University of Surrey - Guildford

Registry > Module Catalogue
View Module List by A.O.U. and Level  Alphabetical Module Code List  Alphabetical Module Title List  Alphabetical Old Short Name List  View Menu 
2010/1 Module Catalogue
 Module Code: NUR3084 Module Title: ADVANCED SCRUB PRACTIONER
Module Provider: Health & Social Care Short Name: NUR3084
Level: HE3 Module Co-ordinator: GRIMMETT ND Ms (HSC)
Number of credits: 20 Number of ECTS credits: 10
Module Availability
Semester 2
Assessment Pattern
Portfolio of practice evidence
A structured reflective portfolio of evidence demonstrating the specialist learning outcomes.

The portfolio is to include:
• Performance record
• Evidence of 100 hours of observed practice by Clinical supervisor/mentor
• Reflection demonstrating a clear understanding of the extended role of the Advanced Scrub Practitioner (2000 word count)
• Reading Logs x 2 (500 word max each)

All the above elements must be included and achieved in order for module credit to be awarded.
Module Overview
Module Aims
The aim of this module is to support flexible learning opportunities in order to develop independent learners who are able to address the complexities of modern health and social care policy and provision in an innovative manner.

Specific Aims
To enable practitioners working within the peri-operative environment to increase their knowledge, understanding and clinical judgement in relation to providing competent and skilled assistance to the operating surgeon. Practitioners will be expected to carry out this role within the clinical governance framework. This module will allow practitioners to critically analyse practice in this area of health care.
Learning Outcomes
On completing this module the student should be able to:


Subject knowledge and understanding
• Analyse and evaluate the preparation of the operative site for surgery
• Analyse and evaluate tissue retraction and safe tissue handling and suction
• Differentiate surgical haemostasis, detection of source of bleeding and maintenance of haemostasis
• Utilise current evidence-based knowledge to compare the multiple events that
re-establish the integrity of surgical wounds
• Analyse and evaluate the safe procedure for urinary catheterisation in both male and female patients

Cognitive/Intellectual Skills
• Analyse and evaluate the application of theories of Advanced Scrub Practice within the clinical environment
• Analyse how theories of patient care may be applied in practice and how quality can be ensured
• Identify key elements of problems inherent within peri-operative practice and appropriately resolve them
• Assess, plan and evaluate the transferable skills within Operating Department Practice and their application across a range of surgical specialities
Key Transferable Skills
• Explore the different factors that contribute to effective communication
• Interact effectively with others as a member of the peri-operative team to develop
professional working relationships
• Participate in, and contribute to, multi-disciplinary team planning and organisation of operating sessions, communicating in an appropriate manner across a range of clinical and professional situations
• Take responsibility for own learning, evaluating personal strengths and weaknesses by challenging received opinion and developing own
Professional Practice Skills
• Participate and carry out preparation of the operative site for surgery including patient skin preparation and draping
• Participate in providing and maintaining access to patients’ surgical sites during surgical procedures
• Develop practice in the role of Advanced Scrub Practitioner whilst delivering peri-operative care through participation in the removal of fluids from patients surgical sites. Where appropriate, assist in controlling patients’blood loss during surgical procedures
• Prepare and participate with wound closure during surgical procedures
• Demonstrate practice for the safe procedure for urinary catheterisation in female patients.
Values and Attitudes
• Recognise the importance and relevance of ethical issues surrounding practice
• Develop practice skills and knowledge, recognising the implications of personal accountability
• Ensure that all documentation complies with legal and professional requirements for confidentiality and record keeping.

Module Content
The academic content of the module concentrates on integrating theoretical and practical knowledge in order to enable the student to study a relevant area of healthcare relevant to their professional role. The content will be negotiated between the student and the specialist tutor. Key themes to be covered in relation to the specific subject are:

Introduction to the module and assessment of learning needs
Applied bio/psycho/social aspects
Assessment tools
Management of patient/client care, safety and comfort
Effective communication skills
Reflection in and on practice
Evidence based practice
Risk assessment

Legal and Ethical Issues
Preparation of Surgical Patient
Wound Healing
Surgical Haemostasis
Minimal Access Surgery
Protocols and Guidance
Methods of Teaching/Learning
Overall Student Workload – 200 hours
Contact Time: 40 hours
Self - Directed Study 60 hours
Practice setting 20 weeks (minimum of 100 hours clinical practice)
Selected Texts/Journals
This is reading that is essential for your understanding of issues/concepts that
will be covered by the module content.

Driscoll J (2003) Practising Clinical supervision: a reflective approach. Balliere Tindall, Oxford.

Hughes S, Mardell A (2009) Oxford Handbook of Perioperative Practice. Oxford University Press, Oxford.

Johns C (2002) Guided Reflection: Research in Practice, Blackwell Science UK

Marieb E (2006) Human Anatomy and Physiology (7th Edn). Pearson International, UK


This is reading that will inform the content. You should endeavour to read some of the following:

Beesley J and Pirie S (2004) Standards and Recommendations for Safe Peri-operative Practice NATN. Harrogate, Yorkshire

Masterton A (2002) Cross boundary working: a macro-political analysis of the impact on professional roles. Journal of Clinical Nursing 11 (3), 331-339.

Meeker M H, Rothrock J C (2002) Alexander's Care of the Patient in Surgery 12th Edition, Mosby, St Louis, Missouri

Perioperative Care Collaborative (2003) Position Statement: The provision of the non-medical peri-operative practitioner working as first assistant to the surgeon. British Journal of Perioperative Nursing, Vol

Scholes J, Vaughan B (2001) Cross boundary working; implications for the multi-professional team. Journal of Clinical Nursing 11 (3) 339 -408.


British Journal of Peri-operative Nursing

Journal of Operating Department Practice

Journal of Wound Care

Nursing Times


Last Updated
30TH JULY 2010