Author: Leanne Stevens

Operating Department
Information Booklet & Welcome Pack

Name:
Date:

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Welcome

Welcome to Chesterfield Royal NHS Foundation Hospital. We Serve North Derbyshire's population approximately 416,000 and beyond, providing a full range of acute services - plus 24-hour accident and emergency care. The hospital has around 570 beds and a budget of £190 million. More than 3,800 staff are employed to keep services running.
About the Trust
PROUD TO CARE VALUES
‘We want to be your hospital of choice’
COMPASSION
Compassionate care delivered with professionalism and a positive, friendly attitude
Care that preserves dignity and respects the person; putting patients at the heart of all we do
Respecting the unique and individual contribution that each of our staff members make – fair, positive and inclusive, recognising diversity and using it to enrich our organisation
ACHIEVEVEMENT
Excellent care, safe services and a positive experience every time
Exceeding expectations by delivering first-class performance, bettering national standards through innovation and ingenuity

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Welcome

RELATIONSHIPS
An open and honest relationship with our patients, staff, partners and our communities . Working in partnership in the interests of our patients
Acting in a socially responsible way and meeting our commitments to the local community.
ENVIRONMENT
Providing a hospital environment that is modern, clean and safe – conducive to care and recovery; and a good place to work.
We expect all employees, and all individuals who are involved with our organisation, to stand by these principles at all times.
Staff Benefits
Improving working lives
Training and development opportunities
Cycle to work scheme
Employee assistance programme
Fitness activities
Childcare and Carer support
Improving working lives

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The Operating Department
We the Operating Theatre Department Staff believe that the patient’s needs are paramount.
We will at all times maintain a safe, informed and professional environment, whilst ensuring dignity, equality and humanity for the individual.
Welcome to the Operating Department at Chesterfield Royal Hospital. The theatres handle over 15,000 procedures each year, 2,250 emergency procedures, and 12,750 elective procedures. Patients include both children and adults who are admitted under the care of surgeons from several different specialities for both elective or emergency procedures.
There are many opportunities for you to become involved in the care of our patients. These include circulating within an operating room, working as part of a scrub team, caring for the patients’ pre operatively in the reception area and anaesthetic room and post operatively in the recovery room.
Our care extends to the care of parents and carers when they accompany children to the department.

Welcome

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Welcome

All new employees in the surgical specialities division are supported in which to do their best in their role.
We will appreciate you and show respect and recognition for what you do.
We will listen to you, and ask your views and communicate in a effective way
In addition, students of all types are welcomed into a leaning environment. All students and staff and will receive practical and emotional support, from experienced staff using evidence based practice.

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Department Staffing

The General Manager for the operating department is Kavi Berry who is the overall manager for Surgical Specialities Division, and Andrea Staley is the Divisional Head of Nursing.
The Theatre Manager is Steven Jones and the Theatre Matrons are Hannah Blunden and Donna Botham
Matrons have wide and varied responsibilities within the department, which include operational planning and development. Matrons can be contacted on ext 2296 or bleeped on 481.
The Theatre Co-ordinator is responsible for monitoring the overall day-to day running of the department. This is usually a Band 6, or a suitably experienced Band 5. The theatre co-ordinator can be contacted on ext 3574 , or bleeped on 016.
There are over 160 full and part time staff working in the department.
Staff groups include:
Nurses
ODP’S
Associate Practitioners
Post Anaesthetic Care Unit (PACU)
Theatre Support Workers
Reception Support Workers
Stores
Porters
Domestics
The recovery area (PACU) is staffed by Nurses, ODP’S, PACU Practitioners and PACU Support Workers. Whilst working in the department, you will have experience in PACU.
All Associate and PACU Practitioners have completed a NVQ/QCF Level 3

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Staffing Continued

The department is staffed at night by two scrub practitioners, two theatre support workers (TSW) and 2 anaesthetic practitioners who provide cover for the main theatres and anaesthetic support for the obstetric unit when required. Recovery is also undertaken by the night staff, an additional scrub practitioner is on-call if it becomes necessary to open a second theatre.
The theatre teams are supported by Reception Support Workers to assist in the holding bay and are involved in the transfer of patients within the theatre complex and wards. They also ‘check in’ all of the patients for theatre during the day time which assists in the smooth running of the operating lists.
The Operating Department Orderly’s transfer patients to and from the wards and assist to transfer patients within the theatre complex. They work Monday to Friday from 8am to 7.30pm.
The reception to the operating department is staffed by a receptionist who works between 08.00 and 16.30 Monday to Friday. They supply clerical assistance and communication throughout the department
The Equipment team consists of 2 staff members who maintain and repair equipment, and coordinate the supply of supplementary items. The
Equipment Manager is Nigel Stacey, ext 3512 and Equipment Assistant is Nigel Stirling Ext 3242.
We have 3 members of the stores team who coordinate supply of all of our disposable items and order things like supplementary instruments, on loan sets and additional implants.
There is a Theatre Housekeeper who works in the morning Monday to Friday and is there to ensure that the Theatre Street is clean and tidy including the cleaning of racks and trolleys

