慈濟(jì)綜合醫(yī)院品管中心執(zhí)行長李毅醫(yī)師-展示頁
2024-10-11 05:27本頁面
【正文】 造成病人後頸部、雙耳廓、肩膀、背部及肩胛骨（約 40*20CM） 深二度灼燙傷 ，燙傷面積為 ％。 ? 美國緊急醫(yī)療照護(hù)研究機(jī)構(gòu) (Formerly the Emergency Care Research Institute； ECRI)調(diào)查發(fā)現(xiàn)，美國每年約有 550～ 650件手術(shù)中火災(zāi)事件。s surgical fire update published February 2020, alcoholbased surgical preps were reportedly involved in 4 percent of surgical fires. Fuel Sources :: Operating Room Attire ?Barrier Materials should resist bustion ?Burn or melt when subjected to oxygen accelerant ?ALL materials burn more vigorously in the presence of oxygen Fuel Sources :: Supplies Mattresses, pillows Blankets, sheets, towels Sponges, tape, ace bandages, stocki, steridrapes Gloves Blood pressure cuffs Tourniquets Stethoscope tubing Fuel Sources :: Red rubber catheters Pencil tip protectors Other material mistakenly used as insulator Fuel Sources :: Anesthesia ponents carry enriched oxidant gases! Breathing circuits Masks and airways Laryngeal Mask Airway Endotracheal tubes Oxidizers :: Oxygen Oxygenenriched atmosphere = O2 above 21% Nitrous Oxide Thermal deposition of N2O can supply oxygen for a fire Preparing for Fires :: ? Locate and test gas shutoff valves and circuit breakers ? Evaluate traffic patterns ? Note location and accessibility of fire extinguishers and alarms ? Keep wet sponge or towel in basin on back field Preparing for Fires :: Fire Extinguishers ?CO2 best choice for OR ?Know location and types ?Allow staff practice Preparing for Fires :: Plan scenario Include safety officer Notify administration Designate observers Use drill evaluation form Select staff to participate Review policies/procedures Complete fire drill record Evaluate results Preparing for Fires :: Develop Team Fire Plan Charge RN ? Notify Safety Officer ? Document time ? Determine people in OR ? Establish munication ? Count cases in progress ? Decide handling of patients ? Assign personnel ? Ask visitors to leave ? Evacuate if necessary Preparing for Fires :: Develop Team Fire Plan Circulating RN ? Call Code Red ? Remain with patient
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