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Cultivating Quality: Implementing Surgical Smoke Evacuation in the Operating Room

Waddell, Ashley W.G. MS, RN, CNOR

AJN The American Journal of Nursing: January 2010 - Volume 110 - Issue 1 - p 54-58
doi: 10.1097/01.NAJ.0000366057.14229.6d
Feature Articles

Overview Inspired by a presentation at an educational conference, two operating room (OR) nurses at Children's Hospital Boston raised concerns at the hospital's perioperative evidence-based practice committee meeting about the potential hazards associated with exposure to surgical smoke and aerosols. The nurses initiated a safety project involving the use of smoke evacuation devices in ORs. The subsequent policy development took two years and involved a literature review, a survey of other institutions, and the support of numerous stakeholders. A utilization review and supportive educational initiatives are ongoing.

This final installment in a three-part series on evidence based practice describes a safety project at Children's Hospital Boston.

Ashley W. G. Waddell is a staff nurse level III at Children's Hospital Boston.

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The project described in this article was inspired by a presentation given by Kay Ball, Maryann D'Alessandro, and Vangie Dennis at the 2007 AORN Congress. In presentation materials, Ms. Ball disclosed an affiliation with K & D Medical Inc. She is currently the featured expert on the Become NASTI Web site, which is sponsored by AMT Electrosurgery. During this project, Ms. Ball and the Become NASTI Web site provided Children's Hospital Boston with guidance regarding smoke evacuation policy development.

© 2010 Lippincott Williams & Wilkins. All rights reserved.