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Other Learners

Student Operating Department Practitioners gain their clinical experience in the department. Their academic base is Leicester University.
Nursing students from Derby University gain clinical experience in the department for a one or four week period
The Clinical Placement Managers/ Clinical Educators/ Practice Learning Facilitators for Theatres & PACU are Leanne Stevens & Melissa Price Earnshaw
The Learning Environment Managers are:
Andreea Scripcaru, Megan Blake & Rebecca Dyson for PACU
All newly appointed Theatre Support Workers are required to complete the Care Certificate and train for the Level 2 QCF Diploma. This needs to be achieved within 18 months from starting the course. The Care Certificate needs to be completed within 12 weeks of their start date, TSW’s will work with their nominated Care Certificate Supervisor/ Mentor and follow their shifts to ensure that they achieve this.
Physiotherapy students, midwifery students, radiography students, Paramedic students and other nursing students spend time in the department as part of their training.
Medical students are attached to surgical or anaesthetic placements and they also attend and work in the department.

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Department Profile

There are 10 operating suites and 2 emergency theatres in use in the main block at Chesterfield Royal Hospital . Each with its own anaesthetic, scrub, preparation and sluice rooms. Hollywell Ward is a day surgical ward, and has its own operating suite. This is used for used for ophthalmic surgery, pain management clinic and minor orthopaedic procedures conducted under Local Anaesthesia.
The Theatre Team Leaders
Emergencies/ Lead ODP Anaesthetics– Matron Hannah Blunden
ENT & Maxillo- Facial – Lead Practitioner Louise Nesbeth
Ophthalmology – Lead Practitioner Angela Hopkinson
Urology — Sister Elizabeth Woolley
Gynaecology — Lead Practitioner Joanne Downs
Breast—Sister Julie Darnell
Upper GI—Sister Kathryn Wilkinson
Colorectal - Lead Practitioner Chloe Maddison
Elective/Trauma Orthopaedics – Charge Nurse Michael King, Lead Practitioner Rachel Howley & Lead Practitioner Jonathan Kirkland
Equipment Manager— Lead Practitioner Nigel Stacey
Post Anaesthetic Care Unit - Sister Angela Hooley, Sister Lyndsay Smith & Sister Kate Chapman
Day case theatre is staffed by teams from main theatres, and the Ophthalmic Team. Staff who work on Hollywell provide recovery care for the patients from this theatre.
The Day Case theatre suite is staffed by teams from the main theatres and staff trained in theatre practice from the Day Case Unit and Ophthalmic team.

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Department Profile Continued

There are 2 Post-anaesthetic care units (PACU). The recovery bays are prepared with monitoring equipment to ensure that patients are well monitored in the immediate post-operative period.
Obstetric surgery is undertaken in a dedicated obstetric theatre which is directly opposite the Obstetric unit. The Scrub staff and Anaesthetic support are provided by the emergency team.
Store rooms are situated throughout the department to supply the theatres, recovery and anaesthetic rooms, and are monitored by Stores Personnel.
A Study and tutorial area is available for the use of all staff in the department. The resource department is located within Critical Care.
The main coffee room has 2 kitchen areas, 3 fridges and 3 microwaves for all staff to use during breaks. Tea, coffee sugar and milk are all provided. Staff are asked to bring their own utensils and crockery.
The department has link persons for:
Health and Safety Emma Sharp/Leanne Pegg
Manual Handling Joanne Downs, Charlotte Grayson, Amanda Davidson, Lawrence Mensah & Hugh Cameron (PACU)
Infection Control Rachel Howley, Chloe Maddison & Tony Martin PACU
Tissue Viability Champions Leanne Goodwin and Jane Hutchinson. Heather Stanyard PACU
Paediatric Resus Leads: Karen O’Keeffe, Sarah Farndon, Jessica Andrews & Michelle Duncan, Lyndsay Smith PACU
We work closely with the Decontamination Unit on site who care for and sterilise the instruments and drapes required for surgery. A visit to this department may well be arranged during your induction period.

