Historical Perspective
|
|
- Rosanna Short
- 6 years ago
- Views:
Transcription
1 THE ROLE OF THE PERIOPERATIVE NURSE IN ELECTRO-SURGICAL SAFETY Anna-Marie McCarthy
2 Electrosurgery The term electrosurgery refers to the passage of high-frequency electrical current through the tissue in order to achieve a specific surgical effect i.e. cutting, coagulation, desiccation or fulguration for the destruction or manipulation of the tissue.
3 Historical Perspective The use of cautery dates back as far as prehistoric times when heated stones were used to obtain haemostasis. The use of electricity in medicine coincided with the earliest scientific discoveries beginning in the 17th Century Joseph Rivere-First True use of Electricity in Surgery However many people credit William T Bovie as being the father of electrosurgical devices.
4 Guidelines for Quality and Safety The Framework for Improving Quality in our Health Service was published in April Within this document quality is defined by the four quality domains set out in Safer Better Healthcare Standards (2012). Person Centred Care & Support Effective Care & Support Safe Care & Support Better Health and Wellbeing
5 Is Electrosurgery Really a Quality Issue? A 55 year old male admitted to hospital with acute chest pain and dyspnoea due to a ruptured aortic aneurysm. He arrested and was resuscitated intraoperatively. The surgery was completed. After this operation burns on the anterior surface of the right hand, elbow and the distal forearm were noticed. He was right handed and there was a 57% loss of his complete ability.
6
7 Types of Diathermy MONOPOLAR BIPOLAR Current flows in a closed loop- from device Current only flows in the defined tissue to instrument, through the patient s body to the patient plate and from there back to the device. region between both poles and not through the patient s body.
8 Preoperative Responsibilities Check the electrosurgical unit is clean and in working order. Patient s skin integrity is to be evaluated. Check if patient has a pacemaker, internal cardioverter defibrillator or other electrical implant. Ensure patient is in the desired position for surgery. Prepare site for application of dispersive electrode diathermy pad. Select a single use diathermy pad size appropriate to the patient size.
9 Preoperative Responsibilities Continued Apply the diathermy pad to ensure firm skin contact and check all attachments are secure. Document in the perioperative care plan the dispersive electrode diathermy pad position and site preparation. Ensure patients skin is not in contact with any metal interface. Metal jewellery should be removed. Ensure fluids do not come in contact with the diathermy pad. Position cables safely to prevent trips or falls and place foot pedals within appropriate site for surgeons use.
10 Intraoperative Responsibilities Once the patient s surgical site has been prepped and draped the active electrode lead is connected to the designated receptacle on the ESU by the circulating nurse. The active electrode is inspected before use. Ensure surgical site is fully dry and vapours evaporated prior to using the active electrode. Verify power settings. Store active electrodes in a dry well insulated safety holster when not in use at the surgical field.
11 Intraoperative Responsibilities Continued Document in perioperative care plan the type of diathermy used. The activated electrode should be cleaned regularly. Sponges close to the active electrode should be kept moist. Caution when using the active electrode in the presence of intestinal gases, oxygen enriched environments and fluid filled cavities. If the patient is repositioned during surgery check the position and contact of the dispersive electrode diathermy pad with the patients skin surface.
12 Postoperative Responsibilities Remove the dispersive electrode diathermy pad carefully. Check the patient s skin integrity. Turn off the ESU at the power switch. Clean ESU, power cord and foot pedal. Discard all disposable items and check reusable accessories prior to reprocessing.
13 Special Considerations Special precautions must be put in place for patients with pacemakers, internal cardioverter defibrillators or other electrical implants. A preoperative cardiology consult may be necessary. An ICD will need to be DEACTIVATED prior to surgery. Bipolar electrosurgery should be used wherever possible. All electrosurgical cords and cables and the diathermy pad should be placed on the opposite side as far as possible from the pacemaker/icd. pacemaker/icd The defibrillator should be kept on standby in the theatre at all times. Continuous monitoring must be in place. Patient should be reviewed by relevant personnel postoperatively.
14 Laparoscopic Surgery The dangers of electrosurgery are increased by the confined, enclosed conditions that apply in a laparoscopic procedure. Vision is limited to the immediate operating area and much of the length of the instrument may be outside the surgeons field of vision. Patient injury can occur through direct coupling or capacitative coupling. However insulation failure is thought to be the main cause of electrosurgical complications. Every laparoscopic instrument set likely has one or more reusable instruments with an insulation defect.
