out some of the key issues around needlestick injury, including: A review of current local legislation Achieving cost-neutrality or even cost savings through conversion to safety devicesE

European Regulatory and Adoption OverviewAcross Europe, the use of safety- engineered needles and catheters is very uneven, as is the application and enforcement of existing laws and regulations. The European Directive will on the needlestick issue and will go a long way towards creating a safer working environment for healthcare workers.In Germany, usage of safety devices in hospitals varies widely, despite the assertion in various studies that needlestick injury incidence may be as high as 500,000 per year2,3. In German primary care, where most blood samples are drawn, safety device usage is also low. The exceptions are where pioneering laboratories have taken the initiative to provide general practitioners with blood sample collection kits incorporating safety devices.In Germany, the use of safety-engineered sharps is mandated by the Technical Rule 250 except in cases where

it can be guaranteed that the patient being treated does

“ more than one million injuries each year”

“ The European Directive will go a long way towards creating a safe

New EU Directive 2010 Prevention of Sharps Injuries in

the Hospital and Healthcare Sector

Needlesticks are “one of the most serious health and safety

threats in European workplaces…estimated to cause one

million injuries each year”

BD, BD Logo and all other trademarks are property of Becton, Dickinson and Company. © 2010 BD

MED/PAS/DC11/10-158

Reference: Commission of the European Communities. Proposal for a Council Directive implementing the

Framework Agreement on prevention from sharps injuries in the hospital and healthcare sector

concluded by HOSPEEM and EPSU. Brussels 26.10.09.

Available at:

http://eurlex.europa.eu/LexUriServ/LexUriServ.do?uri=COM:2009:0577:FIN:EN:PDF

The Directive came into legal force on

1st June 2010 and must be implemented within

Member States, at the latest

by 11th May 2013.

Impending EU law requires all healthcare

organisations to implement mandatory safety

standards to protect healthcare

workers from sharps injuries and

subsequent risk of infection.

The Directive applies to EU member

states and non-EU member states of

the European Economic Area; each

Member State is required to introduce national

legislation or legally-binding agreements to

implement the Directive.

Aims to prevent sharps injuries to healthcare workers by

establishing an integrated approach to risk assessment,

risk prevention, awareness raising and training, and

implementing response and follow-up procedures Applies to all workers in the hospital and

healthcare sector, as well as those under the managerial

authority and supervision of

the employers. Employers will need to ensure

that subcontractors follow the provisions

Employers and workers’ representatives work

together to identify and reduce risks

A formal risk assessment is conducted for

exposure determination. Where a risk of injury or

infection is found, it must be eliminated by:

1 Specifying safety procedures for using

and disposing of medical sharps

2 Providing medical devices incorporating

safety-engineered protection mechanisms

3 Banning the recapping of needles

Employers provide workers with information on the

different risks, existing legislation, good practice in

preventing/recording incidents and support programmes

Workers receive training in policies and procedures to

reduce their risk, including the correct use of medical

devices incorporating sharps protection mechanisms

Workers report all incidents involving sharps

Policies and procedures are in place when a sharps injury

occurs, in accordance with national/regional legislation

Employers care for injured workers by

providing necessary medical tests,

post-exposure prophylaxis, counselling,

rehabilitation, continuing employment,

If you would like to receive further information or request help, guidance or advice on how to introduce

safety-engineered devices in your facility, please contact us on [email protected]

In brief, the Directive:

Requires that:

Prevention of sharps injuries in the hospital and healthcare sector Guidance on EU Council Directive 2010/32/EU of 10 May 2010

… 1 million needlestick injuries in Europe each year…

Following the adoption of the new EU Directive on the prevention of sharps injuries, and inspired by requests from healthcare professionals, global medical technology company BD (Becton, Dickinson and Company) has published a set of management

guides to help healthcare organisations better understand this important legislation and plan a compliance strategy.

It is estimated by the European Commission that over a million sharps injuries occur in Europe each year . The EU Directive (Council Directive 2010/32/EU ) is designed to help prevent healthcare workers from sustaining injuries

from medical sharps such as hypodermic needles and blood collection devices, which can lead to infection with blood-borne pathogens, including hepatitis and HIV. The Directive, and early implementation guidance

from key institutions, specifi cally cites the use of “safety-engineered” medical devices .

Compliance with the Directive will be mandatory by May 2013 at the latest, but many healthcare organisations have already introduced safety programmes in advance of that deadline in order to

protect staff, to avoid costly and damaging litigation, regulatory criticism or improvement orders, fi nes or compensation claims and reputational damage .

BD has distilled its experience - gained from working with a wide variety of forward-thinking healthcare organisations both across Europe and throughout the world – into a set of management guides designed to help

hospitals and other healthcare institutions begin planning their compliance strategies.

Johnny Lundgren, General Manager, North West Europe, BD, comments, “Forward-thinking healthcare organisations across Europe have felt that the case for converting to safety-engineered medical device policies before the mandatory deadline is very strong, and have moved early. BD has been helping many healthcare organisations plan and implement their conversion strategies, drawing on the experience of early European adopters, the conversions in the U.S. since the 2000 passage of safety legislation, and European regions that already have mandatory requirements in place. Our research has shown that occupational health professionals are concerned that awareness of the new EU legislation is not yet suffi ciently widespread. We hope that these management guides will help to increase awareness and knowledge amongst healthcare organisations.”

The management guides include:• A short management overview of the Directive• The key points of the business case for conversion implemented by early-conversion healthcare organisations• A review of existing penalties, compensation payments and legislative requirements• Safety device defi nitions and best practice

The management guides may be obtained by sending an email to: [email protected] When responding to articles please quote ‘OTJ’

Guidance on EU Council Directive 2010/32/EU of 10 May 2010 the 2000 passage of safety legislation, and European regions that already have mandatory requirements in place. Our tresearch has shown that occupational health professionals are concerned that awareness of the new EU legislation isr

Enjoy Complete Confidence



[email protected]



















rrrroooolllllllllleeee iiiiiiiiiinnnn ssssuuuuppppppppppppppoooorrrrtttttttiiiiiiiiiinnnngggg BBBBBBBBBBrrrriiiiiiiiiitttttttaaaaiiiiiiiiiinnnn’’’’’’’’’ssss Fattest Man

When Chichester Hospital discovered that they were to be performing agastric bypass procedure on Paul Mason, as featured in the recent Channel4 documentary Britain’s Fattest Man, it was quickly identifi ed that beforethey could carry out such a major procedure they would need to acquire aspecialist operating table that could safely support his weight and body masswithout compromising surgical access.

Enter Eschmann, a leading ‘UK healthcare equipment manufacturer basedin Lancing, Sussex; who were approached by the team at Chichester witha request to deliver an operating table that would be capable of bearing aweight load of almost 60 stone. The project team at Eschmann advised their general surgery operating table, the T20, with a standard patient weightcapacity of up to 450kg (70 stone) would meet the demanding requirementsof this particular procedure.

As it was anticipated Paul’s weight would be close to the upper extremitiesof the capacity, Eschmann conducted simulation tests that refl ectedthe proportions of Paul’s body to provide the added assurance for allconcerned that the table would perform to the desired specifi cation duringthe procedure. In order to provide the necessary support Paul’s unusualproportions a number of specialist bariatric accessories from Eschmann’srange were utilized including width extenders, leg abduction support, armtables and bariatric thigh.

