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You are a second year Operating Department Practitioner (ODP) Student, you arriv
You are a second year Operating Department Practitioner (ODP) Student, you arrive at 0730 and your allocated theatre list is scheduled to start at 0800; Your supervisor Dawn an ODP arrives at 0805 with a coffee in hand, looking a little worse for wear and regaling about the great night out she had, but what a hangover! You can smell alcohol as Dawn is speaking to you. She stated she almost rang in sick but can’t afford any more time off sick or she’ll be in a meeting with HR. She states she had to stop off for a coffee to make it through the day and drive to work as quickly as possible, but the car park queue was awful and it took 20 minutes to get in. Your list is in the orthopaedic speciality, and you are on a surgical placement; The first case on the list is an internal fixation of a fractured left tibia, that requires a plate and screws. The team conducts a team brief later than required due to Dawn’s lateness, the team leader doesn’t appear to be very happy with her and makes a passive aggressive joke about this being a regular occurrence. The orthopaedic consultant Mr Marrow states that they have not yet seen their registrar for the day, but they should arrive in time for the first case. The first patient arrives in anaesthetic room, is anaesthetised, and transferred into theatre. The surgeon returns and states they have just been informed the registrar is ill, won’t be coming in today and there is no one else available to assist. As she is not scrubbing for the first case your supervisor ‘Dawn’ offers to assistant the surgeon; although she is not a Surgical First Assistant (SFA) she is an experienced practitioner. Mr Marrow accepts Dawn’s offer of help and they proceed to start the case. The patient, Janet Armstrong is a 45-year-old female, she is an accomplished equestrian who won Gold at the London Olympics in dressage. Janet suffered a transverse 3 compound fracture following a fall from her horse whilst out for a mid-morning training session with her favourite horse Deuteronomy. It is quite a complex procedure due to the comminuted nature of the fracture. The consultant asks Dawn to drill the first 2 holes, whilst he holds the jig in position to ensure the correct position, Dawn drills the reamer through the tibia and exits through the skin. You notice Dawn appears a little distracted, probably due to her hangover, and drills a little too quickly. The surgeon is not happy about this but stated that it would probably heal ok with no lasting damage, and there’s no need to distress the patient by telling her about the occurrence. The rest of the procedure continues without incident. Just as the surgeon finishes applying the dressings Dawn de-scrubs and leaves theatre very quickly heading in the direction of the changing room. The team leader in your theatre is really not happy that Dawn has disappeared without word, as the theatre is already running on minimal staffing. Dawn leaves the theatre at further points throughout the operating list, and it is slowing down the day. The team leader has had to speak to the theatre coordinator to find another colleague to support the theatre, she has requested that Dawn not return to her theatre for the remainder of the day. The team leader takes you under her wing and you ‘double scrub’ with them for the next three cases which are shoulder arthroscopies. After the cases the team lead asks to have a private chat with you about Dawn. They state, ‘Dawn is unreliable, lacks judgement, is always late and it’s no surprise that she’s had a drink driving ban recently, as she always appears hungover’ . They suggest you speak to the clinical facilitator about identifying another more appropriate supervisor to support you in your studies. 4 Dawn has been moved to the Post Anaesthetic Care Unit (PACU) by the theatre co- ordinator for the remainder of her shift. When you are handing over your final patient to a recovery practitioner in PACU, you see Dawn sitting on a chair in the bay opposite you. She is talking to a patient who has had a local anaesthetic to remove a Lipoma. She is explaining to the gentleman about the patient who is in the bay next to him, who is HIV positive and has come in for a Prostatectomy; Dawn was explaining about the procedure and the patient listened intently. You ask Dawn if you can spend the remainder of the day in recovery with her as your list is finished; she welcomes you and states that although she feels a little better she has a terrible headache and could do with the help. You are recovering a 70-year-old patient, under your supervisor’s supervision who has early onset dementia and has had a bilateral open inguinal hernia repair, he is in moderate pain and has requested pain relief. He has been prescribed 75mg diclofenac suppositories and is refusing to have the drug administered PR, your supervisor tells the patient that the anaesthetist has written him up and that is what he is having. The patient is shouting at Dawn that he does not want it and is insisting on a different drug for his pain. You pop into theatre and speak to the anaesthetist who writes the patient up for Morphine Sulphate IV, Dawn retrieves the 10mg Morphine ampoule from the CD cabinet, checks it in your presence and asks you to sign as a witness in the CD book. Whilst the CD cabinet is open Dawn helps herself to two Co-Codamol 30/500mg tablets for the headache she just can’t shift. At the end of the shift you go home and reflect on the day’s events to write in your journal. 