Spruce Lisa, Braswell Melanie L
UHS of Delaware, Inc, King of Prussia, PA, USA.
AORN J. 2012 Mar;95(3):373-84; quiz 385-7. doi: 10.1016/j.aorn.2011.12.018.
Technology is constantly changing, and it is important for perioperative nurses to stay current on new products and technologies in the perioperative setting. AORN's "Recommended practices for electrosurgery" addresses safety standards that all perioperative personnel should follow to minimize risks to both patients and staff members during the use of electrosurgical devices. Recommendations include how to select electrosurgical units and accessories for purchase, how to minimize the potential for patient and staff member injuries, what precautions to take during minimally invasive surgery, and how to avoid surgical smoke hazards. The recommendations also address education/competency, documentation, policies and procedures, and quality assurance/performance improvement. Perioperative nurses should consider the use of checklists and safety posters to remind staff members of the dangers of electrosurgery and the steps to take to minimize the risks for injury.
技术在不断变化,对于围手术期护士来说,了解围手术期环境中的新产品和技术的最新情况很重要。美国手术室护理协会(AORN)的“电外科手术推荐做法”阐述了所有围手术期人员在使用电外科设备时应遵循的安全标准,以尽量减少对患者和工作人员的风险。建议包括如何选择购买的电外科设备和附件,如何将患者和工作人员受伤的可能性降至最低,在微创手术期间采取哪些预防措施,以及如何避免手术烟雾危害。这些建议还涉及教育/能力、记录、政策和程序以及质量保证/绩效改进。围手术期护士应考虑使用检查表和安全海报,以提醒工作人员电外科手术的危险以及将受伤风险降至最低应采取的步骤。