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Are You Ready for Ebola? - November 2014 - 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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6 9 N O V E M B E R 2 0 1 4 | O U T P AT 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 W A S T E D I S P O S A L y facility has disposed of fluid waste in just about every way imaginable. We've dumped it down the drain. Solidified it and tossed it into red bag waste. And we're currently trialing a fluid suction and collec- tion cart on wheels. We also considered a direct-to-drain system, but it would have required more renovations to our OR plumbing system than we want- ed to do. Staff safety and convenience count, yes, but when looking at your fluid waste-disposal options, it's best to consider the hard and soft costs of the 3 main options: dumping, solidifying and closed sys- tems. Dump it down the drain The cheapest way to get rid of fluid waste is to take the canister after a procedure and have a staff member dump it down the drain via a sink or hopper. To dump the fluid waste down the drain, a staff mem- ber must transport suction canisters by hand or by wheeling a cart to the sink or hopper, where she then must open the canister and dump it. While cheapest in hard costs — because all you'll have to pay for besides the suction equipment and canisters is a sewer bill — this method poses the biggest infection and staff safety risks by far. To start, canisters are fairly heavy — the average weight is about 8 pounds. When a staff member needs to dump the canisters, she then has to do so in a hopper or sink, which means the possibly infectious fluid could splash or aerosolize, endangering the person doing the dumping. It's a dirty job, and can put staff at risk. Even if employees are wearing gowns, masks and goggles, as required, they can still be exposed. Costs can skyrocket when you start to add how much it would harm your facility if an employee was exposed to a bloodborne pathogen.

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