Speaking after the successful procedure, Mr Shaw Somers, Leading Consultant for the treatment of Paul Mason and Specialist Consultant inbariatric procedures, commented “Our patients represent both a medicaland an engineering challenge. The techniques of safe surgery are taken totheir limits, and we need our equipment to do the same. In the case of Mr Mason, our normal limitations were tested to the extremes. The EschmannT20 general surgery table and accessories met that challenge and enabled usto undertake surgery in a safe, secure environment”

According to the Department of Health, obesity is one of the biggest healthchallenges faced in the UK. Currently almost one in four adults and one in sixchildren in England are obese. Bariatric surgery is on the rapid increase witha 40% rise in operations between 2007 and 2008 alone.


Government affi rms that substandard care will not be tolerated in the NHS.




Health Secretary, Andrew Lansley said: “Our ambition is to modernise the NHS so that people have the highest quality healthcare, and live healthier, independent lives.Improving patient safety is central to this. We have identifi ed 25 preventable incidents never events which should never happen in a high-quality healthcare service and for which payment can be withheld across the NHS.





1. Wrong site surgery (existing)2. Wrong implant/prosthesis (new)3. Retained foreign object post-operation (existing)4. Wrongly prepared high-risk injectable medication (new)5. Maladministration of potassium-containing solutions (modifi ed)6. Wrong route administration of chemotherapy (existing)7. Wrong route administration of oral/enteral treatment (new)8. Intravenous administration of epidural medication (new)9. Maladministration of Insulin (new)10. Overdose of midazolam during conscious sedation (new)11. Opioid overdose of an opioid-naïve patient (new)12. Inappropriate administration of daily oral methotrexate (new)13. Suicide using non-collapsible rails (existing)14. Escape of a transferred prisoner (existing)15. Falls from unrestricted windows (new)16. Entrapment in bedrails (new)17 Transfusion of ABO-incompatible blood components (new)

Eschmannoperatingtable accessories



































































and implemented.”










becoming law.

Management Summary















MED/PAS/DC11/10-158




Available at:





by 11th May 2013.














































Requires that:


… 1 million needlestick injuries in Europe each year…













Guidance on EU Council Directive 2010/32/EU of 10 May 2010 the 2000 passage of safety legislation, and European regions that already have mandatory requirements in place. Our tresearch has shown that occupational health professionals are concerned that awareness of the new EU legislation isr



[email protected]



















rrrroooolllllllllleeee iiiiiiiiiinnnn ssssuuuuppppppppppppppoooorrrrtttttttiiiiiiiiiinnnngggg BBBBBBBBBBrrrriiiiiiiiiitttttttaaaaiiiiiiiiiinnnn’’’’’’’’’ssss Fattest Man

When Chichester Hospital discovered that they were to be performing agastric bypass procedure on Paul Mason, as featured in the recent Channel4 documentary Britain’s Fattest Man, it was quickly identifi ed that beforethey could carry out such a major procedure they would need to acquire aspecialist operating table that could safely support his weight and body masswithout compromising surgical access.

Enter Eschmann, a leading ‘UK healthcare equipment manufacturer basedin Lancing, Sussex; who were approached by the team at Chichester witha request to deliver an operating table that would be capable of bearing aweight load of almost 60 stone. The project team at Eschmann advised their general surgery operating table, the T20, with a standard patient weightcapacity of up to 450kg (70 stone) would meet the demanding requirementsof this particular procedure.

As it was anticipated Paul’s weight would be close to the upper extremitiesof the capacity, Eschmann conducted simulation tests that refl ectedthe proportions of Paul’s body to provide the added assurance for allconcerned that the table would perform to the desired specifi cation duringthe procedure. In order to provide the necessary support Paul’s unusualproportions a number of specialist bariatric accessories from Eschmann’srange were utilized including width extenders, leg abduction support, armtables and bariatric thigh.

Speaking after the successful procedure, Mr Shaw Somers, Leading Consultant for the treatment of Paul Mason and Specialist Consultant inbariatric procedures, commented “Our patients represent both a medicaland an engineering challenge. The techniques of safe surgery are taken totheir limits, and we need our equipment to do the same. In the case of Mr Mason, our normal limitations were tested to the extremes. The EschmannT20 general surgery table and accessories met that challenge and enabled usto undertake surgery in a safe, secure environment”

According to the Department of Health, obesity is one of the biggest healthchallenges faced in the UK. Currently almost one in four adults and one in sixchildren in England are obese. Bariatric surgery is on the rapid increase witha 40% rise in operations between 2007 and 2008 alone.


Government affi rms that substandard care will not be tolerated in the NHS.




Health Secretary, Andrew Lansley said: “Our ambition is to modernise the NHS so that people have the highest quality healthcare, and live healthier, independent lives.Improving patient safety is central to this. We have identifi ed 25 preventable incidents never events which should never happen in a high-quality healthcare service and for which payment can be withheld across the NHS.





1. Wrong site surgery (existing)2. Wrong implant/prosthesis (new)3. Retained foreign object post-operation (existing)4. Wrongly prepared high-risk injectable medication (new)5. Maladministration of potassium-containing solutions (modifi ed)6. Wrong route administration of chemotherapy (existing)7. Wrong route administration of oral/enteral treatment (new)8. Intravenous administration of epidural medication (new)9. Maladministration of Insulin (new)10. Overdose of midazolam during conscious sedation (new)11. Opioid overdose of an opioid-naïve patient (new)12. Inappropriate administration of daily oral methotrexate (new)13. Suicide using non-collapsible rails (existing)14. Escape of a transferred prisoner (existing)15. Falls from unrestricted windows (new)16. Entrapment in bedrails (new)17 Transfusion of ABO-incompatible blood components (new)

OPERATINGTABLES



































































and implemented.”










becoming law.

Management Summary















MED/PAS/DC11/10-158




Available at:





by 11th May 2013.














































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World’s fi rst shoulder and elbow kit offers orthopaedic surgeons more vision A British based surgical manufacturer, who specialises in creating bespoke ‘made to measure’ surgical instrumentation, has developed the world’s fi rst shoulder and elbow kit following a request from a leading orthopaedic surgeon.

Sheffi eld-based Platts & Nisbett has a reputation across the UK for high quality design, craftsmanship and performance and unlike other surgical instrument makers offer a unique hand crafted service which allows instruments to be made to surgeon’s exact specifi cations.

After hearing about this service, Orthopaedic Consultant David Stanley from Sheffi eld Teaching Hospitals NHS Foundation Trust, contacted the family-run company to see if they could develop a range of instruments specifi cally for shoulder and elbow revision surgery.

Mr Stanley was concerned that were no specifi c surgical instruments available on the market for this type of procedure and that existing instruments were cumbersome to use and often restrictedsurgeons’ vision.

Working in collaboration, the pair

combined ‘clinical expertise with manufacturing knowledge’

to create a range of hand made instruments that include a series of small

chisels and cement splitters with offset handles that allow an improved view of the intramedullary

canal during the cement removal process.

In addition they also created ring curettes, cement extraction hooks and cement plug removers, all of which facilitate the safe and effective removal of cement and preparation of the bony canal.

Alyson Nisbett, Director of Platts & Nisbett, said: “We work closely with surgeons to build long lasting partnerships for the future and were delighted when Mr Stanley contacted us about our ‘made to measure’ service.

“Throughout a series of meetings we discussed our ideas with Mr Stanley, who was able to make his own suggestions to tailor the instruments to the needs of the surgeon. By being able to see and feel the prototypes the surgeon could visualise how the instruments would be used, and offer valuable input during the manufacturing stage. This development process was vital, and resulted in a bespoke kit being designed and manufactured within six weeks.”

David Stanley, Consultant Orthopaedic Surgeon, said: “Revision shoulder and elbow arthroplasty surgery is demanding and time consuming. Without the right instruments the vision of surgeons is severely restricted making the procedure even more diffi cult. I believe that in the future it will provide the shoulder and elbow surgeon with greater confi dence when undertaking diffi cult revision procedures.”

