— Minimize buildup of O2 and N2O beneath drapes and in the oropharynx.
— Activate the unit
after vapors from flammable prepping solutions and tinctures (if
used) have dissipated.
— Activate the unit
only when ready to deliver electrosurgical current and only when the
active tip is in view; avoid prolonged activation.
— Use the lowest
effective ESU output setting; do not continue to increase power
settings if you aren't getting results—look for other problems
(e.g., confirm adequate placement of the dispersive electrode, check
all cable connections).
— Check contact and
adherence of the dispersive electrode each time the patient is
repositioned.
— Always place the
active electrode in a safety holster when not in use.
— Allow only the user
of the active electrode to activate the handswitch or
footswitch.
— Do not use two active
electrodes on ESUs that produce simultaneous activation of both
electrodes when only one switch is activated.
— Document every
procedure in the OR record; include the ESU identification number,
ESU settings used (monopolar cutting and coagulation, bipolar),
location of the dispersive electrode, and the condition of the skin
at the dispersive electrode site before and after the
procedure.
— Document use and
position of any other equipment (including identification numbers)
used during the procedure (e.g., hypo-/hyperthermia unit,
temperature probes).