A nurse-led preadmission clinic for elective ENT surgery: the first 8 months.

A nurse-led preadmission clinic was set up in the Department of Otolaryngology of The Royal Berkshire Hospital, Reading, for patients undergoing elective ENT surgery. The progress of the clinic has been monitored during its first 8 months of service. A two-part study was undertaken: (a) A prospective study of the process from the time an admission appointment was sent until completion of surgery and, (b) a retrospective review of the case notes to study the quality of clerking and note keeping and the pattern of requests for investigations made by the nurses. In all, 514 patients were invited to attend the preadmission clinic before operation. Of these patients, 454 attended the clinic for preadmission clerking, 440 (96.9%) of whom underwent their operation without complication. All clerking notes were well kept, but a number of unnecessary investigations were requested. It is concluded that a nurse-led preadmission clinic is effective in the management of elective ENT operating lists. It assists in improving the quality of an SHO's training by reducing time spent on service commitments, thereby increasing the potential training time. More guidance to nurses on the use of preoperative investigations is needed.