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* Prior to generator use, set the activation tone to an audible level and test the alarm systems to ensure that the tones can be heard. All alarms should be tested to assure the ESU is functioning appropriately. The activation tone alerts the surgical team when the generator is delivering RF energy. (1) When plugging accessories into the bipolar and monopolar receptacles, ensure that the accessory is plugged into the correct receptacle. Plugging an accessory into the wrong receptacle can result in patient injury, staff injury, as well as damage to the instrument. Also, examine all instruments and connections to the system before using. Ensure that the instruments function as intended. Improper connection may result in arcs, sparks, instruments malfunction, or unintended surgical effects. (2) Confirm proper power settings before proceeding with surgery. If the proper power settings are not know, set the power to a low setting and cautiously increase the power until the desired effect is achieved. If increased power settings are requested, check the patient return electrode and all instrument connections before major power setting adjustments. (3) (1) Valleylab Force Triad User’s Guide, 2006, Boulder: CO, p. 2-3 (2) Ibid, p, 2-3 3) Ibid, p. 2.2 * According to AORN Recommended Practices for Electrosurgery, Recommended Practice III, the ESU and accessories should be used according to manufacturer’s written instructions. Each type of ESU has specific manufacturer’s written operating instructions to be followed for safe operation of the unit. Furthermore, The ESU and accessories should be used according to the manufacturer’s written instructions. AORN, Standards, Recommended Practices, and Guidelines, 2007 Edition, Denver, CO: AORN, p 516. * Always follow the manufacturer’s written instructions that are found on patient return electrode packaging and in package inserts. When choosing a patient return electrode site, look for a well vascularized muscle mass and a co
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