Ameliyathanede G�venli Cerrahi Patoloji Materyal Y�netimi

B�lb�lo�lu, Semra; Sevin, Kadir; �ak�r, Sad�k; Aslan, Fatma Eti

Semra B�lb�lo�lu¹, Kadir Sevin¹, Sad�k �ak�r¹, Fatma Eti Aslan²

¹T�rkiye Cumhuriyeti Sa�l�k Bakanl�� Ad�yaman �niversitesi E�itim ve Ara�t�rma Hastanesi
²�stanbul Bah�e�ehir �niversitesi Sa�l�k Bilimleri Enstit�s�

�nemi: Cerrahi patoloji materyal y�netimi(CPMY) ameliyathanede hasta g�venli�inin sa�lanmas�nda �nemli bir yere sahiptir. Hastalardan al�nan cerrahi patoloji materyalleri(CPM) hastal�klar�n tan�lanmas�nda ve do�ru tedavinin uygulanmas�nda anahtar rol oynar. CPMY g�venli yap�lmad��nda hasta i�in psikolojik ve fiziksel olarak yeni bir m�dahale gerekir. CPMY ger�ekle�tirilirken koruyucu g�venlik �nlemleri al�nmad�� takdirde, sa�l�k bak�m �al��anlar�n�n kan, v�cut s�v�s� ve di�er potansiyel enfekte materyallere, kimyasal tehlikelere maruz kalmas� s�z konusu olur. CPMY�nin �neminin bilinmesine kar��n, T�rkiye ve D�nya�da etkili CPMY�ye ili�kin yap�lan uygulamalar istendik d�zeyde de�ildir.
Ama�: Bu �al��man�n amac�; ameliyathanede CPMY�nin nas�l yap�laca��na ili�kin rehber niteli�inde bir derleme haz�rlamakt�r.
Gere� ve Y�ntemler: Perioperatif Hem�ireler Toplulu�unun (Association of perioperative Registered Nurses-AORN) g�venli CPMY hakk�ndaki �nerilerinin bulundu�u rehber, kitaplar, makaleler ve �al��malar incelenmi� ve ameliyathanede CPMY�nin nas�l yap�laca��na ili�kin bir derleme haz�rlanm��t�r. Bu derlemenin kapsam�na al�nma kriterleri 1)Ulusal/uluslar aras� hakemli bir dergide yay�nlanm��, 2)CPMY s�recinin nas�l yap�laca��na ili�kin kan�tlar� i�eren, 3)Cerrahi hem�irelik ile CPMY�nin ili�kilendirildi�i �al��malar olarak belirlenmi�tir. Bulgular: Yap�lan literat�r taramas� sonucunda kurumlarda CPMY�nin nas�l ger�ekle�tirildi�ine ili�kin pek az �al��ma yap�ld��, son y�llarda �zerinde s�kl�kla d��n�len ve geli�tirilmeye �al��lan bir kavram oldu�u, g�venli yap�lmad�� takdirde hasta ve sa�l�k �al��anlar� i�in bir�ok sorunun geli�mesine yol a�t�� belirlenmi�tir.
Sonu�: Bu �al��mada ameliyathanede CPMY�nin hasta g�venli�i ilkelerine uygun yap�lmas�na ili�kin �neriler yer almaktad�r. Kurumsal politika, prosed�r ve protokoller d�zenlenirken her kurum hasta g�venli�i standartlar�n� optimal d�zeyde uygulayacak g�venli CPMY sa�lanmas� i�in �nlemler almal�d�r. T�m cerrahi s�re�lerde kay�tlar do�ru ve eksiksiz olarak tutulmal�d�r. G�venli CPMY�nin her a�amas�nda hasta ve �al��an g�venli�i korunmal�d�r.

Anahtar Kelimeler:

Safe Surgical Pathology Material Management in the Operating Room

Semra B�lb�lo�lu¹, Kadir Sevin¹, Sad�k �ak�r¹, Fatma Eti Aslan²

¹Republic of Turkey Ministry of Health Adiyaman University Education and Research Hospital
²Istanbul Bahcesehir University Health Sciences Institute

Background: Surgical pathology material management (SPMM) is creating a important part of patient safety in operating room. Removed from patients surgical pathology materials (SPM) play a key role for diagnosis and correct treatment. When SPMM made effectively, a new intervention can need to be as psychological and physical for patient. While SPMM realized no take protector security precautions, health care workers possible to exposure blood, body fluids, chemical hazards and other potentially infection materials. Despite known importance of SPMM, it isn�t a level of ideal alpications about SPMM in Turkey and in the world. Aim: The aim of this study; prepared a review for guideline about how of SSPM. Material and Methods: A review that contain of recommendations for effectiveness SSPM prepared by Association of perioperative Registered Nurses-AORN, books, articlesand studies was reviewed and prepared a guideline about how of SPMM. In context of this guideline taken criteria designate as 1) It was published a scientific journal national/international with referee. 2) In context of scientifically evidences about how of SSPM process 3)It was correlated perioperative nursing with SPMM. Findings: The result of literature search was appointed a little od study about how of SPMM, in recent years it was determined that a concept frequently highlihted and being developed. Whenever it was done not effective, more problems reveals for patient and personnel.
Coclusion: In context of this study is located recommendations for interventions available patient safety in operating room. While the institutional policy, procedures, protochol was prepared, institutions can implement a level of optimal patient safety standards. Records should be to keep correct and no deficient on the perioperative process. Patient and personnel security should be protected every stage of SPMM.

Keywords:

Semra B�lb�lo�lu, Kadir Sevin, Sad�k �ak�r, Fatma Eti Aslan. Safe Surgical Pathology Material Management in the Operating Room. Journal of Health and Nursing Management. 2017; 4(1): 37-42

Sorumlu Yazar: Semra B�lb�lo�lu, T�rkiye