Conflagrations of unknown origin: Surgical fire prevention trends
Hospital Safety Insider, August 23, 2018
Want to receive articles like this one in your inbox? Subscribe to Hospital Safety Insider!
Well, it appears that there remain opportunities for providing a fire-safe experience for surgical patients, at least based on the latest missive from the FDA. The safety communication (released at the end of May 2018) indicates that reports continue to be received by FDA of preventable surgical fires. I can’t think of too many circumstances—OK, none—in which a surgical fire could legitimately be considered unpreventable, though I have no doubt that you all have tales to tell of clinicians who feel that everything was done correctly and there was still a fire. I’d be interested in hearing some of those.
At any rate, the communication indicates several component strategies for appropriately managing the risk(s) associated with surgical fires—and if you guessed that a risk assessment figures into that equation, it may be that we have covered this ground before. So:
- A fire risk assessment at the beginning of each surgical procedure
- Encourage communication among surgical team members
- Safe use and administration of oxidizers
- Safe use of any devices that may serve as an ignition source
- Safe use of surgical suite items that may serve as a fuel source
- Plan and practice how to manage a surgical fire
I don’t think there’s anything that is particularly revelatory—these are by no means new expectations (for us or by us). It does appear that the FDA is going to be leaning on the various accreditation organizations (TJC, DNV, HFAP, CIHQ, AAAHC, etc., though TJC is the only organization specifically mentioned—aren’t they special!), so I think we may see yet another round of ratcheting things up in regards to surgical fire drills, providing education to clinicians, etc. I don’t know how much reaching out you might do relative to actual events in your surgical procedure areas (I can’t say that I always see a ton of information beyond fire drill and education documentation), but I think you’ll want to be able to speak to this as a proactive undertaking. Somebody must be monitoring these types of things and if it’s not you, you need to figure out who it is and keep yourself informed.
As something of a preemptory thought, I ran across a podcast entitled “Nurses for Health Environments” (you can find some background and links to the podcast here). I haven’t had a chance to check it out (I listen to podcasts as I work towards my 10K steps before breakfast, but I always seem to have a backlog of stuff to listen to), but I do believe that (particularly as a very large percentage of the healthcare culture) partnering with nurses and other clinicians in managing the environment makes a great deal of sense. Stewardship of the environment has to happen at every level of every organization, so I would urge you to check it out and maybe recommend it as a listening opportunity for the clinicians in your organization. I’ve always believed that marketing is an important piece of what we do as safety professionals and any (and every) insight into what folks are thinking about, etc., is worth consideration.
Want to receive articles like this one in your inbox? Subscribe to Hospital Safety Insider!
Related Products
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- OB services: Coding inside and outside of the package
- Complications from immobility by body system
- Q&A: Primary, principal, and secondary diagnoses
- The consequences of an incomplete medical record
- Differentiate between types of wound debridement
- Nursing responsibilities for managing pain
- Practice the six rights of medication administration
- ICD-10-CM coma, stroke codes require more specific documentation
- E-mailed
-
- Correctly bill ancillary bedside procedures in addition to the room rate
- Q&A: Utilization Review Committee Membership
- Q&A: Bill blood administration the same way for inpatient and outpatient accounts
- Q&A: A second look at encephalopathy as integral to seizures/CVA
- Performing a SWOT analysis
- OB services: Coding inside and outside of the package
- Know the medical gas cylinder storage requirements
- Intravenous therapy guidelines
- Coding, billing, and documentation tips for teaching physicians, interns, residents, and students
- Coding tip: Watch for different codes for SI joint injections
- Searched