{"id":443,"date":"2022-11-28T20:18:16","date_gmt":"2022-11-28T20:18:16","guid":{"rendered":"https:\/\/perioperative1000.slc-courses.ca\/?p=443"},"modified":"2022-12-15T17:28:48","modified_gmt":"2022-12-15T17:28:48","slug":"module-4-a-conditions-and-safety","status":"publish","type":"post","link":"https:\/\/perioperative1000.slc-courses.ca\/?p=443","title":{"rendered":"Module 4: A. Conditions and Safety"},"content":{"rendered":"\n<h2>Conditions and Safety<\/h2>\n\n\n\n<p>All operating rooms have a unique set of conditions based on the type of hospital and where it is located. Each OR has:<\/p>\n\n\n\n<ol><li>a local culture<\/li><li>a specific personality <a id=\"post-443-_Int_9O67nB1C\"><\/a>mixes<\/li><li>specific types of surgery and case intensity<\/li><li>different fiscal limitations<\/li><li>varied risk management\/safety factors<\/li><\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Personnel Safety<\/h5>\n\n\n\n<p>The operating room environment holds risks for both employees and patients. Potential sources of injury for employees include the following hazards:<\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-6\" class=\"h5p-iframe\" data-content-id=\"6\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Module 4: Personnel Safety\"><\/iframe><\/div>\n\n\n\n<p>Hospitals have policies and procedures to mitigate risk. For instance, specimens collected in the OR have a <strong>chain-of-custody protocol<\/strong> for legal and safety reasons. This is a written record of who and how the specimen was transferred from the patient&#8217;s point of care to the laboratory analyst, and what storage\/disposal methods were used.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>The Journey of Specimens<\/h5>\n\n\n\n<p><strong>The order from the specimen leaving the operating room to fully prepared slides for the pathologist.\u00a0<\/strong><\/p>\n\n\n\n<ol><li>Specimen leaves the operating room in container<\/li><li>Specimen at Pathology Laboratory is registered, and given a unique number and barcode Label<\/li><li>A pathologist handles the specimen at the grossing station<\/li><li>Matching the specimen data and request form<\/li><li>Description given of specimen<\/li><li>Documentation of Pathologic changes<\/li><li>Sampling of Specimen<\/li><li>Samples placed in Cassettes<\/li><li>Processing of samples in machine<\/li><li>Embedding samples in paraffin wax blocks<\/li><li>Cutting using Microtome<\/li><li>Staining<\/li><li>Slides are ready for the pathologist<\/li><\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Documented Patient Safety Processes<\/h5>\n\n\n\n<ol><li>Ensure the surgeon has marked the surgical site<\/li><li>Patient admission documentation<\/li><li>Surgical checklist\/Surgical pause (interprofessional team monitors safety for each patient)<\/li><li>Specimen collection protocols<\/li><li>Medication administration protocols<\/li><li>Counting protocols (ensure there are no retained items)<\/li><li>Intraoperative documentation<\/li><li>Equipment checks ( e.g., laser protocols)<\/li><li>Patient handovers (standardized format such as SBAR (situation, background, assessment, and recommendations)<\/li><\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"wp-container-3 wp-block-columns\">\n<div class=\"wp-container-1 wp-block-column\">\n<figure class=\"wp-block-embed is-type-rich is-provider-embed-handler wp-block-embed-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Prevention of Medical Errors | Safe Surgical Checklist with Veronica Gillispie, MD\" width=\"580\" height=\"326\" src=\"https:\/\/www.youtube.com\/embed\/7E1ivPB_zn0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-container-2 wp-block-column\">\n<figure class=\"wp-block-embed is-type-rich is-provider-embed-handler wp-block-embed-embed-handler wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"OR Nurse Shift Change using SBAR - Situation Background Assessment Recommendation\" width=\"580\" height=\"435\" src=\"https:\/\/www.youtube.com\/embed\/aYZx1l8rkXA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Conditions and Safety All operating rooms have a unique set of conditions based on the type of hospital and where it is located. Each OR has: a local culture a specific personality mixes specific types of surgery and case intensity different fiscal limitations varied risk management\/safety factors Personnel Safety The operating room environment holds risks [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"templates\/template-content.php","format":"standard","meta":[],"categories":[16],"tags":[],"wf_post_folders":[6],"_links":{"self":[{"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/443"}],"collection":[{"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=443"}],"version-history":[{"count":27,"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/443\/revisions"}],"predecessor-version":[{"id":1360,"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/443\/revisions\/1360"}],"wp:attachment":[{"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=443"},{"taxonomy":"wf_post_folders","embeddable":true,"href":"https:\/\/perioperative1000.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fwf_post_folders&post=443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}