Welcome to another episode of the Legal Nurse Podcast, hosted by Pat Iyer. In today’s episode, Pat brings on Karen Vacca, a highly experienced operating room nurse and perioperative expert witness, to pull back the curtain on what really happens in the OR when it comes to skin integrity and patient safety. From her extensive background assisting in complex surgeries like open-heart and neurosurgery, Karen shares her valuable insights on the critical processes that prevent injury, particularly focusing on pressure injuries, proper patient positioning, and the importance of team collaboration in maintaining skin health during long, intricate procedures. Together, Pat and Karen delve into the legal and clinical challenges surrounding OR skin injuries—exploring scenarios that can lead to litigation, the documentation legal nurse consultants should look for, and real-world protocols put in place to minimize risk. They discuss the essential roles and responsibilities of each surgical team member, highlight the importance of pre- and post-operative skin assessments, and address high-risk patient populations as well as technological advancements in OR surfaces and mattresses. But the conversation doesn’t stop at pressure and positioning injuries—in a riveting segment, Karen and Pat also tackle the sobering risk of operating room fires, investigating the fire triangle, prepping solutions, and how production pressures can sometimes jeopardize patient safety. This episode offers in-depth commentary, expert tips, and a behind-the-scenes look into a world that’s as fascinating as it is essential. What you’ll learn in this episode on Legal Risks and Nurse Responsibilities Here are 5 questions that this podcast answers: What are the key responsibilities of the OR (operating room) team in preventing skin integrity issues such as pressure injuries during surgery? Who is accountable for correct patient positioning and padding in the operating room—and how should this be documented? What risk factors make certain patients more susceptible to skin breakdown and pressure injuries during surgical procedures? How do fires occur in the operating room, and what steps can OR staff take to reduce or prevent these dangerous events? What should legal nurse consultants look for in medical records when investigating cases involving pressure injuries or operating room fires? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://youtu.be/YBfrL2FiYSY Grow Your LNC Business 12th LNC SUCCESS® ONLINE CONFERENCE November 13, 14 & 15, 2025 https://www.youtube.com/watch?v=8peerVDfDM4 https://www.youtube.com/watch?v=V4IRhuuO6Bo https://www.youtube.com/watch?v=wqv8dbibTLM Gain Specialized Skills That Attorneys Value Learn advanced techniques in deposition analysis, case screening, and report writing to provide high-impact services that attorneys need and trust. Stay Competitive with Cutting-Edge Strategies Discover how AI tools, LinkedIn marketing, and expert insights can help you streamline your workflow, attract more clients, and position yourself as a top-tier LNC. Build Meaningful Connections with Experts & Peers Network with experienced LNCs, attorneys, and industry leaders who can provide guidance, referrals, and opportunities to grow your legal nurse consulting business. Register now- Limited spots available Your Presenters for Operating Room Skin Integrity: Legal Risks and Nurse Responsibilities Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach renowned for her expertise in guiding new legal nurse consultants to successfully break into the field.