The Operating Theatre Journal

Anetic Aid K8 mattressesare available for any make ofoperating table or patienttrolley

Our K8 mattresses are made ofa gel-feel foam which mouldsto the patient’s body, and hasantibacterial and microbialfungistatic properties

• Outer cover made of anantimicrobacterial, waterresistant, vapour permeablematerial which allows theskin to breathe

• Unique fabric sealing systemthat effectively welds theouter material togetherto give an almostunbreakable seal, makingthe K8 a class leader ininfection control

Infection control built in:Renowned for its innovativetechnology, Anetic Aid has builtmany infection control aspects intoits patient trolleys, surgery trolleysystems and theatre furniture...

Innovative technology – practically applied

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Stainless steel products areelectropolished for a smooth surfacewhich means it is less likely that any

matter such as dirt orbacteria will adhere to thesurface of the steel

Transfusion pole and stoolbases have a low-frictionteflon coating – a non-stickmaterial which helps toreduce the incidence ofcorrosion and keepsurfaces clean

High strength plastic-bodiedcastors do not suffer corrosionlike traditional steel bodiedmodels and are quick andsimple to replace if damaged

Studies have been carried out that prove electropolishing reducesthe likelihood of bio films forming on wet steel surfaces andtherefore greatly reduces the incidence of cross contamination

The QA4 Surgery TrolleySystem’s acrylic capped vacformed base has anti-bacterial,anti-microbacterial and antiMRSA properties

June 2010 Issue No. 237 ISSN 1747-728X

Phone: 01204 555999 Fax: 01204 523595 www.vernacare.comV e r n a c a r e L i m i t e d , F o l d s R o a d , B o l t o n , L a n c a s h i r e B L 1 2 T X

The new Vernatray, developed with front line theatre practitioners to provide safer care in thehospital environment. The new single use tray makes it easier for clinicians to locate the relevantsyringe and medication, it is ideal for use by anaesthetists during perioperative care.

In evaluations carried out with Theatre staff, Consultants, Operating DepartmentPractitioners & Anaesthetists:

100% said the syringes were stable in the tray95% said it was easy to correctly identify the labels on the syringes72% find the Vernatray easy to use

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nd out more 020 7100 2867 • e-mail [email protected] Issue 237 JUNE 2010 3

The 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 UK. Personal copies are available by nominal subscription.

Looking to advertise within

‘The OTJ’?Next Issue Copy Deadline

Friday 25th June 2010All enquiries:Mr. L.A.Evans

Editor/Advertising ManagerMr. A. FletcherGraphics Editor

The OTJ Lawrand Ltd PO Box 51 Pontyclun CF72 9YYTel: 020 7100 2867

Email: [email protected] Website: www.lawrand.com

Neither the Editor or Directors of Lawrand Ltd are in any way respon-sible 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 repro-duced without prior permission from Lawrand Ltd.

© 2010

Journal Printers: The Warwick Printing Co Ltd, Caswell Road, Leamington Spa, Warwickshire. CV31 1QD

Healthcare Breakthrough: New Collagen Gel Saves Leg From Amputation

Dr Ananthram Shetty, orthopaedic surgeon based in England, has recently performed a world’s rst to save a climbers leg using a ground-breaking technique combining collagen gel and stem cells to fuse bone together.

Mr Shetty recently used the new technique on Andrew Kent from Gillingham, Kent, after he badly broke his leg and traditional surgery failed. For the rst time ever doctors used stem cells to heal bones in a technique that could revolutionise orthopaedic operations.

Initially Mr Kent had been warned he faced amputation when a large boulder fell on his right leg, breaking it in ve places in April 2009. His tibia had broken through the skin above his ankle. He was taken to the Cumberland In rmary in Carlisle, where he underwent three operations to pin his bones back together. But his wound became seriously infected and he was transferred to the Spire Alexandra Hospital, Kent. Surgeons warned that he was likely to lose his leg unless they tried the new procedure.

“Receiving that news is devastating,” Mr Kent said. “But I’m now delighted. I can wiggle my toes and the prognosis is encouraging.”

Mr Shetty removed stem cells from Mr Kent’s hip bone-marrow. These were mixed with the collagen gel called Surgi ll to make a paste, which was smeared into the fractures. They nally xed his leg in a metal cage to gently squeeze the bones together. The cage was removed in December, six months after the Surgi ll procedure.

Mr Shetty explains “This is an amazing technique with remarkable results. I was able to put my whole body weight on his leg and the bones remained solid.”

Surgi ll and Carti ll, a gel procedure used to repair knee cartilage, were developed by orthopaedic surgeon Professor Seok-jung Kim, Director of RMS (Regenerative Medical System) a South Korean bio-medical company, in partnership with the UK’s Spire Healthcare, where Mr Shetty predominately operates.

Dr Kim, a recognised pioneer in the biotech eld, says “This is a very exciting advancement in surgery as early results indicate Carti ll may be extremely bene cial, particularly for knee surgery as Carti ll is extremely bene cial to patients with cartilage damage to the knee, especially patella (knee cap).”

Mr Shetty, Senior Lecturer at King’s College, London is the only surgeon worldwide trained to carry out the Surgi ll and Carti ll procedures. “I see huge potential for these techniques and I hope to be able to perform this operation in India on a regular basis. The gel holds the stem cells against the bone to form new cartilage. Ten patients have been treated so far in Britain with an 80% success rate. The technique costs far less than alternative techniques making it far more accessible for people in India,” Mr Shetty said.

The minimally-invasive cartilage technique is a one stage day case procedure, with a recovery time of up to six weeks, compared to alternative treatments which generally need two stage surgery three days in hospital and minimum twelve to fourteen week recovery.

The Shetty-Kim technique has been hailed as one of the surgical advances of the decade and already Mr Shetty has received enquiries from around the world. This technique will be available in Mangalore and Bangalore soon. http://www.rmsbio.net Source: Spire Healthcare

Infection Prevention 2010

Bournemouth International Centre

20-22 September 2010

Infection Prevention 2010 Conference and Exhibition is being held at the Bournemouth International Centre from 20th-22nd September 2010.

Organised by the Infection Prevention Society this event is the major infection prevention conference and exhibition of the year.

The conference has been awarded 16 CPD points and it attracts over 700 delegates and almost 150 exhibitors and will have a glittering array of speakers covering all your infection prevention needs.

For further information contact 01506 811077ips@ twise.co.uk

Website: http://www.ips.uk.net

To Book: http://www.infectionpreventionconference.org.uk/booking.php

Please quote: ‘OTJ’ when responding

Innovation awards deliver new life to NHSRevolutionary birthing equipment, life saving software and inspiring educational programmes were all honoured at Medipex’s annual NHS Innovation awards last week; highlighting the clinicians in the region who are improving the NHS through their forward-thinking products and services.The event, attended by over 160 people from across Yorkshire and the UK, took place at Weetwood Hall in Leeds and awarded candidates in four categories. Dr. Alex Oboh of Hull and East Yorkshire Hospitals NHS Trust in conjunction with PD-M International won the Medical Devices and Diagnostics award for their innovative design of obstetric forceps; making childbirth much safer for mother and baby.The Software and ICT award was given to Dr. Jonathan Ross and colleagues at Shef eld Teaching Hospitals NHS Foundation Trust for their arti cial intelligence system which precisely controls the level of drugs administered to a patient following heart bypass operations; keeping the patient safe and saving staff hours. A programme to help children with developmental coordination disorder was awarded the Training and Publications award. The programme, developed by Heather Angilley at Mid-Yorkshire Hospitals NHS Trust trains teaching and education staff to identify the disorder better and support children before they undergo the appropriate therapy.The Innovation Adoption and Diffusion award recognised a scheme to promote breastfeeding in Northern Lincolnshire by stopping the free supply of formula milk to new mothers to encourage naturally healthy babies.Richard Clark, Chief Executive of Medipex, said: “The standard of entries in this years awards was extremely high and the level of interest from everyone involved in healthcare innovation was almost unprecedented. This is a fantastic achievement given the pressure that all public services are under and is yet another testament to the dedication of NHS staff”. Further details about all the nalists can be found at: www.medipex.co.uk.

4 THE OPERATING THEATRE JOURNAL www.otjonline.com

New products launched as conductive patient warming gains ground New conductive patient warming products are being launched in the UK amid signs that the quieter and more cost-effective technology is gaining ground among NHS surgical teams.

HotDog® patient-warming, which says that it is showing savings of up to 75% on forced air warming costs, has added an under body mattress to complement its existing multi-position body blankets.

The company, which additionally provides washable clinician warming vests, has also introduced a multi-port controller so that all of these products can be operated from a single point within the operating theatre.

At the same time, it revealed that a major acute hospital trust in the Midlands has replaced its old-fashioned forced air technology “lock, stock and barrel” with HotDog technology.

“That hospital was keen to save money without sacri cing on patient warming performance”, said Hot Dog International’s UK President Robin Humble.

“This follows on from the positive assessment in the Journal of One Day Surgery of our system, following a lengthy trial at the University Hospital of North Staffordshire.

“I think clinical teams like the fact that our technology is effective, much more economic to run, and a lot quieter than forced air warming which has had its day in the operating theatres of the UK”.

more…..• The Surgical Care Improvement Project (SCIP) - the United States equivalent of NICE - has recently amended the guidelines for perioperative temperature management by changing the de nition of active warming to include HotDog® patient-warming.

