Post on 28-May-2022
Hospital Authority Convention 2014
Service Priorities & Programmes 7 –
Committed and Happy Staff
Project Presentation
Operating Theatre
Tuen Mun Hospital
The WISDOM Programme
Present by:
WAI, Hoi Ka Jessica
RN, Specialty Nurse (Perioperative Nursing)
WISDOM Stands for …
eb-based
nformative
elf-directed
aily operation
n-going
astery
Why … ?
• >20 new staff every year
Why … ? • Various preference books but lack of
standard teaching materials for preceptors
to follow
• A new trend to use e-learning
– Job-oriented
– Flexible
Literature Search
• Advantages of web-based learning:
– flexibility in time management
– control of self-pace and self-direction
– access to different types of information
– availability and accessibility of learning
opportunities help attract and retain nurses
- Dumchin, M. (2010). Redefining the future of perioperative nursing
education: A conceptual framework. AORN, 92(1), 87-100
- Sweeney, P. (2010). The effects of information technology on
perioperative nursing. AORN, 92(5), 528-543
Aims
• To provide web-based materials for new
staff to master daily operations
• To provide a platform for senior staff to
refresh and obtain updated guidelines on
daily operations
Specific Topics Selection
• Guidelines on daily operation
Specific Topics Selection
• 27/1/2011 – 17/11/2011:
– 2339 emergency operations in TMH
Specific Topics Selection
• Focus on surgical procedures
Specific Topics Selection
• Focus on surgical procedures
Promotional Materials
Prizes
Available!
Promotional Materials
Setting up of a Facebook Group
Promotion via Facebook Group
Promotion via Facebook Group
Enthusiastic Participation
Let’s Go Through One!
Laparoscopic Appendectomy
Indications
• Acute appendicitis
• ? Acute appendicitis
• Ruptured appendicitis
Most appendicitis can be treated laparoscopically, its advantages include:
Less Post-operative pain
Faster recovery
Shorter hospital stay
Less post-operative complications
Minimally sized incisions/ scars
Theatre Setting
• Floor plan
A
N
Diathermy
Sucker
S
Irrigation
Surgical TV system for Emergency Cases (Keep in OT5 Corridor)
Consumable Preparation
• Universal Pack
• Short Raytec Gauze
• Abdominal Swab
• Camera Cover
• Blade 15
• PDS 1 (W9370) OR Polysorb 2-0 5/8 needle (UL-878)
• Antifog Agent & 2.5ml Syringe
Instruments
• Abdominal Minor Set
• Laparoscopic Basic Set
• 10mm Lens with FOB (30° or 0° Lens according to surgeon’s preference)
• Camera head
• (matching the model with the camera console)
Trolley Setting
Scrub Nurse
OT Table
Working Trolley Setting
Instrument for Hasson Trocar Insertion
5mm & 10mm Ports
Lens, FOB & Silicone tubing w/ luer lock
Key Steps of the Procedure • Connect diathermy (foot control)
• Lay the instrument for Hasson Trocar insertion for the surgeon
• Connect camera, FOB and insufflator
Key Steps of the Procedure
• An Endo Babcock and an Endo Grasper are used in exposing the appendix
Key Steps of the Procedure
• A Maryland forceps is used to create a mesenteric window under the base of the appendix
• The mesoappendix is divided with a right angle hook diathermy
Key Steps of the Procedure
• An Endo-Metzenbaum is used to divide the appendix between the second and third loop
Special Notes
• The appendix is usually inspected by the surgeon after wound closure and sent for section
• IF consent for recording has been obtained
• The DVD recording is stopped and the disc must be finalised (Refer to the Guidelines kept with each TV system)
Congratulations! You have finished reading the content of this
topic and you may proceed to the quiz.
WISDOM Quiz
WISDOM stars for each month
Programme Evaluation
A total of 35 evaluation forms was collected
Evaluation
Evaluation
Evaluation
Follow up…
…The Continuation of WISDOM
and…
…The Advanced WISDOM
…The Advanced WISDOM
Thank You