15 In Conclusion The safe use of electrosurgical equipment will have a positive influence on the patient s surgical outcome and protect perioperative personnel. It is essential to have a basic knowledge and understanding of electricity and the risks associated with electrosurgical equipment. Australian College of Operating Room Nurses Standards for Perioperative Nursing
16 QUALITY MEANS DOING IT RIGHT WHEN NO ONE IS LOOKING Henry Ford
17 References AORN (2014) Perioperative standards and recommended practices, Denver:AORN Carlson, J. and Rice, S. (2014) 'All of a sudden, there was fire', Modern Healthcare, 44(28), 8-9. CUH (2015) Policy and procedure for the safe use of electrosurgical diathermy in the operating theatre departments in Cork University Hospital Group, CUH: PPG-CUH-CUH-226. Demircin, S., Aslan, F., Karagoz, Y. and Atilgan, M. (2013) Medicolegal aspects of surgical diathermy burns: A case report and review of the literature, Romanian Journal of Legal Medicine, 21, EORNA (2015) Position statements and guidelines for perioperative nursing practice Part I, Belgium: EORNA Garcia-Bracamonte, B., Rodriguez, J., Casado, R., and Vanaclocha, F. (2013). Electrosurgery in patients with implantable electronic cardiac devices (Pacemakers and Defibbrillators), Actas Dermo-Sifiliográficas (English Edition), 104(2), Hay, D. (2005) Electrosurgery, Surgery (Oxford), 23(2), Huang, H., Yen, C. and Wu, M. (2014) Complications of electrosurgery in laparoscopy, Gynecology and Minimally Invasive Therapy, 3(2), Liodaki, E., Stang, F. H., Lohmeyer, J. A., Bergmann, P. A., Mailänder, P. and Siemers, F. (2013) 'Noncontact electrosurgical grounding - A useful and safe tool in the initial surgical management of thermal injuries', Burns ( ), 39(1),
18 References Continued.. Massarweh, N., Cosgriff, N. and Slakey, D. (2006) Electrosurgery: History, principles and current and future uses, Journal of the American College of Surgeons. 202(3), Montero, P. N., Robinson, T. N., Weaver, J. S. and Stiegmann, G. V. (2010) 'Insulation failure in laparoscopic instruments', Surgical Endoscopy,24(2), Potty, A., Khan, W. and Tailor, H. (2010) Diathermy in perioperative practice, British Journal of Perioperative Nursing, 20(11), Sankaranarayanan, G., Resapu, R. R., Jones, D. B., Schwaitzberg, S. and De, S. (2013) 'Common uses and cited complications of energy in surgery', Surgical Endoscopy, 27(9), Seifert, P. C., Peterson, E. and Graham, K. (2015) 'Crisis Management of Fire in the OR', AORN Journal, 101(2), Taheiri, A., Mansoori, P., Sandoval, L., Feldman, S., Pearce, D. and Williford, M. (2014). Electrosurgery Part I: Basics and principles, Journal of the American Academy of Dermatology, 70(4), 591.e1-591.e14. Taheiri, A., Mansoori, P., Sandoval, L., Feldman, S., Pearce, D. and Williford, M. (2014). Electrosurgery:Part II. Technology, applications and safety of electrosurgical devices, Journal of the American Academy of Dermatology, 70(4), 607.e1-607.e12. Watanabe, Y., Kurashima, Y., Madani, A., Feldman, L., Ishida, M., Oshita, A., Naitoh, T., Noma, K., Yasumasa, K., Nagata, H., Nakamura, F., Ono, K., Suzuki, Y., Matsuhashi, N., Shichinohe, T., Hirano, S. and Feldman, L. S. (2016) 'Surgeons have knowledge gaps in the safe use of energy devices: a multicenter cross-sectional study', Surgical Endoscopy, 30(2), Wood, E. (2015) 'New curriculum aims to reduce hazards of energy devices in the OR', OR Manager, 1-1.
