10th EORNA Congress Stavanger, Norway | 12 - 15 May 2022 Clinical Case Studies 36 CL03 Traffic accidents as part of the perioperative process: a case study R. Prieto-Silva1, P.E. Sanchez-García1, C. Sarmiento-Hernández2 1Universidad Nacional de Colombia, Nursing, Bogota DC, Colombia, 2Universidad Nacional de Colombia, Bogota DC, Colombia Objectives: Analyse the perioperative process during the health care of a young person who suffers a traffic accident in Bogotá, Colombia. Provide perioperative nursing care by a student and a professor during a clinical training in a state hospital in Bogotá, Colombia. Method: Clinical and social factors that directly intervene in the situation under study were analysed. Epidemiological data, the context where the accident occurs, clinical characteristics of the person, risks and possible complications of the surgical procedure also were considered. The Nursing Care Process was used as an educational tool to organise data and understand the complexity of the physical and mental clinical situation of the person. Result: A nursing care plan was created and executed for assistance at the accident place (preoperative), in the operating room (intraoperative) and during recovery, rehabilitation and return to routine activities (postoperative). The definition of perioperative care is broadened, understanding that it begins when a health professional identifies a surgical need in a person and ends with rehabilitation, return to daily life or effective grief in case of death due to surgery. This process not only includes physical health, but also mental health, family health and the success of the experience that is lived, is related to economic, social, and cultural determinants CL04 Surgical fire the risk almost forgotten: a case study P. Pereira1, A. Marinho2, C. Mendes2, S. Ramos2, R. Marques3 1Centro Hospitalar Universitário de Lisboa Central, Lisbon, 2Patient Safety Office, Centro Hospitalar Universitário de Lisboa Central, Lisbon, 3Escola Superior de Saúde da Cruz Vermelha Portuguesa, Lisbon The considered case occurred during an elective inguinal hernia repair on a 41-year-old male patient, without comorbidities. Upon entering the operating room, the patient asked the team about the possibility of excision of a pendulum fibroma located in the cervical region. The team agreed to perform this second procedure, although it had not been previously planned. Patient preparation was carried out according to the institution’s protocol. The first procedure was performed under balanced general anaesthesia, ventilation with a laryngeal mask and went accordingly to what was expected. The second procedure was going to be performed in the cervical region, which presented dense body hairiness; however, it was not considered necessary to perform the hair removal. To complete the second procedure on schedule, the work pace was fastened and the disinfection was performed with a cutaneous spray solution containing ethanol and isopropyl alcohol. The procedure began after the surgical site has been considered to be dry. When the electrosurgical unit was used, a fire was triggered in the body hair and the operative field. The fire was immediately extinguished by the professionals using existing gauze pads on the operating table. The patient had 1st and 2nd-degree burns and immediate care was provided. When the patient was awakened and had recuperated his full cognitive capacities, the incident was communicated by the team. An apology was made for what had happened and continuity of care was guaranteed until the complete resolution of the damages. The patient achieved full recovery. CL05 Hell-in: C-section, COVID-19 and fire M.T. Inza-Urrea1, A. Oliva-López1, C. Inza-Urrea2, M.O. Díaz-Ruiz1, M.J. Palencia-Gómez1, B. Serrano-Fernandez1 1Hospital de Hellín, Hellín, 2Hospital de Albacete, Albacete The hospital located in the town of Hellín (Spain) provides care services to 250,000 people, living in the same town, as well as public from numerous little villages located in the surrounding mountains. It counts with 126 beds, and provides a large range of services, attending 32,000 cases in Accident and Emergency (A&E) and 4,000 surgical procedures per year. On 28th May 2020, around 17:30, amidst of the COVID-19 emergency, took place in this hospital a challenging event: a massive fire emerging from the basement consumed storage facilities and part of A&E department. At that time, in the Operating Room (OR), a new life was about to come. At 17:30 the surgical team, consisting on one anaesthetist, two scrub
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