Friday 6 January 2012

Once Upon A Time......"Time Waits For No Man"

In the world of learning, there is no time available in which to dawdle, drag your feet, or whatever phrase you choose. In a pressured environment there is always a pressure put upon trainors to ensure the new guys are up to speed as early as possible, while at the same time respecting that to rush headlong into the training programme may lead to things being missed. This could well lead to failure in an individual in a field or local emergency, such as a Major Incident being declared locally.

I will say one thing about every aspect of military, clinical and management training I undertook-willingly or otherwise, it was thorough, complete and always but always validated. What happened after that was down to the individual as to how they performed or responded in whatever situation they found theirselves. I have, in the 43 years since I qualified as an Operating Theatre Technician and the 46 years since I qualified as an Army Trained Nurse, found myself in situations, both emergency and non critical that I should have been capable of managing following the training I received. I have also found myself in emergency and non-critical types of situation,  that were not covered in my training. How did I cope? Simply by standing back for a moment-appraising the situation-assessing the job that has to be done-deciding how to deliver what is required and in what order. This has to be done in moments, not minutes and days in an emergency. My training in my roles as a nurse and in theatres taught me this. Not what I should do, but how to "manage" what I must do and quickly. Many of you reading this will know exactly what I mean. This will cover colleagues working as doctors, nurses, physio's, lab techs, pharmacy techs et al.

Returning to my training as an Operating Theatre Technician, which was supervised by senior Techs, Surgeons, Anaesthetists and Sisters, I certainly remember being put through my paces in all areas of the operating theatre. No stone was unturned in ensuring that I received the full works in terms of tips, short cuts, risk assessing and managing what to do first and subsequently, during an emergency situation and pre-empting what others would be doing in such circumstances. The skill in knowing what you and others would be doing was most useful when being called out after normal working hours for emergency surgery.

Tidworth was strategically placed between Andover, Hampshire, and Salisbury, Wiltshire. (I hope I am right geographically-never my strongest subject!) The main road between the two, and passing worryingly close to Tidworth Military Hospital was the A303. The hospital had a busy and well managed casualty department, that was "on take" for blue lights (or blues and two's as they are known now.) The A303 was infamous for the amount of accidents occuring. Many of them were due to the fact that "drinking and driving" was not as well publicised as now, and speed. To be honest, the local roads were just as good at supplying casualties as the A303 at times. Another contributing fact was that seat belts were not in place in my early years in Tidworth. Anyway-back to what I was saying about knowing what to do and what others would be doing. When called out to theatre to attend to casualties, information was sent to you from Reception, giving some details of the situation, this gave you the opportunity to "put your thinking head on" prior to arrival. This invarioubly gave you a good start on arrival. Often the surgeon would be scrubbed up and ready to go just as you finished assembling the "starter kit" of surgical instruments required for the early part of the surgical procedure. If your role on that occasion was to work with the anaesthatist, you had, again, a starter kit of drugs, intubation equipment and so on, so that the patient could reach the operating table swiftly.

All in all, My training was invaluable at the time and subsequently. Don't believe though that it was all blood and gore and excitement. Most of the time was spent carrying out what I found to be boring daily routines that included washing and ironing Theatre Caps and Masks!!!!! In the next part I'll talk about the less than glamorous side of the job.



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