Perioperative Theatre Technology  ·  Level 6
Execution Of Perioperative Theatre Safety Precautions
Chapter 4: Provide liaison services in Peri-operation Theatre
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Chapter Practical Activities

Practical 1: Communicate Patient Status Between Surgical Team and Support Staff

Perioperative Theatre Technology · Level 6
Execution Of Perioperative Theatre Safety Precautions
PRACTICAL ASSESSMENT
TIME: 4 HOURS
⬇ PDFCandidate Instructions (Candidate Tool)

Type: Individual

INSTRUCTIONS TO CANDIDATE:
1.  You are required to perform the following task:
i.  Effectively communicate and document patient status updates between surgical team and support staff during perioperative care using the provided forms.
2.  You have been provided with the following resources for the practical task:
Tools & EquipmentMaterials
PenPatient status update forms (Foolscap sheets)
⬇ PDFResources Required (Cutting List)
S/NItemQuantity
1Simulated operating room with Mayo stand and Back table1 set per Candidate
2Patient status update forms (Foolscap sheets)2 sheets per Candidate
3Pen1 per Candidate
4Gown1 per Candidate
5Face mask1 per Candidate
6Surgical gloves1 pair per Candidate
7Scrubs1 set per Candidate
8Two simulated personnel (Surgeon and Circulating personnel)1 set per Candidate
9Footwear1 pair per Candidate
⬇ PDFAssessor Guide
Items to be EvaluatedMarks AvailableMarks ObtainedComments
TASK 1: Communication and Documentation of Patient Status
Performed social hand wash before entering simulated operating room
(Award 1 mark or zero)
1
Donning appropriate PPE (Gown, Face mask, Surgical gloves, Footwear, Scrubs)
(Award 5 marks or zero)
5
Introduced self and role clearly to the surgical team and support staff
(Award 2 marks or zero)
2
Verbally communicated patient status updates clearly and accurately to surgeon
(Award 4 marks or zero)
4
Verbally communicated patient status updates clearly and accurately to circulating personnel
(Award 3 marks or zero)
3
Used professional terminology appropriate to perioperative care
(Award 2 marks or zero)
2
Completed written patient status update form legibly and accurately
(Award 4 marks or zero)
4
Ensured that no interruptions occurred during communication
(Award 1 mark or zero)
1
Confirmed receipt and understanding of patient status updates by all parties
(Award 3 marks or zero)
3
Maintained confidentiality and professionalism throughout the communication process
(Award 3 marks or zero)
3
Sub-Total28
PRODUCT CHECKLIST
Patient status update form completed with all relevant information accurately recorded
(Award 5 marks or zero)
5
Written communication is legible and professional
(Award 3 marks or zero)
3
Verbal communication is clear, concise, and appropriate to perioperative context
(Award 4 marks or zero)
4
Sub-Total12
GRAND TOTAL40
ASSESSMENT OUTCOME:   ☐ Competent    ☐ Not Yet Competent (competent if at least 50%)

Practical 2: Coordinate Timing and Sequence of Surgical Procedures in Perioperative Theatre

Perioperative Theatre Technology · Level 6
Execution Of Perioperative Theatre Safety Precautions
PRACTICAL ASSESSMENT
TIME: 4 HOURS
⬇ PDFCandidate Instructions (Candidate Tool)

Type: Individual

INSTRUCTIONS TO CANDIDATE:
1.  You are required to perform the following task:
i.  Prepare and coordinate a detailed surgical procedure timetable covering four surgeries with estimated durations of 90, 60, 120, and 45 minutes respectively, ensuring optimal timing and sequence as per the provided theatre schedule.
2.  You have been provided with the following resources for the practical task:
Tools & EquipmentMaterials
Operating theatre schedule sheetFace mask
Theatre staff contact listSurgical gloves
Whiteboard and marker pensScrubs and gown
Stopwatch or wall clock
Pen and foolscap paper
⬇ PDFResources Required (Cutting List)
S/NItemQuantity
1Operating theatre schedule sheet1 Pc per Candidate
2Theatre staff contact list1 Pc per Candidate
3Whiteboard and marker pens1 Set per Candidate
4Stopwatch or wall clock1 Pc per Candidate
5Pen and foolscap paper1 Set per Candidate
6Two simulated theatre personnel (Circulating nurse and Surgeon)2 Persons per Candidate
7Face mask1 Pc per Candidate
8Surgical gloves1 Pair per Candidate
9Scrubs and gown1 Set per Candidate
⬇ PDFAssessor Guide
Items to be EvaluatedMarks AvailableMarks ObtainedComments
TASK 1: Coordination of Surgical Procedure Timing and Sequence
Performed hand hygiene and donned appropriate PPE (face mask, gloves, gown)
(Award 5 Marks or zero)
5
Reviewed the theatre schedule and staff availability before planning
(Award 3 Marks or zero)
3
Accurately calculated and recorded estimated procedure durations for all four surgeries
(Award 4 Marks or zero)
4
Sequenced the surgeries to minimize patient waiting and theatre idle time
(Award 5 Marks or zero)
5
Communicated clearly with simulated theatre staff (circulating nurse and surgeon) to confirm timing and sequence
(Award 4 Marks or zero)
4
Updated the theatre schedule visibly on the whiteboard with correct timings and sequence
(Award 3 Marks or zero)
3
Monitored and adjusted timing during the simulation according to feedback from theatre staff
(Award 4 Marks or zero)
4
Documented the final coordinated surgical timetable on foolscap paper
(Award 3 Marks or zero)
3
Sub-Total31
PRODUCT CHECKLIST
Surgical timetable showing four procedures with correct sequence and total duration (315 minutes), matching estimated surgery lengths
(Award 10 Marks or zero)
10
Clear, legible, and accurate written documentation of timing and sequence
(Award 5 Marks or zero)
5
Sub-Total15
GRAND TOTAL46
ASSESSMENT OUTCOME:   ☐ Competent    ☐ Not Yet Competent (competent if at least 50%)
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🔒Monitor and report perioperative theatre environmental conditionsPractical 3
🔒Assist in Safe Patient Positioning and Transportation within TheatrePractical 4
🔒Maintain and update perioperative documentation accuratelyPractical 5
🔒Coordinate Emergency Response Protocols within Perioperative TheatrePractical 6
🔒Liaise with Radiology and Pathology Departments for Patient PreparationPractical 7
🔒Facilitate postoperative patient handover in perioperative theatrePractical 8
🔒Ensure compliance with perioperative safety protocols during surgeryPractical 9