Outpatient Surgery Magazine

OR Excellence Awards - September 2018 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 102 of 126

Keep this concern in mind post-operatively, too. Patients are bound to have some abdominal distention or pain after gallbladder surgery, but if they're having pain, you need to get a sense of how serious it is. The possibility of an undetected bowel injury should always be on your radar. 8 Make sure everyone knows where the foot pedal is. It can hap- pen. You're using an instrument with a foot pedal, and someone inadvertently steps on it before the cord is connected to an instrument, or while the instrument is still in the trocar on its way to the target tissue. That's obviously concerning. Where is that energy going to go? Make sure everyone knows where the pedal is and that all instruments are holstered properly when they're not in use. 9 Take smoke evacuation seriously. We've only recently come to understand how dangerous surgical smoke is. Thankfully, we can attach filters that trap harmful chemicals in line with the tubing. That's a big improvement over the long-standing practice of opening a knob on a cannula or trocar to release dangerous smoke out of the field and into the room. I suspect and hope that AORN's Go Clear curriculum (aorn.org/goclear), which has been very well received, will eventually achieve 100% compliance. 10 Understand the fire triangle. Whenever you have an igni- tion source, combustible materials and oxygen, you have the potential for an OR fire. And the higher the oxygen level, the greater the risk. Be aware also of potential pools of alcohol com- bined with electrosurgery in an oxygen-rich environment. OR fires are rare, but they can be devastating. S E P T E M B E R 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 1 0 3

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