Electrosurgery. For theatre nurses. Basic proficiency requirements for the safe use of electrosurgery
Electrosurgery For theatre nurses Basic proficiency requirements for the safe use of electrosurgery These proficiency requirements have been determined as a result of the work of the expert group comprising:
More informationOR staffing supports the provision of safe perioperative patient care and promotes a safe perioperative environment
ACCREDITATION STANDA RDS INTRAOPERATIVE CARE OR staffing supports the provision of safe perioperative patient care and promotes a safe perioperative environment A minimum of two perioperative nurses are
More informationSURGICAL SERVICE SPECIALTY. Set Up and Safe Operation of Equipment
DEPARTMENT OF THE AIR FORCE Headquarters US Air Force Washington, DC 20330-5000 QTP 4N1X1X-05 25 July 2014 SURGICAL SERVICE SPECIALTY Set Up and Safe Operation of Equipment ACCESSIBILITY: Publications
More informationSAFE ELECTROSURGERY USE: KNOWLEDGE, ATTITUDES AND PRACTICES OF SURGICAL TRAINEES ABSTRACT
ORIGINAL ARTICLE SAFE ELECTROSURGERY USE: KNOWLEDGE, ATTITUDES AND PRACTICES OF SURGICAL TRAINEES Mahmood Ahmad Khan 1, Sheeraz Shakoor Siddiqui 2, Muhammad Zubair 3 1 Pakistan Rangers Hospital, Karachi
More informationZ: Perioperative Nursing Specialty
Z: Perioperative Nursing Specialty Alberta Licensed Practical Nurses Competency Profile 263 Major Competency Area: Z Perioperative Nursing Specialty Priority: One Competency: Z-1 HPA Authorizations and
More informationThe Essentials of Maintaining Patient Normothermia
1 The Essentials of Maintaining Patient Normothermia Copyright 2011 by Virgo Publishing. http://www.infectioncontroltoday.com/ By: Posted on: 02/22/2010 http://www.infectioncontroltoday.com/articles/2010/02/the-essentials-of-maintainingpatient-normothermi.aspx
More informationSurgical Fires: Prevention and Safety
Surgical Fires: Prevention and Safety MedPro Group Patient Safety & Risk Solutions The ECRI Institute estimates that 200 to 240 surgical fires occur annually in the United States, with some of them causing
More informationJOB DESCRIPTION: SURGICAL TECHNOLOGIST
1507.00. JOB DESCRIPTION: SURGICAL TECHNOLOGIST 1507.01. The Standards & Guidelines for the Accreditation of Educational Programs in Surgical Technology have been approved by the Association of Surgical
More informationAUTOMATED EXTERNAL DEFIBRILLATOR IN THE SCHOOL SETTING
Hitchcock Independent School District Carla Vickroy Superintendent AUTOMATED EXTERNAL DEFIBRILLATOR IN THE SCHOOL SETTING 2014-2015 1 TABLE OF CONTENTS AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) PROGRAM...
More informationPerioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and
Perioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and training of team members in an effort to deliver safe, competent
More informationFIRST AID GUIDELINES UOW
UOW SAFE@WORK FIRST AID GUIDELINES HRD-WHS-GUI-086.14 First Aid Guidelines 2017 March Page 1 of 10 Contents 1. Introduction... 3 2. Scope and Objectives... 3 3. Legislative Requirements... 3 4. Implementation...
More informationType: Clinical Guideline Register No: Status: Public
Management of Cardiac Implantable Electronic Devices (CIED) and Elective Surgical Procedures (Pacemakers & ICDs) Type: Clinical Guideline Register No: 09004 Status: Public Developed in response to: MHRA
More informationObjectives. Positioning the Bariatric Patient in the OR. Goals of Positioning. Airway challenges 6/9/2014
Objectives To identify proper positioning of Bariatric patients for surgery Barbara Lawrence RN MEd ONC Clinical Education Specialist Magee-Womens Hospital of UPMC To recognize patients who are more vulnerable
More informationOPERATING ROOM ORIENTATION
OPERATING ROOM ORIENTATION Goals & Objectives Discuss the principles of aseptic technique Demonstrate surgical scrub, gowning, and gloving Identify hazards in the surgical setting Identify the role of
More informationSurgical Fires: Reducing the Risk of Patient Injury
Surgical Fires: Reducing the Risk of Patient Injury By Georgette A. Samaritan, RN, BSN, CPHRM November 30, 2015 Surgical fires, fires that occur on or in a surgical patient, have consequences that can
More informationInstitutional Handbook of Operating Procedures Policy
Section: Clinical Policies Institutional Handbook of Operating Procedures Policy 09.13.28 Responsible Vice President: EVP & CEO Health System Subject: Patient Risk, Treatment, and Safety Responsible Entity:
More informationOrganization: MedStar Franklin Square Medical Center Solution Title: Reduction of Peripheral Vascular Bypass Infections in the Vascular Operating
Organization: MedStar Franklin Square Medical Center Solution Title: Reduction of Peripheral Vascular Bypass Infections in the Vascular Operating Room Project Description: The purpose of this project is
More informationIntroduction to Perioperative Nursing
C H A P T E R 1 Introduction to Perioperative Nursing LEARNER OBJECTIVES 1. Define the three phases of the surgical experience. 2. Describe the scope of perioperative nursing practice. 3. Discuss application
More informationMayo School of Health Sciences. Perioperative Nursing. Jacksonville, Florida.