5 Discuss any ethical, legal and moral issues surrounding rights of the patient, consent, duty of care and candour the Operating Department Practitioner may be faced with pertaining to this patient, and any other issues that may come to light and what potential result may occur. Follow the below instructions and make sure to talk about the case studying liking everything to it. 1. Introduction (Approx. 300 words) – Briefly introduce the fictitious case study. – Outline the purpose and structure of the essay. 2. Ethical Issues in Operating Department Practice (Approx. 800 words) – Discuss ethical considerations such as patient autonomy, beneficence, and justice. – Analyse dilemmas specific to ODP practice using relevant ethical frameworks. – Address confidentiality, consent, and end-of-life care in the context of the case study. 3. Organisational and Management Principles (Approx. 600 words) – Explore managerial responsibilities in ensuring patient safety and quality care. – Discuss the importance of lifelong learning and continual professional development for ODPs. – Highlight professional standards and guidelines that govern ODP practice. 4. Role and Responsibilities of Registered Practitioners (Approx. 700 words) – Evaluate HCPC Standards (Proficiency & Conduct, Performance & Ethics) and their impact on ODPs. – Assess the role of the registered practitioner in ensuring safe and effective care delivery. – Examine the influence of legal and ethical requirements on professional registration. 5. Conclusion (Approx. 300 words) – Summarise key points discussed. – Emphasise the importance of ethical practice, professional standards, and lifelong learning in ODPs’ roles. – Conclude with insights into the legal, ethical, and professional landscape facing ODPs. 6. References – Cite relevant literature, professional guidelines, and legal frameworks. – Ensure adherence to referencing styles as per the assignment guidelines.You are a second year Operating Department Practitioner (ODP) Student, you arrive at 0730 and your allocated theatre list is scheduled to start at 0800; Your supervisor Dawn an ODP arrives at 0805 with a coffee in hand, looking a little worse for wear and regaling about the great night out she had, but what a hangover! You can smell alcohol as Dawn is speaking to you. She stated she almost rang in sick but can’t afford any more time off sick or she’ll be in a meeting with HR. She states she had to stop off for a coffee to make it through the day and drive to work as quickly as possible, but the car park queue was awful and it took 20 minutes to get in. Your list is in the orthopaedic speciality, and you are on a surgical placement; The first case on the list is an internal fixation of a fractured left tibia, that requires a plate and screws. The team conducts a team brief later than required due to Dawn’s lateness, the team leader doesn’t appear to be very happy with her and makes a passive aggressive joke about this being a regular occurrence. The orthopaedic consultant Mr Marrow states that they have not yet seen their registrar for the day, but they should arrive in time for the first case. The first patient arrives in anaesthetic room, is anaesthetised, and transferred into theatre. The surgeon returns and states they have just been informed the registrar is ill, won’t be coming in today and there is no one else available to assist. As she is not scrubbing for the first case your supervisor ‘Dawn’ offers to assistant the surgeon; although she is not a Surgical First Assistant (SFA) she is an experienced practitioner. Mr Marrow accepts Dawn’s offer of help and they proceed to start the case. The patient, Janet Armstrong is a 45-year-old female, she is an accomplished equestrian who won Gold at the London Olympics in dressage. Janet suffered a transverse 3 compound fracture following a fall from her horse whilst out for a mid-morning training session with her favourite horse Deuteronomy. It is quite a complex procedure due to the comminuted nature of the fracture. The consultant asks Dawn to drill the first 2 holes, whilst he holds the jig in position to ensure the correct position, Dawn drills the reamer through the tibia and exits through the skin. You notice Dawn appears a little distracted, probably due to her hangover, and drills a little too quickly. The surgeon is not happy about this but stated that it would probably heal ok with no