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{"sheet":"Instructions","index":0,"n_rows":23,"n_cols":2,"rows_kept":23,"cut":false,"hidden":false,"merged":[[1,0,1,1]]}
[]
["Instructions"]
[1,"Complete the questionaire on the Assesment Tab to determine if your operating room is a wet location."]
[2,"Use the worst case scenario for the assesment. i.e. the proceedure that produces the most potential for standing fluids"]
[3,"Complete an assesment for each operating room that has a different function. If all operating rooms are universal and have the same procedure than only one assesment needs to be completed."]
[4,"Each question must be answered either \"Yes\" or \"No\""]
[]
[null,"Comments and questions on the use of this tool contact ashe@aha.org"]
[]
["Definitions"]
[null,"NFPA 99: 2012  Section 6.3.2.2.8.4*\n Operating rooms shall be considered to be a wet procedure location, unless a risk assessment conducted by the health care governing body determines otherwise."]
[]
[null,"Standing Fluid"]
[null,"Liquid that accumilates at floor level within the patient care vicinity generated from surgical operations that include but are not limited to irrigation of the surgical site or fluids as the distention medium. "]
[]
[null,"Drenching"]
[null,"Fluids, typically in the sterile field that are introduced through means such as irrigation of the surgical site where surgical draping is intended to contain the fluids at the table level."]
[]
[null,"NFPA 99:2012 Section 3.3.65 Governing Body\nThe person or persons who have the overall legal responsibility for the operation of a health care facility."]
[]
[]
["This risk assement tool provide by the American Society for Healthcare Engineering"]
[" © 2016"]

{"sheet":"Assesment","index":1,"n_rows":28,"n_cols":4,"rows_kept":28,"cut":false,"hidden":false,"merged":[[12,1,12,2],[13,1,13,2],[14,1,14,2],[15,1,15,2],[0,0,0,3],[20,1,20,2],[21,1,21,2],[16,1,16,2],[17,1,17,2],[22,1,22,2],[18,1,18,2],[19,1,19,2]]}
["Wet Procedure Room Risk Assessment"]
[]
[null,"Facility Name"]
[null,"Facility Address",null,"(Press ALT+Enter for a second line)"]
[null,"Date of Assessment"]
[null,"Room Name / Number"]
[null,"How many procedures are performed at this location per year?"]
[]
[null,"Identify who was on the assessment group"]
[null,null,null,"Others:"]
[]
[]
[{"$f":"Customize!A3","v":1},{"$f":"Customize!B3","v":"Have there ever been incidents of electrical shock to staff or patients in this area?"},null,"Select From List"]
[{"$f":"Customize!A4","v":"1a"},{"$f":"Customize!B4","v":"   If so were those investigated and the source determined and fixed"},null,"Select From List"]
[{"$f":"Customize!A5","v":2},{"$f":"Customize!B5","v":"Do you perform procedures that generate standing fluid on the floor?"},null,"Select From List"]
[{"$f":"Customize!A6","v":3},{"$f":"Customize!B6","v":"Do you perform procedures that generate drenching of the work area?"},null,"Select From List"]
[{"$f":"Customize!A7","v":4},{"$f":"Customize!B7","v":"Do you have extracting systems to reduce the liquid on the floor?"},null,"Select From List"]
[{"$f":"Customize!A8","v":5},{"$f":"Customize!B8","v":"Do you have line powered cords on the floor within 6 feet of the patient, or line power suspended from the ceiling that could reach within 6 feet of the patient?"},null,"Select From List"]
[{"$f":"Customize!A9","v":6},{"$f":"Customize!B9","v":"Are line cords, attachment plugs or exposed metal routinely inspected and repaired or taken out of services until fixed?"},null,"Select From List"]
[{"$f":"Customize!A10","v":7},{"$f":"Customize!B10","v":"Is visual inspection of all equipment completed before starting any surgical procedure?"},null,"Select From List"]
[{"$f":"Customize!A11","v":8},{"$f":"Customize!B11","v":"Does the medical electrical equipment comply with IEC ANSI/AAMI ES60601-1?"},null,"Select From List"]
[{"$f":"Customize!A12","v":9},{"$f":"Customize!B12","v":"Do you have procedures to manually contain or remove fluids during a procedure (i.e absorbent pads etc)"},null,"Select From List"]
[{"$f":"Customize!A13","v":10},{"$f":"Customize!B13","v":0},null,"Select From List"]
[]
[]
[null,"Risk Assessment Result:",null,{"$f":"IF(Datasource!I14>=10,\"This may be considered a wet location\",IF(Datasource!I14 < 10,\"This may not be a wet location\",\"-\"))","v":"This may not be a wet location"}]
[]
["This risk assement tool provide by the American Society for Healthcare Engineering",null,null," © 2016"]

