Ayodele Obideyi
James Paget University Hospital, UK
Title: Nurse Led Fascia Iliaca Compartment Block Service for Fractured Neck of Femur
Biography
Biography: Ayodele Obideyi
Abstract
This was a service set up to be run by the Pain Nurses for the initial administration of pain relief to elderly patients with fractured neck of femur. This service was the first of its kind in the United Kingdom and Europe. In fact, we are not aware of the existence of a similar service anywhere else in the world as of the time. However, it has to be said that since then various modifications of the service have been reported. It is noteworthy that fascia iliaca compartment block (FICB) is not in itself new but it is a rather underused technique of pain relief. However, nurse administered FICB was a pioneering service.
Our team was made up of 2 Anaesthetists and 2 Pain Nurses. After obtaining the Hospital Guidelines Committee approval which rigorously scrutinised the service proposal, the 2 Pain Nurses were trained by the 2 Anaesthetists. The training consisted of ensuring the appropriate patient selection, the performance and management of possible complications of fascia iliaca compartment block. Prior to rolling out the service and an initial audit was carried out. Patients were recruited into audit following the designed protocol. The outcome of the audit has been presented and published.
My talk will cover how the service was set up, the initial challenges faced and how they were overcome and recent development