This is a PowerPoint made to explain various hazards in an operation theater and with its preventive measures.This will hepl the nursing students to go through the important points rather than going into deep studies.
the ot nursing is an essential concept that every student nurse must have an adequate knowledge in order to counteract the issues related to OT nursing.
Prevention of Accidents in An Operation Theatre Part 2-NURSINGMariaKuriakose5
This contains a detailed information about what causes accidents in an operation theater,its preventive measures and what else to be done to prevent such hazards taking place in an OT
Therapeutic environment can be defined as the total of all external conditions and influences affecting an individual in the illness situation.Infection prevention in the operating room is achieved through prudent use of aseptic techniques in order to prevent contamination of the open wound.
Isolate the operating site from the surrounding unsterile physical environment.
Create and maintain a sterile field in which surgery can be performed safely.
Management Of Patient Undergoing Surgerykalyan kumar
Preoperative care refers to health care provided before a surgical operation. The aim of preoperative care is to do whatever is right to increase the success of the surgery.
At some point before the operation the health care provider will assess the fitness of the person to have surgery.
During the perioperative period, specialised nursing care is needed during each phase of treatment. For nurses to give effective and competent care, they need to understand the full perioperative experience for the patient.
Perioperative refers to the three phases of surgery.
Preoperative stage
Intraoperative stage
Postoperative stage
Within these stages there are many different roles for nurses and different care needed for the patient dependent on which stage they are in.
As with any nursing care, the goal during these stages is to provide holistic and evidence based care as well as support to the individual.
There are different nursing roles throughout the perioperative process including: admissions nurse, anaesthetic nurse, circulating nurse or scout nurse, instrument or scrub nurse, post anaesthesia care unit (PACU) nurse and the surgical ward nurse. Other nurses may be included in the perioperative process such as pain management specialist nurses, diabetes educators.
the ot nursing is an essential concept that every student nurse must have an adequate knowledge in order to counteract the issues related to OT nursing.
Prevention of Accidents in An Operation Theatre Part 2-NURSINGMariaKuriakose5
This contains a detailed information about what causes accidents in an operation theater,its preventive measures and what else to be done to prevent such hazards taking place in an OT
Therapeutic environment can be defined as the total of all external conditions and influences affecting an individual in the illness situation.Infection prevention in the operating room is achieved through prudent use of aseptic techniques in order to prevent contamination of the open wound.
Isolate the operating site from the surrounding unsterile physical environment.
Create and maintain a sterile field in which surgery can be performed safely.
Management Of Patient Undergoing Surgerykalyan kumar
Preoperative care refers to health care provided before a surgical operation. The aim of preoperative care is to do whatever is right to increase the success of the surgery.
At some point before the operation the health care provider will assess the fitness of the person to have surgery.
During the perioperative period, specialised nursing care is needed during each phase of treatment. For nurses to give effective and competent care, they need to understand the full perioperative experience for the patient.
Perioperative refers to the three phases of surgery.
Preoperative stage
Intraoperative stage
Postoperative stage
Within these stages there are many different roles for nurses and different care needed for the patient dependent on which stage they are in.
As with any nursing care, the goal during these stages is to provide holistic and evidence based care as well as support to the individual.
There are different nursing roles throughout the perioperative process including: admissions nurse, anaesthetic nurse, circulating nurse or scout nurse, instrument or scrub nurse, post anaesthesia care unit (PACU) nurse and the surgical ward nurse. Other nurses may be included in the perioperative process such as pain management specialist nurses, diabetes educators.
Standard precautions are meant to reduce the risk of transmission of blood borne and other pathogens from both recognized and unrecognized sources.
They are the basic level of infection control precautions which are to be used, as a minimum, in the care of all patients.
Standard safety precautions are the basic infection prevention and control measures necessary to reduce the risk of transmission of infectious agent from both unrecognized and unrecognized sources of infection.
The elements of Standard Precautions include:
Hand hygiene.
Use of gloves and other barriers (e.g., mask, eye protection, face shield, gown).
Handling of patient care equipment and linen.
Environmental control.
Prevention of injury from sharps devices, and patient placement.
Respiratory hygiene and cough etiquette
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
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Cardiac monitoring(presentation ) for medical studentsNehaNupur8
presentation on cardiac monitoring , different tools and mechanism used for monitoring one of the vital organ of our body that is heart. specially for medical students, made by basic bsc students of nursing
Standard precautions are meant to reduce the risk of transmission of blood borne and other pathogens from both recognized and unrecognized sources.
They are the basic level of infection control precautions which are to be used, as a minimum, in the care of all patients.
Standard safety precautions are the basic infection prevention and control measures necessary to reduce the risk of transmission of infectious agent from both unrecognized and unrecognized sources of infection.
The elements of Standard Precautions include:
Hand hygiene.
Use of gloves and other barriers (e.g., mask, eye protection, face shield, gown).
Handling of patient care equipment and linen.
Environmental control.
Prevention of injury from sharps devices, and patient placement.
