11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 Parallel Sessions 16 240 Spotlighting safety: enhancing safety education programs for long-term retention of competencies Chamindika Konara1, Mairin Monteath1 1StaffandPatientSafety.org, West End, Australia Background: Workplace safety education has a reputation for being disengaging, ineffective, and repetitive. Mandatory workplace safety education in hospitals is often considered as a “tick-boxing” exercise by facilities. This attitude has contributed to continuously high rates of avoidable occupational injuries in hospitals. Sharps injuries continue to be common in ORs, and risk the transmitting blood-borne infections. Conducting sharps safety education is mandated under the EU Directive 2010/32/EU and is also essential to ensuring that perioperative nurses avoid preventable injuries in this high-hazard industry. With busy nursing caseloads and the current staff shortages in hospitals, time is a premium. It is therefore crucial that sharps safety education be efficient and effective. Objectives: Advancements in adult learning, such as using participatory techniques and interactive technologies, have shown to increase long-term retention of learning. From 2018—2023, we worked with Australian nursing educators to translate these advancements into practice, and enhance sharps safety education programs. The enhanced sharps education program was designed under a blended-learning approach, which would build on perioperative nurses’ current knowledge to achieve higher competencies. Modules were developed to raise awareness of the consequences of sharps injuries and mandated sharps safety practices. Interactive training modules were also provided for complying with these mandates through using safety-engineered devices. Our objective during this study was to increase perioperative nurses’ engagement with the educational program, and in turn increase compliance with mandated sharps safety practices. Conclusion: The utilisation of evidence-based andragogical advances in the designed modules was successful in Australian hospitals. We found increased engagement with the education program from participants, and hospitals reported greater sharps safety compliance in ORs. Nursing education programs in European hospitals can be enhanced by these strategies, to achieve long-term retention of nursing competencies. Quality safety education can maintain compliance, and also protect staff and patients in ORs. 216 Title: Red Code: Emergency Algorithm for Conversion in Robotic Surgery Rosa Llabrés Solé1, Irene Garcia del Caz1, Estefania Rodriguez Izquierdo1, Judith Reguera Cabrera1, Ana Isabel Laguna Sanz1, Iria Alvarez Torres1 1Servicio Canario de Salud, Hospital Universitario de Canarias, Bloque Quirúrgico, La Laguna, Spain INTRODUCTION: Robotic surgery has become increasingly common in recent years due to the significant benefits it offers to patients, such as increased safety, a lower number of postoperative complications, and a shorter hospital stay. However, like any surgery, it is not without risks. One of the most concerning risks is bleeding. Despite having a low incidence rate, bleeding can pose a life-threatening emergency for the patient due to the difficulty of controlling it with the robot. It requires a quick and coordinated response from the entire surgical team to convert a minimally invasive surgery into an open surgery, considering the amount of equipment and the limited space available OBJECTIVE: Ensuring a coordinated and effective approach of the entire surgical team with a common goal: the resolution of bleeding and the stabilization of the patient in the shortest time and maximum efficiency possible. METHODOLOGY: A retrospective study was conducted at Hospital Universitario de Canarias, analyzing surgical cases from January 2019 to September 2022, which resulted in the following numbers: 667 robotic surgeries. A structural and operational analysis of the surgical team was also carried out in the same time period. RESULTS: Emergencies due to bleeding from major vessels: • 1 urology case involving the vena cava • 3 thoracic cases, one involving the aorta and two involving the pulmonary artery • 1 general surgery case involving the vena cava
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