慈济综合医院品管中心执行长李毅医师

慈济综合医院品管中心执行长李毅医师内容摘要：

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  Extinguish fire  Provide supplies  Assist anesthesia  Unplug electrical equipment  Know escape routes  Arrange patient transport  Evacuate if necessary Preparing for Fires :: Develop Team Fire Plan Surgeon  Put out fire on patient  Remove burning material  Control bleeding  Conclude case if possible  Cover site with sterile towels  Assist with patient transport Preparing for Fires :: Develop Team Fire Plan Scrub Person  Put out f。