SCIP now recommends using either “forced-air warming, conductive over-the-body active warming, or warm water garments.” The American Society of Anesthesiologists provided the technical advice supporting the endorsement.

More information from Nordic Surgical Tel: 0844 811 2640.

Pictured: The new under body mattress and multi-port controller.

When responding please quote ‘OTJ’

NHS Explained is launched on-line(www.NHSexplained.co.uk)

The website www.NHSexplained.co.uk has been launched with the aim to get to the truth of what is happening within both the NHS and social care in the United Kingdom with your help. This community site has been developed in response to contradictory statements made at the very top of the NHS leading to a lack of transparency and accountability which:

• directly affects the publics trust

• directly affects the quality of the healthcare provided The NHS is currently undergoing a reorganisation which lacks a blue print or Critical Path Analysis (CPA) and is based on a Plan - Vision - which we believe to be unsatisfactory. The NHS CEO himself admits: It is simply not possible to identify from the centre the kind of quality improvements that are necessary. .. And although nearly two centuries have passed since the days of Florence Nightingale, her words are true of our hospitals today when she reportedly said: I am shocked at the dirty wards, poor food, bad practices and too many patients dying. The NHSs Vision offers cleaner hospitals; better food ; safer practices; reduction in deaths and: Total Transparency; Accountability and Strict Independent Inspections. But we say:

• Complaints are still dealt with behind closed doors

• Whistleblowers are red when their identities are revealed

• Patients and staff do not believe they are safe to report concerns without repercussions on them, their friends and/or family.

Numerous reports relating to the Plan, a Vision, are produced by the NHS every year at great expense both to time and to the public purse. Enquiries are held behind closed doors and on our formal request for a copy of a blue print, or preferably a copy of a CPA, we were told none exists! The NHSs IT project is heading to be ten times over budget and growing (and could even still be binned) and no reasons have yet been provided as to why or who is made accountable for this. NHS Explained aims to get to the bottom of:

• Who is accountable for the waste in relation to all these reports?

• Who is being held accountable for letting a contract pay 100% for 80% of services?

• Who is being held accountable for the 17 million meals thrown away each year?

• Who is being held accountable for funds not following patients?

• Who is being held accountable for the trusts ddling their reports?

• Who is being held accountable for the needless and preventable deaths?

• Who is being held accountable for poor casualty services?

• Who is being held accountable for embarking on this massive reorganisation without a proper plan or CPA?

• Who is being held to account in relation to this IT contract starting price £2,3 Billion, last estimate £20 to £30 Billion totally out of control, why? Who was responsible for drafting the speci cation and drawing up the CPA This is what happens when you follow aVISION without a CPA.

• Why do Trusts now inspect themselves?

NHS Explained (www.NHSexplained.co.uk) welcomes all direct of cial or anonymous input by NHS of cers/managers and input from patients, relatives and other health-care provider.

TIVA STUDY DAY – A great successThe TIVA Study Day held at the University of Leicester on 21st April was a great success. Jointly hosted by Mediplus, CareFusion and GlaxoSmithKline, the Study Day attracted 30 delegates from across the region who had an opportunity to learn the bene ts of Total Intravenous Anaesthesia from leading practitioners.

Delegates also took part in an interactive workshop on TIVA/TCI pumps and models.

Such was its success that we plan to hold another Study Day later in the year. Anaesthetists interested to know more about this subject and who would like to attend should contact Mediplus for details.

Mediplus LtdUnit 7 The Gateway CentreCoronation Road, High WycombeBucks HP12 3SU UKTel: +44 (0)1494 551200 Email: [email protected]: +44 (0)1494 536333 Web: www.mediplus.co.uk Please quote ‘OTJ’


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First Visit to European Society of Anaesthesiology for Fukuda Denshi

Fukuda Denshi is one of the world’s leaders in cardiology instrumentation, patient monitoring and ultrasound technologies. As part of its forward strategy to create greater product awareness across Europe, the company will be exhibiting, for the rst time, at the European Society of Anaesthesiology, from 12th – 15th June.

The meeting is to be held in Helsinki where Fukuda Denshi will be showcasing one of its latest, future proofed and dedicated operating room (OR) monitors – the DS 7000 OR.

The DS 7000 OR patient monitor is both compact and powerful, with a 12.1” touch screen and integrated 3-channel recorder. It is exible in operation and can display up to 6 waveforms, being compatible with both hardwire and telemetry systems.

The highlighted DS 7000 OR features all the major parameters, including 3 or 5 lead ECG, NIBP, dual IBPs, SpO2, two temperatures and anaesthetic gases.

Alongside this popular patient monitor on the Fukuda Denshi exhibition stand will be the MetaVision Clinical Information System, the MVOR, which is speci cally designed to be used in the operating room. Experience has shown that it dramatically assists decision making and cost containment, while reducing clinician workload and improving associated documentation.

Visitors will be extended a warm welcome on the Fukuda Denshi stand from the attending technical team. For further information about the company, please Telephone 01483–728065 or visit www.fukuda.co.uk.

Fukuda Denshi: A professional approach from a team of ultra-dedicated individuals When responding please quote ‘OTJ’

New Single-Use Laryngeal Mask from AmbuAmbu is one of the market leaders within development and sales of dif cult airway solutions. In order to further strengthen their market position, Ambu has launched Aura-i, the latest member of Ambu Aura family.

Ambu Aura-i combines routine use with direct intubation, so the same mask can be used for standard use and for dif cult airways. Aura-i can be used as a guide for endotracheal intubation together with Ambu aScope and standard ET-tubes where unanticipated dif cult airways arise and normal intubation is not successful. The mask can also be used with Ambu aScope for anticipated dif cult airways where the clinician chooses to establish an airway.

Due to it’s anatomical form the Ambu Aura-i is easy to place and minimises patient discomfort. It maintains high seal pressures over a longer period of time and the novel connector block prevents airway occlusions and ensures rotational stability of the mask.

To nd out more about the Ambu Aura-i please visit, www.ambu.co.uk or call 01480 498 403.

The UK ODP Message GroupJoining is easy, just send an e-mail,stating your name, e-mail address,position and Hospital to:

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Simultaneous monitoring of blood ow and depth of anesthesia will make it easier to

optimize patients during surgery LiDCO Group Plc (AIM: LID), the cardiovascular monitoring company, recently announced the results of a study which looked at changes in blood ow and depth of anaesthesia in patients undergoing vascular surgery. The study showed that simultaneously monitoring these parameters helps ensure that only the optimal amount of anaesthetic drug is given to prevent awareness during surgery. This minimizes falls in blood pressure and ow, which are then more easily and quickly corrected with uid and drugs administration guided through use of the LiDCOrapid monitor. The results of the study were presented by Dr B Purushothaman, Dr David Green and Dr Terry OBrien at Kings College Hospital, London on Friday 30 April 2010.

Anaesthetic overdose can cause excessively low blood pressure and even circulatory failure. The use of hemodynamic monitoring to prevent or limit oxygen debt during surgery has been shown to reduce complications and hospital length of stay. The researchers measured hemodynamic changes in 46 patients as anaesthetic drugs were administered immediately prior to surgery. Hemodynamic changes and depth of anaesthesia were recorded with LiDCOs LiDCOrapid monitor and Covidiens BiSpectral Index (BIS). The study found that as the anaesthetic is administered to a patient, blood pressure falls dramatically, usually because the blood ow is reduced. The depth of anaesthesia as measured by BIS, correlated well with changes in the blood ow and blood pressure. The results demonstrated that the coordinated monitoring of both anaesthesia depth and the circulatory effects makes optimizing blood ow parameters to prevent oxygen debt during major surgery simpler.

Dr Terry OBrien, CEO of LiDCO, commented: More comprehensive multiparameter monitoring of high risk surgery patients will be a signi cant step forward in care. This study has shown that integrating data regarding the depth of anesthesia, blood ow and uid requirements will allow more ef cient control of the potentially dangerous and life threatening hemodynamic changes seen during surgery. LiDCO intend to combine these two technologies in single monitoring display on the LiDCOrapid monitor platform. This will help to make it easier to prevent complications or awareness in patients, that could arise from administering anesthetic drugs in too high or low a dosage.

For more information please contact:LiDCO Group Plc, John Rowland Company SecretaryTel: +44 (0)20 7749 1500www.lidco.com

More Animated Films Help To Reassure Pre-Operative Patients

Following the success of two animated lms enabling patients to watch their procedures in advance of their operations, lms of three further procedures are now available to hospitals, in the UK and overseas.

Developed in conjunction with Health Enterprise East (HEE), the regional NHS Innovation Hub, the short lms were created with input from doctors at The Princess Alexandra Hospital NHS Trust in Harlow, Essex.

The three procedures now available for purchase are Endovascular Aneurysm Surgery, Laparoscopic Cholecystectomy (Gall Bladder removal) and Laparoscopic Hernia Repair.

The animations have been designed to tell patients in a clear and informative way what their forthcoming procedure will involve and provide a helpful insight into what happens both during and after the operation.

Darren Leech, Executive Director of Delivery at the Trust said: “From talking to patients who have received clear pre-operative information

- including watching the rst two animated lms in this series for Total Knee Replacement and Total Hip Replacement - it is clear that they are less anxious and therefore make a swifter recovery. These animations illustrate to patients the possible implications of their surgery so they come in prepared. We hope that by informing patients in this way will lead to an earlier discharge from hospital”.

