Fire prevention and Safety
what number do you dial to call a code red
66
What is the purpose of the blue tape in the fire extinguisher cabinets?
To designate which rooms have been evacuated and which room is the fire room
x- for fire room
l- for evacuated room
list a surgery that is considered a high risk for fire
above the xiphoid and in the oropharynx
lesion removal on the head, neck or face
tonsilectomy
tracheostomy
a smoke evacuator suction tip should be placed within ____inches of the surgical plume to be effective.
2 inches
Surgeon's role
stabilize pt and prepare surgical site for tranport
True or false: you should stamp out the burning material
False, it could ignite shoe covers and surgical attire
Where are the fire extinguishers located?
OR main entrance (ABC)
Outside OR 2 (ABC)
Hallway outside main supply room (BC)
A-paper and trash
B-flammable liquid
C-electrical
List 3 fire prevention strategies while using a bovie
lowest possible setting
sound on
activate ESU only when tip is in view
always place bovie tip back in holster (not on drapes)
True or False: a surgical mask and general room ventilation of 20 air exchanges per hour is sufficient to capture contaminants in surgical smoke
False
List the anesthesia providers role
disconnect patient from monitor
gather airway supplies and drugs to maintain anesthesia
unlock table
shut of anesthesia machine
Airway fire:
1. turn off medical gases
2.disconnect the breathing circuit
3. Extubate the patient and douse remaining fire
4. treat patient:
consider scope, pouring saline into the throat to cool and irrigate
re-establish airway
ventilate with medical air
List 2 examples of an ignition source
Electrosurgical unit
Argon beam coagulator
Power tools (drills, burrs)
Laser
Fiber optic light
Defibrillator
Electrical equipment
What does PASS stand for?
Pull
Aim
Squeeze
Sweep
list 3 places to avoid grounding pad placement
scar tissue
metal implants
tattoo
broken skin
Surgical smoke is formed when energy-generating devices (ie, electrosurgery units, lasers, powered instruments) raise the intracellular temperature of tissue to at least ____ยบ C , causing tissue vaporization in the form of surgical smoke.
100 deg or 212
List 3 responsibilities of the circulator in an evacuation
call "code red" and announce location, ensure fire alarm is activated
Clear a path from the OR table to the door
Assist anesthesia with breakdown of pt from anesthesia machine (disconnect module)
obtain ambu bag and O2 cylinder
Take patient chart
If a Code Red is called over head how long must you wait before starting a new surgery?
Until the "code red all clear" is called no new cases may start.
Where are the fire pulls located?
1. Across from Matt's office
2. Outside main doors to OB
______Should be placed on a large muscle mass close to the surgical site.
What is the return electrode?
Inhaling the smoke produced when using an electrosurgery device to vaporize 1 gram of tissue is like smoking six unfiltered cigarettes in ___minutes/hours/days.
15 minutes
Who is responsible for assisting the surgeon in preparation for evacuation, by covering the surgical site, gathering necessary instruments, sponges and suture material from the back table?
Scrub person