Monopolar vs Bipolar
Safety Practices
Risks & Hazards
Equipment & Function
Guidlines & Policies
100

What type of electrosurgery requires a grounding pad? 

What is monopoly electrosurgery. 

100

What must be done before applying a grounding pad to ensure safety?

What is assess the skin for dryness, hair, implants, or bony prominences

100

What skin injury can result from improper grounding pad placement?

What is a burn

100

What is another name for the active electrode?

What is ESU pencil

100

Which organization provides national safety guidelines for electrosurgery?

What is AORN

200

Which electrosurgical method is commonly used for precise tissue coagulation in delicate surgeries?

What is bipolar electrosurgery

200

What is the purpose of the “time-out” before surgery involving electrosurgical units?

What is to confirm correct patient, procedure, and equipment settings

200

What is a potential consequence of using ESU near alcohol-based prep?

What is a surgical fire

200

What is the function of the return electrode?

What is to safely return the electrical current to the ESU generator

200

Where can BUMC staff access electrosurgical safety policies and procedures?

What is BSWConnect

300

In bipolar electrosurgery, where does the current travel?

What is between the two tips of the instrument (like forceps)

300

Name one way to reduce the risk of surgical fire during electrosurgery.

What is avoid activation near oxygen or flammable prep solutions

300

Which type of interference can occur in patients with pacemakers?

What is electromagnetic interference (EMI)

300

What should be used to prevent sticking during bipolar coagulation?

What is irrigation

300

How often should OR staff review or update their training on ESU safety?

What is annually or per hospital policy

400

True or False: Monopolar electrosurgery carries a higher risk of patient burns if the return pad is not properly placed.

What is true

400

When should smoke evacuation be used during a procedure?

What is whenever electrosurgery generates surgical plume or smoke

400

What airborne risk is associated with using electrosurgical units?

What is surgical smoke exposure

400

What equipment removes surgical plume from the field?

What is a smoke evacuator

400

According to policy, when should a safety check of ESU equipment be performed?

What is before each use

500

Which electrosurgical method poses less risk for patients with pacemakers, and why?

What is bipolar, because the current does not pass through the body

500

What should be done if the electrosurgical pencil cord is frayed or damaged?

What is remove it from service and replace it immediately

500

What hazard occurs when electrosurgery is used improperly near oxygen-enriched environments?

What is ignition/fire risk

500

What part of the electrosurgical unit is responsible for generating high-frequency current?

What is the ESU generator

500

What policy should guide the proper use of ESUs with patients who have implanted devices?

What is the Electrosurgical Safety and Implanted Device Policy

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