HEE helped The Princess Alexandra Hospital NHS Trust to negotiate a licence agreement allowing the Indian production company, ComartOne, to sell the lms to other hospitals, with a percentage of revenue coming back to the Trust.

Dr Katy Evans-Roberts, Innovation Manager at HEE added: “Giving patients more information in advance of their operations has shown signi cant bene ts. As a result of this licence agreement, more patients are able to receive reassurance about their forthcoming operations.”

The Endovascular Aneurysm Surgery, Laparoscopic Cholecystectomy (Gall Bladder removal) and Laparoscopic Hernia Repair are all 2 minutes long and cost £1000 each.

Further information from: ComartOne (http://www.comart-one.com/digitalanimation.html

When responding to articles please quote ‘OTJ’

ConvaTec launches new 7-series Unilect® electrodes for secure long term monitoringConvaTec is a global company committed to serving healthcare professionals, hospitals and patients worldwide. In the ConvaTec Continence and Critical Care division they specialise in the development, manufacturing and distribution of single-use devices to hospitals and healthcare sectors around the world.

Now the company is launching the new, easy to use and distinctive, leaf-shaped Unilect®-7 series of ECG monitoring electrodes.

These new electrodes have a skin-friendly appeal and give a novel, conformable design. The clear tape backing material has high strength and exibility for durable and reliable performance.

Key bene ts of the Unilect® 7841P and 7831Q include:

• The perforated overlay allows the skin to breathe, minimising skin irritation

• A clear window enables monitoring of the patients skin condition

• The Bio-tack™ gel provides a clear ECG signal

• A peel-tab makes them easy for staff to remove the electrode from the patient

• There is no messy gel residue left behind

The Unilect® 7841P electrode has the additional bene t of a graphite connector to make it compatible with both x-ray and MRI scanner procedures.

For more information on the new ConvaTec Continence and Critical Care Division’s long term 7-series electrodes, Please telephone the company on 01527-583600 or email: [email protected].

ConvaTec: Realise the possibilities™

™/® Indicates a trademark of ConvaTec Inc. ConvaTec Ltd is an authorised user.© ConvaTec Inc 2010



For more information call: 01244 660 954

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ConvaTec® Reintroduces Loop Rods following Stoma Care Nurse Requests

ConvaTec has created innovative medical technologies and offered unique services in Stoma Care for over 30 years. Through compassion and understanding it is committed to seeking innovative solutions to enhance patient’s quality of life.

ConvaTec is an avid listener to customer feedback, to ensure its products meet the aspirations of its users. As a result, the company has reintroduced the ConvaTec Ostomy Loop Rods on request, after a 4 year absence from the market.

Sometimes a small device can make a signi cant difference to clinical practice. That’s why today’s Ostomy Loop Rods are the same as those tried and trusted by Stoma Specialists over the years.

Importantly the ‘T’- shaped Loop Rods are ergonomically designed to promote temporary and gentle support to the Loop Stoma. The ‘locking’ swivel head design at one end facilitates easy application and removal. No fuss, no trauma just simplicity of use.

For extra security the Ostomy Loop Rods feature small holes to allow for the option of suturing if required. The rods themselves come in packs of 10, in lengths of 65 and 90mm and are sterile.

ConvaTec Loop Rods – Just what you want because you tell us!

For more information please visit www.convatec.co.uk or telephone 0800 834 822.

ConvaTec: Realise the possibilities™

™/® indicates a trademark of ConvaTec Inc. ConvaTec Ltd is an authorised user. © ConvaTec Inc 2010


Faster Diagnosis of Patients With Acute Chest Pain Using “Cardiogoniometry” (CGM)Thanks to a new diagnostic procedure a possible heart attack can now be recognized more quickly. At the annual conference of the German Cardiac Society (Deutsche Gesellschaft für Kardiologie - DGK) in Mannheim the “Cardiogoniometry” (CGM) system was introduced.

Every day in Germany about 10,000 people with acute chest pain are admitted to hospital. In about eight percent a heart attack diagnosis is con rmed. Treatment and chance of survival for these patients have markedly improved over the last few years, when the right measures are initiated immediately at a quali ed hospital. For this purpose a good diagnosis already from a family doctor or a practicing cardiologist is necessary.

The methods available thus far are often not suf cient for this. A heart attack or other heart damage can be present even if ECG and blood test results are unremarkable. The patient then needs to be transferred, other stressful examinations are lined up and, in the acute case, valuable time is lost.

However, severe heart disease can now already be recognized with ease and a high degree of certainty at a practice: with “Cardiogoniometry”. This involves a procedure for the spatio-temporal evaluation of ECG-Data. The device used for this, the “CARDIOLOGIC EXPLORER”, works with ve electrodes in an orthogonal system which orients itself along the axis of the heart. Without stress to the patient the data is recorded in a mere twelve seconds and is evaluated automatically.

In an initial study commissioned by the manufacturer enverdis, the method showed a very high rate of accuracy. In eight German centers more than 200 individuals with chest pain were examined. All had an unremarkable ECG and for nal clari cation of the diagnosis received an examination with a cardiac catheter. The CGM, with a high degree of certainty, was able to determine those individuals who had heart damage. The conclusion was that the CGM represents a readily available, additional procedure in the early diagnostics of acute chest pain and heart attacks. This head start can save lives.

Source: Enverdis GmbH - Verena Dittrich, +49-3641-53-49-035


Point-of-care ultrasound improves patient care in ICU Point-of-care ultrasound has transformed the patient management strategy within ICU at The Princess Alexandra Hospital in Harlow, Essex, thanks to the portability and ease of use of SonoSite systems. According to Dr Jeff Phillips, consultant intensivist and clinical lead for anaesthetics, Intensivists in mainland Europe have been using portable ultrasound systems for some time, particularly for echocardiography, and we were keen to introduce the service here. SonoSites systems represent a very cost-effective way of achieving this, and we have made major changes in the way we treat patients since their introduction. We make a lot of decisions based on echocardiography and now perform over 95 per cent of our scans on the unit, rather than having to refer patients to cardiology. Our MicroMaxx® system is dedicated to echocardiography and the image quality for this application is excellent. We also have both MicroMaxx and S-Nerve systems in theatre, and it is easy to swap between systems; they are very intuitive to use.

Dr Phillips concluded: SonoSite point-of-care ultrasound systems have made a colossal difference to the way we manage patients. There have been a lot of changes in our ICU over the years but I think the on-site echocardiography is without a doubt the most useful thing that weve introduced.

For more information about SonoSite products, please contact them at:Alexander House, 40A Wilbury Way, Hitchin SG4 0APT +44 (0)1462 444 800, F +44 (0)1462 444 [email protected]

About SonoSite SonoSite, Inc. (www.sonosite.com) is the innovator and world leader in hand-carried ultrasound. Headquartered near Seattle, the company is represented by ten subsidiaries and a global distribution network in over 100 countries. SonoSite’s small, lightweight systems are expanding the use of ultrasound across the clinical spectrum by cost-effectively bringing high performance ultrasound to the point of patient care.

SonoSite, Ltd., a wholly owned subsidiary of SonoSite, Inc. based in Hitchin, Hertfordshire, has a direct sales distribution network in the UK.

For information and to register on SonoSite structured training courses, log on to www.sonositeeducation.co.uk

Dr Jeff Phillips using the SonoSite ultrasound system


Tristel and BES Decon develop instant-activation solution for CISA endoscope reprocessor

Tristel plc and BES Decon (a division of BES Rehab Ltd) have together developed a new instant-activation formulation of Tristel’s unique chlorine dioxide chemistry. This is designed for use in BES Decon’s CISA endoscope reprocessing system (ERS).

Tristel-ERS provides BES Decon’s customers with the option of using Tristel’s established and thoroughly proven chemistry. This environmentally friendly solution delivers broad spectrum and sporicidal activity for rapid and effective endoscope decontamination, and ef ciently removes the bio lms that can build up within reprocessing systems. Rapidly effective, Tristel-ERS shortens cycle times to as little as 15 minutes, signi cantly improving instrument turnaround time and maximising endoscope use.

Paul Swinney, CEO of Tristel plc is pleased to be associated with the ERS technology. “Tristel’s chlorine dioxide chemistry is now available in many different formulations and we are pleased that this latest development is bringing the bene ts of this high level disinfectant to users of BES Decon’s systems,” he said.

The highly cost-effective BES Decon’s CISA endoscope reprocessing system protects endoscopes from the open air, and thus from potential cross-contamination, from the start of reprocessing to the point of use with a patient. This is achieved using a cassette that encloses the endoscope in an aseptic environment, allowing safe transport from site to site within or outside the hospital, together with complete track and trace throughout the life of the endoscope.

Bristol-based BES Decon’s MD, Dr Barend ter Haar, said: “It is fantastic that we can now offer our customers a choice of chemistries, to include Tristel’s environmentally-friendly and effective solution, for their day-to-day needs.”

For further details of Tristel’s complete range of high level disinfection systems visit www.tristel.com For information about BES Decon visit [email protected]

Please quote ‘OTJ’

SIGH of relief as faster turnaround

beckonsSurgical Instrument Group Holdings Limited (SIGH) has acquired the business of ENDOSCOPIC MANUFACTURING AND SERVICE (EMS) of Park Royal, London. The business will be transferred immediately to SIGHs headquarters in Croydon, Surrey.

Mr Brian Corry of EMS has agreed to join SIGH in order to enable a smooth transfer of the business and ensure it maintains its high standards of manufacturing and repair in the future.

