Chapt 11 PowerPoint Flashcards
What are the TJC’s basic elements of a safe environment
Building designed to protect all
Safe equipment
People who enter are trained
HFAP’s basic elements of job safety
Fire drills/equipment Disaster response plan Staff education Facilities maintenance program Compliance monitoring Overall building safety
What are ECRI Recommendations for RNs
Question the need for 100% oxygen during facial surgery; suggest replacing it with a lower concentration.
Ensure that all flammable preps are thoroughly dry prior to placing drapes on the patient.
Coat facial hair near the surgical site with a water-soluble lubricant.
Keep sponges, gauze, and pledgets moist during surgery.
Place the electrosurgical pencil in a properly placed holster when not in use.
Disconnect and remove contaminated ESU pencils.
Check the ESU alarm before use
Remove foot pedals that are not being used from the area around the surgeon’s feet
Place the laser on standby when it is not being used
Place wet towels around the laser incision site, and use nonreflective instrumentation
Keep activated fiber-optic light sources from contacting surgical drapes or gowns
Store alcohol-based hand rubs in an area away from ignition and heat sources
What to do when theres a fire
R - rescue people
A - signal a code red and location of fire 3 times
C- contain fire and smoke so close doors and shut off gas valves
E - extinguish the fire
E - evacuate to safe area and pull fire pull station on the way out
Steps for using a fire extinguisher
P - pull the pin
A - aim
S - Squeeze the handle
S - sweep at the base
What is a class A Fire Ex used for
wood, cloth, paper, most plastics
What is class B fire Ex used for
flammable liquids or grease
What is a class C fire ex used for
electrical equipment
What is a Halon fire Ex used for
Class A B and C
What are some chemical hazards you would see in the OR
Formaldehyde Glutaraldehyde Methyl methacrylate Surgical smoke (plume) Natural rubber latex (for those allergic)
