213 - Safety in the Operating Room: Implementation of a Fire Risk Assessment
Description: Safety in the Operating Room: Implementation of a Fire Risk Assessment Every day and with every surgical case, the components of the fire triangle are present, increasing the potential for surgical fires. Cognizant of best practice and researching standards of practice, nursing recognized that our organization was lacking a fire risk assessment, as well as fire safety education. Literature states that the development of an education plan and the utilization of an evidenced-based fire risk assessment process will increase communication, staff awareness and minimize the risk of a surgical fire.The purpose is to successfully educate and implement a fire risk assessment tool in an 11 bed operating department by December 2018 as evidenced by competency assessment and staff verbalization and documentation in the electronic medical record with 90% documentation compliance by July 2019 and with future implementation for all procedural areas within the health system by April 2019. In the Association of periOperative Registered Nurses Guidelines for Environment of Care, under recommendation IV, explains how the perioperative staff should complete a fire assessment with all team members present, communicate causative factors for fire and the interventions for prevention and suppression. Analyzing the available fire risk assessment tools and applying evidence-based research allowed for the selection of the most appropriate fire risk assessment tool for our surgical environment. The development and dissemination of staff education focusing on different types of surgical fires, staff roles during a surgical fire, the fire risk assessment tool and the actions to prevent surgical fires occurred. Multidisciplinary team meeting, development of system policy, electronic documentation and ongoing in-services took place before the trial phase. Audits to capture compliance as well as continual education were ongoing once the trial phase began. April 2019, system-wide use of the fire risk assessment with electronic documentation went live for all procedural areas.Implementation of the education series was successfully measured by 100% competency compliance and, in a real-time application, the nursing staff was able to verbalized and document the fire risk assessment score approximately 70% in the first four months. Compliance continues to increase to 98% over the next three month and has remained constant.With the implementation the fire risk assessment, staff have a better understanding of surgical fires, can discuss the interventions and actions for fire prevention that are associated with the components of the fire risk assessment, and can to communicate with the surgical team their potential risk to cause a surgical fire. Continual staff education, in combination with daily fire risk assessments, increases staff knowledge of and their ability to communicate the fire potential with other team members which then creates a safer surgical environment.