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Chapter 39 - Extended and Advanced Roles in Perioperative Practice

Published online by Cambridge University Press:  18 August 2022

By
Sally Stuart
Edited by
Daniel Rodger ,
Kevin Henshaw ,
Paul Rawling  and
Scott Miller
Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
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Summary

This chapter explores some of the new roles that have been introduced into perioperative care over the last couple of decades. These are the surgical first assistant, surgical care practitioner, and anaesthetic associate. It highlights the history, educational pathways, role boundaries, scope of practice, and the professional and legal implications of each of the extended or advanced roles.

Keywords

SurgeryAdvanced practiceRole extensionSurgical first assistantAnaesthesia associateSurgical care practitionerPerioperativeAnaesthesiaRole boundaries
Type
Chapter
Information
Fundamentals of Operating Department Practice , pp. 443 - 451
Publisher: Cambridge University Press
Print publication year: 2022

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References

National Association of Theatre Nurses. The Role of the Nurse as First Assistant in the Operating Department. Harrogate: National Association of Theatre Nurses, 1993.Google Scholar
Perioperative Care Collaborative. The provision of the non-medical perioperative practitioner working as first assistant to the surgeon. Available from: www.aodp.org/Files/PCCFirstAssistant_submenu_200.pdf.Google Scholar
Department of Health. The NHS Plan: A Plan for Investment, a Plan for Reform. London: Her Majesty’s Stationery Office, 2000.Google Scholar
National Health Service Employers. Working Time Directive: Frequently Asked Questions for Trust Implementation Teams. London: NHS Employers, 2009.Google Scholar
Perioperative Care Collaborative. Surgical First Assistant: Position Statement. London: Perioperative Care Collaborative, 2018.Google Scholar
Fisher, M. G.. Considerations of the dual role. Journal of Perioperative Practice 2015; 25: 153–154.Google ScholarPubMed
Perioperative Care Collaborative. Surgical First Assistant: Position Statement. London, Perioperative Care Collaborative, 2012.Google Scholar
Royal College of Surgeons. Position Statement: Surgical Assistants. London: Royal College of Surgeons, 2011.Google Scholar
Health and Safety Executive. The health and safety toolbox: how to control risks at work. Available from: www.hse.gov.uk/pubns/priced/hsg268.pdf.Google Scholar
Health and Care Professions Council. Standards of Conduct, Performance and Ethics. London: Health and Care Professions Council, 2016.Google Scholar
Nursing and Midwifery Council. The Code. London: Nursing and Midwifery Council, 2015.Google Scholar
National Association of Theatre Nurses. The Role of the Nurse as Surgeon’s Assistant in the Operating Department. Harrogate: National Association of Theatre Nurses, 1994.Google Scholar
Royal College of Surgeons of England. The Curriculum Framework for the Surgical Care Practitioner. London: Royal College of Surgeons, 2014.Google Scholar
Thatcher, J.. Assistants in surgical practice: what’s in a name? British Journal of Perioperative Nursing 2003; 5: 210–213.Google Scholar
Department of Health. The Curriculum Framework for the Surgical Care Practitioner. London: Her Majesty’s Stationery Office, 2006.Google Scholar
General Medical Council. Good Medical Practice. London: General Medical Council, 2013.Google Scholar
Moorthy, R., Grainger, J., Scott, A., et al. Surgical care practitioner: a confusing and misleading title. Annals of the Royal College of Surgeons of England 2006; 88: 98–100.Google Scholar
Ballweg, R., Sullivan, E., Brown, D., and Vetrosky, D.. Physician Assistant: A Guide to Clinical Practice. Philadelphia, PA: Elsevier, 2013.Google Scholar
Scholfield, D.. How will the introduction of surgical care practitioners affect future surgical training and practice? Surgery 2016; 34: 484–486.Google Scholar
Jones, A., Arshad, H., and Nolan, J.. Surgical care practitioner practice: one team’s journey explored. Journal of Perioperative Practice 2012; 22: 19–23.Google Scholar
Hall, S., Quick, J., and Hall, A. W.. The perfect surgical assistant: calm, confident, competent and courageous. Journal of Perioperative Practice 2016; 26: 201–204.CrossRefGoogle ScholarPubMed
Nicholas, M.. The surgical care practitioner: a critical analysis. Journal of Perioperative Practice 2010; 20: 94–99.CrossRefGoogle ScholarPubMed
Campaner, G. R. M.. The presence of a surgical care practitioner in the perioperative team is of benefit to the patient and the consultant-led extended team. Journal of Perioperative Practice 2019; 29: 81–86.CrossRefGoogle Scholar
Royal College of Anaesthetists. The Role of Non-Medical Staff in the Delivery of Anaesthesia Services. London: Royal College of Anaesthetists, 2002.Google Scholar
Royal College of Anaesthetists. Anaesthetic Associates (AAs) information for patients. Available from: www.anaesthesiaassociates.org/wp-content/uploads/2019/12/AnaesAssociate-patientinfo2019web.pdf.Google Scholar
Gwinnutt, M. and Gwinnutt, C. L.. Clinical Anaesthesia, 5th ed. Chichester: Wiley Blackwell, 2017.Google Scholar
University of Birmingham. Anaesthesia Associate Post Graduate Diploma. Course details. Available from: www.birmingham.ac.uk/postgraduate/courses/taught/med/physicians-assistant-anaesthesia.aspx (accessed 3 May 2020).Google Scholar
Bampoe, S.. Physicians’ assistants in anaesthesia: colleagues or competitors? British Journal of Hospital Medicine 2015; 76: 610.Google Scholar
Dulisse, B. and Cromwell, J.. No harm found when nurse anesthetists work without supervision by physicians. Health Affairs (Millwood) 2010; 29: 1469–1475Google Scholar
Department of Health and Social Care. The Regulation of Medical Associate Professionals in the UK: Consultation Response. London: Her Majesty’s Stationery Office, 2019.Google Scholar
Health Education England. Working Towards a Common Education and Training Programme to Support a Route to Statutory Regulation for Physicians’ Assistants (Anaesthesia), Physician Associates, and Surgical Care Practitioners in England. London: Health Education England, 2014.Google Scholar
General Medical Council. Dates are changing but our commitment to PAs and AAs remains. Available from: www.gmc-uk.org/news/news-archive/dates-are-changing-but-our-commitment-to-pas-and-aas-remains.Google Scholar
General Medical Council. Bringing physician associates and anaesthesia associates into regulation. Available from: www.gmc-uk.org/pa-and-aa-regulation-hub/map-regulation (accessed 16 December 2020).Google Scholar

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