The use of senior nurses in administering a standardised protocol for the pre-operative optimisation of high risk surgical patients.

The pre-optimisation study is outlined. The pre-operative optimisation of high risk elective surgical patients in a District General Hospital is discussed in relation to a research study. Issues related to the development of a protocol are examined. The use of standardised protocols to guide the pre-optimisation process are focused on, emphasising the role of the senior nurse in administering the protocol.