Founded in 1977, Platts & Nisbett is an independent family company owned by the Nisbett family, who only use the fi nest materials to make their surgical instruments.

This ethos has ensured their reputation for manufacturing high quality surgical instruments and has also gained them the prestigious ‘Made In Sheffi eld’ credentials.

Their team of over 20 highly skilled engineers are all apprentice trained and the company has just taken on new two more apprentices within the last year to ensure they are developing the next generation of surgical instrument makers.

For more information or to view the Platts & Nisbett online catalogue visit www.plattsnisbett.com When responding to articles please quote ‘OTJ’

St Anthony’s Hospital Epitomises Caring Culture Says Investors In People Review

St Anthony’s Hospital, an independent private hospital in Cheam, Surrey, epitomises a supportive and caring culture that goes beyond basic good leadership and management, says the latest Investors in People review. Everyone was full of praise for the hospital and the way it cared for its staff, as well as its patients. These were just some of the fi ndings made in the hospital’s three yearly ‘Investors in People’ review report in November. As a result of all the evidence gathered from both day and night staff, Dr. Kate Baker, the Investors in People Assessor, congratulated St Anthony’s Hospital for its continued commitment to the Investors in People Standard and recommended the hospital continues to be recognised as such.

The report said “The most noticeable aspect of St Anthony’s Hospital is that from the moment one walks in, there is an atmosphere of calm and friendliness, where it is very evident that, as one interviewee stated ‘you are treated as a person and not a number.”’

Staff clearly love working for the Hospital and feel that they are valued and appreciated. Many staff have been with the Hospital for a long time, reinforcing the fact that there is a general feeling that ‘this is a good place to work’.

Learning and development continue to be a strong point, with a training facilitator Myriame Lawley to support this on the clinical side. St Anthony’s Hospital was commended for introducing 360-degree appraisals in several areas. This is where comments from all the working colleagues of the person being appraised is put together to form an overall picture. Communication also continues to be a robust process through the regular team briefi ngs, while all staff feel they have access to ongoing information and updates.

Plymouth hospital threatened with safety prosecution

The Plymouth NHS Hospitals Trust must improve safety - including preventing swabs being left in patients - or risk prosecution, a watchdog has said.

The Care Quality Commission (CQC) issued the warning after inspectors found safety checks were not fully completed by some surgical teams.

In four incidents, swabs were left in patients at Derriford Hospital within a year.

The trust said it was working hard “to put right defi ciencies”.

‘Never events’

The CQC said it was demanding immediate improvements after fi nding that important check lists recommended by the World Health Organisation and the National Patient Safety Agency were not being fully completed by surgical teams across some operating theatres.

It said it was critical such key checks were completed “without exception as failure to do so may result in increased risk to patient safety”.

The Derriford swab incidents did not result in serious problems for the patients involved.

Such incidents are described in medical terms as a “never event”, ie: it should not happen.

The trust’s medical director Dr Alex Mayor said the trust was aware of the issues before the CQC inspection but admitted they were “very signifi cant fi ndings”.

Dr Mayor added that the trust carried out 50,000 procedures a year, and that ‘never events’ equate to one in 10,000, but that “one in 10,000 is one too many”.

He said: “I can assure patients and the public that we have put into place actions that will signifi cantly reduce these never events.”

South-west CQC regional director Ian Biggs said check lists and other practices were needed to prevent similar incidents happening again.

He said: “Good practice includes whole surgical teams being prepared for each particular case, and ensuring swabs are counted before and after surgery to assure that they are accounted for.

“The important thing is that staff and practices minimise risk so people can have confi dence in the hospital.”

The commission is still to produce its full report into the inspection.

Source: BBC


Mölnlycke Launches New Straight Finger Non-Latex Gloves

Mölnlycke Health Care is changing its Biogel® PI UltraTouch® synthetic gloves from curved fi nger to straight fi nger. The new straight fi nger gloves have a micro roughened textured fi nish, to provide better grip, and are suitable for people who are allergic to latex.

PI UltraTouch is a powder-free, non-latex polyisoprene surgical glove that reduces the possibility of glove-related latex protein sensitisation, as it is made from a synthetic elastomer. The gloves provide levels of fi t, feel and comfort comparable to natural rubber latex, as synthetic polyisoprene shares a similar molecule structure to natural rubber latex.

The gloves are available in sizes 5 ½ to 9 and can be ordered using the new product code 431, which replaces the existing PI UltraTouch product code of 409.

To fi nd out more about Biogel PI UltraTouch gloves contact Mölnlycke Health Care Customer Services on 0800 917 4918 or visit www.molnlycke.com

When responding please quote ‘OTJ’

Revolutionary Pillow Design Gets Support From Patients and NHS Staff

A pillowcase with a unique design, invented by Ian Bolton, Senior Cardiac Physiologist and Infection Prevention Link Practitioner at Broomfi eld Hospital in Chelmsford, is already proving a success in terms of reducing the risk of infection, increasing patient comfort and saving costs.

The Bolton Pillow Case (BPC) has a surface that can be cleaned in seconds with an antibacterial wipe between patients, eliminating the need for a conventional pillowcase.

It is ideal for use in cardiac departments, ultrasound units, A&E, clinic rooms, care homes and a wide range of other outpatient healthcare settings.

The BPC was developed with help from Health Enterprise East (HEE), the NHS Innovation Hub for the East of England. HEE assisted with product prototyping and negotiating the deal to take the Pillow into commercial production with Teal Furniture Ltd, part of the Senator International Group and a world-leading producer of Hospital furniture for over 25 years. The fi rst orders for the BPC have just been placed.

Inventor Ian Bolton says: “Made from the same materials as a conventional clinic couch, the BPC has a fl ap of material along its top edge which hangs over the top of a couch backrest. Along the far edge of the fl ap is a row of discreet counter balance weights which stop the pillow from sliding down the backrest. This means the BPC can be put into position in around two seconds without any fi xings and, very importantly, it stays in place which is more comfortable for the patient.

“It also takes a lot of conventional pillow cases out of the system saving on laundry, renewal and distribution costs, as well as reducing clinic time in taking off a soiled pillowcase and putting on a clean one. It also lowers the risk of hospital-acquired infections.”

Colin Mustoe, Chairman, Teal Furniture Ltd adds: “The BPC offers great potential for the future and as a world-leading company in hospital furniture, we are ideally placed to optimise its use. By making it in different sizes and shapes, it could be ideal for use on ambulance trolleys, in GP surgeries and on bedside chairs in nursing and care homes.”

The BPC costs £42 + VAT + P&P from Teal Furniture www.teal.co.uk Tel: +44(0)1254 688210

From left to right: Mike Brewster, Sales Director, Teal Furniture Ltd; Ian Bolton, Inventor and Senior Cardiac Physiologist, Mid Essex Hospital Services NHS Trust and Stuart Thomson, Head of Medical Technology, Health Enterprise East.

Are you reading someone else’s copy of the OTJ?

Then why not “download” your own from the Links Page of

www.otjonline.com


Latest J&J recall involves sterility-risk sutures

Johnson & Johnson, (JnJ.n ) which has been plagued by repeated recalls of its consumer medicines and medical devices over the past year, on Wednesday said it recalled 107 batches of surgical sutures in December due to potential sterility problems.

The recall came to light on Wednesday after the United Kingdom Medicines and Healthcare Products Regulatory Agency (MHRA) described the action on the agency’s website.

