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[Resource needs of nursing in the operating department]
Antonio Iadeluca1, Anne Destrobecq
1Area Critica Cardiologica, Ospedali Riuniti di Bergamo.
Abstract:
Operating theatre is one of the most complex units. In this units there is a strong integration between the different figures of the staff; although that there is no analysis focused on the components that should play a role in the determination of the organic, especially of the nursing staff. First of all you have to choose the staff looking to the complexity of the surgery. Integrating three different systems of classification validated and adopted by nurses, anaesthetists and surgeons, you will be able to define surgery to be a low, medium or high risk. In relation to the clinical complexity and the nursing, care must also provided for a specific location of the patient in operating theatre and define the absorption of resources for each type of operation through the use of flow-chart. The assessment of the expertise is fundamental to allocate human resources based on the operating theatre activity. You can get a classification of nursing staff according to the gained skills. Finally the organic budget must be the result of calculations arising from a specific methodology in which it relates productivity, understood as hours of operation of the theatre and the various related services such as recovery-room, room urgencies, etc., with the individual time of work (TLI) of the professional figure of reference. The Integration of these factors is the key for the determination of the nursing needs of the modern operators section.
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