Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress Parallel Sessions 11 Parallel Session 1: Evaluation of clinical practices in the context of perioperative nursing 198 Could trauma and orthopaedic surgeons in the East of England region use their SCPs better? An assessment of the utilization of this resource DARYL ANTHONY DY TAN1 1Norfolk and Norwich University Hospitals NHS Foundation Trust, Trauma and Orthopaedic Department, Norwich, United Kingdom Background: Surgical Care Practitioners (SCPs), a now established role within the UK extended surgical team, are considered fundamental to addressing the post pandemic waiting list crisis in the National Health Service (NHS). Anecdotal evidence suggests that there are considerable variations in the utilization of the role. This study describes SCPs in trauma and orthopaedics (T&O) in the East of England. Objectives: To investigate the job plans and clinical utilization of SCPs working in Trauma and Orthopaedics in the region. Methods: A quantitative descriptive cross-sectional survey was undertaken. Respondents were recruited through nonprobability purposive sampling. Online self-completion questionnaires were administered, through gatekeepers, over a four-week period. Descriptive statistics was used to analyse the data. Ethical approval was granted by the Faculty Research Ethics Panel of Anglia Ruskin University. Results: A response rate of 87% was achieved. The survey assessed the job plans of T&O SCPs based on the different aspects of the surgical pathway. It revealed considerable variation in practice with some practitioners working in a more advanced capacity while others remain limited in their scope. Of the SCPs involved in supporting outpatient clinics, a majority perform clinical examination (82.4%), patient history taking (70.6%), and request investigations (70.6%). Whereas the more advanced roles of independently formulating diagnoses then instigating treatment and performing minor therapeutic procedures in clinic were limited to a smaller number, 58.8% and 47.1% respectively. Similarly, in theatres, SCPs are primarily utilized as first assistants providing interventional surgical assistance, however, an elite group (10%) undertake minor operations without direct consultant supervision. Conclusion: This research demonstrates the variation in SCP practice. A significant number of practitioners appear to be underutilized. It is hoped that the dissemination of these findings will encourage much greater use of this valuable resource in NHS trusts thus capitalizing on the full benefits of the role. 220 Enhancing Learning Opportunities within the Operating Room with the use of the Scrub Practitioner’s List of Intraoperative Non-Technical Skills Emily Puddicombe1 1Krembil Nursing Awards, Toronto Western Hospital, University Health Network, Operating Room, Toronto, Canada Background: The operating room (OR) is a fast-paced environment that many healthcare workers feel privileged to work in. However, this environment can become overwhelming to novice nurses who have not had the opportunity to immerse themselves in the OR prior to beginning to work in one. As a result of attempting to keep up with the OR pace while absorbing various new skills, novice nurses sometimes find it difficult to determine what skills to focus on. In fact, it is not uncommon for novice nurses to devote more attention to technical skills, such as instrument passing, and forget about the equally important non-technical skills, such as communication. Objectives: After identifying this learning gap, we decided to trial the use of a tool developed by nurses, surgeons, anesthesiologists, and psychologists called the Scrub Practitioners List of Non-Technical Skills (SPLINTS), to help novice nurses identify how to improve non-technical skills within the OR. We trialed this tool on preceptees and their preceptors to assess whether it would be useful for preceptees to improve their learning and subsequent practice. We combined this with trialing debrief time outside of the OR between preceptors and preceptees. We provided preceptees and their preceptors with entry and exit surveys to assess the efficacy of the SPLINTS tool and debrief time. Main Findings: Our results demonstrated that preceptees and preceptors found this tool and debrief time useful in improving their non-technical skills within the OR. Furthermore, preceptors found this tool and debrief time enhanced
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