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AORN J. 2019 Aug;110(2):169-179. doi: 10.1002/aorn.12716.
The OR can be a hazardous environment for both patients and personnel. Low lighting, fluid on the floor, combustible and noxious chemicals, multiple pieces of equipment with cords, the fast pace, and numerous distractions are only some of the factors that can lead to an accident or injury. The AORN "Guideline for a safe environment of care" provides guidance to perioperative personnel on identifying hazards and implementing processes to mitigate risks in the perioperative setting. This article elaborates on key takeaways from the guideline, including precautions to reduce the risk of OR fires; occupational injuries associated with slips, trips, and falls; and handling, storing, and using hazardous chemicals. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.
手术室对患者和医护人员来说都可能是一个危险的环境。光线昏暗、地面有液体、存在易燃和有毒化学品、多台带有电线的设备、快节奏以及众多干扰因素,这些都只是可能导致事故或伤害的部分因素。美国手术室注册护士协会(AORN)的“安全护理环境指南”为围手术期医护人员提供了关于识别危害以及在围手术期环境中实施降低风险流程的指导。本文详细阐述了该指南的关键要点,包括降低手术室火灾风险的预防措施;与滑倒、绊倒和跌倒相关的职业伤害;以及危险化学品的处理、储存和使用。围手术期注册护士在撰写和更新政策与程序时,应查阅完整指南以获取更多信息和指导。