Mr David Peddy, managing director of SIGH said This acquisition represents an important improvement to our range of surgical instrument products and their associated services. At a time when hospital budgets are under pressure, we intend to provide a faster turnaround time for repairs to negate the need for purchasing unnecessary replacements.

All enquiries regarding SIGH, EMS and the range of products and services provided, should be directed to:-

SIGH 89A Gloucester RoadCroydonCR0 2DNTel: 020 8683 1103LoCall: 0845 310 1103 Fax: 020 8683 1105Email: [email protected]: www.sighltd.com


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NHS prompt payment survey nds wildly varying performance among trusts

A new survey has found astonishing differences in the amount of time different health trusts are taking to pay their suppliers. Research carried out by the Forum of Private Business (FPB) discovered some NHS trusts are paying more than 90% of their bills within 10 days. However, others are processing absolutely none in the timeframe and some are barely managing to pay one in ve invoices within 30 days. The FPB used the Freedom of Information Act to reveal the gures, more than a year after all public bodies were urged to pay bills within 10 days to help small rms through the recession. The FPB found at least ve NHS trusts had paid fewer than 1% of their bills in 10 days over the past year. Additionally, at least 35 trusts processed fewer than 10% within 10 days. Tameside Hospital NHS Foundation Trust in Lancashire emerged as the best-performing trust in England for 10-day payment, paying 94% of invoices within 10 days. Three trusts in London and the South East were joint worst on this count, all reporting 0% gures. The Dudley Group of Hospitals NHS Foundation Trust in the West Midlands was the best for 30-day payment, processing 99.9% of bills within the month. The Royal Bolton Hospital NHS Foundation Trust was the worst, with a gure of 18.7% for 10-day payment. Commenting on the ndings, FPB spokesman Phil McCabe said: These gures show an astonishing lack of consistency and uniformity when it comes to prompt payment in the NHS. Some trusts are obviously well aware how important getting paid

quickly is to their suppliers. As a result, these trusts are commendably processing the majority of their invoices within 10 days and many have voluntarily signed up to prompt payment schemes. But others seem worryingly oblivious to the Governments guidance on this issue and don’t appear to be making any attempt to increase prompt payment at all. This postcode lottery re ects what we found when we carried out similar research on payment among local authorities. Many public bodies don’t appear to be singing from the same hymn sheet and small businesses are suffering as a result. Mr McCabe added: We appreciate that the NHS has a hugely important job to do. As a result, we carefully worded our FoI requests to minimise the work involved in responding to them. We also appreciate that, to organisations which save countless lives every day, the speed with which they pay invoices from small businesses may not be their rst priority. But the better-performing trusts show that prompt payment is entirely possible and shouldn’t cost anything extra to implement. When compared with local authorities, NHS trusts perform much more poorly on prompt payment. Recent research found 44% of invoices to English councils were being paid within 10 days, but only 31% of bills were paid as quickly by NHS organisations. Similarly, the average NHS bill in England took 26 days to be paid, compared to 18 days for local authority invoices.


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Remote-control robot performs heart surgery

Doctors at a British hospital have carried out the rst heart rhythm operation using a remote-controlled robot and say its success means patients could be treated by doctors in other cities, or even other countries.

Andre Ng, who performed the procedure from outside the operating theatre, says it went very well and the patient’s irregular heart rhythm was restored to normal within an hour.“It exceeded our expectations and we achieved what we set out to in very good time,” said Dr Ng, a consultant cardiologist and electrophysiologist at Leicester’s Glen eld Hospital.

Robotic surgery is becoming more common in wealthy nations and can be used on patients suffering from gynaecological cancer, coronary artery disease, kidney cancer, and bladder cancer.

Dr Ng said he was the rst doctor in the world to carry out this type of remote-controlled operation on a human patient using a system called a Remote Catheter Manipulation System.

The procedure carried out by Dr Ng involved inserting thin wires called catheters into blood vessels at the top of the groin and then threading them up into the chambers of the heart. Electrodes on the catheters record and stimulate different regions of the heart to help the doctor identify the cause of the heart rhythm problem, which usually involves an abnormality in the electrical wiring system of the heart.

Once the area is identi ed, one of the catheters is placed at the right location to ablate, or burn, the tissue to cure the problem. Catheter ablation has been developed and used over the past two decades effectively in many patients suffering palpitations due to heart rhythm disturbances.

Despite being outside the operating theatre during the procedure, Dr Ng said he felt in “complete control” and could see and speak to other medical staff who were beside the patient.

The main advantage is that the doctor does not have to wear heavy radiation shields such as lead aprons, which are normally required in the operating room because X-rays are used to show what is going on inside the patient.

Long and complex operations can mean the doctor becomes tired and less able to concentrate properly, and also mean doctors risk high levels of radiation exposure.

“Because I was sitting down in a relaxed and controlled environment and not having to wear a heavy lead coat, it was actually a very pleasurable experience,” Dr Ng said. Source: World Top News

World Community Grid needs you to spread the word!

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You can nd out more by visiting the homepage of the Operating Theatre Journal at www.otjonline.com

Thank you for supporting World Community Grid!

NHS cancelled operations, quarter ending 31 March 2010

The following statistics were released recently by the Department of Health:


The key points from the latest release are:

• During the quarter ending 31 March 2010, 19,202 operations were cancelled at the last minute for non-clinical reasons. In the same period in 2009, there were 19,863 cancelled operations.

• Cancelled operations during the quarter represented 1.1% of all elective activity, compared to 1.2% in the corresponding period in 2008/09.

• Of these cancellations, 857 (4.4%) of patients were not treated within 28 days of a cancellation. In the same period in 2009, 1088 (5.5%) of patients were not treated within 28 days.

Full tables are available here

http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/Cancelledoperations/index.htm

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A new survey has found astonishing differences in the amount of time different health trusts are taking to pay their suppliers.

Research carried out by the Forum of Private Business (FPB) discovered some NHS trusts are paying more than 90% of their bills within 10 days.

However, others are processing absolutely none in the timeframe and some are barely managing to pay one in ve invoices within 30 days.

The FPB used the Freedom of Information Act to reveal the gures, more than a year after all public bodies were urged to pay bills within 10 days to help small rms through the recession.

The FPB found at least ve NHS trusts had paid fewer than 1% of their bills in 10 days over the past year. Additionally, at least 35 trusts processed fewer than 10% within 10 days.

Tameside Hospital NHS Foundation Trust in Lancashire emerged as the best-performing trust in England for 10-day payment, paying 94% of invoices within 10 days. Three trusts in London and the South East were joint worst on this count, all reporting 0% gures.

The Dudley Group of Hospitals NHS Foundation Trust in the West Midlands was the best for 30-day payment, processing 99.9% of bills within the month. The Royal Bolton Hospital NHS Foundation Trust was the worst, with a gure of 18.7% for 10-day payment.

Commenting on the ndings, FPB spokesman Phil McCabe said: These gures show an astonishing lack of consistency and uniformity when it comes to prompt payment in the NHS.

Some trusts are obviously well aware how important getting paid


A single injection.


Other viscosupplements may require up to five injections for the same treatment.The single injection regimen:









18-21 gauge needle
















A new survey has found astonishing differences in the amount of timedifferent health trusts are taking to pay their suppliers.

Research carried out by the Forum of Private Business (FPB) discoveredsome NHS trusts are paying more than 90% of their bills within 10days.

However, others are processing absolutely none in the timeframe andsome are barely managing to pay one in ve invoices within 30 days.

The FPB used the Freedom of Information Act to reveal the gures,more than a year after all public bodies were urged to pay bills within10 days to help small rms through the recession.

The FPB found at least ve NHS trusts had paid fewer than 1% of theirbills in 10 days over the past year. Additionally, at least 35 trustsprocessed fewer than 10% within 10 days.

Tameside Hospital NHS Foundation Trust in Lancashire emerged as thebest-performing trust in England for 10-day payment, paying 94% of invoices within 10 days. Three trusts in London and the South East werejoint worst on this count, all reporting 0% gures.

The Dudley Group of Hospitals NHS Foundation Trust in the WestMidlands was the best for 30-day payment, processing 99.9% of billswithin the month. The Royal Bolton Hospital NHS Foundation Trust was

quickly is to their suppliers. As a result, these trusts are commendably processing the majority of their invoices within 10 days and many have voluntarily signed up to prompt payment schemes.

But others seem worryingly oblivious to the Governments guidance on this issue and don’t appear to be making any attempt to increase prompt payment at all.

This postcode lottery re ects what we found when we carried out similar research on payment among local authorities. Many public bodies don’t appear to be singing from the same hymn sheet and small businesses are suffering as a result.

Mr McCabe added: We appreciate that the NHS has a hugely important job to do.

As a result, we carefully worded our FoI requests to minimise the work involved in responding to them.

We also appreciate that, to organisations which save countless lives every day, the speed with which they pay invoices from small businesses may not be their rst priority.

But the better-performing trusts show that prompt payment is entirely possible and shouldn’t cost anything extra to implement.

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Here is a smart way of bene ting humanity. Use your computer downtime to add power to World Community Grid. The more peoplejoin, the sooner we’ll nd cures for diseases, alleviate hunger andcombat climate change.

Please help by asking your friends, family and colleagues to join WorldCommunity Grid.









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A single injection.


SINGLE INJECTION










18-21 gauge needle
















A new survey has found astonishing differences in the amount of time different health trusts are taking to pay their suppliers.

