Controlling the fire
triangle is an interdisciplinary effort. Consequently, all members
of the team have an integral role to play. Generally, the surgeon
or the first assistant controls the ignition
source. The perioperative staff, including nurses and surgical
technologists, controls the fuel
sources. The anesthesia provider, who may be an anesthesiologist,
nurse anesthetist or a registered nurse monitoring a patient under
local anesthesia, controls oxidizers
in the O.R.
Through awareness of the hazards, and with emphasis placed on
safe practices, virtually all surgical fires can be prevented.
It is important that surgical fire safety be incorporated into
formal patient safety initiatives.
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