Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress ePosters 71 professionals agree to protocolize a system of action with well-defined roles for each professional (72%), they would be willing to do training (72%). Conclusion: Professionals strongly agreed on protocolizing a system of action in emergency situations. However, it is necessary to improve the training of those professionals who have stated that they do not feel as qualified. With this prior evaluation we will be able to evaluate the effectiveness of the proposed implementation strategy in the future. 393 Does Surgical Smoke from Open or Closed Major Surgeries Negatively Affect The Patient’s Carboxyhemoglobin, Methemoglobin and Some Blood Gases? Elif Bicer1, Yazile SAYIN2 3 1Taksim Training and Research Hospital, Operating Room, Turkey, 2İstanbul Rumeli Üniversitesi, Nursing Department, Istanbul, Turkey, 3İstanbul Rumeli Universityi,, Nursing Department, Istanbul Background: Surgical smoke mostly occurs during tissue dissection in open and closed surgical interventions and can disrupt some physiological parameters of the patient: blood hydrogen potential (carboxyhemoglobin, Methemoglobin, partial oxygen and carbon dioxide (pH, COHb, MetHb, PaO2 and PaCO2, respectively). Objectives: To determine the effect of surgical smoke on the patient’s pH, COHb, MetHb, PaO2 and PaCO2 in open or closed major surgeries. Methods: The research is cross-sectional and descriptive. The data were collected in a training and research hospital in Istanbul, Turkey (n=87). The data were obtained from the ‘Patient Identification Information Form’ and the results of the arterial blood sample taken before and immediately after the surgery. Results: The average age (mean± standard deviation) of the participants in the study is 56.45±16.30. Patients’ pH(p=0.034), PaO2(p=0.001), COHb(P=0.640) were lower, and MetHb(p=0.052), PaCO2(p=0.035) were higher in the postoperative period than in the preoperative period. There were some variables that had a statistically significant impact on these physiological parameters. According to these data, only PaO2 was lower in smokers than in non-smokers compared to young and old people (p<0.05). pH, COHb, and PaO2 (respectly, p<0.05) were lower, and MetHb and PaCO2 were higher in neurosurgery patients compared to other surgical procedures (respectly, p<0.05). MetHb(p=0.014) and PaCO2(p=0.023) were statistically higher and PaO2 (p=0.002) was lower in patients using electrocautery compared to ultrasound cautery. pH(p=0.005) and PaO2(p=0.010) were lower and PaCO2 (p=0.029) was higher in those using an aspiration stick for smoke, compared to other methods. pH(p=0.012) and PaO2(p=0.001) were lower, and MetHb(p=0.012) and PaCO2(p=0.007) were higher in open surgery compared to closed surgery. Statistical pH(p=0.001) and PaO2 (p= 0.004) levels were lower in patients whose surgery time was 3-5 hours. Conclusion: In surgeries where surgical smoke is seen, pH, MetHb, PaO2 and PaCO2 levels of patients may be affected after surgery. 396 Creating a safe room Monica Kegel Dalsgaard1, Christina Fobian Nielsn1 1Rigshospitalet, Department of Anesthesia, Copenhagen, Denmark This project aimed to create a supportive safe room where the newly employees could investigate and pursue the feelings, they met during training. We hoped by giving them this space, they would be able to practice awareness by reflection and bring it into to clinical practice. We generated two units and later 2 more within the first year, each one consisting of 6-8 nurses employed within 2 months. The nurses worked at similar departments but in different specialties such as theatre and the department of recovery. Each unit had a process lasting 5-6 months with meetings every week for 8 weeks and after that every month. The Meetings were facilitated by a clinical nurse specialist with a master’s degree in organizational psychology. After completing the process, the participants were asked to participate in individual semi-structured interviews, facilitated in spring 2023 by clinical nurse specialist with a master’s degree in clinical nursing. We completed 6 interviews. The interviews were analyzed using a theoretical psychodynamic framework, that draws upon emotions in understanding
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