The diversifi ed healthcare company said the voluntary recall took place mostly in Europe and involved a total of 585,000 individual strands of sutures. The action stemmed from potentially faulty packaging seals on the individually wrapped sutures that raised a contamination risk, J&J said.

The potential problem was caused by modifi cations of manufacturing equipment and has been corrected, said Barbara Montresor, a spokeswoman for J&J’s Ethicon surgical products division.

“The company has not received any reports of adverse events related to these occurrences,” she said, noting that none of the sutures were distributed in the United States.

The sutures were sold under the brand names Ethilon, Ethibond, Mersilene and Mersilk.

Montresor said J&J immediately notifi ed regulators of the Dec. 29 recall. Asked why the public was not notifi ed, she said largely because the affected sutures were quickly isolated and withdrawn from the market.

The recall came to light on Wednesday after the United Kingdom Medicines and Healthcare Products Regulatory Agency (MHRA) described the action on the agency’s website.

The Ethicon unit last month disclosed it had recalled a hernia repair product whose packaging was also deemed prone to contamination, as well as 700,000 vials of a liquid wound sealant due to reports some were discolored.

Only days earlier, J&J said it was recalling 70,000 syringes of its Invega Sustenna anti-psychotic medicine because of cracks found in the syringes.

Those actions followed repeated recalls of Tylenol, Motrin, Rolaids and other widely used J&J consumer medicines due to quality control lapses. The recalls, involving hundreds of millions of packages, badly tarnished the company’s reputation and cost J&J almost $1 billion in lost sales in 2010.

Continuing shortages of the products will also crimp J&J’s revenue and earnings in 2011, as the company continues to upgrade defi cient factories.

Company chief executive offi cer William Weldon has said he expects all the consumer products to return to store shelves this year.

REUTERS: (REPORTING BY RANSDELL PIERSON, EDITING BY BERNARD ORR)


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NEW SYSTEM TAKES NEONATAL WARMING EVEN FURTHERSetting the standard in warming systems for neonates and infants, Inditherm Medical has taken their solution for neonatal warming even further as they unveil their advanced CosyThermNT system.

Following the success of CosyTherm, Inditherm have now announced an additional new control unit for their neonatal warming range; CosyThermNT. The new system has all the benefi ts of the original CosyTherm with the added options of integrated battery power and DC input for use from vehicle power sources. The new compact, lightweight design combined with the battery operation makes this system a perfect solution for transport and other patient transfer situations.

Nearly half of all the UK NHS neonatal departments are now using Inditherm systems, seeing the benefi ts of the highly effective heated mattresses. CosyTherm is now installed in over 30 countries worldwide, making it a truly international product. With the release of the new system providing greater fl exibility and allowing wider applications, these numbers are expected to rise even more rapidly.

Inditherm’s patented carbon polymer technology delivers superior performance and convenience at the same time as providing a cost effective solution. The soft mattress provides high thermal transfer characteristics and ultra-fast warm-up – less than 5 minutes. The battery power will allow the system to operate for over 4 hours, catering for even the most demanding needs. The precise temperature control and conductive heat transfer will overcome the issues associated with chemical warming mattresses and hot air systems.

CosyTherm is designed to allow open nursing of the baby, improving developmental care, reducing anxiety for parents and making treatment easier for nursing staff. Use of the system allows more expensive and sophisticated equipment, such as incubators, to be freed up for patients with greatest need. The battery operation removes many of the restrictions of tradition heating methods, allowing staff to transfer the patients without removing the heat source and making transport much easier and more comfortable.

Nick Bettles, Inditherm’s CEO commented: “Users have been asking us to provide features that will assist in the transport of small babies for some time, as most existing warming methods are considered less than ideal. We believe that the battery power option will open up a signifi cant market opportunity for the company at the same time as solving a real clinical need”

The system is simple to operate and has a selection of temperature ranges to suit different clinical requirements. A pressure-relieving pad is integrated into the mattress to help prevent pressure sores. The more compact and lightweight design of the new CosyThermNT unit have already met with very positive comments from existing CosyTherm users and will make the system even more convenient.

CosyThermNT will fi t all standard cribs or cots, making it simple to add to existing equipment and reducing cost to the hospital. The system is robust and no maintenance is required other than cleaning. It is equally suited for use in neonatal intensive care, special care baby units, post-natal wards and the delivery suite.

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e-mail: [email protected]: www.inditherm.com/medical When responding to articles please quote ‘OTJ’


There’s only ONE place to look for Operating Theatre Jobs !

www.OperatingTheatreJobs.comIf you are looking for a job as an ODP, Scrub, Anaesthetic or Recovery Room Nurse / Practitioner. In the allied elds of ITU, Sterile Services, Endoscopy or Critical Care or even as a Clinical Specialist, Trainer or Representative for a leading Medical Company. Don’t endlessly scour the web looking at stacks of recruitment sites but bookmark OperatingTheatreJobs.com as your unique resource !

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Stop Pain - Infl ammation Relief For An Active LifeA wide variety of solutions to chronic pain suffered by millions from a sports-medicine specialist.

Do you feel trapped by chronic pain?

Do you avoid going places and doing things you once loved, because getting there hurts too much?

Chronic pain is affecting our population now more than ever. Despite the array of expensive, hi-tech machinery and costly prescription medication, rising obesity and excessive stress levels have lead us into a pandemic of chronic pain. Chronic pain can have a devastating impact on people’s daily lives -but now with advances in our understanding of pain, Dr. Vijay Vad explains how relief is possible with self-care options that will minimise your dependence on prescription drugs or medical procedures.

In Stop Pain Dr. Vijay Vad teaches you the ins and outs of pain - bringing to light the links between infl ammation and other factors that increase pain. Covering everything from stress relief techniques, an anti-infl ammatory diet, sensible exercise, ergonomically sound working and living recommendations and effective dietary supplements, Dr. Vad shows you the things that you can do to alleviate pain.

Dr Vad lays out concrete strategies for dealing with the most common pain problems. He then addresses the possible risks and rewards of various treatments for other types of chronic pain. His analysis of conventional and complementary options - including everything from prescription medications and surgical intervention to physical therapy, acupuncture and breathing exercises - will open your eyes to the many ways you can take back control of your life.

Author Biography: Dr Vijay Vad is a sports-medicine specialist, former physician for the professional men’s golf and tennis circuit and author of Back Rx and Arthritis Rx. In 2007, he created the Vad Foundation, dedicated to two causes: supporting medical research into back pain and arthritis and funding education for disadvantaged girls worldwide. Dr Vad lives in New York City with his family.

www.vijayvad.com Hay House publishers, 4th April 2011, paperback £9.99 Please quote ‘OTJ’

Gwent hospitals set for effi ciency drive

Gwent’s three biggest hospitals are seeking to transform the way their operating theatres are run, to make more effi cient use of surgery time and boost patient care.NHS Wales’ Transforming Theatres programme will be introduced at the Royal Gwent, Nevill Hall and Caerphilly District Miners’ Hospitals, focusing on a range of issues such as preparation of patients for operations, turnaround time between cases, effective handover to recovery wards after surgery, and management of theatre equipment.ate starts and early fi nishes to theatre sessions ultimately mean fewer operations can be carried out, and maximising the time available is down factors such as the mix of cases listed for those sessions, and how quickly the theatre can be made ready for the next patient.In Gwent, efforts to improve the use of theatre time have had mixed results. Aneurin Bevan Health Board recorded the lowest level of late starts to operating theatre sessions of any health board in Wales during 2010 - but though there has been a reduction in the level of early fi nishes to sessions, the potential for improvement is “signifi cant” according to a recent board report.Continued improvement on start and fi nish times is a priority for the health board, as is shortening turnaround times between operations.The transforming Theatres programme will build on the fi ndings of England’s Producitve Operating Theatre programme - where the emphasis is on building effective theatre teams, with strong leadership - and on the 1,000 Lives Plus project, through which the likes of new equipment and patient information checking procedures have been introduced.Two operating theatres, including an orthopaedic theatre, are being used to pilot the programme in Gwent, but it will eventually be rolled out across theatres in all three hospitals.

