IFPN Member Country Editorials

ACORN WINTER 2018 JOURNAL President's message
Posted: Thu, Jul 5th 2018 at 01:34:37
Sarah Bird 2016–2018  President’s report
As outgoing president, I would like to say a huge and grateful thank you to the tremendous hard-working volunteer directors who in the past 18 months have worked so hard to achieve so much. It has been a privilege to work with you all. I know many are staying on to continue their contributions to the College and I know that this new work will continue at a high standard. Many thanks to the staff at ACORN for their support behind the scenes. They pick up new requests and project concepts from the board and assist us to ensure that the ideas happen. Under the hard-working dynamic guidance of Wendy Rowland, our Executive Officer, we have achieved many new services for our members in the past 18 months. I personally thank Wendy for her professionalism and hard work while I have been president. I would also like to thank the members who continue to be active in their local associations, who continue to want to learn and ensure we uphold safe clinical practices to provide all our patients with the best surgical outcome. I am leaving the ACORN board to take on the role of secretary of the International Federation of Perioperative Nurses (IFPN), an organisation who has had and continues to have close ties with ACORN. I leave you with the words of Nelson Mandela – ‘It always seems impossible until it’s done’.
REBECCA EAST 2018–2020  President’s report
What an honour it is to be writing my first president’s report. I cannot begin to share how grateful I am to be elected by my colleagues to represent our members. The college has seen some influential presidents serve and continue to lead in the perioperative arena. I wish to congratulate Sarah Bird on a very well-served term and wish her all the best with her next opportunity as International Federation of Perioperative Nurses (IFPN) secretary. Sarah will continue to do great work for our specialty. I am very lucky to be serving with a number of 2016–2018 directors who have remained on the board for the 2018–2020 term and I’m delighted to have the new directors join us. The incoming board are very keen to continue the great work of the 2016–2018 board and with the continuity provided by the directors who are serving an additional term I feel we have a good start to our two-year term. Each director brings their own individual qualities that will provide the college with some great leadership. What we all have in common, however, is a commitment to serving the members and representing our country well. In the words of John Quincy Adams: ‘If your actions inspire others to dream more, learn more, do more and become more, you are a leader’. My dream is that at the end of our 2018–2020 term, the Board of Directors and I will have lead our college well and inspired ACORN members to dream more, learn more, do more and become more.
AFPP February President Meassage
Posted: Sat, Jun 23rd 2018 at 17:26:37

The theatre ‘cockpit’ – lessons from aviation
Adrian Jones (left) and John Nolan

The successful performance of surgery requires the completion of a series of complex tasks by highly motivated individuals, operating as part of a cohesive team.
The same is true of the flight cockpit, with which parallels have increasingly been drawn, but transposing and utilising the vast experience that aviation can offer us requires a genuine understanding of the processes used and not simply a superficial adherence to box-ticking exercises and checklists.
As with flight, the surgical perioperative period can be divided into three phases consisting of the preparation, the operative procedure and the closure; corresponding with aviation's preflight checks and take-off, the flight phase itself and the preparation for, and completion of, the landing.
The 'pre-flight' phase for surgery should be carried out formally and without distraction as it offers a real opportunity to identify potential problems and avoid major error. The tone is set for the whole procedure and the various roles of all team members are defined. Any possible 'bad weather' and its potential effects are clarified and contingency arrangements can be confirmed.
Implementing the principles of 'crew resource management' at this stage empowers otherwise quiet individuals to speak up and voice anyconcerns that they may have, at any stage during the procedure.
Checklists can usefully be individualised by teams who understand the surgery being undertaken (making them 'aircraft specific') and they should be relevant and concise. Their primary role is to protect the patient (rather than the hospital) from harm and its consequences. They should represent the switching on of a heightened level of observation and awareness of all members of the team, a state which should then continue until the procedure has been completed.
Throughout the surgery, there are opportunities for staff to interrogatesystemsandprocessesthatappeartobefunctioning satisfactorily. We do this when we drive by checking our petrol gauge, rather than allowing the tank to run dry. Planes and our carsareservicedregularlywithpartsbeingrepairedorreplaced before being allowed to fail, in a way that surgical instruments and equipment often are not. Where possible, longer procedures should offer staff members the opportunity of rest periods so that they are able to remain attentive, focused and engaged whilst within the active operating environment.
In preparation for landing, the sterile flight cockpit is characterised by an intense focus on a small number of clearly defined and important tasks and noise levels are minimised. Air traffic will limit transmissions to avoid distracting pilots and the formal implementation of a similar discipline toward the end of surgery reduces the risk of retained instruments and swabs, and other never events. This is a critical time in the procedure and there should be no tolerance of distracting and potentially disruptive conversation during completion of the 'pre-landing' surgical checklist.
There are of course many differences between the operating theatre and flight cockpit, and the flight crew have an obvious vested interest in avoiding adverse events! For the theatre team, often exposed to complex procedures under increasingly difficult circumstances, it is an opportunity to exercise their true professionalism and nothing less is acceptable.
Norfolk and Norwich University Hospital NHS Foundation Trust
The authors have worked together on a weekly basis, as both colleagues and friends for over 23 years and these thoughts represent a distillation of a series of their more recent conversations.
Wishing you many successful and safe surgical pathways for 2018!
Adrian Jones Surgical Care Practitioner and President AfPP Email: president@afpp.org.uk
John Nolan Orthopaedic Surgeon and Pilot
Find AfPP on Facebook www.facebook.com/safersurgeryuk
EORNA President Message 2017
Posted: Fri, Jun 22nd 2018 at 17:23:42
EORNA Presidentís message
Dear Colleagues

