Back in 2004, as Chris Hughes began her preoperative assessment practitioner (PSP) training at St Mary’s Hospital, London, she never imagined it would lead to her being asked to submit a chapter on consent, as part of a collaborative book.
Chris recollected that time, 7 years ago, when she was based at Macclesfield and being mentored by one of our surgeons, Mr Brough. Working in general/colorectal surgery and with a clinical background as a senior theatre sister proved to be excellent preparation for the PSP course which was both interesting and challenging. One module was devoted to the complex subject, consent. This involved a number of training sessions at London’s famous Law Courts, including some time in the dock! But all this paid off when she achieved her Level 4 masters module (Certificate of Advanced Study) and underlined for Chris, the importance of having a robust consent process here in Macclesfield. Consent discussions are timed to occur well in advance of the patients’ appointed surgery date, allowing them plenty of time to ask questions and make fully informed decisions. Only after all the benefits and risks have been discussed does their planned procedure take place.
It was Chris’s course tutor who asked her if she would be interested in writing a chapter for the book “Preoperative Assessment and Perioperative Management” and set in motion what would become a well worn path to the Staff Library. Here Chris had access to the electronic resources she needed to complete her research and with the support from library staff, Chris was able to hone her literature search skills. Having achieved her target of 5,000 words plus additional case studies, quotes and court case examples, Chapter 16 was despatched on time to the publishers in 2008.
However, some 3 years later, the long awaited pleasure of holding the finished product is clearly evident from Chris’s smile – something she can take pride in sharing with her family and 3 grandchildren.
With its clear and open style, the book is suitable for all practitioners and staff, guiding them carefully through some complex topics by concentrating on three main aspects:
- core clinical skills and knowledge used to assess patients prior to surgery
- specialist areas of preoperative practice
- service development and management of the perioperative systems.
Our thanks to the surgical business unit, who hope to purchase a copy and make it available on loan through the Staff Library service. A fitting end for this chapter wouldn’t you agree?
Preoperative Assessment and Perioperative Management
Mark Radford, Alastair Williamson and Clare Evans
 Certificate of Advanced Study (CAS) Level 4 MA