{"sheet":"Costs","index":2,"n_rows":8,"n_cols":3,"rows_kept":8,"cut":false,"hidden":true,"merged":[]}
["OR Safety Measure","Cost","Feasibility %"]
["Liquid Extracting Sytem"]
["Isolated Power Panel"]
["Isolated Power Panel Inspections"]
["Isolated Power Panel Training"]
["Power cable management system"]
["Equipment Upgrade"]
["Equpiment Inspections"]

{"sheet":"Printable Form","index":3,"n_rows":27,"n_cols":3,"rows_kept":27,"cut":false,"hidden":true,"merged":[[2,2,2,5],[26,2,26,5],[27,2,27,5],[28,2,28,5],[29,2,29,5],[19,2,19,5],[21,2,21,5],[22,2,22,5],[23,2,23,5],[24,2,24,5],[21,7,21,8],[0,0,0,6],[4,2,4,5],[5,2,5,5],[6,2,6,5],[7,2,7,5],[9,2,9,5],[10,2,10,5],[11,2,11,5],[12,2,12,5],[13,2,13,5],[14,2,14,5],[15,2,15,5],[16,2,16,5],[17,2,17,5],[18,2,18,5]]}
["   ASHE OR Wet Location Assessment"]
[]
["Date:",null,{"$f":"IF(Assesment!C5 > 0, Assesment!C5, \" \")","v":" "}]
[]
["  Facility Information:",null,{"$f":"IF(Assesment!C3 > 0, Assesment!C3, \" \")","v":" "}]
[null,null,{"$f":"IF(Assesment!C4 > 0, Assesment!C4, \" \")","v":" "}]
[]
[]
[]
["  Assessment Information:"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["  Cost:"]
[]
[]
[]
[]
["  Conclusions:"]

{"sheet":"Customize","index":4,"n_rows":16,"n_cols":7,"rows_kept":16,"cut":false,"hidden":false,"merged":[[0,5,0,6],[13,1,13,2],[8,1,8,2],[9,1,9,2],[10,1,10,2],[11,1,11,2],[7,1,7,2],[2,1,2,2],[3,1,3,2],[4,1,4,2],[5,1,5,2],[6,1,6,2]]}
[null,null,null,null,null,"Default Scores"]
[null,null,null,"Yes","No","Yes","No"]
[1,"Have there ever been incidents of electrical shock to staff or patients in this area?"]
["1a","   If so were those investigated and the source determined and fixed"]
[2,"Do you perform procedures that generate standing fluid on the floor?"]
[3,"Do you perform procedures that generate drenching of the work area?"]
[4,"Do you have extracting systems to reduce the liquid on the floor?"]
[5,"Do you have line powered cords on the floor within 6 feet of the patient, or line power suspended from the ceiling that could reach within 6 feet of the patient?"]
[6,"Are line cords, attachment plugs or exposed metal routinely inspected and repaired or taken out of services until fixed?"]
[7,"Is visual inspection of all equipment completed before starting any surgical procedure?"]
[8,"Does the medical electrical equipment comply with IEC ANSI/AAMI ES60601-1?"]
[9,"Do you have procedures to manually contain or remove fluids during a procedure (i.e absorbent pads etc)"]
[10]
[]
[]
[null,null,"Total Pass must be less than 10"]

