Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress ePosters 45 141 Surgical Plume Management: An Imperative for Surgery Today Rebecca Vortman1, Penny Smalley2 1University of Illinois Chicago, College of Nursing, Chicago, United States, 2International Council on Surgical Plume Background: Surgical plume is produced when energy-generating devices are used during surgery to cut, coagulate, and vaporize tissue. The plume contains hazardous byproducts, including toxic and mutagenic chemicals, volatile organic compounds, viruses, and bacteria. The perioperative team and their patients may experience adverse effects from exposure to surgical plume when recommended practices and standards are not implemented. Product designers and engineers, healthcare leaders, policymakers, and multidisciplinary surgical team members can progress changes in practice by raising awareness, advocacy, and increasing professional education and training. Objectives: The purpose of this presentation is to increase awareness and provide resources for developing healthcare policies and procedures that can guide perioperative teams toward a healthy workplace environment free of the hazards and risks of exposure to surgical plume. Methods: We present a synthesis of the literature that has been used to inform international standards and best practices for surgical plume evacuation, the results of a United Kingdom survey on attitudes and practices around surgical plume and provide an eight-step sustainable and clinically relevant plan for surgical plume management. Results: The surgical plume eight-step implementation plan can empower perioperative teams to work with healthcare leaders and professional organizations to mitigate the risks of exposure to the harmful health hazards associated with surgical plume. Conclusion: Based on the findings presented, we conclude that evacuation devices for surgical plume are available but only sometimes used. Opportunities for education and training exist, and healthcare leaders must prioritize resources that support plume management programs. This presentation will serve as an avenue to contribute the perioperative voice to the development of plume evacuation and management standards and recommended practices with the goal of creating a healthy work environment for the entire surgical team and their patients. 153 Addressing Health Uncertainty in Post-anesthesia Nurses’ Clinical Reasoning: key contributes of the Integrative Framework of Uncertainty Management taxonomy Lara Daniela Matos Cunha1 2, Márcia Pestana-Santos2 3, Lurdes Lomba2 3, Margarida Reis Santos4 5 1Abel Salazar Biomedical Sciences Institute - University of Porto, Porto, Portugal, 2UICISA: E - Unidade de Investigação em Ciências da Saúde: Enfermagem, Coimbra, Portugal, 3ESEnfC - Nursing School of Coimbra - The Polo, Coimbra, Portugal, 4Higher School of Nursing of Porto, Porto, Portugal, 5CINTESIS - Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal Background: Healthcare uncertainty is a pervasive and important problem that arises in a wide variety of circumstances, and affects both providers and recipients of healthcare. The strategies that nurses use to manage it have not been systematically described. Objectives: The objectives of this study are: to describe uncertainty management strategies in clinical reasoning of nurses in recovery rooms, and to analyze those strategies in light of the Integrative Framework of Uncertainty Management taxonomy. Methods: Qualitative descriptive study. Fourteen nurses from a recovery room of a central Portuguese hospital were selected by convenience sampling. Data were collected through semi-structured interviews and thematic analysis was performed using MAXQDA. Results: Ignorance-focused strategies, uncertainty-focused strategies, response-focused strategies, and person-focused strategies were the themes radicated from the major theme ‘uncertainty management strategies in the clinical reasoning of nurses in the recovery room’. The strategies centered on ignorance and uncertainty have a curative goal and the strategies centered on response and the person have a palliative goal. Conclusion: Nurses employ a variety of uncertainty management strategies focused on different goals (cure or palliation), and their tolerance for uncertainty evolves with their abilities to cope with uncertainty. More research is needed to understand and improve the management of healthcare uncertainty by nurses.
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