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<strong>The</strong> New PulmoVista 500 Software: Identify Impending Lung Damage at a Glance Ward Nurses MercyAscot, Auckland, New Zealand Make Auckland your new home… and work for MercyAscot Hospitals, one of New Zealand’s largest providers of private surgical facilities! We have opportunities available within our Inpatient Services Wards. You will need: • Minimum of 24 month’s experience in a specialised ward environment in the United Kingdom health system • Current APC and NZ Nursing Council (NZNC) registration or are eligible to gain registration with the NZNC Our Inpatient Services teams care for patients who have undergone various Orthopaedic, Cardiac, neuro surgical and general surgical procedures, as well as some gynaecology and plastics. Under the leadership of a dedicated Charge Nurse Manager, the teams provide a positive experience and outcome for our patients. <strong>The</strong> variety of patients we care for and the opportunity to interact with some of Auckland's leading Specialists, providing direct input into patient care, makes the nature of this role unique and challenging. <strong>The</strong> software version 1.20 is available as an update for existing Dräger electrical impedance tomographs - “Diagnostic View” automatically analyses diagnostic PEEP[1] manoeuvres to determine optimal PEEP - “Regional Ventilation Delay Index” indicates harmful shear forces in the lung Since its introduction in 2011, Dräger has consistently enhanced the operation and user interface of the PulmoVista 500 Electrical Impedance Tomograph (EIT). <strong>The</strong> new diagnostic function of the 1.20 software increases the benefit of EIT in intensive therapy: Until now, the EIT device has enabled doctors to observe how successful the individual attempt was to keep the lung open with a changed PEEP. This helped to ensure an even ventilation of the lung regions. “Diagnostic View” goes one step further: from observing to analysing and documenting. This new function directly shows whether lung regions are at risk of collapsing or overstretching when ventilated with a specific PEEP. Orange-coloured regions stand for a decreasing compliance due to excessive pressure values and indicate an incipient overstretching. White-coloured areas represent derecruited lung regions which are at risk of collapse. This way, the software helps to adjust the optimal PEEP at the ventilator for each individual patient. Practical Aids In addition, the PulmoVista 500 software update also offers some practical innovations. • With the push of one button, the “Enhance Contrast” function directly shows the doctor purple-coloured regions that are an important aid in choosing the correct belt position. Moreover, purple regions can also indicate fluid accumulations, such as pleural effusions, in typical lung regions. • <strong>The</strong> display of the “End Insp. Trend” and “ΔEELI Trend[2]” trend data was designed to be more flexible, allowing, for example, to change the ROI (Region of Interest) or to zoom in for short treatment periods during a longer measuring process. • <strong>The</strong> determination of the RVD (Regional Ventilation Delay) index highlights the diagnostic standards of the new 1.20 software. This value is based on the scientific assumption that a delay in filling individual lung regions during inspiration indicates cyclic opening and closing. In such a situation, large shear forces occur in the affected lung regions, which the software now makes visible directly at the patient’s bedside. Software version 1.20 for the PulmoVista 500 is manufactured by Drägerwerk AG & Co. KGaA. Dräger. Technology for Life® Dräger is an international leader in the fields of medical and safety technology. Our products protect, support and save lives. Founded in 1889, Dräger generated revenues of around EUR 2.6 billion in 2017. <strong>The</strong> Dräger Group is currently present in more than 190 countries and has more than 13,000 employees worldwide. Please visit www.draeger.com for more information. When responding to articles please quote ‘OTJ’ Full orientation is given to all new employees and specialist Clinical Nurse Educators provide support to the nursing team to keep up to date with the latest trends in general surgical nursing specialities. MercyAscot provides support for professional development should you wish to develop your skills and knowledge further. Why MercyAscot? • New Zealand's largest private surgical facility with 22 theatres across three sites including ICU • MercyAscot prides itself on servicing high acuity specialities. • We provide our staff with a supportive working environment, autonomy of practice, competitive remuneration rates, free on-site car park, smart easy-care uniforms, and a Christmas close-down that allows you to enjoy the festive season with your friends and family • We are committed to ongoing professional development and full orientation is given to all new employees • We strive to provide an excellent service for all our patients and enjoy working alongside many of Auckland's leading surgical specialists. So don't just take on a job, create your career… Make MercyAscot your Employer of Choice! Click the link to apply today. Applications close 17 <strong>August</strong> <strong>2018</strong> Whether you are looking for work/life balance or career progression, MercyAscot has a place for you! www.operatingtheatrejobs.com Governor signs McNamara, Coyne bill to require hospitals to address ventilation of surgical smoke STATE HOUSE — Gov. Gina Raimondo has signed legislation introduced by Rep. Joseph M. McNamara (D-Dist. 19, Warwick, Cranston) and Sen. Cynthia A. Coyne (D-Dist. 32, Barrington, Bristol, East Providence) that will require hospitals to adopt policies relating to surgical smoke. <strong>The</strong> law (<strong>2018</strong>-H 7082, <strong>2018</strong>-S 2238) requires all hospitals and freestanding ambulatory surgical facilities licensed in Rhode Island to adopt policies to use a smoke evacuation system for surgical procedures that generate surgical smoke. Surgical smoke is the by-product of use of energy-generating devices including surgical plume, smoke plume, bio-aerosols, laser-generated airborne contaminants, and lung-damaging dust. Hospitals are required to report to the Department of Health within 90 days that policies regarding surgical smoke ventilation have been adopted. Are You Linkedin ? Join our Group <strong>The</strong> <strong>Operating</strong> <strong>The</strong>atre <strong>Journal</strong> in TM Find out more 02921 680068 • e-mail admin@lawrand.com Issue 335 <strong>August</strong> <strong>2018</strong> 15
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