The Effects of C-Arm Usage on Hospital Staff: Work Flow Efficiency, Ergonomic Challenges, and Safety Hazards
Aarti Goswami Goswami
Paper Contents
Abstract
Background: In contemporary surgical and interventional procedures, the C-arm fluoroscopy unit is an essential instrument. However, medical personnel may be at danger from prolonged and frequent exposure to ionizing radiation, physical strain from using the device, and lengthy procedure times. This study assesses the workflow impact, ergonomic difficulties, and health hazards related to routine C-arm use in the operating room.Aim: To evaluate how C-arm fluoroscopy affects operation room staff membersergonomics, workflow efficiency, and occupational health.Methods: In the operating rooms of Agroha Medical College & Hospital in Hisar, a prospective observational study was carried out between June 2023 and June 2024. 30 employees in all, including OT nurses, radiologic techs, and surgeons, were enrolled. The study employed a mixed-methods approach, combining qualitative information from direct observations and interviews with quantitative information from radiation dosimetry and structured questionnaires. SPSS version 23 and thematic analysis methods were used to examine the data.Results: Most employees had moderate radiation exposure, according to quantitative analysis, with some cases coming close to occupational dosage limits. Neck, shoulder, and lower back pain were common ergonomic complaints, especially from employees who often moved their C-arm. Inefficiencies in the workflow were observed, such as delays brought on by a lack of communication and frequent image modifications. Qualitative findings also revealed a deficiency in official instruction in ergonomics and radiation safety.Conclusion: Using a C-arm presents significant ergonomic and occupational health hazards in addition to quantifiable effects on procedural efficiency. To maximize operating room effectiveness and ensure crew safety, regular radiation monitoring, ergonomic training, and enhanced workflow standards are crucial.Keywords: C-arm, radiation exposure, occupational health, ergonomics, workflow efficiency, operation theatre staf
Copyright
Copyright © 2025 Aarti Goswami. This is an open access article distributed under the Creative Commons Attribution License.