Advanced Perioperative Roles

Author: Sara Dalby

The report looked at established advanced roles in both educational facilities and clinical practice in the U.S. including the Nurse Practitioner, Physician’s Assistant and Registered Nurse First Assistant. Information was gathered from a variety of hospitals and educational settings across five states to discover key lessons. The report provides an insight into this established system to learn lessons to subsequently implement regarding training, scope of practice and workforce planning within the U.K. healthcare system. The report emphasises the importance of role clarification including protected titles, educational requirements and scope of practice. This extended to the standardisation of practitioners in the form of a national exam which then would result on admission to a national register. The report suggests these steps would clarify and minimise the confusion of different roles and be imperative in the implementation and definition of advanced roles clinically for organisations, practitioners and patients and their families.