Outpatient Surgery Magazine

OR Excellence 2019 Awards - September 2019 - Subscribe to Outpatient Surgery Magazine

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

Issue link: http://outpatientsurgery.uberflip.com/i/1164519

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Page 25 of 144

Each morning, everybody establishes their pretreatment roles for the day. Somebody's the loader, somebody's the sprayer, somebody's transporting the cart — it can be the same people, or you can rotate different people in different roles. Our OR circulators now structure the teams every day by saying, "Okay, how are we going to do this today?" This is especially important for orthopedic or spine surgeries, where sometimes you might have 20 trays for one surgery. In these situations at our facility now, usually the circulator sprays, and the scrub and anesthesia techs load. We also informed surgeons of the required changes and advised them that turnover times might increase slightly so they knew what to expect. Implement the pretreatment process, but continue to audit. Have you ever cleared the air with someone, and then they go right back to what they were doing before? Same applies here. Just because you've implemented your pretreatment process doesn't mean the problem will go away. Monitor it in real-life situations. We did, and we continued to find issues. During our 3-month implementation phase, we encouraged CSP to report all incidents while relieving their "don't snitch" concerns by stressing that OR staff wouldn't be punished, just reeducated. (Now that it's an established practice, it's an expectation of their role and would result in punishment.) CSP staff examined all case carts they received to see if instruments were in the opened unhinged position, if instruments that come apart were taken apart and if they could see the "blue spray" pre-cleaner (we use OptiPro Gel). When they saw an error, they reported it to the lead CSP tech, who then immediately reported it to the OR leadership team. That real- time communication from CSP was vital because we knew the exact 5 2 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 • S E P T E M B E R 2 0 1 9 Infection Prevention IP

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