Objective:To identify the composition of the smoke produced by electrocautery use during surgery. Method: Integrative review with search for primary studies conducted in the databases of the US National Library of Medicine National Institutes of Health, Cumulative Index to Nursing and Allied Health Literature, and Latin American and Caribbean Health Sciences, covering the studies published between 2004 and 2014. Results: The final sample consisted of 14 studies grouped into three categories, namely; polycyclic aromatic hydrocarbons, volatile compounds and volatile organic compounds. Conclusion: There is scientific evidence that electrocautery smoke has volatile toxic, carcinogenic and mutagenic compounds, and its inhalation constitutes a potential chemical risk to the health of workers involved in surgeries.
O objetivo foi identificar a utilização dos equipamentos de proteção individual pelos trabalhadores de enfermagem, durante procedimentos que os exponham aos fluidos biológicos. Pesquisa observacional, descritiva, transversal com abordagem quantitativa, desenvolvida em um hospital público do estado do Paraná, no período de janeiro a maio de 2014, utilizando-se da obser vação não-par ticipante e intencional de 201 procedimentos por meio de um checklist. Verificou-se no Centro Cirúrgico que as luvas de procedimentos (97%) obtiveram maior adesão, entretanto sapatos fechados e óculos não foram utilizados nenhuma vez. Na Central de Material e Esterilização nenhum trabalhador utilizou as luvas de procedimentos, borracha e térmicas, entretanto a máscara comum (44,4%) teve maior aderência na sala de limpeza. Nas Unidades de Terapia Intensiva e Pronto Socorro as luvas de procedimento foram utilizadas (100%), porém a adesão aos óculos foi baixa (0,86%). Os trabalhadores de enfermagem não utilizaram todos os equipamentos preconizados pela legislação durante suas atividades.
Objective: analyze the concentration of polycyclic aromatic hydrocarbons in electrocautery smoke in operating rooms and the use of personal protective equipment by the intraoperative team when exposed to hydrocarbons.Method: exploratory and cross-sectional field research conducted in a surgery center. Gases were collected by a vacuum suction pump from a sample of 50 abdominal surgeries in which an electrocautery was used. A form was applied to identify the use of personal protective equipment. Gases were analyzed using chromatography. Descriptive statistics and Spearman's test were used to treat data.Results: there were 17 (34%) cholecystectomies with an average duration of 136 minutes, while the average time of electrocautery usage was 3.6 minutes. Airborne hydrocarbons were detected in operating rooms in 100% of the surgeries. Naphthalene was detected in 48 (96.0%) surgeries and phenanthrene in 49 (98.0%). The average concentration of these compounds was 0.0061 mg/m3 and a strong correlation (0.761) was found between them. The intraoperative teams did not use respirator masks such as the N95.Conclusion: electrocautery smoke produces gases that are harmful to the health of the intraoperative team, which is a concern considering the low adherence to the use of personal protective equipment.
1This article was the result of the work of completion of the nursing course, entitled Hospital Clown: Perceptions of the nursing worker of a pediatric unit, presented in the year 2015. *Nurse. Post-student program of nursing residency in urgent and emergency, state university of Londrina. Londrina, PR, Brazil. E-mail: mila_cso@hotmail.com **Nurse. Master in Nursing, electronic tutor of the nursing course of the university Norte do Paraná. Londrina, PR, Brazil. E-mail: caroline.vieirac@gmail.com ***Nurse. Master in Nursing, electronic tutor of the nursing course of the state of Londrina. Londrina, PR, Brazil. E-mail: perfeitorenata@gmail.com ****Nurse. PhD in Nursing, Faculty of the university's nursing department state of Londrina. Londrina, PR, Brazil. E-mail: jtmartins@uel.br HOSPITAL CLOWN: PERCEPTIONS OF THE NURSING WORKER OF A PEDIATRIC UNIT 1Camila de Souza Oliveira* Caroline Vieira Claudio Okubo** Renata Perfeito Ribeiro*** Júlia Trevisan Martins**** ABSTRACTThis study aimed to analyze the perception of the nursing professionals of the pediatric unit receiving clown visits from the SensibilizArte project. A descriptive study with a qualitative approach, composed of six nursing workers from the evening period. The interviews were audiographed with closed and open questions. Data analysis was performed using the Content Analysis technique. As results the analysis of the speeches resulted in six categories: nursing worker well-being, improvement of the child's well-being from the point of view of the nursing worker, improvement in the work process of the nursing worker, improvement of the working environment, Positive acceptance of the "clown" team's performance in the sector and the benefit and use of the clown technique for nursing care. As a conclusion, the importance of the clown figure in relieving the worker's emotional load and improving the work environment was perceived With the experience of laughter.
This is a qualitative, descriptive and exploratory research aimed at analyzing nursing managers’ knowledge on adherence to nursing workers monitoring after occupational accidents due to exposure to biological fluids, seeking to recommend strategies to reduce monitoring abandonment. We interviewed twelve nursing managers from health institutions in the city of Curitiba-Paraná, from August to November 2010, and after the transcription of these interviews we carried out a thematic analysis. Results showed that eight out of the twelve interviewed nurses have no worker supervision control with regards to complete post-exposure monitoring. The interaction between the victim’s workplace and health institutions was proposed to improve monitoring. Therefore, nurse managers and technical managers should raise awareness and monitor workers seeking to achieve adherence to full accompaniment policies and compliance with the current legislation in order to make this practice more efficient.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.