Mayo School of Health Sciences Perioperative Nursing Jacksonville, Florida www.mayo.edu Perioperative Nursing PROGRAM DESCRIPTION The Perioperative Nursing Program is designed to provide you with the knowledge
More informationDomain 5 Cardiothoracic Standards RCoA Accreditation 2017
1 PRIORITY The Care Pathway 5.4.1.1 The process for preoperative assessment presenting for cardiac and thoracic patients (including thoracic aortic) is defined within the patient pathway. 1 A clinical
More informationGuideline Implementation: Energy-Generating Devices, Part 2dLasers 1.3
CONTINUING EDUCATION Guideline Implementation: Energy-Generating Devices, Part 2dLasers 1.3 www.aornjournal.org/content/cme BYRON L. BURLINGAME, MS, BSN, RN, CNOR Continuing Education Contact Hours indicates
More informationExecutive & Board; Perioperative Education Committee
OPERATING ROOM NURSES ASSOCIATION OF CANADA RULES & REGULATIONS MANUAL Title Number 405 Source Date Revised January 2011 Date Effective 1998 Perioperative Education Programs Program Review and Approval
More informationICD and CRT-D Generator Replacement. Information for patients
ICD and CRT-D Generator Replacement Information for patients Your doctor has recommended that your ICD or CRT-D generator needs to be replaced, in order to keep your ICD or CRT-D working. What happens
More informationPROPOSED REGULATION OF THE STATE BOARD OF HEALTH. LCB File No. R July 23, 1998
PROPOSED REGULATION OF THE STATE BOARD OF HEALTH LCB File No. R107-98 July 23, 1998 EXPLANATION Matter in italics is new; matter in brackets [ ] is material to be omitted. AUTHORITY: 2-13, NRS 449.037.
More informationAppendix A.1 SURGICAL TECHNOLOGIST WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE
WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE A.1-1 WORK PROCESS SCHEDULE O*NET-SOC CODE: 29-2055.00 RAPIDS CODE: 1051CB This schedule is attached to and a part of these Standards for the above
More informationHaving a staging laparoscopy
Information for patients Having a staging laparoscopy Turnberg Building Upper GI General Surgery 0161 206 5062 Page 1 of 5 This booklet has four aims: l To help you and your family become better informed
More informationHeart Rhythm Program, St. Paul s Hospital Lead Extraction
Heart Rhythm Program, St. Paul s Hospital Lead Extraction FD.723.P114.PHC (R.Feb-18) What is a lead? A cardiac lead is a special wire that sends energy from a pacemaker or implantable cardioverter defibrillator
More informationSPECIMENS: LABELING AND HANDLING. Clinical Procedure
SPECIMENS: LABELING AND HANDLING Clinical Procedure Campus: All campuses Approved: August 2007 Department: Surgery & Anesthesia Services Next Review: August 2010 Purpose Policy To provide a method by which
More informationSAMPLE Perioperative Self-Assessment Questionnaire
SAMPLE Perioperative Self-Assessment Questionnaire Hospital Name: Person Completing the Assessment: Date: I. Executive Leadership Yes No 1. Do executive leaders have a defined mode of regular communication
More informationPurpose/goal. Statementt. Objectives After. Requirements. Sponsorship. reading this. 2. Read and. review the. completion. This activity was.
INSTRUCTIONS & DISCLOSURE STATEMENT Course 10: Perform Sponge, Sharp, and Instrument Counts Purpose/goal Statementt The purpose of this chapter is to describe the perioperative nurse s role in preventing
More informationSAMPLE AED PROCEDURE
Public Access Defibrillation Policies and Procedures Company Information Effective Date: PUBLIC ACCESS DEFIBRILLATION POLICIES AND PROCEDURES Table of Contents Signature Page AED Overview Section 1.0 Definitions
More informationQuality ID #424 (NQF 2681): Perioperative Temperature Management National Quality Strategy Domain: Patient Safety
Quality ID #424 (NQF 2681): Perioperative Temperature Management National Quality Strategy Domain: Patient Safety 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Outcome DESCRIPTION:
More informationReport into the Operating Theatre Fire Accident 17 August 2002
Report into the Operating Theatre Fire Accident 17 August 2002 Waitakere Hospital Waitemata District Health Board Final Report 29 September 2002 For any further information, or comment, please contact
More informationINFECTION CONTROL SURVEYOR WORKSHEET
Attachment 2 Exhibit 351 INFECTION CONTROL SURVEYOR WORKSHEET Instructions: The following is a list of items that must be assessed during the on-site survey, in order to determine compliance with the infection
More informationQUESTIONS PERTINENT TO PRODUCT SELECTION:
QUESTIONS PERTINENT TO PRODUCT SELECTION: Impact on patient outcomes Impact on patient/staff safety Economic considerations Use the following pages to help facilitate discussion with vendors, write your