lasting damage, and there’s no need to distress the patient by telling her about the occurrence. The rest of the procedure continues without incident. Just as the surgeon finishes applying the dressings Dawn de-scrubs and leaves theatre very quickly heading in the direction of the changing room. The team leader in your theatre is really not happy that Dawn has disappeared without word, as the theatre is already running on minimal staffing. Dawn leaves the theatre at further points throughout the operating list, and it is slowing down the day. The team leader has had to speak to the theatre coordinator to find another colleague to support the theatre, she has requested that Dawn not return to her theatre for the remainder of the day. The team leader takes you under her wing and you ‘double scrub’ with them for the next three cases which are shoulder arthroscopies. After the cases the team lead asks to have a private chat with you about Dawn. They state, ‘Dawn is unreliable, lacks judgement, is always late and it’s no surprise that she’s had a drink driving ban recently, as she always appears hungover’ . They suggest you speak to the clinical facilitator about identifying another more appropriate supervisor to support you in your studies. 4 Dawn has been moved to the Post Anaesthetic Care Unit (PACU) by the theatre co- ordinator for the remainder of her shift. When you are handing over your final patient to a recovery practitioner in PACU, you see Dawn sitting on a chair in the bay opposite you. She is talking to a patient who has had a local anaesthetic to remove a Lipoma. She is explaining to the gentleman about the patient who is in the bay next to him, who is HIV positive and has come in for a Prostatectomy; Dawn was explaining about the procedure and the patient listened intently. You ask Dawn if you can spend the remainder of the day in recovery with her as your list is finished; she welcomes you and states that although she feels a little better she has a terrible headache and could do with the help. You are recovering a 70-year-old patient, under your supervisor’s supervision who has early onset dementia and has had a bilateral open inguinal hernia repair, he is in moderate pain and has requested pain relief. He has been prescribed 75mg diclofenac suppositories and is refusing to have the drug administered PR, your supervisor tells the patient that the anaesthetist has written him up and that is what he is having. The patient is shouting at Dawn that he does not want it and is insisting on a different drug for his pain. You pop into theatre and speak to the anaesthetist who writes the patient up for Morphine Sulphate IV, Dawn retrieves the 10mg Morphine ampoule from the CD cabinet, checks it in your presence and asks you to sign as a witness in the CD book. Whilst the CD cabinet is open Dawn helps herself to two Co-Codamol 30/500mg tablets for the headache she just can’t shift. At the end of the shift you go home and reflect on the day’s events to write in your journal. 5 Discuss any ethical, legal and moral issues surrounding rights of the patient, consent, duty of care and candour the Operating Department Practitioner may be faced with pertaining to this patient, and any other issues that may come to light and what potential result may occur. Follow the below instructions and make sure to talk about the case studying liking everything to it. 1. Introduction (Approx. 300 words) – Briefly introduce the fictitious case study. – Outline the purpose and structure of the essay. 2. Ethical Issues in Operating Department Practice (Approx. 800 words) – Discuss ethical considerations such as patient autonomy, beneficence, and justice. – Analyse dilemmas specific to ODP practice using relevant ethical frameworks. – Address confidentiality, consent, and end-of-life care in the context of the case study. 3. Organisational and Management Principles (Approx. 600 words) – Explore managerial responsibilities in ensuring patient safety and quality care. – Discuss the importance of lifelong learning and continual professional development for ODPs. – Highlight professional standards and guidelines that govern ODP practice. 4. Role and Responsibilities of Registered Practitioners (Approx. 700 words) – Evaluate HCPC Standards (Proficiency & Conduct, Performance & Ethics) and their impact on ODPs. – Assess the role of the registered practitioner in ensuring safe and effective care delivery. – Examine the influence of legal and ethical requirements on professional registration. 5. Conclusion (Approx. 300 words) – Summarise key points discussed. – Emphasise the importance of ethical practice, professional standards, and lifelong learning in ODPs’ roles. – Conclude with insights into the legal, ethical, and professional landscape facing ODPs. 6. References – Cite relevant literature, professional guidelines, and legal frameworks. – Ensure adherence to referencing styles APA 7th ed as per the assignment guidelines.
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