Outpatient Surgery Magazine - Subscribers

2018 Salary Survey - Outpatient Surgery Magazine - January 2019

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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Page 65 of 124

of coordinating every aspect of our blocks. 1 We began using our pre-op space more efficiently. Before we decided on adding a full-time coordinator for our regional block program, we conducted a S.W.O.T. (Strengths, Weakness, Opportunity and Threats) analysis. The weakness — lack of standardization and scheduling problems — were apparent before we ran the analysis, but what we uncovered during the Threats check was a real eye-opener. We have 4 dedicated block rooms. In these rooms, our anesthesia doc- umentation system feeds directly into our nursing system. The 2 systems will talk to each other and information will flow seamlessly. Plus, the rooms are fully stocked with all the equipment we need to do a block. Before adding our coordinator, scheduling issues resulted in patients getting blocks down in any of our 20 pre-op rooms. Not only did this lead to a lot of unnecessary movement and special challenges — navi- gating a small room, moving patients around unexpectedly and trans- porting equipment back and forth — it also led to documentation issues. In rooms where the systems didn't synch up, we'd wind up doing part of the documenting on paper and part electronically and then filling in gaps later. Not good. 2 We started standardizing our blocks. Good communication is contagious. Another huge benefit of adding a block coordinator was the increased communication among our anesthesia providers. Before we added Ted to our team, our providers were doing differ- ent blocks for the same surgery. One would do an adductor canal block and one would use a femoral and sciatic block for the same sur- gery. Now, our anesthesiologists are very active about discussing the blocks and trying whenever possible to give each patient the same 6 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 • J A N U A R Y 2 0 1 9

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