Ms. Suet-Yi CHAN
Advanced Practice Nurse, Department of Anaesthesiology and Intensive Care,
Prince of Wales Hospital, Hong Kong
Ms Chan received her Bachelor’s degree from the Chinese University of Hong Kong. She obtained post-registration certification in Perioperative Nursing, Recovery and Anaesthetic Nursing from the Institute of Advanced Nursing Studies. Subsequently she completed her Master’s degree study in 2019.
She is currently working in the Operating Theatre at the Prince of Wales Hospital over 10 years. She is an Advanced Practice Nurse working closely with anaesthetists to ensure safe perioperative preparation and care to patients. Now she is responsible for the coordination of services in the Pre-Operative Anaesthetic Clinic and Day Surgery Centre. She also focuses her works on providing pre-operative anaesthetic assessment and education in the Nurse Pre-anaesthetic Assessment Clinic.
Historically, pre-operative anaesthetic assessment is performed by the anaesthetists. In response to the Pilot Programme on Integrated Model of Specialist Outpatient Service through Nurse Clinics, the Nurse Pre-anaesthetic Assessment Clinic (NPAC) has been introduced in HA hospitals since Oct 2018. The NPAC service is provided by trained nurses who assess patients for their fitness of anaesthesia, organize any necessary investigations or referrals according to the pre-approved protocol and guideline, and provide relevant patient education before operation. The implementation of NPAC service could extend the nursing role and free up anaesthetists for other advanced tasks, thus improving hospital efficiency.
The NPAC service has been implementing for 2 years. Nurses in the existing clinics receive training organized by their local hospitals. They perform pre-operative assessment systematically and carry out corresponding nursing management according to their local hospitals’ protocols. Nurses explore patients’ peri-operative concerns and act as a point of contact for relevant information to alleviate patients’ anxiety. Overall satisfactory clinical outcomes can be achieved.
In this presentation, implementation of the NPAC service in a local tertiary hospital will be reviewed. To make a step forward in providing safe and consistent nurse pre-operative anaesthetic assessment, strategies will be discussed for facilitating the future development of the NPAC service in Hong Kong.