10th EORNA Congress Stavanger, Norway | 12 - 15 May 2022 ePosters 58 eP19 Lest we forget: why the current overreliance on PPE needs to change for a safer OR M. Sinnott1 1StaffandPatientSafety.org, Brisbane, Australia The COVID-19 pandemic brought staff safety into the spotlight within healthcare and the public. There has been significant media attention on how hospitals implement prevention strategies to protect staff and patients. The initial response to the COVID-19 crisis from governments and hospitals around the world focused primarily on increasing the use of Personal Protective Equipment. In March 2021, Amnesty International stated that at least 17,000 people working in healthcare facilities worldwide have died from COVID-19. The initial measures put in place as response to COVID-19 have been reviewed against the Hierarchy of Controls framework to determine if the most effective control measures were put in place to prevent infections in healthcare workers. The Hierarchy of Controls framework is recognized globally as a method of risk management for occupational injuries and infections. This review has shown that there were many shortcomings with the initial response to COVID-19, risking the safety of perioperative nurses and other healthcare staff. An overreliance on PPE was made at the expense of higher levels of control measures such as Engineering Controls. Expanding this review to look at the implementation of prevention strategies for other safety hazards within the Operating Room, such as sharps and surgical plume, it has also been observed that there needs to be a greater focus on higher levels of control measures. This presentation will share the key findings from the review and practical guidance on how facilities can effectively apply the Hierarchy of Controls to prevent respiratory infection risks such as COVID-19, and other safety risks in the OR including sharps injuries and surgical plume. Systematic staff safety improvements will lead to improved patient outcomes and should be managed at each level within the healthcare system: at the national level, the organisational level, and at the individual level by perioperative staff. eP20 Environmental burden, efficiency and surgical staff safety in operating rooms comparing two surgical fluid waste management systems across Europe: rationale and design of the GREEN study S. Baker1, E. Martinez Garcia2, L. Vinyals Feixas3 1South Tees Hospitals NHS Trust, Middlesbrough, United Kingdom, 2Hospital Germans Trias, Badalona, Spain, 3Hospital Sant Pau, Barcelona, Spain Objective: Incineration waste resulting from ineffective surgical fluid waste management in operating rooms (OR) creates an environmental burden and poses a significant safety risk for surgical site staff. There is a need for waste management systems that improve OR safety, efficiency, and enhance sustainability. This GREEN study (Greening operating Rooms in EuropE comparing Neptune vs Canisters) aims to compare waste disposal impact of two systems across Europe. Methods: GREEN is a 2-arm, non-randomized prospective service evaluation of fluid waste extraction during routine surgical procedures using observational timeseries and survey. Data will be collected from 120 surgeries in France, Germany, Spain, and United Kingdom. Type of surgical procedures included are: Transurethral Resection of the Prostate or Transurethral Resection of the Bladder, Holmium Laser Enucleation of the Prostate, Shoulder Arthroscopy, Knee Arthroscopy, or Joint Replacement (knee or hip). Inclusion criteria are: (i) surgery is performed by an operating team (surgeons and nurses) familiar (≥ 4 weeks) with the use of Neptune and Canisters; (ii) at least three operating team members are trained on this service evaluation; (iii) surgery is one of the surgical procedures included; and (iv) physician pre-operatively expects a normal course of the surgery. Emergency surgeries will be excluded. Primary endpoint is the volume of incineration waste related to Neptune or Canisters in kilograms after surgery. Hypothesis tested is: the volume of incineration waste related to Neptune is less than the volume of incineration waste related to Canisters. Secondary endpoints include time efficiency, user satisfaction, costs, ergonomics, and safety. Primary endpoint will be compared between the two treatment groups using a two-sample t-test at a two-sided significance level of 0.05. Relevance: Data from this study will potentially enable hospitals in making ORs safer, efficient, and greener. Given the environmental burden caused by incineration waste, this is highly needed and relevant.
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