Research carried out by the Forum of Private Business (FPB) discovered some NHS trusts are paying more than 90% of their bills within 10 days.

However, others are processing absolutely none in the timeframe and some are barely managing to pay one in ve invoices within 30 days.

The FPB used the Freedom of Information Act to reveal the gures, more than a year after all public bodies were urged to pay bills within 10 days to help small rms through the recession.

The FPB found at least ve NHS trusts had paid fewer than 1% of their bills in 10 days over the past year. Additionally, at least 35 trusts processed fewer than 10% within 10 days.

Tameside Hospital NHS Foundation Trust in Lancashire emerged as the best-performing trust in England for 10-day payment, paying 94% of invoices within 10 days. Three trusts in London and the South East were joint worst on this count, all reporting 0% gures.

The Dudley Group of Hospitals NHS Foundation Trust in the West Midlands was the best for 30-day payment, processing 99.9% of bills within the month. The Royal Bolton Hospital NHS Foundation Trust was the worst, with a gure of 18.7% for 10-day payment.

Commenting on the ndings, FPB spokesman Phil McCabe said: These gures show an astonishing lack of consistency and uniformity when it comes to prompt payment in the NHS.

Some trusts are obviously well aware how important getting paid


A single injection.


Other viscosupplements may require up to five injections for the same treatment.The single injection regimen:









18-21 gauge needle
















A new survey has found astonishing differences in the amount of timedifferent health trusts are taking to pay their suppliers.

Research carried out by the Forum of Private Business (FPB) discoveredsome NHS trusts are paying more than 90% of their bills within 10days.

However, others are processing absolutely none in the timeframe andsome are barely managing to pay one in ve invoices within 30 days.

The FPB used the Freedom of Information Act to reveal the gures,more than a year after all public bodies were urged to pay bills within10 days to help small rms through the recession.

The FPB found at least ve NHS trusts had paid fewer than 1% of theirbills in 10 days over the past year. Additionally, at least 35 trustsprocessed fewer than 10% within 10 days.

Tameside Hospital NHS Foundation Trust in Lancashire emerged as thebest-performing trust in England for 10-day payment, paying 94% of invoices within 10 days. Three trusts in London and the South East werejoint worst on this count, all reporting 0% gures.

The Dudley Group of Hospitals NHS Foundation Trust in the WestMidlands was the best for 30-day payment, processing 99.9% of billswithin the month. The Royal Bolton Hospital NHS Foundation Trust was

quickly is to their suppliers. As a result, these trusts are commendably processing the majority of their invoices within 10 days and many have voluntarily signed up to prompt payment schemes.

But others seem worryingly oblivious to the Governments guidance on this issue and don’t appear to be making any attempt to increase prompt payment at all.

This postcode lottery re ects what we found when we carried out similar research on payment among local authorities. Many public bodies don’t appear to be singing from the same hymn sheet and small businesses are suffering as a result.

Mr McCabe added: We appreciate that the NHS has a hugely important job to do.

As a result, we carefully worded our FoI requests to minimise the work involved in responding to them.

We also appreciate that, to organisations which save countless lives every day, the speed with which they pay invoices from small businesses may not be their rst priority.

But the better-performing trusts show that prompt payment is entirely possible and shouldn’t cost anything extra to implement.

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Hip fracture solution unveiled by B.Braun Medical

Elderly patients throughout the country are bene ting from a major advance in the treatment of hip fractures.

New clinical audit results reveal that the groundbreaking Targon FN hip-screw is reducing fracture healing complication rates by around 30 per cent.

The implant, developed by B.Braun Medical, is helping to improve outcomes for what is the most common cause of admission onto orthopaedic wards for elderly patients.

About 70 to 75,000 hip fractures occur annually in the UK with a medical and social care bill of around £2 billion. Demographic projections indicate that the number of cases will rise to 101,000 by 2020, with an associated increase in annual expenditure that could reach £2.2 billion.

Martyn Parker, Orthopaedic Research Fellow at Peterborough District Hospital, has just completed an audit of 83 patients treated with the new implant which revealed a healing failure rate of just three per cent for displaced fractures compared with the average of 33 per cent.

He said: “Our initial positive experience with the Targon FN suggests that this implant may be a major advance in the management of this dif cult and common fracture.

“The functional recovery of patients after a year was excellent. The implant is a little more expensive than other implants but we have found it delivers much better outcomes.”

Hip fractures are often the result of falls suffered by people with osteoarthritis. For those patients who do not have hip replacement surgery, the alternative is to try and repair the fracture with screws or pins.

Healing complication rates for these implants range from 30 to 40 per cent. The Targon FN is proving to be a mechanically more stable device which can be implanted using a minimally invasive surgical technique.

Results from the rst 200 patients tted with the Targon FN in the UK showed a 20 per cent reduction in healing complication rates and sales have tripled in the year since its market launch.

Phil Cleary, Senior Product Manager Joint Technology at B Braun Medical in the UK, said: “The Targon FN implant should be hugely bene cial to both patients and to NHS Trusts.

“The device is mechanically more stable enabling the fracture to heal more quickly as well as allowing for earlier normal mobility.“Our elderly population is increasing all the time and the implant offers more consistent recovery for hip fracture patients and aims to reduce NHS costs associated with failed procedures and extensive reoperations.”

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Coventry University student used fake visa to cheat the NHS out of £12,000

A MEDICAL student could be banned from working in hospitals after faking ID paperwork to scam the NHS out of more than £12,000 while she trained in Coventry.

Chiedza Mangwende, aged 25, used a false identity visa to enrol on a course at Coventry University.

She pleaded guilty to possessing a false identity document with intent at Birmingham Crown Court.

She was handed a six-month jail sentence, suspended for two years, and ordered to carry out 100 hours of community service.

Mangwende, from Zimbabwe, used a forged Home Of ce letter which said she had the right to stay in the UK, when, in reality, she was still waiting for a decision.

Her crime was uncovered by stringent new checks after she had completed two years of a three-year diploma in Operating Theatre Practice.

By that time she had claimed £12,287 in bursaries, which she must now repay by October next year along with £535 court costs.

A spokesman for the NHS Counter Fraud Team, which investigated the case, said: “The document was not spotted when she rst started the course but was rechecked later and found to be a forgery.”

The sad thing is she has now been granted leave to remain, so could have got on the course.

“Unfortunately, people in this position sometimes do not have time to wait and so take matters into their own hands.”

As an Operating Department Practitioner, Mangwende would have played a vital role supporting doctors during surgery, including preparing instruments and drugs.

She will now face a disciplinary panel at the Health Professions Council on July 27.

It has the power to caution Mangwende, suspend her or strike her off the medical register.

At a preliminary hearing the disciplinary panel told her: “For the purpose of accessing bursary funding from the National Health Service, you knowingly possessed a false identity document.

“You improperly obtained an identity document and used another person’s identity document.”

Foreign workers using fake identity documents to land jobs is a growing problem for the NHS.

In February the Telegraph revealed a Nigerian man had fraudulently worked at an NHS trust in Coventry.

Akinjide Akinleye’s phoney paperwork was eventually false after he sparked a health scare by misreading heart scans while working as a hospital technician in Bury.

By the time he was caught the agency bosses he duped had hired his services out to eight other trusts.

Akinleye had £50,000 of earnings con scated and is due to be deported when his 16-month jail term ends.

Source: Coventry Telegraph Warren Manger

B. Braun’s revolutionary Targon FN hip screw



PERFECTEMP™: AN INNOVATION IN OPERATING TABLE PATIENT WARMINGDot Medical Ltd is delighted to introduce the LMA PerfecTemp™ under patient warming mattress.

Maintaining normothermia in patients undergoing operations can be a challenge. However the LMA PerfecTemp ™ is a new innovation offering warmth beneath the patient and advanced pressure reduction to combat hypothermia and pressure sores.

The LMA PerfecTemp™ patient mattress is

• Fitted with bre optic sensors to measure temperature between the surface of the skin and the pad.

• Ideal for all operations, dialysis units and areas where patient warming is imperative

• Able to deliver controlled and consistent warming

• Radio translucent

• Easy to clean

• Lightweight

• Durable

• Quiet

For further information, contact: Dot Medical Limited [email protected] Tel: 01625 668811 Fax 01625 668855

Coalition Government is gaining favour from UK nursesA survey of 480 nurses and midwives by Nurses.co.uk has shown that the industry may be showing signs of optimism about the NHS under the new coalition Government.

142 of the 480 nurses and midwives surveyed believe that the care NHS patients receive will be of a lower quality under the new coalition government than it was under Labour.

However, a signi cant number of almost 100 nurses feel differently - that the new Liberal Democrat - Conservative coalition will able to deliver a better overall service of care. And that is a more positive reponse to a non-Labour Government than that recorded before the election.

Prior to the election, a previous Nurses.co.uk survey showed a massive swing in favour of Labour. Then, in March, the clear feeling among the nurses questioned was that the NHS could only be trusted under Gordon Brown.

It would seem the coalition Government is gaining grudging favour from UK nurses.

The results of the survey also demonstrate con dence in the coalition’s ability to drive inef ciency savings. Many nurses feel that savings can and should be made and now seem supportive of the Cameron-Clegg ability to achieve these.

However, only 48 of those surveyed actually believe the Government will stick to the Conservative election campaign promise to increase spending on the NHS in real terms. This remains a coalition pledge.

Despite the relative positivity, over 220 of the nurses surveyed feel that, sooner or later, frontline services will be signi cantly impacted. It’s dif cult to understand how any cuts in frontline services will allow the coalition to provide a better overall level of care.

