364 - Clear the Air - A Hospital Wide Go Clear Educational Initiative
Description: TITLE- Clear the Air: A Hospital Wide Go Clear Educational Initiative AUTHORS: MATT CARROLL, ROMEO COLOMADEPARTMENT: ORABSTRACTClinical Issue- Create a safer environment for our patients and perioperative team members by creating surgical smoke free operating rooms, create a PDSA based on best practices, speak to surgeons on harmful effects of plumb, lastly continually educate to drive compliance and adoption.Description of Team- Matthew Carroll and Romeo ColomaAssessment- Exposure to surgical smoke or “plume” as a by-product of electrosurgical units has potential to negatively affect those directly involved with patient care during surgery including the patient. Recent studies show that inhalation of plume from one gram of tissue is equivalent to smoking 3 to 6 unfiltered cigarettes. This places employees as well as the patient at risk of inhalation of the contents of the plumb which include infectious bacteria, viruses, and carcinogen to name a few. Many countries, as well as nearby healthcare entities currently have laws and policies requiring smoke evacuation systems be implemented and utilized in all their operating rooms. Torrance Memorial Medical Centers perioperative services currently carry supplies to mitigate surgical smoke exposure such as bovie smoke evacuators and Neptunes HEPA filters, yet currently there adoption is minimal. Furthermore there is new technology that can be reviewed for implementation that minimizes much of the previous concerns.Implementation- We would take a multi step approach that begins with creating a task force of RN’s, ST, and MD’s who buy into the goal of smoke free operating rooms. Secondly, we would set out to educate our entire perioperative staff including surgeons on the risks of plume. Thirdly, we would be to set up a inservice from Stryker and Medtronic and/or other vendors to demo the Neptune E- SEP Smoke Evacuation Pencil and other relevant tools. Our fourth step would be to identify select physicians who would be willing to trial various smoke free devices and provide feedback. Finally we would have nursing management do a cost analysis on adopting additional supplies to help us achieve a smoke free OR.Concurrently we would have all relevant staff members complete the AORn Go Clear Modules to drive education and compliance.Outcome- Will document as we continue with our education and trial. We are currently in a trial period with the first vendor smoke-free evacuation pencil and receiving feedback from the surgeons, and will progress to a second vendor trial in the near future. Implications for Perioperative Nursing- Provide the hardworking Perioperative Nurses the right to the safest working environment possible. Prioritize the health rights of the entire OR staff over personal equipment preferences.