More informationMedical technologies guidance Published: 22 August 2012 nice.org.uk/guidance/mtg11
Mega Soft Patient Return Electrode for use during monopolar electrosurgery Medical technologies guidance Published: 22 August 2012 nice.org.uk/guidance/mtg11 NICE 2018. All rights reserved. Subject to
More informationIMPLEMENTATION PACKET
EMERGENCY MEDICAL SERVICES AGENCY 300 North San Antonio Road Santa Barbara, CA 93110-1316 805/681-5274 FAX 805/681-5142 PUBLIC ACCESS DEFIBRILLATION IMPLEMENTATION PACKET Developed by: Marc Burdick, EMT-P,
More informationDepartment of Veterans Affairs VHA Directive Washington, DC March 5, 2016 PREVENTION OF RETAINED SURGICAL ITEMS
Department of Veterans Affairs VHA Directive 1103 Veterans Health Administration Transmittal Sheet Washington, DC 20420 March 5, 2016 PREVENTION OF RETAINED SURGICAL ITEMS 1. REASON FOR ISSUE: This Veterans
More informationABOUT REVEAL LINQ DURING
TALKING ABOUT REVEAL LINQ DURING CONSULT INTRODUCE THE SYSTEM o Help patients understand how the components work together Two primary components: Reveal LINQ ICM a small device that is inserted just under
More informationPGY-1 Overall Goals & Objectives
PGY-1 Overall Goals & Objectives PGY-1 residents are expected to accomplish and maintain the following objectives: Develop personal values and interpersonal skills appropriate for the surgical resident
More informationPressure Ulcers ecourse
Pressure Ulcers ecourse Module 5.8: Pressure Ulcer Surgery Handout College of Licensed Practical Nurses of Alberta (Canada) CLPNA.com and StudywithCLPNA.com CLPNA Pressure Ulcers ecourse Module 5.8: Pressure
More informationNEOSHO COUNTY COMMUNITY COLLEGE MASTER COURSE SYLLABUS. Principles and Practices of Surgical Technology Lab
NEOSHO COUNTY COMMUNITY COLLEGE MASTER COURSE SYLLABUS COURSE IDENTIFICATION Course Code/Number: SURG 103 Course Title: Principles and Practices of Surgical Technology Lab Division: Applied Science (AS)
More informationPacemaker or ICD (defibrillator) implantation. Information for patients South Yorkshire Regional Cardiac Rhythm Management Service
Pacemaker or ICD (defibrillator) implantation Information for patients South Yorkshire Regional Cardiac Rhythm Management Service page 2 of 12 On return to the ward, my wound will be covered with a dressing
More informationFire in the Operating Room Fire on the Patient
Scenario Overview Summary Mr F is a 52-year-old white man who presents with cervical lymphadenopathy (LAD) for present for the past 2.5 months. A computerized tomography (CT) scan of his neck demonstrates
More informationSETTING UP A ROBOTIC SPECIALITY- A NURSING PERSPECTIVE. Peta Barnes ANUM Robotics Epworth Freemasons VPNG Presentation 2017
SETTING UP A ROBOTIC SPECIALITY- A NURSING PERSPECTIVE Peta Barnes ANUM Robotics Epworth Freemasons VPNG Presentation 2017 FOCUS ON YOUR GOAL. DON T LOOK IN ANY DIRECTION BUT AHEAD AUDIENCE KNOWLEDGE WHO?
More informationNew data from Minnesota hospitals offers more insight into preventing
Patient safety Preventing pressure ulcers: New lessons from Minnesota New data from Minnesota hospitals offers more insight into preventing pressure ulcers during long surgical procedures. Data collected
More informationYour facility is having a baby boom. The number of cesarean births is
Clinical management Ensuring a comparable standard of care for cesarean deliveries Your facility is having a baby boom. The number of cesarean births is exceeding the obstetrical unit s capacity. Administrators
More informationWelcome to Baylor Scott & White Hillcrest. A Perioperative Services Orientation
Welcome to Baylor Scott & White Hillcrest A Perioperative Services Orientation What does "Perioperative" mean? When a patient is cared for in the Perioperative setting, they receive care preoperatively,
More informationNEOSHO COUNTY COMMUNITY COLLEGE COURSE SYLLABUS. Course Prefix/Number: SURG 103 Principles and Practices of Surg. Tech. Lab
COURSE IDENTIFICATION NEOSHO COUNTY COMMUNITY COLLEGE COURSE SYLLABUS Course Prefix/Number: SURG 103 Course Title: Principles and Practices of Surg. Tech. Lab Division: Allied Health Program: Surgical
More informationSharps Injury Prevention in the Intraoperative Setting
Sharps Injury Prevention in the Intraoperative Setting Describe recommended safe practices for cleaning instrumentation. Objectives Describe methods to reduce sharps injury to the health care team. Describe
More information17/06/2018. None. Author/s: Andrea Taylor Date of issue: 17 June 2015
Clinical Guideline Norfolk and Norwich University Hospitals (including the For Use in: Pacing and ICD satellite service at the James Paget Hospital) For use by Doctors, Nurses and other health care By:
More informationSame Day Admission (in A.M.)