It is a great pleasure and an honor to have this opportunity to send you this message.

First of all, I would like to congratulate the out-going president, Mrs. Caroline Higgins, for her dedication and commitment to the role during her tenure in the post. Caroline served EORNA for two terms and worked hard to promote EORNA and perioperative nursing.
On behalf of the Board of Directors of EORNA I wish her continued success and happiness in her future projects and look forward to her continued contribution to EORNA. Gratitude is also extended to the Irish association INMO, for their contribution and support during her six years in office.

I would like to welcome the new officers:
- Mrs. Jana Wichsova, the new vice president from Czech Republic,
- Mrs. Aina Hauge, the new secretary from Norway
- Mr. Manuel Valente the new treasurer from Portugal

A huge thank you also and my best wishes to:
- Mrs. Merja Fordell, from Finland, the immediate past vice president,
- Mrs. Ahuva Friedman and Mrs. Yael Edry, from Israel, who served for two terms as secretaries
- Mrs. Charmaine Betzema, from The Netherlands, immediate past treasurer

It is a great pleasure for me to work and serve EORNA with you and the new executive officers and to continue keeping contact with immediate past officers who will share with us their rich experience and knowledge.

Dear EORNA Board, Chairs and officers, we shall have much to do together.
Excellent work has already been done. Let us continue developing EORNA and collaborating with other organizations and Industry to enhance perioperative care and patient safety in Europe and beyond. Let us develop educational opportunities for members and share our experience and knowledge.

The EORNA Competency document was launched in Copenhagen, in 2009 and has had very positive feedback. In Rome, during the 7th EORNA Congress, was launched the new book “Position Statements and Guidelines for Perioperative Nursing Practice”, Part 1. I would like to thank all our colleagues who have worked hard to achieve that. We look forward to have the Part 2 of this book published.

As you know, EORNA organizes the European congress for perioperative nursing. From now on, EORNA Congress will be held every two years, instead of every three years. Thanks to your hard work and commitment, the seven past congresses have encountered great success and have contributed considerably to the development of perioperative care and patient safety. They have also greatly facilitated the rich exchange of experience and networking among attendees from over 40 countries.

The 8th EORNA Congress is now being prepared with a new highly motivated team. We wish them every success in their work. Please save the date and join us again in Greece next year, 4 – 7 May 2017. I encourage you to visit EORNA website were detailed information is available. http://eornacongress.eu/

Every 15th of February, we celebrate the European Perioperative Nurses Day. Each year a special theme for the day is chosen by the Board members and it is widely observed, through a variety of initiatives in each country by EORNA members.

EORNA is member of the International Federation of Perioperative Nurses (IFPN) and of the European Specialist Nurses Organizations (ESNO). EORNA developed also a collaborative partnership with some European and world organizations. This collaborative partnership is built on shared visions and goals as quality patient care, patient safety, healthy workplace… Board members receive the newsletter of each organization.

Dear Colleagues, dear friends, I look forward to working with all of you, officers, chairs and Board member in the best interest of your national associations you are representing. Let us have our voice being heard and continue together in our endeavors to develop and provide the best and more secure perioperative care to the patient.

May Karam
EORNA President.
PNC NZ Mission Statement
Posted: Fri, Jun 22nd 2018 at 17:21:37

Mission Statement

The Mission of Perioperative Nurses College (PNC) NZNO is to support and promote the safe and optimal care of all patients undergoing operative and other invasive procedures.

This is achieved by promoting high standards of nursing practice through education and research.

PNC support and adhere to the NZNO standards of nursing practice, principles of the Treaty of Waitangi and the vision and direction provided by the International Federation of Perioperative Nurses.


