AORN J. 2021 Jul;114(1):60-72. doi: 10.1002/aorn.13421.
Surgeons routinely use electrosurgical devices to cut and coagulate tissue during surgical procedures. However, hazards associated with electrosurgery (eg, burns, electrical shock, fire) can place patients or personnel at risk. Perioperative nurses should standardize processes, preoperatively assess the risks for electrosurgical injuries, and participate in education activities on electrosurgical safety to help prevent injuries from occurring. The AORN "Guideline for electrosurgical safety" provides guidance to perioperative personnel for safe use of electrosurgical units, electrocautery devices, and argon-enhanced coagulators. This article discusses prevention of electrosurgical unit injuries, including those that can be caused by electrosurgical accessories. A scenario describes how a team investigating two incidents related to use of electrosurgery uses an assessment tool to identify risks for injury and includes a report of these risks in the surgical briefing. Perioperative RNs should review the entire guideline for additional information when creating and updating policies and procedures for electrosurgical safety.
外科医生在手术过程中通常会使用电外科设备来切割和凝固组织。然而，电外科相关的危险（如烧伤、电击、火灾）会使患者或人员面临风险。围手术期护士应使流程标准化，在术前评估电外科损伤的风险，并参与电外科安全教育活动，以帮助防止损伤的发生。AORN“电外科安全指南”为围手术期人员提供了安全使用电外科设备、电灼器和氩气增强凝血器的指导。本文讨论了电外科设备损伤的预防，包括电外科附件可能造成的损伤。一个场景描述了一个团队如何使用评估工具来识别与电外科使用相关的两个事件的风险，并在手术简报中报告这些风险。围手术期注册护士在制定和更新电外科安全政策和程序时，应查阅整个指南以获取更多信息。