Source: South Wales Argus


Final Close Life in the Day of a Recovery Nurse 1878 Patricia Smedley BARNA President

Final Close Life in the Day of a Recovery Nurse 1878 Patricia Smedley BARNA President

Celebrating 25 Wonderful Years

1st July 2011, Birmingham

£100 for members £175 for Non-members

Annual Conference, AGM and Exhibition

British Anaesthetic and Recovery Nurses Association

BARNA

[email protected]

Open to Anaesthetic and Recovery Nurses, ODPs and other professionals with an interest in this speciality.

Supported by Dräger

The venue: Clarendon Suites, BIRMINGHAM, B16 9SB

WWW.BARNA.CO.UK

Natalie Quine BARNA Chair. ARNA - BARNA - Origins to the present Lesley Dowding, Keynote speaker, Inaugural member and past Chair ARNA

Management of the Difficult Airway Dr. Anil Patel, Royal Ear Nose and Throat Hospital, Grays Inn Road

Running Enhanced Recovery Day by Day Marie Morris, Enhanced Recovery Nurse, Guy’s and St. Thomas’ NHS Foundation Trust

The Impact of the HDU/ITU Patient in PACU Denise O’Brien, Clinical Nurse Specialist, University of Michigan Hospital

Pain Management in the PACU Denise O’Brien, Clinical Nurse Specialist University of Michigan Hospital

Care of Critically Injured Soldiers Joanne Thompson, Senior Sister, Critical CareDebby Edwards, Consultant Nurse Acute Pain & Outreach Service Queen Elizabeth Hospital, Birmingham

Delayed Discharge Audit Lucie Lewellyn, Senior Lecturer Kingston UniversityJacqui Bishop, Team Leader, PACU, St. George’s Hospital, London

PDNV (Post Discharge Nausea and Vomiting) Jan Odom-Forren, Faculty, University of Kentucky

Applied Anatomy and Physiology in Relation to Routine Airway Management Pat Smedley, President BARNA

UK National Competencies for PACU Practice Dr. David Whitaker AAGBI, (Association of Anaesthetists of Great Britain and Ireland)

New Resuscitation Guidelines: Have These Made a Difference? Jon Sions, RGN, Dip A&E, Cert Ed. Director of Training, Resuscitation and MediConsultancy Limited

Anaesthesia Relating to the Bariatric Patient Simon Walton, Consultant Anaesthetist, Eastbourne Hospital

Capnography Monitoring: Past Practice and New Advances Kim Kraft, Immediate Past President ASPAN

Join BARNA today... Online at: www.barna.co.ukEstablished in 1987 for recovery and anaesthetic nurses who were not represented by any other association. BARNA became the UK representative for the International Federation of Nurse Anaethetists in 1993 and has long represented the view that non-physician provision of anaesthetics would be practical in UK. Membership includes Nurses, ODP’s and Doctors involved in the provision of care in the anaesthetic and recovery areas.

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CD Healthcare swaps sales for sails in charity challenge

Leading medical recruiter CD Healthcare is going for gold in charity sailing race ‘Sail the Solent’ on May 15th. Raising money for children’s charity Action Medical Research, the Cheam-based team will learn to sail in just eight hours, then compete in a 60 mile race around the Isle of Wight the following day.

All funds raised from the event will go into medical research to treat sick babies and tackle premature birth, to make life better for children with disabilities, and targeting rare diseases that together severely affect many forgotten children. The CD management team has pledged to match the team’s fundraising efforts.

Team captain Chris Hunter said; “As none of us have sailed before, this was a great opportunity to try something new and support a good cause at the same time. Working in the healthcare industry, we appreciate the importance of the work that Action Medical Research does. Knowing how competitive the team is, we won’t be satisfi ed with anything less than a podium fi nish!”

The challenge starts on Friday 13th May when the team meet their skipper for the fi rst time and bond with the 40 foot yacht which will become their home for the next two days. Saturday will involve an early rise and a day of hard training, with the professional skipper showing the would-be seafarers the ropes. Sunday is racing day with the team competing in a 60 mile race around the Isle Of Wight. Nerves will be tested as the team battle for a top place fi nish.

Sail the Solent is one of a series of fundraising events organised by Action Medical Research, whose focus is on stopping the suffering of babies and children affected by disease and disability. The charity has supported some of the most signifi cant medical breakthroughs in recent history that have helped save and change children’s lives, including alleviation of chronic pain in children, the development of innovative cooling therapy for new born babies, the combating of childhood liver disease, the development of live saving fetal monitoring equipment, protection of children from meningitis, and the development of posture support systems for disabled children.

CD Healthcare are the UK leading specialist recruiter of sales staff into the healthcare industry, more specifi cally focused on working with businesses involved in the development and sale of innovative medical devices. Established for over 20 years, CD Healthcare’s service ensures that businesses dedicated to the improvement of medical technology are able to secure the most committed and accomplished sales people possible.

If you would like to donate to CD Healthcare’s cause please use the following link http://www.action.org.uk/sponsor/cdhealthcare1 or call 0208 722 8238. When responding to articles please quote ‘OTJ’


Professor Williams, who is based in the University of Leicesters Department of Cardiovascular Sciences at Glenfi eld Hospital, said: I am under no illusion about the magnitude of the change this technique will bring about. It has been a fabulous scientifi c adventure to get to this point and it will change the way blood pressure has been monitored for more than a century. The beauty of all of this, is that it is diffi cult to argue against the proposition that the pressure near to your heart and brain is likely to be more relevant to your risk of stroke and heart disease than the pressure in your arm.

GROUND-BREAKING TECHNOLOGY WILL REVOLUTIONISE BLOOD PRESSURE MEASUREMENT FOR FIRST TIME FOR OVER A CENTURY

Pioneering new technology will lead to better treatment decisions and better outcomes for patients

In a major scientifi c breakthrough, a new blood pressure measurement device is set to revolutionise the way patients blood pressure is measured.

The new approach, invented by scientists at the University of Leicester and in Singapore, has the potential to enable doctors to treat their patients more effectively because it gives a more accurate reading than the current method used. It does this by measuring the pressure close to the heart the central aortic systolic pressure or CASP.

Blood pressure is currently measured in the arm because it is convenient however this may not always accurately refl ect what the pressure is in the larger arteries close to the heart.

The new technology uses a sensor on the wrist to record the pulse wave and then, using computerised mathematical modelling of the pulse wave, scientists are able to accurately read the pressure close to the heart. Patients who have tested the new device found it easier and more comfortable, as it can be worn like a watch.

Being able to measure blood pressure in the aorta which is closer to the heart and brain is important because this is where high blood pressure can cause damage. In addition, the pressure in the aorta can be quite different from that traditionally measured in the arm. The new technology will hopefully lead to better identifi cation of those who will most likely benefi t from treatment by identifying those who have a high central aortic systolic pressure value. This will be especially important for younger people in whom the pressure measured in the arm can sometimes be quite exaggerated compared to the pressure in the aorta.

