By Josh Jennings
Perioperative nurse Dr Jed Duff says he remembers when he was a nursing student rotating through the operating theatre at Dubbo Base Hospital.
One day, he was observing a surgical procedure – though he couldn’t really see much of what was unfolding – when the surgeon saw him. Duff was told to scrub up and stand on the stool next to the surgeon, for a better view.
Duff could see that the patient, who had bowel cancer, had a massive tumour. Duff’s job, once the surgeon decided to put him to work, was to undo the clamps, take the tumour, wash it and put it in the specimen bucket for pathology analysis.
It was messy but it was a window into the reality of perioperative nursing and the surgical care environment."I think they were watching a little bit to see whether I fainted or fell over backwards but that was part of the initiation for me," he says.
Duff, the inaugural clinical research fellow at St Vincent's Private Hospital Sydney, has worked in a variety of public and private hospitals and held wide-ranging clinical and educational roles during a career spent primarily in perioperative nursing.
Also the president of the Australian College of Perioperative Nurses (ACORN), he says ACORN is staging Perioperative Nurses Week from October 9-15 to improve awareness of perioperative nurses and celebrate their roles.
Perioperative nurses care for patients before, during and after surgery or interventional procedures.
They work with vulnerable and anxious patients, interact with an ever-evolving suite of technologies – including robots, lasers, implantable devices and 3D printers – and perform tasks that often require more than person. Duff likens the harmony of the interplay between a surgeon and nurse to "the flow" that sports teams experience."They don't necessarily talk," he says. "They're anticipating each other's actions. It's seamless, like a ballet."
Joy Jensen, a nurse unit manager in the operating theatre at Metro North Hospital and Health Service, has worked in perioperative nursing for almost 30 years.
She says she has also enjoyed a broad spectrum of experiences.
"I have probably undertaken all the roles in relation to being a perioperative nurse," she says.
Perioperative nursing is an umbrella term for a wide variety of specialised roles including circulating nurse (scout), anaesthetic nurse and pre-operative patient assessment and education nurse.
This variety of specialisations is presently expanding vibrantly, according to Duff, with Queensland, for example, presently trialling roles such as perioperative nurse proceduralists and sedationists.
"The increase in specialised roles and advanced practice roles is really just starting to hit now," he says. "We're just starting to find our feet with what the potential future could be."