ACORN Vision and Values
Posted: Fri, Jun 22nd 2018 at 17:18:28

About us

The Australian College of Perioperative Nurses (ACORN) is a registered health promotion charity that serves the patient, the community and the perioperative profession to promote the prevention and control of disease.


Our vision

ACORN’s vision is for Australian patients to receive the safest, highest quality perioperative care in the world.

ACORN works to achieve this vision by:

  1. publishing evidence-based ‘best practice’ standards for perioperative services reviewing these standards regularly
  2. advising other organisations and industry stakeholders about perioperative policy, procedures and practice to help advance the health and welfare of the community
  3. encouraging research into perioperative nursing to increase knowledge and learning in the perioperative nursing field and improve patient care
  4. promoting educational opportunities for perioperative nurses
  5. holding biennial national conferences to promote best practice and discuss and address current challenges in perioperative nursing practice.

Our values

ACORN’s work is underpinned by our values.

We achieve results through inclusion and collaboration with our volunteers and partners and as we work toward shared goals.

We provide services of a high quality and fulfill our members’ expectations with integrity and credibility.

We work with our state-based associations in partnerships based on openness, honesty and respect.

We communicate effectively and are professional, ethical and transparent.

We ensure that our services remain contemporary, creative, responsive and effective.

AORN Mission Statement
Posted: Fri, Jun 22nd 2018 at 17:16:09

This is What We Believe In


Our mission is to promote safety and optimal outcomes for patients undergoing operative and other invasive procedures by providing practice support and professional development opportunities to perioperative nurses. AORN will collaborate with professional and regulatory organizations, industry leaders, and other health care partners who support the mission.


AORN will be the indispensable resource for evidence-based practice and education that establishes the standards of excellence in the delivery of perioperative nursing care.


COMMUNICATION: Open, Honest, Respectful
INNOVATION: Creative, Risk Taking, Leading Edge
QUALITY: Reliable, Timely, Accountable
COLLABORATION: Teamwork, Inclusion, Diversity
ORNAC 2017 Perioperative Nurses Week message
Posted: Fri, Jun 22nd 2018 at 17:13:37
ovember 6-10, 2017


Advocacy: To act on behalf of another person, speaking for persons who cannot speak for themselves, or intervening to ensure views are heard. ~ Ecker, M. & Bouchal, S., 2010, p. 92-93

On behalf of the board, ORNAC acknowledges and honours the work of Perioperative Registered Nurses across Canada during the week of November 6th - 10th 2017, Perioperative Nurses week.

How are we the voices of our patients? It is through our role as patient advocates that we become the voice of our patients. This advocacy role is exemplified when we uphold and practice according to the ORNAC Standards, Guidelines and Position Statements for Perioperative Registered Nurses.

It is in the performance of excellence at work that we truly advocate for our patients. Protecting, comforting, caring and communicating through:

  • giving the patient undivided attention;
  • establishing a trusting relationship;
  • verifying patient information and medical history in medical records;
  • ensuring informed consent has been obtained before the surgical procedure begins;
  • positioning patients correctly
  • protecting patients from harm through evidence based care practices
  • respecting patients wishes
  • maintaining patients dignity, privacy and confidentiality
  • giving direction to family regarding waiting rooms and keeping them notified of patient status (OR procedure electronic boards);
  • Conveying information to perioperative team members during the Safe Surgery checklist;
  • being present both mentally and physically;
  • ensuring the correct set up in the operating room theatre and correct equipment is available and ready;
  • maintaining the sterile field

ORNAC’s mission, vision and core values support patient advocacy through promotion and advancement of excellence in the provision of safe perioperative care for patients and being the leader in perioperative practice & patient safety.

Happy Perioperative Nurses Week!

Barbara Mushayandebvu RN CPN(C)
President, ORNAC

April 2018 President Elect Interview
Posted: Fri, Jun 22nd 2018 at 17:05:15

Patient safety in the perioperative environment: An interview with Mona Guckian Fisher


With thehttp://www.wfsablog.org/patient-safety-in-the-perioperative-environment-an-interview-with-mona-guckian-fisher SAFE-T Summit fast approaching, the WFSA are interviewing some of our speakers as part of our SAFE-T Summit blog series to learn more about their contributions to global surgery and anaesthesia safety.

