Hygiena 2019, 64(4):147-153 | DOI: 10.21101/hygiena.a1734

Assessment of the prevention of risks connected with the application of electrosurgical instruments

Magda Taliánová1, Kateřina Langrová1, Jana Wichsová2
1 Univerzita Pardubice, Fakulta zdravotnických studií, Katedra porodní asistence a zdravotně sociální práce, Pardubice, Česká republika
2 Univerzita Pardubice, Fakulta zdravotnických studií, Katedra ošetřovatelství, Pardubice, Česká republika

Aim: The aim of the survey was to find out whether the respondents encountered an undesirable event in the use of electrosurgical equipment, as well as preventive measures in relation to electrosurgery set in selected operating theaters and whether generally valid recommendations related to the use of electrosurgical equipment are followed.

Methods: For data collection, a qualitative method of semi-structured interview with 6 respondents (head/station nurses of operating theaters) from three medical facilities within one region was chosen, which was supplemented by participating observation in operating theaters. The survey was conducted from July to September 2018. The observation was carried out at random within the operational program. Recording sheet creation was based on recommendations of the Competency & Credentialing Institute focused on safe perioperative care in the field of electrosurgery.

Results: It was found that all respondents encountered an undesirable event in the field of electrosurgery and that the monitored workplaces did not have their own guidelines on this issue. The training of staff at this area varied from one healthcare facility to another. More problematic moments were registered in the stage before and during the operation. Among the more significant findings was that they did not verify in advance at the workplace whether flammable anesthetics and alcohol disinfection would be used. In some cases, the staff relied solely on a machine check and did not verify the situation visually.

Conclusions: Most of the generally applicable safety precautions specified by the manufacturer or by specialist companies have been followed. The problems identified mostly consisted in performing tasks by an incompetent person or by not following the recommendations of the manufacturer of electrosurgical devices.

Keywords: electrosurgery, work safety

Received: September 2019; Accepted: October 29, 2019; Published: November 30, 2019  Show citation

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Taliánová M, Langrová K, Wichsová J. Assessment of the prevention of risks connected with the application of electrosurgical instruments. Hygiena. 2019;64(4):147-153. doi: 10.21101/hygiena.a1734.
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    References

    1. Jedličková J a kol. Ošetřovatelská perioperační péče. 2. přeprac. vyd. Brno: NCO NZO; 2019.
    2. Ihnát P. Základní chirurgické techniky a dovednosti. Praha: Grada; 2017.
    3. Kudlejová M a kol. Inštrumentovanie: princípy, zásady, techniky a postupy. Martin: Osveta; 2014.
    4. Doupal V, Táborský M. Elektromagnetická interference u pacientů s kardiostimulátory a implantabilními kardiovertery-defibrilátory. Interv Akut Kardiol. 2010;9(6):298-301.
    5. Phippen ML, Ulmer BC, Wells MP. Competency for safe patient care during operative and invasive procedures. Denver: Competency & Credentialing Institute; 2009.
    6. Wicker P, Dalby S. Rapid perioperative care. Chichester (UK): John Wiley and Sons; 2017. Go to original source...
    7. Zákon 366 ze dne 11. října, kterým se mění zákon č. 268/2014 Sb., o zdravotnických prostředcích a o změně zákona č. 634/2004 Sb., o správních poplatcích, ve znění pozdějších předpisů, ve znění zákona č. 183/2017 Sb. Sbírka zákonů ČR. 2017;částka 128:3958-9.
    8. AORN. Guidelines for perioperative practice. Denver (CO): Association of periOperative Registered Nurses; 2016.
    9. Hainer BL, Usatine RB. Electrosurgery for the skin. Am Fam Physician. 2002 Oct 1;66(7):1259-67. Go to PubMed...
    10. Association of Surgical Technologists. AST Standards of practice for use of electrosurgery [Internet]. Littleton (CO): AST; 2012 [cited 2019 Mar 21]. Available from: http://www.ast.org/uploadedFiles/Main_Site/Content/About_Us/Standard%20Electrosurgery.pdf.
    11. Valleylab. Uživatelská příručka Force triad. Energetická platforma [online]. Boulder (CO): Valleylab; 2006 [cit. 2019-03-26]. Dostupné z: https://docplayer.cz/24449704-Uzivatelska-prirucka-forcetriad-energeticka-platforma.html.
    12. Watson DS, editor. Perioperative safety. St. Louis (MO): Mosby/Elsevier; 2011.

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