A key question is whether measurement of central aortic pressure will become routine in clinical practice. Professor Williams said: it is not going to replace what we do overnight but it is a big advance. Further work will defi ne whether such measurements are preferred for everybody or whether there is a more defi ned role in selective cases to better decide who needs treatment and who doesnt and whether the treatment is working optimally

The Universitys close collaboration with the Singapore-based medical device company HealthSTATS International (HealthSTATS) has led to the development of this world-fi rst technique for more accurate blood pressure measurement.

The research work carried out by the University of Leicester was funded by the Department of Health’s National Institute for Health Research (NIHR). The NIHR has invested £3.4million with a further £2.2million Capital funding from the Department of Health to establish a Biomedical Research Unit at Glenfi eld Hospital, Leicester, dedicated to translational research in cardiovascular research. The work, led by Professor Bryan Williams, Professor of Medicine at the University of Leicester and consultant physician at University Hospitals of Leicester NHS Trust, has the promise to change the way we measure blood pressure.

Professor Bryan Williams (centre) and Health Minister Andrew Lansley (right) with PhD student Daniel Timms (left) at the opening of the University of Leicester Cardiovascular Biomedical Research Unit. Credit: University of Leicester.

The CASPal blood pressure measurement device.

The CASPro blood pressure measurement device.

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Leicester is one of the UKs leading centres for cardiovascular research and is founded on the close working relationship between the University and the Hospitals which allows us to translate scientifi c research into patient care more effi ciently. Key to our contribution to this work has been the support from the NIHR without which we would not have been able to contribute to this tremendous advance. The support of the NIHR has been invaluable in backing us to take this project from an idea to the bedside. Critical to the success of this project has been the synergies of combining clinical academic work here with HealthSTATS and their outstanding medical technology platform in Singapore. This has been the game-changer and I really do think this is going to change clinical practice.Dr. Choon Meng Ting the Chairman and CEO of HealthSTATS said: This study has resulted in a very signifi cant translational impact worldwide as it will empower doctors and their patients to monitor their central aortic systolic pressure easily, even in their homes and modify the course of treatment for BP-related ailments. Pharmaceutical companies can also use CASP devices for clinical trials and drug therapy. All these will ultimately bring about more cost savings for patients, reduce the incidences of stroke and heart attacks, and save more lives.Health Secretary Andrew Lansley said: “I saw this new technique in action in Leicester when I visited a few months ago. This is a great example of how research breakthroughs and innovation can make a real difference to patients lives. We want the NHS to become one of the leading healthcare systems in the world and our fi nancial commitment to the National Institute for Health Research refl ects this. I believe patients deserve the best treatments available and science research like this helps us move closer to making that happen.Professor Dame Sally Davies, Director General of Research and Development and Interim Chief Medical Offi cer at the Department of Health, said: This is fantastic work by Professor Williams and his team and I am delighted to welcome these fi ndings. I am particularly pleased that the clinical research took place at the NIHR Biomedical Research Unit in Leicester. NIHR funding for Biomedical Research Centres and Units across England supports precisely this type of translational research, aimed at pulling-through exciting scientifi c discoveries into benefi ts for patients and the NHS by contributing to improved diagnostics and treatments.When responding to articles please quote ‘OTJ’

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www.operatingtheatrejobs.comFor online Recruitment advertising

Cardiothoracic Theatres

Registered Theatre Practitioners

R/Ns O.D.Ps

Salary in accordance with agenda for change guidelines.

Plymouth Hospitals NHS Trust is an aspiring Foundation Trust that works in close

partnership with the University of Plymouth’s Medical and Nursing Schools.

Situated in the Southwest, between Dartmoor National Park and a spectacular

coastline, Plymouth is a vibrant and historic city that offers excitement, beautiful

surroundings and a wonderful quality of life

.

Our Cardiothoracic Centre is a source of pride for the Trust and region with its

growing international reputation and superb facilities, created by the recent

completion of a truly innovative new build.

Due to internal promotions we are seeking high calibre nursing staff to join our

team. To be successful, you must be committed to helping us deliver excellent

standards of surgical health to the people of the South West, and to contribute

to the further development of the national and international standing of our unit.

In return, you will enjoy being part of a flexible and friendly te

am, a first class

working environment, a commitment to helping you achieve your ambitions,

and an array of generous staff benefits

We offer Preceptorship for newly qualified practitioners.

For informal enquiries or for visits please contact Sr. Jean Hobson,

Theatre Manager, on 01752 763 853

Please apply online at www.jobs.nhs.uk quoting

216-Mer-2284-Cardiac5a.

Closing date for applications: 27 July 2008.

Plymouth Hospitals NHS Trust is an equal opportunities employer and is

working towards a smoke-free working environment. Under the Trust’s

Green Commuter Strategy, on site parking is restricted.

Working in partnership with the Peninsula Medical School

We’ll take ca

re of you

www.plymouthhospitals.nhs.uk

New

Zealand

ODPSCome for a year or immigrate

permanently! We work with the best

surgical units and District Health Boards in

New Zealand.

We have a number of great career opportunities for qualifi ed

and experienced ODPs.

Contact Medacs Healthcare today to learn more about the

vacancies available in the North and South Island – so you

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Medacs can offer you:

• Full assistance with registration and immigration

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• Advice and assistance on many aspects of moving to a

new city or country.

We reply within 24 hours so call us today!

Contact the team today on tel: +64 9 630 1769

or email your CV to: [email protected]

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Make your move toMake your move toNew Zealand!New Zealand!

Based in the City of Sails, Auckland District Health Board is one of the leading public healthcare providers within New Zealand.

We have over 32 operating theatres (adult and paediatrics) covering neurosurgery, cardiothoracic, transplants, vascular, ophthalmology, general, urology, orthopaedics, ORL (including major head and neck surgery), obstetrics and gynaecology. We are looking for skilled and enthusiastic Registered Nurses and Anaesthetic Technicians looking to relocate to our beautiful country.

Auckland City Hospital is a major teaching hospital, offering a supportive environment for education and learning.

Senior Clinicians will be in London to interview applicants in May 2008. Contact us now to book your time to speak directly with our Clinicians.

For more information, please contact Michelle on [email protected] or call + 64 9 638 0364. Relocation assistance will be offered to all successful applicants (conditions apply).

http://www.adhb.govt.nz/careers/

Calling all Anaesthetic Technicians & Registered Nurses Calling all Anaesthetic Technicians & Registered Nurses

Theatres

We deliver theatre services across the Trust from the six theatre suites that make up the Theatres Care Group. There are 26

theatres (21 inpatient theatres, five recovery areas and five day surgery theatres). Our aim is to provide the highest quality

environment to enable surgeons to provide excellent surgical care. Due to our increasing workload, we are expanding our team,

which offers you a wide variety of experience, including cardiac and neuro. Our dedicated team actively seeks to develop our staff

and their skills. In return for your hard work we offer a wide range of opportunities for professional development and further

training both in-house, via our post-grad centre, and the University of Kingston.

Cardiac Theatres

Theatre Practitioners –

Surgical Scrub

Band 5, £23,619 - £30,508 pa inc

Ref: 200-SJKD-179-KR

In our state of the art building, we undertake 4,000 neurosurgical

and cardiothoracic procedures each year with excellent clinical

results. You’ll be enthusiastic and enjoy the challenge of major

surgery. You’ll initially be based in one set of theatres but rotation

is encouraged.


Surgical Scrub

Band 6, £28,149 - £37,558 pa inc


In addition to the requirement for the band 5 post, you’ll need

experience in either neurosurgical or cardiothoracic specialties.

You’ll be an advanced scrub practitioner, either nurse or ODP,

as well as excellent communication skills and the ability to work

as part of a team. Your duties will include participation in an

on-call rota once competent.