The biggest message coming from nurses themselves in the survey is that ward staf ng levels - the actual number of nurses and midwives - needs to be addressed and immediately. Matt Farrah, one of the directors of Nurses.co.uk, responded to this particular result in the survey. “It’s abundantly clear to anyone in the UK nursing recruitment industry that there are shortages of nurses and midwives in all specialisms. If the coalition want to provide a better level of care in the NHS they won’t achieve that if their cuts do end up hitting nursing staff.

“The skills shortages are particularly acute in midwifery, theatres and critical care. We talk to healthcare recruiters every day. There simply aren’t enough nurses for the jobs available. We hear it every day. The NHS and the independent sector can’t meet the demands for these skills even with the existing numbers of registered nurses. If ef ciency cuts do end up affecting frontline staff then the NHS will be facing a huge problem. It would leave a huge gap in an NHS that already needs more trained nursing staff coming through.”

For information contact Matt [email protected]

Helping to improve training in healthcare

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Next-generation operating theatre lighting from En s and C-THMEThe latest collaboration between UK-based LED Manufacturer, En s and Chinese medical lighting specialist C-THME heralds a step-change in surgical lighting technology.

Precise, tunable lighting in operating theatres contributes to patient safety by enabling surgeons to identify small differences in tissue and also ‘tune’ the light to match their individual eye response. This also reduces surgeon fatigue and shortens operating times.

Swansea-based En s produced a tailored LED light engine and this was combined with a unique xture design by China-based C-THME to create the ground-breaking new product.

This new lighting technology delivers ef cient, powerful, widely tunable light with no colour separation or shadowing.

TECHNICAL BRIEF :The new C-THME light offers:

• Colour Rendering Index (CRI) >90; and• Constant light output over a wide range of correlated colour

temperatures (CCTs).

It uses the En s UNO Plus High CRI Vari-CCT light engine with narrow-beam optics, and has two major advantages over the rst generation variable-CCT discrete LED systems:

• The En s LED Array mixes all the colours required to achieve the CRI/CCT range within one package - no colour banding, separation or shadowing

• Multiple ‘lamp heads’ with air ow through the light centre - improving the air quality and temperature around the patient

The new lighting system in use at a Teaching Hospital

This product is now rolling out into hospitals in Europe.

For further information contact:En s on +44 1792 485660 – David Mudd (dmudd@en s.com) and Spencer Manley (smanley@en s.com) C-THME on +86 23 8658 2990 Mr Halley Chen ([email protected])

About En s – www.en s.com En s is the UK-based leader in specialist compact, high-power colour tunable LED arrays and light engines for easy integration into architectural, entertainment and medical lighting. We also specialise in LED arrays for industrial applications such as ink and epoxy UV curing and for medical treatments.Our expertise covers all aspects of LED array, driver and optics design. This includes LED packaging, thermal management, optics and electronic design.

We work very closely with our customers. We keep on top of all relevant new technologies in a fast changing environment, and keep ourselves and our customers ahead of the competition.

We are an ideal partner for companies wanting a fast, low-risk, cost-effective LED lighting partner for the long term. En s Limited operates in accordance with ISO9001:2000 and ISO13485:2003.

En s Limited, Technium II, Kings Road, Swansea Waterfront, Swansea, SA1 8PJ United Kingdom Tel: +44 1792 485660 Fax: +44 1792 485537

About C-THME – www.c-thme.com Chongqing Tianhai Medical Equipment Co., Ltd. is a hi-tech enterprise based in Chongqing, China. We have been successfully developing, designing, manufacturing and marketing high-quality modern digital medical equipment since 1995. Tianhai has four subsidiaries - Chongqing Duotai Medical Equipment Co. Ltd., Chongqing Puledi Biology Technology Development Co., Ltd., Chongqing Bangqiao Science and Technology Co. Ltd., and Xuzhou Haoyu Medical Equipment Co. Ltd.

We have independently developed and produced a series of clinical diagnosis, clinical treatment apparatus, and surgical medical lighting LED lamps. All of our products are quali ed and we control quality strictly in accordance with ISO9001:2000 and ISO13485:2003.

Chongqing Tianhai Medical Equipment Co. Limited, D2-5, Jinguoyuan, Shiqiaopu, Jiulongpo District, Chongqing China 400039Tel: 86-23-8658-2990Fax: 86-23-6818-5187

Health First Europe welcomes Directive on prevention from sharp injuries John Bowis recognizes pivotal role of the European Parliament

Brussels, 8 March 2010.

Health First Europe (HFE) welcomes the adoption, at the Employment, Social Policy, Health and Consumer Affairs Council (EPSCO), of the Council Directive implementing the Framework Agreement on the prevention from sharp injuries in the hospital and healthcare sector concluded by the European Hospital and Healthcare Employers Association (HOSPEEM) and the European Federation of Public Service Unions (EPSU).

For the last ve years, HFE has been campaigning and assisting EU policy makers with the goal of ensuring that effective binding measures are agreed to ensure that healthcare workers across Europe are protected from injuries with used needles and other medical sharps that can lead to potentially fatal blood borne infections such as HIV and hepatitis B and C.

John Bowis, HFEs honorary president stated, This Directive is an example of how policy makers and social partners have successfully worked together to improve health worker and patient safety. I am extremely satis ed to see that all the energy put into the process has come to a more than satisfactory end.

Bowis added that the European Parliament has played a pivotal role in driving this initiative. This has included the July 2006 Parliament Report and Resolution, calling for a legislative proposal, under the rapporteurship of Stephen Hughes MEP, and the more recent February 2010 Resolution on the proposed Directive, where the rapporteur was another very important HFE supporter, Liz Lynne MEP. These two MEPs, with the support of colleagues, have campaigned tirelessly to get adequate protection for Europes healthcare workers.

Liz Lynne commented:

“There are over 1 million preventable needlestick injuries across the EU each year, which create a terrible physical and psychological burden on the workers affected and their families, but also a massive cost to the health system and society at large.

“These new laws will bring improved working practices and the mandatory use of medical devices that incorporate needle protection, vital changes I have campaigned to achieve for many years.

“For too long our healthcare workers, who are focused on improving the health and wellbeing of others, have themselves been exposed to the daily threat of life threatening infections, the majority of which are avoidable.”

Stephen Hughes added:

For many years the European Parliament has been pushing for European-wide mandatory needlestick and sharps protection requirements to be incorporated in a Directive, as the existing worker safety legislation has clearly not been effective in this case.

I have been committed to improving the protection of healthcare workers from needlestick injuries ever since I and some of my colleagues were visited in the European Parliament by healthcare workers from across Europe on World AIDS Day 2004 during an event organised by Health First Europe.

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A newly discovered strain of an airborne fungus has caused several deaths in Oregon and seems poised to move into California and other adjacent areas, according to scientists at Duke University Medical Center.“This novel fungus is worrisome because it appears to be a threat to otherwise healthy people,” said Edmond Byrnes III, a graduate student in the Duke Department of Molecular Genetics and Microbiology. “Typically, we see this fungal disease associated with transplant recipients and HIV-infected patients, but that is not what we are seeing.”Byrnes and other Duke co-authors work in the laboratory of senior author Joseph Heitman, MD, PhD, chair of the Department of Molecular Genetics and Microbiology.Their new work on the emergence and virulence of the new genotypes of Cryptococcus gattii fungi in the United States was published online in PLoS Pathogens on April 22.The mortality rate for recent C. gattii cases in the Paci c Northwest is running at approximately 25 percent out of 21 cases analyzed in the United States, compared to a mortality rate of 8.7 percent out of 218 cases in British Columbia, Canada, the researchers said. Most have a more complicated clinical course than people infected with the more common Cryptococcus neoformans.Because the strain is so virulent when it infects some humans and animals, the researchers are calling for greater awareness and vigilance. Testing involves culturing the fungus and then sequencing its DNA to learn whether it is the virulent or more benign strain, which could affect treatment plans.Some strains of C. gattii are not more virulent than C. neoformans, for example, but doctors need to know what type they are dealing with, Byrnes said. Using molecular techniques, the geneticists uncovered clues that showed the Oregon-only fungal type most likely arose recently, in addition to an outbreak of C. gattii that began in Canada in 1999 that has now spread into Washington and Oregon.Symptoms can appear two to several months after exposure, and may include a cough lasting weeks, sharp chest pain, shortness of breath, headache (related to meningitis), fever, nighttime sweats, and weight loss. In animals the symptoms are a runny nose, breathing problems, nervous system problems, and raised bumps under the skin.While C. gattii can be treated, it cannot be prevented; there is no vaccine.The new type of C. gattii reproduces both sexually and asexually. The more virulent strain may have genetically recombined with related but less harmful strains. This novel genotype is highly virulent compared with similar isolates of Cryptococcus that are not causing disease outbreaks.The researchers found that the novel genotype (VGIIc) is now a major source of C. gattii illness in Oregon. Because C. gattii types had been found in tropical areas before, co-lead author Wenjun Li, MD, PhD, of Duke Molecular Genetics and Microbiology, speculates that environmental changes may be responsible for the evolution and emergence of this pathogen.Determining the exact origin of the VGIIc type is dif cult, and sampling thus far has failed to turn up isolates in Oregon soil, water, or trees.“We are trying to put together the evolutionary story of where these types come from by closely studying the genetics of all samples possible,” said Yonathan Lewit, a research associate also in Duke MolecularGenetics and Microbiology. He said that cell components called mitochondria may play a role in the increased virulence of certain types.VGIIc, the new Oregon strain, has yielded dozens of isolates in many specimens, including domesticated animals: cats, dogs, an alpaca, and a sheep. “Most of those are nonmigratory animals,” Byrnes said, explaining that the animals probably didn’t bring the pathogen from some other region, and most likely acquired it locally.Other authors include Hansong Ma, Kerstin Voelz and Robin May of the Department of Molecular Pathobiology at the University of Birmingham, United Kingdom; Ping Ren and Vishnu Chaturvedi of the Mycology Laboratory at Wadsworth Center in Albany, N.Y.; Dee Carter of the Department of Molecular and Microbial Biosciences, the University of Sydney, Australia; and Robert Bildfell of the Department of Biomedical Sciences, Oregon State University, Corvallis.This work was supported by National Institutes of Health/National Institute of Allergy and Infectious Diseases grants.

