DURI1I:G THE DEVELOP,'YiENT of operating theatre nursing practical skills and techniques have become increasingly important with the introduction of sophisticated equipment and advanced surgical procedures, but the fundamental responsibility of the nurse to provide total care for the patient remains an established priority and demands experienced nursing skills to guard the patient's safety and provide adequate care throughout the period of time spent in the operating department. Individually planned care is provided by the nurses working in the ward area, when the nursing process is in use, and it is encumbent upon theatre nurses to provide a continuity of this care in the operating theatre. When the theatre nurse is able to make a visit to the patient in the ward on the day before operation, this interview provides an invaluable opportunity to allay fears which may be causing stress and to offer reassurance and advice while assessing the patient's emotional and physical needs in order to record plans for meeting these needs. When lack of time and inaccessibility do not permit this valuable asses sment to be made in the quiet and relatively secluded atmosphere of the ward, the experienced nurse should grasp the opportunity to observe and plan for each individual patient at the reception area of the operating theatre. The obvious acceptance by the operating theatre staff of the responsibility for the patient during his stay in the department is of paramount importance. A simple greeting while confirming the patient's name, and an explanation from the nurse that she will accompany the patient to the anaesthetic room is an effective introduction which can bring obvious relaxation and relief of tension. Meanwhile, during the mandatory safety check, the nurse can use her skilled powers of observation to note physical signs, such as the colour and condition of the patient's skin, arthritic joints and obvious disabilities, as well as signs of nervousness, fear, excitability, and depression, which will be recorded and used to plan for th e care to be given during and after operation, and be a useful .guide to those caring for the patient in the post-anaesthetic recovery area. The nurse who has accompanied the patient from the ward to the operating department will have a particular interest in this patient and should be in possession and aware of facts which are relevant and helpful in providing special care and alleviating fears. Co-operation between the theatre staff and the representative from the ward promotes continuity of care which enhances the patient's chances of a satisfactory recovery. Physical needs are met by ensuring that pillows are used to provide adequate head and neck support and that covers are tucked around the patient to instil a measure of security, warmth, and comfort. Extra support to injured limbs, and those being used for intravenous infusions, will be appreciated as the patient is gently transferred to the waiting theatre trolley. A word of encouragement or a reassuring hand on the patient's arm will convince him that the theatre nurse is caring for him at this time and that he will not be left alone. A quiet atmosphere is required for the premedicated patient, who may be di stressed and disturbed by loud voices, banging doors, and the general hustle and bustle of the theatre. If he appears to be well sedated or sleeping, it is wise not to disturb him, but to complete the checking procedure with the help of the nurse from the ward. The routine checks made in a quiet, clear voice by the theatre nurse will confirm that the patient has been prepared for an anaesthetic by having received the prescribed premedication at the stated time and with no adverse effects and has abstained from food and drink for the required number of hours. The removal of dentures and recording the position of crowned and loose teeth is vital, and confirmation is sought that jewellery, contact lenses, and make-up