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Department Profile Continued

When X rays are required a radiographer attends the department, as do the plaster room staff, audiology staff and clinical illustration staff as required.
The department also supplies anaesthetic support to other areas outside the main department – MRI, obstetrics, Emergency Department and the wards as necessary.
Estates staff and staff from Medical Engineers Department visit the department to repair or maintain equipment and the fabric of the building as required

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Shift Patterns

The operating department is open 24 hours a day 7 days a week. Elective (planned) operating is currently scheduled to take place between 09.00 and 17.00. During the lists staff plan and arrange breaks appropriately around the planned operations. A fully staffed operating theatre is available at all times to care for patients requiring emergency surgery as well as the separate dedicated obstetric theatre. Before and following surgery the theatres, recovery and ancillary areas need to be cleaned, checked and prepared to ensure a safe environment to give quality care to all patients.
Day Shifts are either 08:00 –17:30, 08:00-18:00 or 08:30-17:30, 30 mins unpaid break
Night Shifts are 21:00 –08.00 1hour unpaid break
Afters Shifts are 17:00-21:00 no break
Weekend Morning are 08:00-13:00 no break
Weekend Afters are 13:00-21:00, 30 mins unpaid break
Bank Holiday Mornings are 08:00-14:30 no break
Bank Holiday Afters are 14:30-21:00 no break
The shifts worked in the post anaesthetic recovery area are different to those worked in the operating suites. These shifts are appropriate for the preparation of the area and the times when the patients require care following completion of surgical interventions.
Meal breaks can either be taken in or out of the department.
E Roster is the rota that is used within the department. A password and username will be given to you so you can access your shifts and make any requests. Requests should be made at least 8 weeks in advance.
Extra Duty Forms need to be completed on or before the last Sunday of each month. These are only for staff who are called out when on call.
Overtime is done via NHSP (NHS Professionals)

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Theatre Etiquette Tips

All staff including students must attend the team brief in the
morning.
Please introduce yourself to the team leader and all other staff members.
All mobile devices should be kept away in either a locker or personal bag.
Use of mobile phones is prohibited within theatre.
Always introduce yourself to patients and staff.
If a patient is being induced by the anaesthetist- DO NOT ENTER THE ANAESTHETIC ROOM.
Do not use the anaesthetic room as a corridor.
Keep a good distance away from the sterile field unless scrubbed.
DO NOT DIRECTLY SPEAK TO THE OPERATING SURGEON, please ask the scrub nurse to pass on a message.
Do feel free to ask the circulating staff any questions regarding the procedure.
No food or drinks are allowed in theatre
Please speak up if you have any concerns about staff or patient safety.
Operating theatre attire must be always be worn, this includes no outdoor clothes or footwear.

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Theatre Etiquette Tips Continued

No jewellery should be worn in theatre (plain wedding band is acceptable)
Please be silent during the WHO CHECKLIST sign in and sign out.
Patients should not be left unattended at any time if you see a patient unattended please wait with the patient until the practitioner arrives.
If you have any problems, please see either your line manager or matrons.

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Divisional Information

Surgical Specialities Divisonal Information
Divisional Director : Mr Matthew Morris……
Clinical Lead Anaesthetics & Critical Care: ……Dr Nick Spittle
General Manager……Zoe Notley
Divisional Head of Nursing……Andrea Staley
Theatre Manager: ………Steven Jones
Theatre Matrons: ……Donna Botham & Hannah Blunden
Line Manager: ……………………….…………...
Mentor: …………………………….……………
Essential Training, Reviews & Appraisal
All new staff will have a 1 month, 3 month and 6 month review.
Appraisals take place annually in the appraisal season which runs Jan to March.
All new staff and existing staff have to attend essential training and
E– learning online packages.
Staff also will have access to the Aspire Learning System where they are able to keep track of their own learning, and complete online learning programmes.

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Health and Wellbeing

There is a policy available on the hospital intranet relating to Health and Attendance at work. Staff will be given a copy on their first day and the policy will be explained to them. All staff need to read the policy to become familiar with this and know what to do in which to report sickness.
If staff are off sick they need to report this to the department co-ordinator by bleeping 016, as soon as possible. This can be done by ringing switchboard 01246 277271 and asking them to bleep 016.
If you are happy to inform them of the details of your illness then this should be provided and the next contact date when you will call again or your date of return.
There are two Health and Well being representatives in the department. These are Kathryn Caudle and Dave Humphreys. There is also a notice board located in the coffee room, displaying information related to staff health and well being.
There is a Employee Assistance Scheme called Confidential Care and you should have received contact details for them at Corporate Induction.
This is a confidential service that can help staff overcome any problems or issues that are impacting on their work.