Same Day Admission (in A.M.) Patient Information Booklet Pre-Operative Assessment Clinic Please bring this book to your admission to the Hospital and to all of your appointments For information call 613-721-2000
More informationNEOSHO COUNTY COMMUNITY COLLEGE MASTER COURSE SYLLABUS. Principles and Practices of Surgical Technology Lab
NEOSHO COUNTY COMMUNITY COLLEGE MASTER COURSE SYLLABUS COURSE IDENTIFICATION Course Code/Number: SURG 103 Course Title: Principles and Practices of Surgical Technology Lab Division: Applied Science (AS)
More informationInstitutional Handbook of Operating Procedures Policy
Section: Admission, Discharge, and Transfer Institutional Handbook of Operating Procedures Policy 9.1.29 Responsible Vice President: EVP & CEO Health System Subject: Admission, Discharge, and Transfer
More informationCA-3 Curriculum for Cardiac Anesthesia West Virginia University Department of Anesthesiology
CA-3 Curriculum for Cardiac Anesthesia West Virginia University Department of Anesthesiology Description of Rotation or Educational Experience This rotation is a continuation of the CA-2 Cardiothoracic
More informationPrevention of Orthopaedic Surgical Site Infections in the Perioperative Setting. Disclosures. Objectives
Prevention of Orthopaedic Surgical Site Infections in the Perioperative Setting Mary Atkinson Smith, DNP, FNP-BC, ONP-C, RNFA, CNOR & W. Todd Smith, MD, FAAOS Disclosures We hereby certify that, to the
More informationManager. 2. To establish procedures for selecting and acquiring biomedical equipment.
Page 1 of 8 CENTRAL STATE HOSPITAL POLICY SUBJECT: BIOMEDICAL EQUIPMENT MANAGEMENT ANNUAL REVIEW MONTH: RESPONSIBLE FOR REVIEW: October Regional Safety & Environmental Health Manager LAST REVISION DATE:
More informationSURGICAL SAFETY CHECKLISTS
1 SURGICAL SAFETY CHECKLISTS Power Play: Managing the Forces that Impact Implementation The Experience of a small isolated community hospital Presentation by: Mark Balcaen. March 8-9, 2010 2 Background
More informationClinical Fellowship: Cardiac Anesthesia
Anesthesia and Perioperative Medicine Western University Cardiac Anesthesia Program Director Dr. Anita Cave Please visit the Cardiac Anesthesia Fellowship site for most up-to-date information: http://www.schulich.uwo.ca/anesthesia/education/fellowship/fellowships_offered/cardiac_anesthesia.html
More informationConsensus Reports and Recommendations to Prevent Retained Surgical Items
Consensus Reports and Recommendations to Prevent Retained Surgical Items Summary by the Institute for Population Health Improvement, UC Davis Health System Category Items included in surgical count When
More informationAustralian and New Zealand College of Anaesthetists (ANZCA)
PS08 2016 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Assistant for the Anaesthetist 1. PURPOSE The purpose of this document is to recognise the importance of and to promote
More informationHOSPITAL EPIDEMIOLOGY AND INFECTION CONTROL: SURGICAL SITE INFECTION REPORTING TO CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
Office of Origin: Department of Hospital Epidemiology and Infection Control (HEIC) I. PURPOSE To comply with reporting cases of surgical site infection as required by Sections 1255.8 and 1288.55 the California
More informationAccreditation Program: Hospital Chapter: National Patient Safety Goals
Universal Protocol Accreditation Program: Hospital Chapter: National Patient Safety Goals The organization meets the expectations of the Universal Protocol. UP.01.01.01 Conduct a pre-procedure verification
More informationAustralian/New Zealand Standard
AS/NZS 4815:2001 AS/NZS 4815 Australian/New Zealand Standard Office-based health care facilities not involved in complex patient procedures and processes Cleaning, disinfecting and sterilizing reusable
More informationProgramming a Spinal Cord Neurostimulator
Programming a Spinal Cord Neurostimulator August 10, 2017 My surgeon wants to bill 95972 for programming along with placement of a spinal neurostimulator. Isn t the programming inclusive to the surgical
More informationEP20EO Clinical nurses are involved in the review, action planning, and evaluation of patient safety data at the unit level.
