Post a description of the focus of your scenario. Describe the data that
could be used and how the data might be collected and accessed. What
knowledge might be derived from that data? How would a nurse leader use
clinical reasoning and judgment in the formation of knowledge from this
experience?
Scenario, data collected, and accessed
I work in an operating room as a registered nurse circulator. The focus
of the scenario and data that I will present is regarding working in the
operating room and the data that has been collected and assessed to keep
circulating nurses safe.
Some data that operating room nurses learn about are increased CO2 levels
and air circulation revolutions. According to Carroll et al. (2022), "we show
that non-dispersive infrared CO2 sensors can be used to detect CO2 in an
operating room and airflow conditions of 20 air exchanges per hour and a
positive pressure of 0.03 in. H2O." The airflow revolutions in the operating
room must be faster to keep the bacteria level down. As we breathe and
move around in the operating room, respiratory CO2 byproducts can be
exhaled. We can use the data from the CO2 sensors to measure a potential
increased risk of airborne infection and the risks to outpatients. Carroll et al.
(2022) also said, "The amount of CO2 detected increases as the number of
occupants increases, the activity level increases, the residency time
increases and when the ventilation level is reduced." Thus, the data
collected shows fewer people in the operating room will lower the CO2 level.
In this scenario, we discussed the CO2 data collection and what can be done
to keep the CO2 levels by decreasing the number of people in the room and
increasing ventilation rates.
What knowledge might be derived from that data?
The knowledge derived from this data helps protect operating room
nurses from increased levels of CO2. Without having 20 air exchanges per
hour in the operating room, there would be more risk of airborne infectious
agents for the surgical patient.
According to Ogce Aktaş and Turhan Damar (2022), "Although surgical site
infections are a common problem, it is reported that 70% can be prevented
by perioperative personnel compliance with evidence-based
recommendations." With a master's degree in nursing, nurses use evidence-
based practices to ensure patient safety in the surgical suite.
How would a nurse leader use clinical reasoning and judgment in the formation of
knowledge from this experience?
Developing a charge nurse shadowing program to spark the interest of
, future leaders (2022) stated, "the charge nurse role is an incredibly
demanding position to fill, and taking a leadership role is a purely personal
choice." Nurse leaders use their knowledge and experience to ensure that
the nurses in the operating room that work under them comply with AORN
(The Association of Perioperative Registered Nurses)
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