Outpatient Surgery Magazine - Subscribers

3-Minute Turnover - Outpatient Surgery Magazine - December 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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180 degrees, which leaves the anesthetist little access to the patient's airway and IV lines because they're on the opposite side of the patient. Precepting nurses should ensure anesthesia double-checks that their lines will be long enough well before they set foot inside the OR for the main event. Training should also highlight the little things your team can do to prevent an emergency. For example, you can prevent unsafe move- ment of the OR table after the instruments have been placed in the patient's body cavity simply by disabling the bed control after dock- ing. We prepare our team through detailed simulation training and pre- procedure discussion — a discussion that encourages everyone on the OR team to ask, "What happens if …" — as well as during the time out. We saw how effective this type of preparation and acute preparation could be during a laparoscopic procedure where the patient had a bleed. As soon as that happened, our PA was right on top of the situation, applying suction and doing the repair just as he should. But something seemed just a bit off, so I said, "Let me just take a closer look at the suction canister." Turns out, we were using 500ccs of suction when we should have been using maybe 50ccs, something we were able to fix right away — thanks in large part to our problem-spotting approach. 4. Put together a contingency plan. There is no harm in hoping for the best as long as you are prepared for the worst. Stephen King's famous quote wasn't about robotic surgery — but it certainly could've been. OR teams that can create detailed contingency plans for the rare cases when the robotic procedures don't go as planned are the ones that will come out of a potentially catastrophic situation unscathed. 1 1 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • D E C E M B E R 2 0 1 8

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