A Planning Playbook for Opening a New Orthopedic ASC
The ASC market continues its rapid growth. In 2023, roughly 116 new ASCs opened in the U.S., many of which were orthopedic-specific in nature....
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By: Mark Davis
Published: 10/10/2007
OR workers have to mentally multitask when sharps are in use, focusing simultaneously on patient and worker safety. The human tendency is to devise a pecking order, and most often, patient safety comes first. Even if there is unexpected bleeding during a procedure, and speed becomes a factor, patient safety is still at the fore, right? This is by no means wrong - it's just that you must give worker safety nearly as much attention. The major shift from open to minimally invasive surgery (MIS) might mean fewer sharps devices in use, but that doesn't mean you can forget good safety practices when they are. It's easy to let your guard down because MIS prevents sharps injuries in many ways:
Oddly, in MIS, the safety barrier protecting the people operating on the patient from a sharps injury becomes the patient's own tissues. There are still inherent risks associated with MIS.
Some things remain the same
The devices that cause the majority of sharps injuries during minimally invasive surgery are suture needles, scalpel blades and hollow syringe needles, just as with open surgery. While it is to a lesser degree, this equipment is still in the mix. Here are four things to keep in mind for dealing with these old hazards (even if you've already heard them, it's always good to hear them again):
New hazards introduced
Some of the instruments needed to perform minimally invasive procedures can pose a safety risk.
Sharp trocars can injure OR professionals, as can laparoscopic scissors, long needles, wires and probes. Blood aerosols created by the use of laser and electrocautery within the abdomen or other space can cause a bloodborne exposure to your mucous membranes due to spray when an instrument is withdrawn from a port, if the port lacks a tight seal. Lasers and electrocautery produce the same types of airborne contamination. And we all know the dangers of surgical smoke. Here's how to deal with the new hazards.
Benefits of safe behavior
OSHA has fined facilities for failure to use a neutral zone, safety scalpels and blunt suture needles - and all these can be used in MIS. Use of the safety devices and safe work practices described here facilitates compliance with OSHA standards. Additionally, preventing sharps injuries and exposures saves facilities money and reduces liability for facilities and surgeons.
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