Hybrid OR Equipment Safety and Use for Nurses and Anesthesiologists

Welcome to this web based training on Hybrid OR equipment safety and use for Nurses, Anesthesiologists and other OR staff This course was designed as a brief introduction to your new Hybrid OR system and should be followed by on-site applications training.   By the end of this course, you will be able to: Locate estop buttons. Explain the differences between the two types of estop buttons. Describe basic principles of radiation safety. Identify potential c-arm and table collisions. Demonstrate table movments using the Table Control Module and the Table Remote Control. Activate the Block Radiation and Block System Movements functions on the Touchscreen (TSC). Explain the procedures required to protect the system from fluid contamination. List the precautions to follow when cleaning the system. There are two ways to control table movement: the Tableside Control Module and the Remote Control. On the next pages we will explain the similarities and differences of the two controls. Tableside Control Module Remote Control    This imaging equipment produces ionizing radiation. All Hybrid OR team members are required to wear appropriate radiation protective equipment, lead shielding, and xray dose montioring devices as directed by your facility's radiation safety officer. Appropriate radiation protection equipment when combined with reduced time of exposure and increased distance from radiation source will reduce ionizing radiation accumulation levels. Please refer to your facility's radiation safety guidelines for further information.   The Tableside Control Module (TCM) allows you to adjust table height, transverse (side-to-side) and longitudinal position, table rotation, table control orientation, and to initiate tilt functions.  The main table tilt buttons perform Trendelenburg tilt unless the lateral table tilt button is activated.   All tilt functions are limited to + or - 15 degree increments.  In order to return the table to 0 degrees from tilt, you can simultaneously press both tilt buttons.   The large button on the TCM  allows you to pan or "free float" the tabletop in all directions.  Roll over the image below to identify the TCM movement buttons. The Remote Control is similar to the TCM but it allows you to adjust table movements outside of the sterile field.  Transverse (side-to-side) movement cannot be controlled from the Remote Control.  Roll over the image below to identify the Remote Control movement buttons. The Touchscreen Control (TSC) has many functions.  For the purposes of this training we will only be discussing the radiation block and block system movement buttons.  The Radiation Block Button prevents the production of radiation by the system.  The Block System Movement Button prevents all motorized system movements.  Roll over the image below to identify these two buttons. The c-arm is configured to detect the locations of only the floor, ceiling, walls, and table.  It cannot detect any auxillary equipment or people in the room.  Therefore, it is the operator's responsibilty to ensure that unit movements are released only if he or she is certain that neither the operator, the patient, third parties, or other pieces of equipment can be endangered by these movements.       The system is equipped with two types of emergency stop buttons.  The Tableside Emergency Stop Buttons are located on the underside of the control modules (left).  These buttons stop all system movements without disabling main power.  The Wall Emergency Shutdown Button (right) disables main power and should only be used if there is danger for patients, operators, third parties, or the unit.   Tableside Emergency Stop Buttons  Wall Emergency Shutdown Button   Use of harsh cleaning agents, liquids or sprays risks damage to the system.  Use only substances for cleaning and disinfection which are recommended.  Do not let cleaning liquids seep into the openings of the system.  To clean monitors with anti-glare monitor screens (recognizable by the non-reflective surface) or LC displays, use only a cloth moistened with pure water without any cleaning agents.  Please refer to the operators manual for a list of approved disinfectants and cleaning agents.       You should now be able to: Locate estop buttons. Explain the differences between the two types of estop buttons. Describe basic principles of radiation safety. Identify potential c-arm and table collisions. Demonstrate table movments using the Table Control Module and the Table Remote Control. Activate the Block Radiation and Block System Movements functions on the Touchscreen (TSC). Explain the procedures required to protect the system from fluid contamination. List the precautions to follow when cleaning the system. Thank you... for taking the time to review this important information.  We hope this information has been helpful and assists you and your Hybrid OR team in reaching your patient care goals.