For an informal discussion about the above posts, please contact

Andrew Prescott on 020 8725 1492.

Neuro Theatres

Theatre Practitioners -

Surgical Scrub & Anaesthetics

Band 5, £23,619 - £30,508 pa inc

Ref: 200-SJAA-183-KR

A scrub/anaesthetic practitioner, either Nurse or ODP, you’ll

strengthen and support our current team to provide a valuable

contribution to the provision of high quality care to our patients.



Inpatient Recovery

Theatre Practitioners

Band 5, £23,619 - £30,508 pa inc

Post ref: 200-SJJD-185-KR

You’ll provide essential care and support to patients in the

recovery area, as well as clinical support and leadership in the

absence of more senior staff. Rotation to all areas is expected

and you’ll preferably have experience in Recovery/HDU/ITU care,

although full training will be available. Paediatric qualifications

and/or experience are highly desirable.

For an informal discussion, please contact Derek Reid

on 020 8725 3509.

Inpatient Theatres

We have vacancies for the following specialties where we

can offer you a wide variety of experience in: ENT and

Maxillo-facial, Urology, Gynaecology, Obstetrics, Plastic surgery

and Orthopaedics.

You’ll be either a nurse or ODP.



Band 5, £23,619 - £30,508 pa inc

Ref: 200-SJJE-181-KR

Advanced Theatre Practitioners

- Surgical Scrub

Band 6, £28,149 - £37,558 pa inc


You’ll be an advanced scrub practitioner, either nurse or ODP.

For an informal discussion, please contact Alberto Castrillon

on 020 8725 2129 or Maggie Savage on 020 8725 1958.

Day Surgery


Surgical Scrub, Anaesthetics

& Recovery

Band 5, £23,619 - £30,508 pa inc

Ref: 200-SJLA-184-KR

Our busy stand-alone Day Surgery Unit comprises five operating

theatres, recovery and a pre-assessment centre, which serves

both adult and paediatric patients.

We undertake elective and trauma work and our theatre

practitioners rotate between theatres and recovery. You’ll be a

scrub/anaesthetic practitioners, either nurse or ODP.

For an informal discussion, please contact Cathie Stirling

on 020 8725 0223.

Please apply online at

www.stgeorges.nhs.uk

Closing date for all posts: 3 July 2008.

Interview date: w/c 21 July 2008.

Please note this vacancy will close before the advertised

closing date if sufficient suitable applications are received.

We are an equal opportunities employer.

www.stgeorges.nhs.uk Bedford HospitalNHS Trust

Let’s get youworking!

ODPs & Theatre NursesAs a specialist agency our knowledgeable consultants

understand your needs.• Excellent rates of pay• Regular work• Flexible hours to suit you• Recommendation bonusWe have exclusive contracts with NHS Trustsand Private Hospitals with immediate starts.

For more information contact the TheatreStaff Recruitment Specialists near you:London - 0845 1305150Midlands - 08457 23 24 25NW & Yorks - 0845 1306209

www.firstpointhealthcare.com

SOLEprovider

to VanguardHealthcareMobile OperatingTheatres

Face To Face Interviews In April With

Prestigious Auckland Hospital, New Zealand

Secure your new role and new life now for 2008

MercyAscot and Geneva Health International are coming to the UK this April to interview and

offer jobs to skilled and professional Registered Operating Department Practitioners

and Theatre and Recovery Nurses with a goal to live and work in New Zealand.

The private sector in New Zealand offers you the best of the best in terms of facilities,

surgeons, procedures and opportunities. As New Zealand’s largest private surgical

facilities, with state-of-the-art hospitals based in Auckland, MercyAscot offers a diverse

range of surgical specialities and a supportive, top-rate team.

As a RODP or Theatre/Recovery Nurse in MercyAscot you will have the opportunity

to scrub and assist in a variety of procedures, working alongside New Zealand’s top

surgeons and theatre staff.Ideally if will you have a minimum of 24 months current RODP experience within

a Theatre Suite/OR and have your sights on New Zealand, then MercyAscot is the

organisation for you.MercyAscot are offering an excellent relocation package (some conditions apply) to all

successful candidates, and Geneva Health are here to support your move every step

of the way.To book your interview

contact Julia Johnson on

freephone 0800 404 7591

email [email protected]

or register online at

www.genevahealth.co.nz

OPERATING DEPARTMENT PRACTITIONER

The Gibraltar Health Authority is looking for an enthusiastic and highly

motivated Operating Department Practitioner.

Candidates must feel comfortable working in a busy Operating Department

that provides a comprehensive range of surgical services such as General,

Urology, Obs & Gynae, Ophthalmic, ENT, Dentals, Maxillo-Facial, Plastic,

Orthopaedics and Trauma Surgery.

The above appointment will be on contract terms for one-year and salary

dependable on experience ranges from £15,964 to £20,202 per annum*.

Additionally a tax-free gratuity of 25% of basic salary earned during

employment is payable on satisfactory completion of contract. Passages are

payable in full and transportation of personal effects and accommodation are

subsidised.

Further details on the above post are obtainable from the Deputy Director of

Nursing Services on Tel: 00-350-72266 ext 2313.

For an Application Pack contact the GHA’s Recruitment Section, Gibraltar

Health Authority, St Bernard’s Hospital, Gibraltar on (Tel: 00-350-200-72266

ext 2081) (Fax: 00-350-200-43864) or (e.mail: [email protected])

Closing Date: 31 st March 2008

*Please note that these are 2006 figures, as 2007/08

Pay scales are currently under negotiation.

GIBRALTAR HEALTH AUTHORITY



Secure your new role and new life in 2008










surgeons and theatre staff.

Ideally you will have a minimum of 24 months current RODP experience within a

Theatre Suite/OR and have your sights on New Zealand, then MercyAscot is the

organisation for you.

MercyAscot are offering an excellent relocation package (some conditions apply) to all


of the way.

To book your interview


freephone 0800 404 7591




Telephone: 0870 333 8312

Website: w

ww.orion-lo

cums.com

Fax: 01268 244399

email: admin@orio

n-locums.c

om

Licensed by Commissi

on for Social C

are Inspection

Orion Locums is

an Equal Opportunitie

s Employer

Immediate Long Term vacancies

Day rates

up to £35/hr

We urgently need staff fo

r

long term and ad hoc posts in

Surrey

London

Suffolk

Kent

Manchester &

NW

Essex

Sussex

Northampton

Call now fo

r up to

date National vacancies

Plymouth Hospitals NHS Trust is an aspiring Foundation Trust that works in close partnership with the University

Situated in the South West, between Dartmoor National Park and a spectacular coastline, Plymouth is a vibrant beautiful surroundings and a wonderful quality of life.

Plymouth Hospitals NHS Trust Cardiothoracic Centre is a source of pride for the Trust and region with its growinfacilities, created by the recent completion of a truly innovative new build.

Due to internal promotions we are seeking high calibre nursing staff at Band 5 and Band 6 to join our team. Youexcellent standards of surgical health to the people of the South West, and contribute to the further developmenour unit. In return, you will enjoy being part of a flexible and friendly team, a first class working environment, an a committment to helping you achieve your ambitions.

For informal enquiries or to arrange a visit please contact Sr Jean Hobson, Theatre Manager on 01752 763

For further particulars and to apply please visit our website: www.plymouthhospitals.nhClosing date: Monday, 7th April 2008

Interview date: Tuesday, 22nd April 2008.

W

www.plymouthhospitals.org.uk

Band 5 Scrub Practitioners Ref: 216-MER-2284-CARDIAC5

based patient care with the ability to support and supervise the learning of others

Band 6 Scrub PTeam LeaderRef: 216-MER-2285

to the theatre team.