Exemplary Professional Practice CULTURE OF SAFETY EP20EO Clinical nurses are involved in the review, action planning, and evaluation of patient safety data at the unit level. Example B: Provide one example,
More informationAUTOMATED EXTERNAL DEFIBRILLATOR PROGRAM
California Institute of Technology AUTOMATED EXTERNAL DEFIBRILLATOR PROGRAM 1 Caltech Environment, Health, and Safety Office 1200 E. California Blvd., M/C 25-6 Pasadena, CA 91125 Phone: 626.395.6727 Fax:
More informationSURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER. Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow
SURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow I. Clinical Mission of the North Carolina Jaycee Burn Center The clinical
More informationSGT 222 SURGICAL PROCEDURES
SGT 222 SURGICAL PROCEDURES PRESENTED AND APPROVED: AUGUST 9, 2012 EFFECTIVE: FALL 2012-13 Prefix & Number SGT 222 Course Title: Surgical Procedures Purpose of this submission: New Change/Updated Retire
More informationAims. - Surgical Assistance - Hands up if you think expectations of the perioperative team are to high? Adrian Jones : RN - SCP AfPP Vice President
- Surgical Assistance - Hands up if you think expectations of the perioperative team are to high? Adrian Jones : RN - SCP AfPP Vice President Aims Interactive session exploring challenges facing perioperative
More informationPosition Number(s) Community Division/Region(s) Inuvik
IDENTIFICATION Department Northwest Territories Health and Social Services Authority Position Title Charge Nurse Operating Room / PARR Position Number(s) Community Division/Region(s) 47-5668 Inuvik Nursing
More informationa. is used to administer an electric shock through the chest wall to the heart;
Policy and Procedures for Use of Automatic External Defibrillators (AED) by CTHSS School Personnel and the Development of School AED Emergency Action Plans Overview: It has been well demonstrated that
More informationABO SELF-DIRECTED IMPROVEMENT IN MEDICAL PRACTICE ACTIVITY (CLINICAL)
ABO SELF-DIRECTED IMPROVEMENT IN MEDICAL PRACTICE ACTIVITY (CLINICAL) Topic Title of Project: Reduction in the Rate of Perioperative Incidents Related to the Intraoperative Time- Out Procedure Project
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
Managing pressure ulcers in neonates, infants, children and young people bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They
More informationCh. 138 CARDIAC CATHETERIZATION SERVICES CHAPTER 138. CARDIAC CATHETERIZATION SERVICES GENERAL PROVISIONS
Ch. 138 CARDIAC CATHETERIZATION SERVICES 28 138.1 CHAPTER 138. CARDIAC CATHETERIZATION SERVICES Sec. 138.1 Principle. 138.2. Definitions. GENERAL PROVISIONS PROGRAM, SERVICE, PERSONNEL AND AGREEMENT REQUIREMENTS
More informationWhen to Consider Implantable Cardioverter Defibrillator (ICD) Deactivation. A Guide for Patients and Family
When to Consider Implantable Cardioverter Defibrillator (ICD) Deactivation A Guide for Patients and Family This booklet will help answer your questions about deactivating the shock function of an ICD.
More informationWhen to Consider Implantable Cardioverter Defibrillator (ICD) Deactivation. A Guide for Patients and Family
When to Consider Implantable Cardioverter Defibrillator (ICD) Deactivation A Guide for Patients and Family This booklet will help answer your questions about deactivating the shock function of an ICD.
More informationSURGICAL SERVICES EE-1 9/14
Are outpatient surgical services required to meet the same quality standards as the inpatient surgical services provided? Is the scope of the surgical services provided by the hospital defined in writing
More informationOrientation to the Operating Room Glossary of Terms
Orientation to the Operating Room Glossary of Terms Acuity: The complexity of care given in the operating room. Agency: An establishment engaged in providing health care. Airborne Precautions: Precautions
More informationWhat Does a Consent Form Look Like at Different Reading Levels?
