Minimally Invasive Surgery
Requirements for on-site preceptoring:
- The surgeon to be preceptored must have completed an acceptable workshop covering the procedure to be preceptored and observed the procedure performed at least once. It is preferable that these be done at the division at Brown but other programs are acceptable.
- It is important that at least one nurse involved in the procedure observe the procedure in advance and speak to a nurse that works with the faculty members in the division to insure room setup and equipment for the procedure are appropriate.
- An equipment list will be provided by the preceptor to the surgeon for the procedure. Modifications and substitutions should be discussed with the preceptor prior to the procedure. It is assumed that all the required equipment will be available at the procedure. The preceptor will not plan on bringing equipment for the procedure.
- Difficulties in obtaining necessary equipment should be discussed with the preceptor in advance of the procedure.
- Hospital administration must be aware that the procedure will be preceptored by an outside surgeon, provide written approval and assume responsibility for the procedure.
- State licensing, hospital privileges and liability for the preceptor will be handled by the surgeon and sponsoring institution.
- Credentials of the preceptor will be forwarded to the surgeon and appropriate bodies for approval.
- The surgeon should contact the preceptor one week in advance to discuss the case and technical aspects of the procedure. Pertinent physical findings including height and weight and medical history including previous surgical procedures and medications should be discussed at this time. Prior to the conversation, laboratory data should be faxed to the preceptor for review.
- The preceptor will keep a record of the data forwarded by the surgeon.
- The surgeon must obtain informed consent from the patient that includes an explanation that the preceptor will be present at the operation to assist the surgeon with the procedure.
- The surgeon will be responsible for the patient during the postoperative period. The preceptor will be available to the surgeon to provide assistance and answer questions by phone when necessary.
- If an associate of the surgeon will be caring for the patient in the immediate postoperative period, that surgeon should be present at the procedure as well.
- The preceptor will be introduced to the patient preoperatively (day of surgery, prior to sedation).
- The surgeon, nurses and preceptor will review the technical aspects of the procedure on the day of the procedure.
- Although there may be a variety of ways to do the procedure, the preceptor, while remaining open to suggestion, will require the surgeon perform the procedure in the manner that the preceptor is accustomed to.
- The role of the preceptor is to provide advice, assistance and guidance to the surgeon in the performance of the surgeon's first procedures. It is not to do the procedure.
- A copy of the operative report and discharge summary should be forwarded to the preceptor.
- Media will not be allowed at the preceptored procedures.