Operating Department Practitioners

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Operating department practitioners (ODPs) are a type of health care provider involved with the overall planning and delivery of a patient's perioperative care. They are known as the managers to a safe and secure operation. They are mainly employed in surgical operating departments but can be found in other clinical areas including Accident & Emergency (A&E), Intensive Care Units (ICU), and Ambulance Service. The title of "Operating Department Practitioner" is a protected title in the United Kingdom and the profession has been regulated since 2004 by the UK's Health and Care Professions Council (HCPC).[1] ODPs work as a member of a multi-disciplinary team that includes doctors, nurses and support workers.

In the United Kingdom, the professional body of the ODPs is the Health and Care Professions Council (HCPC).[2]

Previously, the College of Operating Department Practitioners (CODP),[3] previously known as the Association of Operating Department Practitioners (AODP) were the registering body, but since April 2014 have become part of the UNISON union.

The Association for Perioperative Practice[4] (AfPP), formerly the National Association of Theatre Nurses, is an organisation that offers membership and services to any person whether a Doctor, Nurse, ODP or Health Care Assistant (HCA).

ODPs provide care and support for patients undergoing surgery during the three main perioperative stages:

Anaesthetic stage[edit]

During this stage of a patient's care, ODPs prepare the drugs and equipment needed for the patient to undergo anaesthesia. This involves preparing and checking ventilation equipment, anaesthetic machines, intravenous drugs / fluids, devices to facilitate breathing (laryngeal mask airways, endotracheal tubes,...). ODPs must also be able to assist Anaesthetists during emergency situations.[5] ODPs also conduct pre-surgery check lists, to ensure that the right patient is receiving the right treatment, and has given informed consent. These last "barrier" checks can sometimes discover important information that no-one else has picked up on, such as allergies and fasting status for example. They assist the anaesthetist with the planned anaesthetic. They stay with the patient throughout their surgical intervention and alongside the anaesthetist help to maintain the "triad of anaesthesia" which consists of:

  • Analgesia (pain control — opioid and non-opioid analgesics etc.)
  • Muscle Relaxation (to minimise patient movement during surgery and/or facilitate ventilation)
  • Hypnosis(drug induced sleep)

In some hospitals ODPs are members of "in-hospital" cardiac arrest teams, they work closely with anaesthetists to maintain the patient's airway. They also attend "trauma calls" normally in the hospital's resuscitation area where they can deal with anything from babies with respiratory difficulties to major road traffic accident victims with polytrauma.

In some NHS Trusts, ODPs are also an important resource used during emergency inter-hospital transfers, mainly to Neurosurgical hospitals, decompression chambers and intensive care units. ODPs prepare and facilitate transfers arranging drugs, equipment, emergency airway apparatus. The anaesthetist, ODP and two paramedics usually make up the transfer team.

Surgical stage[edit]

The ODP's job during the preparation stage involves the ODP scrubbing his or her hands up to the elbow to prepare for the surgery; wearing a sterile gown and gloves; getting all the sterile instruments and equipment ready to be used for the operation; and working with the surgeon, passing the instruments within the sterile area.

Specially trained ODPs can also be the first assistant to the Surgeon. Swabs and instruments are all accounted for by the ODP to check that nothing has been left inside the patient.

The ODP may sometimes work in the circulating role during the surgical stage of a patient's care. In the circulating role, the ODP will give extra materials to the sterilised person, help position the patient on the operating table and plan ahead to supply what the surgical team may need during that case. They may also set up extra equipment needed, and act as a link between the scrub team and the rest of the hospital.

Recovery stage[edit]

When the operation has finished, the patient is taken to the recovery unit where the ODP will check the patient, providing airway management if needed and monitoring the patient's physiological signs. The ODP will then give treatment such as the administration of prescribed drugs or other procedures, allowing the patient to fully recover from the effects of anaesthesia. The ODP will also check if the patient needs help from a physician or can be safely discharged to the ward.

Training[edit]

There are 28 universities in the UK that offer a Diploma in Higher Education qualification in Operating Department Practice. It is usually a two year full-time course with some universities offering part-time courses. The course is a balance of theory and practice, with the professional body requirement that students achieve a minimum of 3000 hours. A degree programme in the subject is currently being considered by the professional body with a view to this becoming the minimum level qualification to gain entry to the register by 2012/2013. The first BSc (Hons) in Operating Department Practice leading to eligibility to apply for registration was validated by Canterbury Christ Church University with the first intake of students in September 2009. There is potential to continue education & development after finishing this initial professional qualification. Students may decide to specialise more in the Anaesthetic phase and following further training become an Anaesthetic Care Practitioner or also known as Physicians Assistant Anaesthetics by the Royal College of Anaesthetists. Alternatively it is possible to specialise in Surgery and following further training become a Surgical Care Practitioner. These add on courses are available in a variety of full & part-time formats, depending on the university. Following the disbanding of the English National Board (ENB) there is no nationally recognised qualification for nurses working in theatres although many universities offer the option of post registration Studies for Nurses wishing to specialise and pursue a career in the operating department. Many of these courses are benchmarked against competencies required by the ODP award which helps to ensure parity and that both groups of health care professionals are working to the same nationally recognised standards.

See also[edit]

References[edit]

  1. ^ "Health Professions Council - Operating department practitioners". Hpc-uk.org. Retrieved 2014-08-08. 
  2. ^ "Health and Care Professions Council". Hcpc-uk.org.uk. Retrieved 2014-08-08. 
  3. ^ "College of Operating Department Practitioners". Codp.org.uk. Retrieved 2014-08-08. 
  4. ^ "afpp.org.uk". afpp.org.uk. Retrieved 2014-08-08. 
  5. ^ "Anaesthetic Emergencies". Odpskills.co.uk. Retrieved 2014-08-08. 

External links[edit]