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How Do You Measure Up? - October 2013 - 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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OSE_1310_part3_Layout 1 10/7/13 10:33 AM Page 106 SAFETY dures performed around the face or above the xiphoid process. Learn the risks Teach your staff about the dangers of OR fires. Lessons should cover what to do during high-risk surgeries, including explaining open methods for surgical draping: Positioning drapes over the patient and securing them to a pole prevents oxygen from accumulating to dangerous levels underneath the covers. A fire can occur if oxygen is trapped under drapes and an ignition source such as an electrocautery pen is used. Materials that usually do not easily burn in room air can ignite in this oxygen-enriched environment. There is a greater risk of fire with open-oxygen delivery systems such as nasal cannula or masks than there is with closed delivery systems such as laryngeal masks or endotracheal tubes. If electrocautery or other devices will be used with an open-oxygen delivery system, ensure oxygen concentration is below 30%. (Sixty-five percent of surgical fires reported occur in MNEMONIC AIDS cases of surgeries When Every Second Counts above the level of R Remove everyone from fire area the xiphoid. Most A Alert others and use pull station occur when the conC Confine fire by closing doors centration of oxygen E Extinguish or evacuate eclipses the 30% threshold). P Pull pin on extinguisher Remove just one A Aim at base of fire element of the fire S Squeeze handle triad and you S Sweep from side to side remove all risk of — Charles Cowles, MD fire. So do all patients require oxy- 2 1 0 6 O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | O C T O B E R 2013

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