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[null,null,null,"Custom Scoring",null,"Default Scores"]
[null,"Questions","Rating","Yes","No","Yes","No","Input","Input Score"]
[{"$f":"Customize!A3","v":1},{"$f":"Customize!B3","v":"Have there ever been incidents of electrical shock to staff or patients in this area?"},null,{"$f":"Customize!D3","v":0},{"$f":"Customize!E3","v":0},1,0,{"$f":"Assesment!D13","v":"Select From List"},{"$f":"IF(H3=\"YES\",D3, IF(H3=\"NO\", E3, 0))","v":0}]
[{"$f":"Customize!A4","v":"1a"},{"$f":"Customize!B4","v":"   If so were those investigated and the source determined and fixed"},null,{"$f":"Customize!D4","v":0},{"$f":"Customize!E4","v":0},0,-1,{"$f":"Assesment!D14","v":"Select From List"},{"$f":"IF(H4=\"YES\",D4, IF(H4=\"NO\", E4, 0))","v":0}]
[{"$f":"Customize!A5","v":2},{"$f":"Customize!B5","v":"Do you perform procedures that generate standing fluid on the floor?"},null,{"$f":"Customize!D5","v":0},{"$f":"Customize!E5","v":0},5,0,{"$f":"Assesment!D15","v":"Select From List"},0]
[{"$f":"Customize!A6","v":3},{"$f":"Customize!B6","v":"Do you perform procedures that generate drenching of the work area?"},null,{"$f":"Customize!D6","v":0},{"$f":"Customize!E6","v":0},3,0,{"$f":"Assesment!D16","v":"Select From List"},0]
[{"$f":"Customize!A7","v":4},{"$f":"Customize!B7","v":"Do you have extracting systems to reduce the liquid on the floor?"},null,{"$f":"Customize!D7","v":0},{"$f":"Customize!E7","v":0},-4,2,{"$f":"Assesment!D17","v":"Select From List"},0]
[{"$f":"Customize!A8","v":5},{"$f":"Customize!B8","v":"Do you have line powered cords on the floor within 6 feet of the patient, or line power suspended from the ceiling that could reach within 6 feet of the patient?"},null,{"$f":"Customize!D8","v":0},{"$f":"Customize!E8","v":0},5,0,{"$f":"Assesment!D18","v":"Select From List"},0]
[{"$f":"Customize!A9","v":6},{"$f":"Customize!B9","v":"Are line cords, attachment plugs or exposed metal routinely inspected and repaired or taken out of services until fixed?"},null,{"$f":"Customize!D9","v":0},{"$f":"Customize!E9","v":0},-1,4,{"$f":"Assesment!D19","v":"Select From List"},0]
[{"$f":"Customize!A10","v":7},{"$f":"Customize!B10","v":"Is visual inspection of all equipment completed before starting any surgical procedure?"},null,{"$f":"Customize!D10","v":0},{"$f":"Customize!E10","v":0},-1,2,{"$f":"Assesment!D20","v":"Select From List"},0]
[{"$f":"Customize!A11","v":8},{"$f":"Customize!B11","v":"Does the medical electrical equipment comply with IEC ANSI/AAMI ES60601-1?"},null,{"$f":"Customize!D11","v":0},{"$f":"Customize!E11","v":0},0.5,1,{"$f":"Assesment!D21","v":"Select From List"},0]
[{"$f":"Customize!A12","v":9},{"$f":"Customize!B12","v":"Do you have procedures to manually contain or remove fluids during a procedure (i.e absorbent pads etc)"},null,{"$f":"Customize!D12","v":0},{"$f":"Customize!E12","v":0},-1,0,{"$f":"Assesment!D22","v":"Select From List"},0]
[{"$f":"Customize!A13","v":10},{"$f":"Customize!B13","v":0},null,{"$f":"Customize!D13","v":0},{"$f":"Customize!E13","v":0},null,null,{"$f":"Assesment!D23","v":"Select From List"},{"$f":"IF(H13=\"YES\",D13, IF(H13=\"NO\", E13, 0))","v":0}]
[null,null,null,null,null,null,null,"Total Score",{"$f":"SUM(I3:I12)","v":0}]
[null,"Select From List"]
[null,"YES"]
[null,"NO"]
[null,"N/A",null,null,null,null,null,{"$f":"IF(I14>=10,\"This may be considered a wet location\", \"This may not be a wet location\")","v":"This may not be a wet location"}]