Medic International is part of Pinnacle

Healthcare, one of the largest suppliersof specialist nurses and theatre staff

to the NHS and private sector.We urgently require:ODPs & Theatre Nurses;Scrub, Anaesthetic & RecoveryOn-going placements UK wide

Contracted supplier to NHS ScotlandExcellent rates of pay

Call Allison on 0844 736 0280 for a chat,

or e-mail [email protected]

www.pinnacle-staffing-group.co.uk

As part of a major development of surgical facilities at the

College, including skills labs and minimal access surgery

suites, we are opening a mock operating theatre to help

train surgeons and surgical teams for the future.

You will join a highly-regarded team in the setup, running

and setdown of courses in the theatre, minimal access

and skills lab, using simulators, models, animal and

cadaveric tissue.

You will have worked in an operating theatre as an ODP

(or ODA), although the role could be open to other

theatre staff with appropriate experience.

For further information on this role and to apply

please visit our website or email

[email protected]

quoting reference 25/08.

Closing date: 12th May.

We are an employer fully committed to our equality

and diversity policies.

Registered charity No. 212808www.rcseng.ac.uk

Surgical Resources

Technician

£24,800 + Excellent Benefits

C. London

nisation f

rcyAscot are offering an e

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of the way.

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[email protected]



We are an employer fully committed to our


Registered charity No. 212808www.rcs

June/July 2009 Issue No. 225 ISSN 1747-728X


or


subscription & downloads The OTJ is a Lawrand Ltd, Publication.




R/Ns O.D.Ps







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In return, you will enjoy being part of a flexible and friendly te

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We’ll take ca

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New

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www.medacs.co.nz









Theatres







Cardiac Theatres


Surgical Scrub

Band 5, £23,619 - £30,508 pa inc






is encouraged.


Surgical Scrub

Band 6, £28,149 - £37,558 pa inc










Neuro Theatres



Band 5, £23,619 - £30,508 pa inc







Inpatient Recovery


Band 5, £23,619 - £30,508 pa inc









on 020 8725 3509.

Inpatient Theatres




and Orthopaedics.




Band 5, £23,619 - £30,508 pa inc



- Surgical Scrub

Band 6, £28,149 - £37,558 pa inc





Day Surgery



& Recovery

Band 5, £23,619 - £30,508 pa inc









on 020 8725 0223.














SOLEprovider




















freephone 0800 404 7591
















subsidised.




























of the way.



freephone 0800 404 7591




Telephone: 0870 333 8312

Website: w

ww.orion-lo

cums.com

Fax: 01268 244399

email: admin@orio

n-locums.c

om

Licensed by Commissi

on for Social C

are Inspection

Orion Locums is

an Equal Opportunitie

s Employer


Day rates

up to £35/hr


r


Surrey

London

Suffolk

Kent

Manchester &

NW

Essex

Sussex

Northampton

Call now fo

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cadaveric tissue.






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Surgical Resources

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[email protected]






June/July 2009 Issue No. 225 ISSN 1747-728X


or


subscription & downloads The OTJ is a Lawrand Ltd, Publication.




R/Ns O.D.Ps







.








In return, you will enjoy being part of a flexible and friendly team, a first class













We’ll take ca

re of you


New

Zealand




New Zealand.














www.medacs.co.nz









Theatres







Cardiac Theatres


Surgical Scrub

Band 5, £23,619 - £30,508 pa inc






is encouraged.


Surgical Scrub

Band 6, £28,149 - £37,558 pa inc










Neuro Theatres



Band 5, £23,619 - £30,508 pa inc







Inpatient Recovery


Band 5, £23,619 - £30,508 pa inc









on 020 8725 3509.

Inpatient Theatres




and Orthopaedics.




Band 5, £23,619 - £30,508 pa inc



- Surgical Scrub

Band 6, £28,149 - £37,558 pa inc





Day Surgery



& Recovery

Band 5, £23,619 - £30,508 pa inc









on 020 8725 0223.














SOLEprovider




















freephone 0800 404 7591
















subsidised.




























of the way.



freephone 0800 404 7591




Telephone: 0870 333 8312

Website: w

ww.orion-lo

cums.com

Fax: 01268 244399

email: admin@orio

n-locums.c

om

Licensed by Commission for Social Care Inspection

Orion Locums is an Equal Opportunities Employer


Day rates

up to £35/hr


r


Surrey

London

Suffolk

Kent

Manchester &

NW

Essex

Sussex

Northampton

Call now fo

r up to









W




















cadaveric tissue.






[email protected]






Surgical Resources

Technician


C. London

Anaesthetic Technicians/ODP’sWe are looking for Anaesthetic Tech’s to join our theatre teams based at North Shore and Waitakere Hospitals in Auckland. If you

are a Kiwi returning home or a Brit looking for a change in climate, then we want to hear from you. We currently have four vacant

positions within our Anaesthetics services and are offering short or long-term contracts to experienced AT/ODP’s.

If this sounds like something you’d be interested in knowing more about, please contact

Angela Shaw on +64 9 487 1551 or email [email protected].

www.aucklandhealthcareers.co.nz/wdhb

aland offers an amazing New Zealand offers an amazing of life!

bblicaation.

nisation f



of the way.

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cadaveric tissue.






[email protected]






AnaesthheeeeeettttttttiiiiicccWe are looking for Anaesthetic Tare a Kiwi returning home or a Bripositions within our Anaesthetics If this sounds like something you’dAngela Shaw on +64 9 487 1551 or

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NNNNNNNNNNNNNNeeeeeeeeeeeeewwwwNNNNNNNNNNNNNNNeeeeeeeeeeeNNNNNNNNNNeeeeeeeeeeeeewwwwNNNNNNNNNNeeeeeeeeeeeeewwwweeewww

www.opera ngtheatrejobs.comwww.opera ngtheatrejobs.comA one-stop resource for ALL your theatre related Career opportuni es

Whether you’re looking for a role in Anaesthetics, Surgery or Recovery, in a clinical or managementrole within the NHS or private sector-

Operating Theatre Jobs. com will have something to offer you.

We also aim to provide the latest vacancies in the Allied areas of :Sterile Services, Endoscopy, Critical Care and Education.

If you’d prefer to work for a medical recruitment agency their recent careeropportunities are also illustrated.

Many individuals may wish to focus their clinical skills in the hospital sales environment. Operating Theatre Jobs.com offers an opportunity to explore current medical representative vacancies.

For the advertiser we offer:

Competitive rates

Reaches the staff you need Nationally and Internationally

Combination advertisements in both the popular pages of

The Operating Theatre Journal and on Operating Theatre Jobs.com

Personal Service

Stand alone advertisements and banners in either media

Proven Record

Series booking & Discounts

For further informationregarding recruitment

advertising within Operating Theatre Jobs.com

and the The Operating Theatre Journal

OTJ- please contact:Email: [email protected]

Telephone: +44 (0) 20 7100 2867

www.opera ngtheatrejobs.comwww.opera ngtheatrejobs.comA one-stop resource for ALL your theatre related Career opportuni es







Competitive rates




Personal Service


Proven Record






Telephone: +44 (0) 20 7100 2867

www.operati ngtheatrejobs.comwww.operati ngtheatrejobs.comA one-stop resource for ALL your theatre related Career opportuniti es







Competitive rates




Personal Service


Proven Record






Telephone: +44 (0) 20 7100 2867

Using the Power of:

Available in Print Locally and Worldwide via the Internet

The OTJ is a Lawrand Ltd, Publication.

Documents

The Operating Theatre Journal