Source: Infection Control Today

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Cardiothoracic

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New Zealand

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Come for a year or im

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www.medacs.co.nz

Make your move toMake your move to

New 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 fr

om the six th

eatre suites th

at make up th

e Theatres Care Group. There are 26

theatres (2

1 inpatient theatre

s, five re

covery areas and five day surgery th

eatres). O

ur aim is to

provide the highest q

uality

environment to enable surgeons to provide excellent surgical care. Due to our in

creasing workload, we are expanding our te

am,

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

and their s

kills. In

return for your hard work we offer a

wide range of opportu

nities for p

rofessional development and further

training both in-house, via our post-g

rad centre, and the University of Kingston.

Cardiac Theatre

s

Theatre Pra

ctitioners

–

Surgical S

crub

Band 5, £23,619 - £

30,508 pa inc

Ref: 200-S

JKD-17

9-KR

In our state of the art b

uilding, we undertake 4,000 neurosurgical

and cardiothoracic procedures each year with excellent clinical

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

ajor

surgery. You’ll in

itially be based in one set of th

eatres but rotation

is encouraged.

Theatre Pra

ctitioners

–

Surgical S

crub

Band 6, £28,149 - £

37,558 pa inc

Ref: 200-S

JKD-180-K

R

In addition to the requirement fo

r the band 5 post, y

ou’ll need

experience in either neurosurgical or cardiothoracic specialties.

You’ll be an advanced scrub practiti

oner, either nurse or O

DP,

as well as excellent communication skills

and the ability to work

as part of a team. Your d

uties will include partic

ipation in an

on-call rota once competent.

For an informal discussion about the above posts, please contact

Andrew Prescott on 020 8725 1492.

Neuro Theatre

s

Theatre Pra

ctitioners

-

Surgical S

crub &

Anaesthetic

s

Band 5, £23,619 - £

30,508 pa inc

Ref: 200-S

JAA-183-K

R

A scrub/anaesthetic practitioner, e

ither Nurse or O

DP, you’ll

strengthen and support o

ur current te

am to provide a valuable

contribution to the provision of high quality

care to our patients.



Inpatie

nt Recovery

Theatre Pra

ctitioners

Band 5, £23,619 - £

30,508 pa inc

Post ref: 2

00-SJJD

-185-KR

You’ll provide essential care and support t

o patients in th

e

recovery area, as well as clinical support a

nd leadership in the

absence of more senior staff. R

otation to all areas is expected

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

although full training will b

e available. Paediatric qualific

ations

and/or experience are highly desirable.

For an informal discussion, please contact Derek Reid

on 020 8725 3509.

Inpatie

nt Theatre

s

We have vacancies for the following specialties where we

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

Maxillo-facial, U

rology, Gynaecology, O

bstetrics, Plastic surgery

and Orthopaedics.

You’ll be either a nurse or O

DP.

Theatre Pra

ctitioners

–

Surgical S

crub &

Anaesthetic

s

Band 5, £23,619 - £

30,508 pa inc

Ref: 200-S

JJE-181-K

R

Advanced Theatre Pra

ctitioners

- Surg

ical Scru

b

Band 6, £28,149 - £

37,558 pa inc

Ref: 200-S

JJE-182-K

R

You’ll be an advanced scrub practiti

oner, either nurse or O

DP.

For an informal discussion, please contact A

lberto Castril

lon

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

Day Surgery

Theatre Pra

ctitioners

–

Surgical S

crub, A

naesthetic

s

& Recovery

Band 5, £23,619 - £

30,508 pa inc

Ref: 200-S

JLA-184-KR

Our busy stand-alone Day Surgery Unit comprises five operating

theatres, re

covery and a pre-assessment centre, w

hich serves

both adult and paediatric

patients.

We undertake elective and tra

uma work and our theatre

practitioners rotate between theatre

s and recovery. You’ll b

e a

scrub/anaesthetic practitioners, either nurse or O

DP.

For an informal discussion, please contact Cathie Stirling

on 020 8725 0223.

Please apply online at

www.stgeorg

es.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 advertis

ed

closing date if suffic

ient suitable applications are received.

We are an equal opportunitie

s employer.

www.stgeorg

es.nhs.uk

Bedford Hospital

NHS Trust

Let’s get you

working!

ODPs & Theatre Nurses

As a specialist agency our knowledgeable consultants

understand your needs.

• Excellent rates of pay

• Regular work

• Flexible hours to suit you

• Recommendation bonus

We have exclusive contracts with NHS Trusts

and Private Hospitals with immediate starts.

For more information contact the Theatre

Staff Recruitment Specialists near you:

London - 0845 1305150

Midlands - 08457 23 24 25

NW & Yorks - 0845 1306209

www.firstpointhealthcare.com

SOLEprovider

to Vanguard

Healthcare

Mobile Operating

Theatres

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

Face To Face In

terviews I

n April

With

Prestigious A

uckland H

ospita

l, New Zealand

Secure your n

ew role and new lif

e in 2008

MercyA

scot an

d Geneva

Health

Internati

onal a

re com

ing to the U

K this A

pril to in

tervie

w and

offer

jobs t

o skill

ed an

d profess

ional

Registered Operatin

g Department P

ractitio

ners

and Theatre

and Recovery

Nurses w

ith a

goal to

live a

nd work

in New

Zealan

d.

The priv

ate se

ctor in

New Zea

land of

fers y

ou th

e best

of th

e best

in te

rms o

f facili

ties,

surgeo

ns, proc

edures

and op

portunitie

s. As N

ew Z

ealan

d’s lar

gest p

rivate

surgica

l

faciliti

es, with

state

-of-th

e-art h

ospita

ls base

d in Auckl

and, M

ercyA

scot o

ffers

a dive

rse

range o

f surgica

l spec

ialitie

s and a

support

ive, to

p-rate

team.

As a RODP or

Theatre/Recove

ry Nurse

in M

ercyA

scot y

ou w

ill have

the o

pportunity

to scr

ub and as

sist in

a var

iety o

f proc

edures

, work

ing alon

gside N

ew Zea

land’s

top

surgeo

ns and th

eatre

staff

.

Ideally yo

u will

have a m

inimum of 2

4 months c

urrent R

ODP experie

nce w

ithin a

Theatre S

uite/O

R and have yo

ur sights

on New Zealand, t

hen Mercy

Ascot is

the

organisatio

n for y

ou.

MercyA

scot a

re off

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exce

llent re

locati

on pac

kage (

some c

onditio

ns apply)

to all

succe

ssful c

andidate

s, an

d Gen

eva Hea

lth ar

e here

to su

pport yo

ur move

every

step

of the w

ay.

To b

ook your inte

rview

contact J

ulia Johnson o

n

freephone 0800 404 7591

email j

uliaj@

genevahealth

.com

or registe

r onlin

e at

www.genevahealth

.co.nz

Tele

phone: 0870 3

33 8312

Websit

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cums.com

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License

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Northam

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Call

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date

Natio

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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 growin

facilities, 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. You

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

our 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.nh

Closing date: Monday, 7th April 2008

Interview date: Tuesday, 22nd April 2008.

W

www.plym

outhhosp

itals.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 P

Team Leader

Ref: 216-MER-2285

to the theatre team.

Medic International is part of Pinnacle

Healthcare, one of the largest suppliers

of specialist nurses and theatre staff

to the NHS and private sector.

We urgently require:

ODPs & Theatre Nurses;

Scrub, Anaesthetic & Recovery

On-going placements UK wide

Contracted supplier to NHS Scotland

Excellent rates of pay

Call Allison on 0844 736 00280 for a chat,

or e-mail [email protected]

www.pinnacle-staffing-group.co.uk

As part of a m

ajor development of surgic

al facilit

ies at the

College, including skills

labs and minimal a

ccess surgery

suites, we are

opening a mock o

perating th

eatre to help

train surgeons an

d surgical te

ams for th

e future.

You will join a h

ighly-regard

ed team in the setup, running

and setdown of courses in

the theatre, minimal a

ccess

and skills lab, using simulato

rs,models,

animal and

cadaveric t

issue.

You will have worked in an operatin

g theatre

as an ODP

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

theatre sta

ff with appropriate

experience.

For further in

formation on this ro

le and to apply

please visit o

ur website

or email

humanresources@rcse

ng.ac.uk

quoting reference 25/08.

Closing date: 12th May.

We are an

employer fully

committed to our equality

and diversity policie

s.

