Abstract:

Clinical Issue Each year, our hospital has many damage lead aprons. We would like to decrease the amount and cost of waste disposal and improve global environment. We designed a mobile rigid shield and employed to the personnel who involved in fluoroscopic procedures. Description of Team Perioperative registered nurse and radiologic technologist. Preparation and Planning A newly designed mobile rigid shield was made of a rectangular shape stainless steel and two wheels. A 1 mm. lead-equivalence shield made from damage lead aprons and covered with PVC vinyl sheet. Assessment A newly designed mobile rigid shield was used in 40 orthopaedic surgery. Implementation A newly designed mobile rigid shield was evaluated include the satisfaction of surgical teams and the effectiveness of radiation shielding. Outcome A newly designed mobile rigid shield can reduce the radiation exposure better than lead apron. The average score for usefulness was 3.78, for convenience during use was 3.63, and for staff satisfaction was 3.49. Implication for Perioperative Nursing The newly designed mobile rigid shield should be used to reduce radiation exposure. It can save cost for hospital about 700$ per piece. Furthermore, it can decease cost and amount of waste disposal.