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General Information
nd Wellbeing

Bleep System (in hospital)
- Dial 85 and listen for a recorded message. Then enter bleep number of the person you require and the extension number is dialled
Listen for the recorded message to say replace the handset when your request has been accepted
- For Cardiac arrest or Emergency Dial 2222
- State type of Emergency - Cardiac arrest and location, or Security Alert
For Emergencies in Theatres, use the intercom and dial 84M, speak clearly who and where the emergency is. This is a one way communication system and replies will not be given.
For fire Dial 2000
Instrument Tray Colour Coding
Orthopaedics & Trauma—Red Lid
General—Black Lid
Maxillofacial (Max Fax) - Green Lid
ENT—Blue Lid
Ophthalmics—Grey Lid
Urology—Black Lid
Gynaecology – Yellow Lid

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General Information

Everyone must change into theatre scrub suits on arrival. Clean scrub suits must be worn each day. Theatre scrub suits must not be worn outside the Operating Department .Nail varnish and false nails must be removed and only a minimum of jewellery (wedding rings and 1 pair of stud earrings) may be worn. All staff will be ‘bare below the elbows’ in accordance with the Trust Policy.(HRP20 STAFF APPEARANCE AND STANDARDS POLICY 2015 )
All policies are available on the intranet, which staff should familiarise themselves with them.
Policies that relate to the operating theatres include:
CP2.12: Receiving & Identifying patients for operative procedures in the theatre department
CR Care 013: Policy for cleaning of theatres
CR Care 006: The collection of blood from blood bank and delivery to theatre satellite fridges
CR Care 012: Scrubbing, gowning and gloving
CR Care 011: Checking of swabs, packs, needles, blades and instruments
ICP 1.5 Contamination with blood or bodily fluids following sharps injury or other significant exposure

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Contacts

Chesterfield Royal NHS Foundation Trust Hospital,
Calow,
Chesterfield,
North East Derbyshire
S44 5BL
Tel No: 01246 277271
Theatres : Ext: 2291

Theatre Reception: Ext 2291
Theatre Coordinator: Ext 3089 or 3090/ Bleep 016
IT Department: Ext 2646
Pay services: Ext 3069
Library: Ext 3035
Occupational Health: Ext 2188
Security: Ext 3634
X-Ray: Ext 2050
Decontamination Unit: Ext 6869
Theatre Admissions Unit: Ext 2362
Holywell Ward: Ext 2383/4

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Common Prefixes

Ab– away from ( any motion that moves a structure away from the centre of the body)
Ad– towards ( any motion that moves a structure towards the centre of the body)
Angio- related to the arteries
Arthr/o - related to the joint
Brady - Slow
Cardio– the heart
Colo– the colon
Cyst- the bladder
Gastro– the stomach
Hyster- relating to the uterus
Hemi– only half or partial removal (for example right hemicolectomy is the removal of the right side of the colon)
Haem– related to the blood
Ileo- the ileum
Nephro- relating the kidney
Rhino- relating to the nose
Oculo– relating to the eye
Osteo– relating to the bone
Salpingo– relating to the fallopian tube
Tachy- rapid

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Common Suffixes

- Ectomy– surgical removal of (for example appendectomy is the removal of the appendix, tonsillectomy is the surgical removal of the tonsils)
- Ostomy—to create an opening surgically (for example a colostomy involves bringing one end of the colon out through a opening that has been created in the abdominal wall. .
-Otomy – to cut into (for example osteotomy involves making a surgical opening within the bone).
-Plasty - modify or reshape (for example Arthroplasty is the surgical reconstruction or replacement of a joint)
-Oscopy viewing of (for example a gatroscopy is viewing/ looking at the oesphogus, stomach and the small intestine , arthroscopy is viewing the joint)

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Common Surgical Positions

Supine– patient lies on their back
Prone– patient lies on their stomach
Lithotomy– patient lies supine with their legs raised and secured
Trendelenburg– patient lies supine. The operating table is then tilted so the patient is head down, and their feet are higher than their head.
Reverse Trendelenburg– patient lies supine. The operating table is then tilted the opposite way so their head is higher than their feet.
Lateral— patients lies on either their left or right side

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Infection Control and Hand Hygiene

One of the most effective ways to reduce the spread of infection is to wash your hands. All staff are expected to maintain high standards of hand hygiene, in which to reduce the spread of infection. In 2007 the World Health Organisation published guidance on when health care workers should undertake hand hygiene procedures. These guidelines recommend that staff clean their hands :
Before patient contact
Before an aseptic task
After body fluid exposure risk
After patient contact
After contact with patient surroundings
The link below can be used if you require any more information.
http://www.who.int/gpsc/5may/background/5moments/en/

Booklet compiled by Nicolette Truswell, Tracey Clifford, Steve Hunt & Leanne Stevens
Last update: December 2022