Professional Issues in Perioperative Practice

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Module title: Professional Issues in Perioperative Practice Essay Title: To critically analyse the advances to the practitioners scope of practice and evaluate the influences and responsibilities with reference to legal, ethical and professional accountability Word count: 4,508 As part of the Government's proposed reforms to the National Health Service (NHS), the Department of Health (DoH) has instructed the NHS to make savings of £15-20 billion by 2014. This is in conjunction with the introduction of the European Working Time directive for junior doctors that has reduced the number of hours that a junior doctor can work (DOH, 2009). This change has created a shortage of medical practitioners who are available to assist surgeons in the operating theatre, ward rounds and clinics (Thatcher, 2002) In recent years, the Department of Health and NHS publications have suggested that the key factor in transforming and achieving reform in the NHS is the awareness, recognition and development of potential skills that exist within the workplace. Specifically, the NHS Plan (DH 2000) has resulted in some perioperative practitioners being given the opportunity to take on an extended range of clinical tasks such as ordering diagnostics, making and receiving referrals, admitting and discharging patients, requesting tests and investigations, and prescribing drugs and running clinics. With the introduction of the European Working Time directive combined with the NHS Plan for Reform, a new extended role for the non-medical care provider in the theatre setting has been created. This role overlaps with the theatre practitioner role, and that of a junior doctor. Due to these changes, the theatre practitioner role has changed from the well-established traditional organisational structures and practice, to one of expanded levels of autonomy, skill and decision-making. In

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