Respiratory hygiene and cough etiquette
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
Cardiac monitoring(presentation ) for medical studentsNehaNupur8
presentation on cardiac monitoring , different tools and mechanism used for monitoring one of the vital organ of our body that is heart. specially for medical students, made by basic bsc students of nursing
Dentists and dental health care workers may face potential occupational hazards due to exposure risks inherent in the profession . Dental practitioners are at the risk of exposure to blood-borne pathogens like HIV , HBV, HCV. STRESS can never be totally eliminated from dental practise , however it can be managed .
Prevention of Surgical Site Infection- SSI [compatibility mode]drnahla
Infection Control Guidelines for Prevention of Surgical Site Infection- SSI
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
CHAPTER 2FUNDAMENTALS OF NURSING POTTERATI FUNDAMEN.docxwalterl4
CHAPTER 2
FUNDAMENTALS OF NURSING: POTTER
ATI FUNDAMENTALS
CHAPTERS 1,2
SAFETY AND INFECTION CONTROL
SAFETY AND INFECTION CONTROL
CHAPTERS 27,28 FUNDAMENTALS OF NURSING
CHAPTER 10,11,12,13,14 ATI FUNDAMENTS
In patient safety, critical thinking is an ongoing process.Standards have been developed by American Nurses Association and The Joint Commission.Use of the nursing process when planning care promotes safety.
SAFETY AND INFECTION CONTROL
Safety in Health Care Organizations
A Safe EnvironmentIncludes meeting patients’ physical and psychosocial needsApplies to all places where patients receive careIncludes patients’ and health care providers’ well-beingReduces risk of injury and transmission of pathogensMaintains sanitation and reduces pollution
Environmental HazardsPhysical hazards: LightingObstaclesBathroom hazardsMotor vehicle accidentsPoisonFires
Falls
Transmission of pathogens
Pollution
Disasters
Natural
Man-made
Fire SafetyKeep open spaces (e.g., hallways) free of clutter.Make sure fire exits are clearly marked.Know the locations of all fire alarms, exits, and extinguishers.Know the telephone number for reporting fires.Know the agency’s fire drill and evacuation plans.Never use the elevator in the event of a fire.Turn off oxygen and appliances in the vicinity of a fire.In the event of fire, maintain the respiratory status of a client on life support manually with the use of an Ambu-bag (resuscitation bag) until the client can be moved away from the fire.Use the RACE mnemonic to set priorities in the event of a fire.Use the PASS mnemonic to remember how to use a fire extinguisher.
Evacuation Procedures
Ambulatory clients may be directed to walk on their own to a safe area and may be able to help move clients in wheelchairs.Bedridden clients are generally moved from the scene of a fire on stretchers, in their beds, or in wheelchairs.Appropriate transfer techniques must be used to carry a client from the area of a fire.Fire department personnel at the scene of a fire can help evacuate clients.
Safety - The Primary concern when caring for clients
All employees need to know:
the institution's fire evacuation routine
the location of fire alarms
the location of fire extinguishers
how to use the fire extinguisher
the location of fire exits
The "hang tag“ (ON FIRE EXTINGUISHERS) should be checked for date of last inspection (usually annually)
List the phone number for reporting fires close to all phones in the facility
facility rescue plans:
FIRE SAFETY
FIRE EXTNGUISHERS
The most common water extinguishers are suitable for class A fires only. Never use water to extinguish class C fires due to the risk of electrical shock.
Dry chemical extinguishers come in a variety of types and are suitable for a combination of class A, B, and C fires (liquids and electrical fires)
filled with foam or powder and pressurized with nitrogen
may leave a harmful residue that reduces the likelihood of re-ignition
Carbon dio.
Infection control prevents or stops the spread of infections in healthcare settings
sterilization is a process which kills all forms of microbial life including transmissible agents such as virus, bacteria, fungi and spore forms
disinfection is define as a destruction or inhibition of most pathogenic agent on the surface of inanimate object by chemical or physical means.
Methods of Handwashing are
A.Short Scrub
B. Short Standard Handwash
C. Surgical Hand Scrub
PATIENT AND STAFF SAFETY MANAGEMENT.pptxanjalatchi
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
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2. INTRODUCTION
• Operation theatre differs from other areas of hospital and care should be
taken to prevent accidents by physical , chemical or biological means.
• Accident is an unexplained, unexpected and undesired event.
• Objective:To identify the hazards present in the operating rooms and to list
actions that can be taken to minimize these hazards.
3. WHY SHOULD WE AVOID ACCIDENTS IN AN
OPERATION THEATRE?
• Every patient has the right to be treated using the safest
technology available in health facilities.
• This requires two main aspects knowledge and well trained caring
heath care workers and validated systems in operating theatres
and sterile services that will ensure safety for the patients and to
reduce harm
4. CLASSIFIACTION OF HAZARDS IN AN OT
Hazard :A situation that posses a level of threat to life ,health,property or
environment.
Hazards in an operating room:are potential sources of harm or adverse health
effects that occur in the operating room.
They are of three types :
1)Physical Hazards
2)Chemical Hazards
3)Biological Hazards
5. 1) PHYSICAL HAZARDS AND SAFEGUARDS
• A physical hazard is a type of occupational hazard that involves environmental hazards
that can cause harm with or without contact.Most common type of hazard in an OT.
