Sligo University Hospital (SUH) are delighted to announce the establishment of the first national Advanced Nurse Practitioner position in the area of Pre-operative Assessment. The Pre-Admission Unit is an out-patient service provided by SUH to assess each individual, attending for elective surgery, within six months of the planned procedure. The clinic provides a multidisciplinary assessment for patients within the General Surgical, Urology, Ear Nose and Throat (ENT), Gynaecological, Obstetric and Orthopaedic Specialties. Once a need for surgery has been identified, the Pre-Admission Unit is the initial point of contact for each individual as they begin their surgical journey.
Following a service review in 2016, it was identified that 34% of elective surgical admissions had no pre-operative assessment prior to hospital admission. The demand for the service exceeded throughput resulting in longer waiting times for appointments and surgery.
It is well documented that maximum pre-assessment of elective surgical patients assists in increasing DOSA rates whilst reducing day of surgery cancellations, risk of infection, AvLOS, hence improving post-operative patient outcomes (Model of Care for Pre-Admission Units, HSE; 2014). Therefore, the development of the Advanced Nurse Practitioner role within the area was supported by nursing, medical and hospital management in order to advance the nursing role and support overall service delivery.
Rosaleen White was recently accredited to by the Nursing and Midwifery Board of Ireland and has taken up the position of ANP-Pre-operative Assessment in July 2018. Rosaleen has extensive surgical and orthopaedic experience and has worked as a CNM II in the Pre-Admission Unit for almost 10 years. She trained at Connolly Memorial Hospital, Dublin (1995-1998) and completed the Access to Nursing Programme, Bachelor in Nursing Studies and MSc in Nursing Studies at Trinity College Dublin (1999-2003). She furthered her studies in 2004 by undertaking the Postgraduate Diploma in Orthopaedic Nursing at St Angela’s College, Sligo and most recently completed the Postgraduate Diploma in Advanced Nursing Practice at NUI Galway. Rosaleen is also a Registered Nurse Prescriber.
The establishment of this new advanced nursing role will support patients and families on their surgical journey whilst supporting the organisation in the delivery of a patient centered, evidenced based, Pre-operative Assessment service.