FOAN Ghana visit 2018
Posted: Fri, Jun 22nd 2018 at 17:02:18
Ghana 2018
On January 13th 2018 Kate Woodhead and Diane Gilmour, accompanied by Mary Knight (FoAN Canada) flew to Accra for a week, to provide an update to nurses in Ghana on patient safety and risk management across differing specialities and on different sites. 
We were hosted by the Medical and Surgical Skills Institute (MSSI) on the main hospital Korle -Bu site in Accra- and use their modern purpose built facilities. 
Our goal was to deliver two x two days courses focussing on more general aspects of patient safety followed by the final day specialising on perioperative patient safety and in total 163 nurses benefited from the education which was provided. 
The patient safety and risk management programme focussed not only on clinical aspects (patient identification, medication errors, falls, HAIs, safe surgery) but also covered communication, teamwork, documentation, accountability, principles of human factors, stress and fatigue.  
The first course was based at MSSI and attended by 54 nurses from all aspects and grades of nursing.  The delegate evaluations of the 2 days reflect that overall they enjoyed the mix of clinical and theoretical aspects; they found the programme well organised and planned; with relevance to their own practice. In fact throughout the evaluations positive feedback on all of the sessions was noted by one person or another.  Not only did they comment on the content many praised us as facilitators, how we had worked well as a team, and how we interacted with each other throughout the sessions. What will they do differently as a result- many acknowledged that they needed to put the theory into practice now but that they had gained the knowledge to do this through this course.  
“The topics were well presented and have given me more knowledge to impact as a manager”  
“I will assess the health risk of every client; effective communication among colleagues”
“To motivate my staff who are patient safety conscious and develop a forum to make reporting of such occurrences easier” 
The course was then repeated at Kumasi on the Wednesday and Thursday.  This involved a 30 minute flight for us but a 5-6 hour journey by road for some of the MSSI team who bought the necessary presentation equipment with them. The ride from the airport to the hotel (at night) was a journey through African street life – bustling full of market stalls, people selling their wares, food being cooked – a sight to wonder at.   
The course at Kumasi was held in the local hospital where in the middle of the grounds is a museum displaying African artefacts of the local people and a “Sword in stone” with details of the legend behind it. Interesting to hear of the culture and history of the local area.  
Again different backgrounds and grades of nurse attended- this time just 13 in number- but a few had travelled some distance to be there.  Although a smaller group who interacted well with each other and contributed within the groups, the evaluations reflected similar themes. 
 And then back to Accra. On the Friday our final day we were to deliver a perioperative safety programme. On the Monday, earlier in the week we, as were MSSI, were unsure of the numbers coming so were very surprised, but delighted, to have 96 delegates turn up for the day. 
The day focussed on updating delegates on the surgical checklist, latest on surgical site infection, human factors, decontamination, risks, management of normothermia, bullying. We were joined by Joel one of the local Ghanaian Clinical Ambassadors who presented on surgical smoke.  Whilst this was a large group they interacted, shared experiences and generated much discussion and debate. The evaluations again reflect a well organised, strong educational programme, highlighting patient safety and one which provided the nurses with the skills and knowledge to go back to their areas, supporting them to make a difference.  
 Whilst the programmes had been patient focussed the evaluations and reflections illustrated how the delegate themselves would make a difference in their environment – it was encouraging though that there were a couple about the patient themselves.  
“Empowering patients to speak of anything bothering them”
“Place my patient first”
“Keep my patient safe”
As with many African countries the main hospital structure and building showed signs of extensive wear and tear and in need of repair. During our visit to the operating theatres at Korle- Bu it was interesting, and encouraging, to see that there was evidence of new equipment- such as beds, trollies, patient warming, operating lights and diathermy machines- having been introduced although it is likely that this had been donated by companies.  The surgical site checklist was prominently displayed on the theatre walls. 
Ghana was not all work and we did manage to visit a school and orphanage for the street children in Accra, supporting them with donations for mosquito nets, pens and paper, and then a cultural market.  
Our thanks to Kwame (Director MSSI) and his team for their support not only to the education programme but also to the FoAN team (they were our drivers, our guides and our friends). 
As a team, Mary, Kate and I, reflected on our week, its success, how we had worked as a team and what would we do this differently next time round.  A job well done and on our return we received a note of thanks from Kwame and the chair of the MSSI Board of Directors which I think sums up our week in Ghana
Dear FOAN team,
I want to take this opportunity to express the sincere appreciation of the MSSI Staff for you recently teaming up with MSSI Ghana to train health professionals across the country on " Patient safety and Risk Management" and "update in theatre practices" Courses. We were impressed with the passion with which you taught these courses coupled with your preparedness to travel all the way to Kumasi to replicate these courses for the northern sector as well.
We indeed learnt a lot from your devotion to work. We also still continue to receive feedback from participants as to how much practical the courses were and the fact that they will make a big impact towards the provision of quality healthcare in their facilities.
We want to say a big thank you to the whole team as we look forward to a stronger collaboration in the future. Thank you
Diane Gilmour 
Trustee, Friends of African Nursing, February 2018

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