• Engineering controls are often used to mitigate physical hazards
The physical facility is designed to control traffic pattern , decrease contamination,
facilitate handling of equipment's and supplies and to provide a comfortable working
environment.
7. PREVENTIVE MEASURES
• Maintain adequate ventilation through AC
• Maintain adequate temperature through AC
• Lighting should be without shadow and glare
• Wall, ceiling and curtain should have light green or light blue
• Provision for soft music which is relaxing for both patient and OT
personnel
8. B)IMPROPER BODY MECHANICS
• Standing for prolonged period in an awkward position cause low back pain.
• Weight bearing on particular body part cause additional strain.
• Improper height cause back injury or low backache
9. PREVENTIVE MEASURES
• OT table should be adjusted to best working height.
• Maintaining an erect posture
• Surgical team member should stand with feet apart.
• Surgical team member should wear soft leather with back open.
• Surgical team member should remain close to the OT table.
10. C)ELECTRICAL HAZARDS
• Short circuit
• Improper electrical devices cause risk for both patients and
personnel.
• Inadequate knowledge of handling electrical devices.
11. PREVENTIVE MEASURES
• Periodical checking and checking before using of electrical
sockets, equipment's and devices
• All electrical equipment's should be properly insulated.
• Equipment's should be turned off when not in use.
• Surgical team should use cotton gowns.
• Cotton blankets should be used for patients.
12. D)FIRE HAZARDS
• Fire is caused by short circuit,anaesthesia machines, oxygen
cylinders and other inflammable items.
Preventive measures
• Periodic checking of electrical sockets,lines.
• Anaesthesia machines should be kept away from source of heat.
• OT should be strictly no smoking zone.
• OT should have fire extinguisher ,fire alarm.
13. E)IRRADIATION HAZARD
• When x-ray is taken.
• When fluoroscopy and image intensifying apparatus are used.
• Implantation or removal of radioactive elements.
15. PREVENTIVE MEASURES
• Minimum exposure to fluoroscope , image intensifier and x-ray
machine.
• Unsterile members should leave OT during procedures.
• Sterile team members should keep atleast 2m distance.
• Lead aprons should be worn inside sterile gown by sterile and
unsterile members.
16. 2)CHEMICAL HAZARDS AND SAFEGUARDS
Health care providers are exposed to many chemical hazardous daily.
a)Anesthetic gases
Health hazards include risk for spontaneous abortion , cancer, hepatic and renal diseases.
• .Chronic exposure to nitrous oxide leads to neurologic problems.
17. B) STERILIZING AGENTS
The chemicals agents which are used to sterilize heat sensitive items which are toxic
and also irritating to eyes and nasal passages, even at low levels of exposure
>Ethylene Oxide
>Formaldehyde
> Glutaraldehyde
18. C)DISINFECTANTS
>Some of the disinfectants that are used to clean the equipment’s can be
irritating to the skin and eyes.
>Gloves and goggles should be worn while using these chemicals.
D) Methyl Methacrylate
Commonly known as bone cement .
It is a carcinogen and is toxic to liver.
A scavenging system should be used to collect the vapours.
20. 3)BIOLOGIC HAZARDS AND SAFEGUARDS
• Transmission of infection and disease is a concern for personnel.
a)Infectious Waste
Waste having enough virulence and are capable of causing infectious
diseases.
FACTORS determining something is infectious
• Presence of pathogenic organism in sufficient number and are capable of
causing infection.
• Presence of portal of entry into a susceptible host.
21. B) BLOOD-BORNE DISEASES
A penetrating injury(needle stick ,cut) or a splash(into the eye ,onto mucous membranes)
with fluid contaminated with blood must not be ignored.
If exposure to blood or body fluid occurs. The following procedures to be performed:
• Stop the activity immediately and step back from the point of contamination.
• Squeeze skin around the needle stick or cut to expel blood and contaminants
• Cleanse puncture site
• Report the incident and seek medical attention promptly
• Follow the protocol established for follow up
24. A)ADMINISTRATION
• Regulation,recommendations,guidelines and laws should be enforced to prevent disastrous
consequences of occupational hazards.
• Policies and procedures should be written reviewed and updated periodically.
• Protective attire and safety equipment’s should be made available to the employees
• Employee health services should be provided for immunisations
25. B) PREVENTION
s
Routine preventive maintenance should be provided for all potentially
hazardous equipment
C) CORRECTION
Faulty or malfunctioning equipment should be taken out of serve
immediately
Unsafe conditions should be reported.
26. C)EDUCATION
• Orientation
• Use of emergency equipments
• Protective garments
D) DOCUMENTATION
Incident reports regarding injuries to personnel and patients should be filed with the
administration of facility.
27. CONCLUSION
Prevention of injuries is vital to maintain a safe environment. Each caregiver
should seek instruction when needed and follow safety and control measures
established by facility policies and procedures.
28. BIBLIOGRAPHY
• Operating room techniques ,11th edition
Berry and Kohn
Operation theatre Nursing
Prof. Sunanda S Roy