Vol. 14, No. 2, February 2018 Happy Trials to You What Does a Consent Form Look Like at Different Reading Levels? By Norman M. Goldfarb For informed consent to occur, potential study participants should
More informationInfection Control Policy and Procedure Manual. Post-Anesthesia Care Unit (Recovery Room) Page 1 of 6
(Recovery Room) Page 1 of 6 Purpose: The purpose of this policy is to establish infection prevention guidelines to prevent or minimize transmission of infections in the. Policy: All personnel will adhere
More information8 weeks of PGY-3 year Kapiolani Medical Center for Women & Children
Pediatric Surgery Length: Location: Primary Supervisor: Academic Staff: Contact Telephone #: 8 weeks of PGY-3 year Kapiolani Medical Center for Women & Children Walton Shim, M.D. Sydney Johnson, M.D.;
More informationNEURODIAGNOSTIC TECHNOLOGY PROGRAM GRADUATE COMPETENCIES FOR PERFORMING INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING PROCEDURES ADD-ON IONM
NEURODIAGNOSTIC TECHNOLOGY PROGRAM GRADUATE COMPETENCIES FOR PERFORMING INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING PROCEDURES ADD-ON IONM The following graduate competencies for performing Intraoperative
More informationNuDermfix UNEX IPLaser 1000 User Manual
NuDermfix UNEX IPLaser 1000 User Manual NuDermfix UNEX IPLaser 1000 Specification Application: 1. Permanent hair removal, all colors of tattoo removal. 2. Skin rejuvenation 3. Tighten skin 4. Acne removal,
More informationLCB File No. T015-98
LCB File No. T015-98 TEMPORARY REGULATION OF THE STATE BOARD OF HEALTH NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the State Health Division will hold public hearing and act on amendments to Nevada
More informationGlobal Surgery Package for Professional Claims
Manual: Policy Title: Reimbursement Policy Global Surgery Package for Professional Claims Section: Administrative Subsection: None Policy Number: RPM011 Date of Origin: 1/1/2000 Last Updated: 3/6/2017
More informationInformation For Patients
Information For Patients Pressure Ulcers (A test to examine the arteries that supply blood to the heart) Liverpool Heart and Chest Hospital NHS Foundation Trust Thomas Drive Liverpool Merseyside L14 3PE
More informationT he use of flammable anaesthetics largely
467 ERROR MANAGEMENT Surgical fires: perioperative communication is essential to prevent this rare but devastating complication M E Bruley... A fire on or within a surgical patient is a continuing risk
More informationClinical guideline Published: 23 April 2008 nice.org.uk/guidance/cg65
Hypothermia: prevention ention and management in adults having surgery Clinical guideline Published: 23 April 2008 nice.org.uk/guidance/cg65 NICE 20. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
More informationU.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL FORT SAM HOUSTON, TEXAS INTRODUCTION TO THE OPERATING ROOM SUBCOURSE MD0923 EDITION 100
U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL FORT SAM HOUSTON, TEXAS 78234-6100 INTRODUCTION TO THE OPERATING ROOM SUBCOURSE MD0923 EDITION 100 DEVELOPMENT This subcourse is approved for resident and
More information2010 PQRI REPORTING OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY
Measure #193: Perioperative Temperature Management 2010 PQRI REPTING OPTIONS F INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION: Percentage of patients, regardless of age, undergoing surgical or therapeutic
More informationPosition Number(s) Community Division/Region(s) Inuvik
IDENTIFICATION Department Northwest Territories Health and Social Services Authority Position Title Licensed Practical Nurse Operating Room/PARR Position Number(s) Community Division/Region(s) 47-5892
More informationCardiology Published: March 2015 Review date: March 2018 Reference no: 2532v1 Imperial College Healthcare NHS Trust
Cardiology Published: March 2015 Review date: March 2018 Reference no: 2532v1 Imperial College Healthcare NHS Trust An Implantable Cardioverter Defibrillator or ICD is a device which has a pulse generator
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Pre-Operative Marking
The Newcastle upon Tyne Hospitals NHS Foundation Trust Pre-Operative Marking Version.: 6.1 Effective From: 01 April 2015 Expiry Date: 01 April 2018 Date Ratified: 17 December 2014 Ratified By: Theatre
More informationHealthcare Risk Control
Topics Covered 2016 Administrative Support Services Healthcare Advertising and Marketing Media Relations Social Media in Healthcare Critical Care Clinical Alarms Invasive Lines Pulse Oximetry Risk Management
More informationINTRODUCTION TO THE OPERATING ROOM FOR OBSERVERS
INTRODUCTION TO THE OPERATING ROOM FOR OBSERVERS DIRECTION FOR DAY OF OBSERVATION Assure that you eat breakfast Bring your ID Obtain scrubs The scrub room opens at 7:45am Take brown elevators to the ground
More informationImplantable Loop Recorder (ILR)
Information for patients This leaflet can be made available in other formats including large print, CD and Braille and in languages other than English, upon request. Your doctor has advised you have an
More informationCourse Title: Emergency Medical Responder 3 Course Number: Course Credit: 1. Course Description:
Course Title: Emergency Medical Responder 3 Course Number: 8417171 Course Credit: 1 Course Description: This course prepares students to be employed as Emergency Medical Responders. Content includes, but
More informationSTANDARDIZED PROCEDURE VENTRICULAR SEPTAL DEFECT (VSD) CLOSURE ASSIST (Neonatal, Peds)
I. Definition A ventricular septal defect is an abnormal opening in the wall (septum) that divides the two lower chambers of the heart (ventricles). A ventricular septal defect closure is a procedure performed
More informationAdmission Record IVF/Gynae
Admission Record IVF/Gynae Surgeon: Operation : of Admission: Please state your full name and date of birth - correct Nurse Checklist Yes No Please tell me your full address - correct Consent form signed,
More information