Tool Kit
in the Perioperative Practice Setting
Overview and Goal
Recent statistics indicate there are 200-240 surgical fires per
year.
Cervical conization
Cesarean section
Facial surgery
Infant surgeries (eg, patent ductus arteriosus)
Oral surgery
Pneumonectomy
Tonsillectomy
Tracheotomy
Prosedur yang berisiko tinggi
(High-Risk Procedures)
Prosedur bedah seperti proses xiphoid dan oropharynx
mempunyai risiko yang paling besar dalam tindakan bedah
Pengangkatan lesi di kepala, leher atau muka seperti pada:
_ Tonsillectomy
Tracheostomy
_ Operasi pengangkatan duri (burr hole surgery)
_ Pengangkatan papillose laryng
Prevensi kebakaran merupakan suatu
upaya Tim
Nurses
Teknisi bedah
Dokter spesialis bedah
Asisten
Asosiasi pelayanan lingkungan
Anggota administrtif Tim
Personal lainnya
Fire Triangle
Sumber pemantik api
Electrosurgical unit (ESU) Fiber-optic light
Argon beam coagulator Defibrillator
Power tools (eg, drills, burrs) Electrical equipment
Laser
Pengendalian sumber pemantik api :
Intervensi
Oxygen-enriched environment
Nitrous oxide
Pengendalian Oxidizer:
Interventions
Gunakan tudung yang ventilasi udara bebas
Jagalah agar kosentrasi O2 serendah mungkin
Bahan bakar
Patient Linens
Personnel Head coverings
Drapes Shoe covers
Gowns Collodion
Towels Alcohol-based skin preparations
Sponges Human hair
Dressings Endotracheal tubes
Tapes
Pengendalian Bahan Bakar: Intervensi
Gunakan salep yang berbasis air dan berbasis bukan minyak
untuk rambut di wajah dan dan rambut di lokasi lainnya yang
dekat dengan lokasi pembedahan
ECRI Institute. New clinical guide to surgical fire prevention. Patients can catch fireheres how
to keep them safer. Health Devices. 2009;38(10):314-332.
Clarke JR, Bruley ME. Surgical fires: trends associated with prevention efforts. Pennsylvania
Patient Safety Advisory. 2012;9(2):130-135.
Centers for Medicare & Medicaid Services. State Operations Manual. Appendix ASurvey
Protocol, Regulations and Interpretive Guidelines for Hospitals.
http://cms.gov/manuals/Downloads/som107ap_a_hospitals.pdf. Accessed January 28, 2015.
The End