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fire safety, nursing education, operating room fire safety, perioperative nursing, Virtual Electrosurgery Skill Trainer (VEST), virtual reality simulation



  1. Rossler, Kelly L. PhD, RN, CHSE
  2. Sankaranarayanan, Ganesh PhD, MS, BE
  3. Duvall, Adrianne DNP, RN, NP-C, FNP-BC


Background: Prelicensure nursing students seeking to enter perioperative nursing need preparatory fire safety knowledge and skills training to participate as a member of an operating room (OR) team.


Purpose: This pilot study examined the effectiveness of the Virtual Electrosurgery Skill Trainer (VEST) on OR fire safety skills among prelicensure nursing students.


Methods: An experimental pretest-posttest design was used in this study. Twenty nursing students were randomized to a control or an intervention group. Knowledge and skills acquisition of OR fire safety were assessed.


Results: There were no statistically significant findings in knowledge for either group. Fisher exact test demonstrated significant relationships between the skills performance criteria of following emergency procedures for a fire and demonstrating PASS (pull-aim-squeeze-sweep) technique (P = .001).


Conclusions: Academic and hospital educators may consider incorporating virtual reality simulation to teach fire safety education or reinforce general fire safety practices to nursing students and novice nurses.