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https://www.apsf.org/article/body-piercing-and-electrocautery-risks/
1) Electrical current enters the patient’s body and leaves it via the grounding pad, because that is usually the path of least resistance. However, in patients who have earrings (or some other form of body piercing), the path of least resistance could be the path through the earring and the electrical current could cause a burn at that site.
http://patientsafety.pa.gov/ADVISORIES/Pages/200603_30.aspx
Nevertheless, some healthcare facilities encourage patients to remove jewelry to avoid the possibility of loss or theft. There is a different reason to remove jewelry or cover it with tape or gauze during electrosurgery: to help prevent any sharp edges of the jewelry from scratching the insulation layer of active electrodes or cables of the ESU.
http://patientsafety.pa.gov/ADVISORIES/Documents/200603_30.pdf
PA-PSRS has received four reports involving patients wearing jewelry upon entering the OR. In one report the patient refused to remove two nipple rings prior to an appendectomy. In a sec- ond report two finger rings were removed from the patient while in the OR.
https://aornguidelines.org/faq/content?topic=43747
Can the patient’s jewelry be taped over instead of being removed? When a single-use grounding pad is partially or completely removed, can it be reapplied or stuck on with tape? I have seen the terms electrosurgery, electrocautery, and diathermy used interchangeably.
https://progressivesurgicalsolutions.com/forums/topic/bovie-and-metal/
Dec 29, 2017 · Here is information from the AORN Guideline for Safe Use of Energy-Generating Devices regarding metal: A patient’s metal jewelry that is between the active and dispersive electrode should be removed, or if jewelry is in the pathway, alternate technologies should be used.
https://www.sciencedirect.com/science/article/pii/S0001209211014712
Mar 01, 2012 · Patient jewelry that is between the active and dispersive electrodes should be removed. Electrocardiogram electrodes should be placed as far away from the surgical site as possible. When removing the electrode, the nurse should hold the adjacent skin in place and peel the electrode back slowly to prevent denuding the skin.
https://www.asit.org/assets/documents/Prinicpals_in_electrosurgery.pdf
flowing in one direction) whereas electrosurgery uses alternating current. During electrocautery, current does not enter the patient’s body. Only the heated wire comes in contact with tissue. In electrosurgery, the patient is included in the circuit and current enters the patient’s body.
https://quizlet.com/95344014/electrosurgery-flash-cards/
Patients and staff alike are involved in serious electrosurgical accidents each year. It is the ____ responsibility to seek out information and be able to safely use equipment in the surgical setting. A. laser safety officer's B. circulator's C. licensed personnel's D. biomedical engineering department's
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