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PubMedDate not supplied

Operating room fires: how to prevent and minimize spread.

To prevent fires, a simple rule to remember is the "fire triangle" of oxygen, heat, and fuel. Minimizing oxygen enrichment will reduce the fire hazard. Proper protocols need to be established for the handling of heat-bearing units, such as electrosurgical pencils, electrocautery units, and lasers.

Equipment Safety↗
PubMed1989

Theatre nursing.

Explore the source record for details and available documents.

Humans↗
PubMed1994

Preceptorship: a gift that keeps on giving.

As certified surgical technologists, you have tremendous influence over the entire function and effectiveness of your operating room because you bring stability due to longevity and are the preceptors for new and potential employees in your area. As one involved with teaching operating room nursing and surgical technology over the past 30 years, I feel strongly that preceptors hold the key to both the staying power and performance standards of the operating room staff because they serve as role models for success or failure.

Inservice Training↗
PubMed1985

Hospitalization for miscarriage and delivery outcome among Swedish nurses working in operating rooms 1973-1978.

All infants born in 1973-1978 to nurses working in anesthesiology or as operating room nurses were identified from a nationwide registry of all births in Sweden, a registry of hospitalized spontaneous and legally induced abortions that covers 70% of Sweden, and a nurse registry (n = 1323). For comparison, a group was formed that consisted of nurses working in medical wards (n = 1382). Delivery outcome was also compared with the estimate expected from nationwide figures. No statistically significant differences were seen, but infants of the anesthesiology/operating room nurses had a slightly higher perinatal death rate and a slightly higher rate of preterm births and low birth weights than infants in the comparison group and the nationwide average. On the other hand, the malformation rate was lower in the infants of anesthesiology/operating room nurses than in the control group or nationwide average. A case-control study within the group of anesthesiology/operating room nurses was performed. Questionnaires were sent to 75 nurses (25 cases whose infants died or had serious malformations; 50 controls whose infants were normal); 74 responded. The only difference in working conditions for cases and controls was that the cases had worked after the twenty-eighth week of pregnancy more often than the controls. However, this finding was restricted to nurses whose infants were malformed, and work after the twenty-eighth week cannot affect malformation rate. Work in anesthesiology or operating rooms had no effect on the incidence of hospitalization for miscarriage, perinatal deaths, or malformations detected in the neonatal period.

Abnormalities, Drug-Induced↗
PubMed1984

OR nursing in the future. Impact of projected demographics.

Implications of these population factors for operating room nursing are summarized as follows. Continued need for obstetric-related surgery throughout this decade and into the 21st century. Continued need for multilingual skills to care for non-English speaking individuals and continued need for sensitivity by health care professionals to other cultural norms with regard to illness and treatment. Increasing number of older adults needing perioperative care. Increasing use of surgery common to older adults. Continued pressure to reduce costs of care. Operating room nurses can ask several questions to discover demographic trends affecting their hospitals and areas. What is the age profile of patients in the health care facility? What are the patients' geographical origins? What percent of that population is served by the health care facility? What are the population trends in the geographical area from which they draw their patients? age proportions over time, fertility rate, migration trends, mortality rates over time, life expectancy What proportion of the hospital days are used by elderly? What is the rate per 1,000 for surgery among the elderly? Answers to these questions will give OR nurses the basis for anticipating change and planning to meet that change in their perioperative areas.

Age Factors↗
PubMed1997

Risk of spontaneous abortion in women occupationally exposed to anaesthetic gases: a meta-analysis.

OBJECTIVES: To determine the association between maternal occupational exposure to anaesthetic gases and risk of spontaneous abortion. METHODS: A meta-analysis was performed of published epidemiological studies identified from literature reviews, unsystematic perusal of reference lists of relevant publications, and two Medline searches (1984-92, keywords: anaesthetic gases; anaesthetics; anaesthetics, local; operating rooms; operating room nursing; pregnancy; abortion; 1985-92, keywords: anaesthetics; adverse effects; occupational exposure; anaesthesia, inhalation; operating room nursing; pregnancy; abortion). All peer reviewed studies were retained. Student theses were excluded, as were conference abstracts, unpublished material, and two studies in which data on paternal and maternal occupational exposures were pooled. The relative risk of spontaneous abortion was estimated. RESULTS: One study found no increase in risk of abortion when gases were scavenged or when the exposure to unscavenged gases was low. None of the studies included ambient gas sampling. 24 comparisons between exposed and unexposed women, obtained from 19 reports, were included. The overall relative risk was 1.48 (95% confidence interval (95% CI), 1.4 to 1.58). To test whether this result was influenced by the quality of the studies, the validity of the reviewed papers was rated on the basis of three criteria: appropriateness of the unexposed comparison group, control for non-occupational confounding variables, and response rate. The estimate of risk increased to 1.9 (95% CI, 1.72 to 2.09) when analysis was restricted to the six comparisons which were rated the most rigorous. CONCLUSIONS: Epidemiological studies based on data obtained in the prescavenging era indicate an increased risk of spontaneous abortion. The estimated increased risk was not diminished but rather increased by exclusion of the more methodologically flawed studies.

Abortion, Spontaneous↗
PubMed2001

A cross-sectional study of the health effects of work schedules on 3212 hospital workers in France: implications for the new French work schedules policy.

This study was designed to investigate the effects of work schedules on the health of hospital workers at the Assistance Publique-Hôpitaux de Paris (AP-HP). Out of 40 hospitals, 17 volunteered to participate in this study. The Standard Shiftwork Index and a questionnaire concerning physicians' work schedules were used. Ten thousand questionnaires were distributed anonymously to hospital workers between March and April 1999. Professional categories comprised head nurses, nurses, nursing auxiliaries, hospital agents, midwives and full time physicians. Departments included internal and geriatric medicine, general paediatrics, orthopaedic and general surgery, operating and emergency rooms, and anaesthesiology and intensive care units. 3250 questionnaires were returned. Demographics for the respondents were: 79.2% female, average age 38.1 +/- 9.1 years old. Eleven work schedules were identified. One fourth of the personnel had fixed morning work schedules. The highest level of job satisfaction was found in personnel working in paediatrics while dissatisfaction was strongest in the gerontology and, emergency room personnel. General Health Questionnaire (GHQ) scores were high for head nurses, operating room nurses and junior doctors as well as for personnel with rotating and flexible shifts. This study will be used to make recommendations concerning the reduction of working time for French hospital workers.

Adult↗