Registere

d charity

No. 212808

www.rcseng.ac

.uk

Surgical R

esources

Technician

£24,800 + Excellent Benefits

C. London

bblicaation.

nisatio

n f

rcyAsco

t are

offeri

ng an e

uccessf

ul can

didates,

and G

of the w

ay.

TToTooo bbbbbbooooookok your i

ntie

ervie

cccoooononnnntnttaacact J

ulia Johnso

fffrfrrereeeeeeeppphone 0800 404

eeeeememmmma

maail j

uliaj@

geneva

ooooororr rregiste

r onlin

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wwwwwwww.genevahealt

College, includ g

suites, we are

opening a mock o

p

train surgeons an

d surgical te

ams for th

e future.

You will join a h

ighly-regard

ed team in the setup, running

and setdown of courses in

the theatre, minimal a

ccess

and skills lab, using simulato

rs,models,

animal and

cadaveric t

issue.

You will have worked in an operatin

g theatre

as an ODP


theatre sta

ff with appropriate

experience.

For further in

formation on this ro

le and to apply

please visit o

ur website

or email

humanresources@rcse

ng.ac.uk



We are an

employer fully

committed to our


s.

Registere

d charity

No. 212808

www.rcsJune/July 2009 Issue No. 225

ISSN 1747-728X

www.lawrand.com

For advertiser rates & information

or

www.otjonline.com

For reader information, including

subscription & downloads

The OTJ is a Lawrand Ltd, Publication.

www.

operatingtheatrejobs.com

For online Recruitment advertising

Cardiothoracic Theatres

Registered

Theatre Practitioners

R/Ns O.D.Ps

Salary in acc

ordance with agenda for

change guidelines.

Plymouth Hospita

ls NHS Trust is an aspiri

ng Foundatio

n Trust that

works in close

partnership with the

University of P

lymouth’s Medical

and Nursing

Schools.

Situated in the

Southwest, be

tween Dartmoor Nationa

l Park and a sp

ectacular

coastline, Plymouth is

a vibrant an

d historic city

that offers e

xcitement, be

autiful

surroundings

and a wonderf

ul quality of

life.

Our Cardiothoracic

Centre is a so

urce of pride

for the Trus

t and region

with its

growing internatio

nal reputation

and superb

facilities, cr

eated by the

recent

completion of a t

ruly innovati

ve new build.

Due to interna

l promotions

we are seekin

g high calibr

e nursing sta

ff to join our

team. To be succe

ssful, you m

ust be committed to

helping us d

eliver excelle

nt

standards of

surgical hea

lth to the pe

ople of the S

outh West, an

d to contribu

te

to the furthe

r development of

the nationa

l and interna

tional standi

ng of our un

it.

In return, you

will enjoy bein

g part of a f

lexible and f

riendly team

, a first class

working enviro

nment, a commitment to

helping you

achieve your

ambitions,

and an array

of generous

staff benefits

We offer Precept

orship for ne

wly qualified p

ractitioners.

For informal enq

uiries or for

visits please

contact Sr. Jean

Hobson,

Theatre Manage

r, 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 Hospita

ls NHS Trust is an e

qual opportu

nities employer

and is

working towards a

smoke-free working

environment. U

nder the Tru

st’s

Green Commuter S

trategy, on s

ite parking is

restricted.

Working in par

tnership with the

Peninsula Medical

School

We’ll ta

ke care

of you

www.plym

outhhosp

itals.nhs

.uk

New Zealand

ODPS

Come 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

choose your destination!

Medacs can offer you:

• Full assistance with registration and immigration

• Arrangement of accommodation and travel bookings

• 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]

www.medacs.co.nz

Make your move toMake your move to

New 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

Ref: 200-SJKD-180-KR

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.



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.


Surgical Scrub & Anaesthetics

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

Ref: 200-SJJE-182-KR

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 Hospital

NHS Trust

Let’s get you

working!

ODPs & Theatre Nurses

As a specialist agency our knowledgeable consultants

understand your needs.

• Excellent rates of pay

• Regular work

• Flexible hours to suit you

• Recommendation bonus

We have exclusive contracts with NHS Trusts

and Private Hospitals with immediate starts.

For more information contact the Theatre

Staff Recruitment Specialists near you:

London - 0845 1305150

Midlands - 08457 23 24 25

NW & Yorks - 0845 1306209

www.firstpointhealthcare.com

SOLEprovider

to Vanguard

Healthcare

Mobile Operating

Theatres

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


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


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.



freephone 0800 404 7591




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

Face To Face Intervie

ws In April W

ith

Prestigious A

uckland Hospital, N

ew Zealand

Secure your new role and new life

in 2008

MercyAscot a

nd Geneva Health International are

coming to the UK this April to intervie

w and

offer jobs to

skilled and profess

ional Registered Operating Department Practitioners

and Theatre and Recovery Nurses with a goal to liv

e and work in New Zealand

.

The private secto

r in New Zealand offers

you the best of

the best in terms of fa

cilities,

surgeons, procedures a

nd opportunities. As New Zealan

d’s largest p

rivate surgical

facilities, w

ith state-of-th

e-art hospitals b

ased in Auckland, MercyAscot o

ffers a diverse

range of surgical sp

ecialities an

d a supportive, top-rate tea

m.

As a RODP or Theatre/Recovery Nurse in MercyA

scot you will have th

e opportunity

to scrub and assis

t in a variety of

procedures, w

orking alongside New Zealand’s top


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


MercyAscot a

re offering an excelle

nt relocation packag

e (some con

ditions apply) to all

successful candidates,

and Geneva Health are h

ere to support you

r move every ste

p

of the way.



freephone 0800 404 7591




Telephone: 0

870 333 8312

Website: www.orion-locums.com

Fax: 01268 244399

email: [email protected]

Licensed by Commission for Social Care Inspection

Orion Locums is an Equal Opportunities Employer

Immediate Lo

ng Term

vacanciesDay r

ates

up to £35/hr

We urgently need sta

ff for

long term and ad hoc posts in

Surrey

London

Suffolk

Kent

Manchester & NW

Essex

Sussex

Northampton

Call now for up to date National va

cancies

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 growin

facilities, 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. You

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

our 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.nh

Closing date: Monday, 7th April 2008

Interview date: Tuesday, 22nd April 2008.

W

www.plymouthho

spitals.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 P

Team Leader

Ref: 216-MER-2285

to the theatre team.

Medic International is part of Pinnacle

Healthcare, one of the largest suppliers

of specialist nurses and theatre staff

to the NHS and private sector.

We urgently require:

ODPs & Theatre Nurses;

Scrub, Anaesthetic & Recovery

On-going placements UK wide

Contracted supplier to NHS Scotland

Excellent 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 m

ajor development of surgical faci

lities at the

College, including skills l

abs and minimal ac

cess surgery

suites, we are opening a mock o

perating theatre to help

train surgeons and surgica

l teams for the future.

You will join a highly-re

garded team in the setup, running

and setdown of courses in the theatre, minimal ac

cess

and skills lab, using simulators, models, animal and

cadaveric tissue.

You will have worked in an operating theatre as a

n ODP


theatre staff with appropriate

experience.

For further information on this role and to apply

please visit our website or email

[email protected].

uk



We are an employer fully c

ommitted to our equality


s.

Registered cha

rity No. 212808

www.rcseng.ac

.uk

Surgical R

esources

Technician

£24,800 + Excellent Benefits

C. London

Anaesthetic Technicians/ODP’s

We 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

rcyAscot are offering an e

uccessful candidates,

and G

of the way.

TToTooo bbbbbbooooookok your int ieervie

cccoooononnnntnttaacact Julia Johnso

fffrfrrereeeeeeeppphone 0800 404

eeeeememmmmamaail juliaj@geneva

ooooororr rregister online a

wwwwwwww.genevahealt

College, includ g

suites, we are opening a mock o

p

train surgeons and surgica

l teams for the future.

You will join a highly-re

garded team in the setup, running

and setdown of courses in the theatre, minimal ac

cess

and skills lab, using simulators, models, animal and

cadaveric tissue.

You will have worked in an operating theatre as a

n ODP


theatre staff with appropriate

experience.

For further information on this role and to apply

please visit our website or email

[email protected].

uk



We are an employer fully c

ommitted to our


s.

Registered cha

rity No. 212808

www.rcs

AnaesthheeeeeettttttttiiiiicccWe are looking for Anaesthetic T

are a Kiwi returning home or a Bri

positions within our Anaesthetics

If this sounds like something you’d

Angela Shaw on +64 9 487 1551 or

wwww..aaaaaauauauuuuucc

NNNNNNNNNNNNNNeeeeeeeeeeeeewwwwNNNNNNNNNNNNNNNeeeeeeeeeeeNNNNNNNNNeeeeeeeeeeeeewwwwNNNNNNNNNNeeeeeeeeeeeeewwwweeewww

www.opera ngtheatrejobs.com


A 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 management

role 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

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their recent career

opportunities 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:

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Combination advertisements

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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 information

regarding recruitment

advertising within

Operating Theatre Jobs.com

and the


OTJ- please contact:

Email: [email protected]

Telephone: +44 (0) 20 7100 2867



A 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 management

role 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 career

opportunities 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


and on Operating Theatre Jobs.com

Personal Service

Stand alone advertisements

and banners in either media

Proven Record

Series booking & Discounts

For further information

regarding recruitment

advertising within

Operating Theatre Jobs.com

and the


OTJ- please contact:

Email: [email protected]

Telephone: +44 (0) 20 7100 2867

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Documents

The Operating Theatre Journal