Journal of perioperative practice
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Biography Historical Article
Reflections on a perioperative career: 1970-2008.
This paper is a personal journey through nurse training and perioperative practice. Nurse education is also explored alongside some of the social, academic and political changes that have influenced healthcare in the United Kingdom between 1966 and 2008. The views expressed are those of the author only, and the anecdotal descriptions are anonymous.
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This cross sectional study examines the rate of catheterisation of patients after elective primary hip and knee arthroplasty in an English district general hospital. 50 patients were included in this study, with 19 (37%) being catheterised pre-operatively. Of the remainder, 10 went into retention and had to be catheterised, while the other 21 were managed without a catheter. There was a trend towards more patients requiring catheterisation after axial anaesthetic (42%) compared to non-axial anaesthetic (21%), although this was not significant. We examine the rationale for catheterisation in hip and knee arthroplasty and review the available literature.
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In December 2008 the Department of Health released the new operating framework for 2009/10 (DH 2008a). The framework highlights key principles around the provision of care for patients in the NHS and prime among these are the emphasis placed on leadership and quality. The theme throughout is that patient experience is the key indicator of success for the NHS.