A number of facilities have
plume evacuation systems, but
some don't even know they have
them, says Mr. Palmerton.
"I've gone into an equipment
room where they say they don't
have evacuation products and find
they do have them," he says. "But
typically, they're old and outdated,
and they're not compliant with
what we're using today, equip-
ment-wise."
Similarly, some facilities have
mandatory plume evacuation built
into their policies, but they don't
follow them.
"It's like any other policy that
you have in place: If you're not
going to follow it, you might as
well not have it," says Mr.
Palmerton.
Get surgeons onboard
Getting buy-in from surgeons is
critical. Not long ago, smoke evac-
uators were big, ugly gray mon-
strosity boxes that sounded like
jet engines. A surgical tech or a
first assist had to hold a big tube
during the procedure that would
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