Perioperative nurses in the OR may experience more extensive and sustained exposure to surgical plumes than other surgical personnel. Compared with laser plumes, less policy attention has been given to mitigating the risks associated with exposure to diathermy plumes. Diathermy can produce ultrafine particles and volatile chemical and biological substances, of which a number are teratogenic or carcinogenic. Evidence suggests diathermy plumes contain more biohazards than laser plumes, although protective smoke evacuation equipment is less likely to be used with diathermy. Although there is no direct evidence of harm to OR personnel, further research is required to conclusively establish actual risks and appropriate standards for safe exposure. Interventional strategies should address staff attitudes toward diathermy plume exposure and protective measures. This structured review of the literature describes the nature and risks associated with exposure to diathermy plumes and clarifies the implications for protective techniques and nursing practices.
This study investigated the relationship between fatigue and work safety behavior of fathers with new babies. A total of 241 fathers completed a questionnaire at 6 and 12 weeks postpartum with items on fatigue and safety behavior at work. Results revealed that fathers worked long hours, reported a moderate-to-high physical intensity of work, and experienced interrupted sleep averaging less than 6 hours. Fathers also reported moderate fatigue at both 6 and 12 weeks postbirth, which was inversely related to safety behavior. Both fatigue and sleep history made a small but statistically significant contribution to safety behavior results at 6 and 12 weeks postbirth. Findings suggest that working fathers with babies experience fatigue during early fatherhood and are unable to recover due to interrupted and poor sleep patterns. Managers should consider the potential for fatigue to compromise work safety and develop risk management strategies that target new fathers.
Education programmes will need to address specifically the knowledge and skills required for wellness-based models of practice in occupational health nursing, as well as research and negotiating skills for working with others in the workplace.
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