Outpatient Surgery Magazine

Salary Survey - January 2020 - 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.

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Page 22 of 110

• Emergency call bell. We measured staff response time to the mock code. How long did it take staff to push the emergency response button, get the crash cart and administer the first dose of epinephrine? During the first simulation, there was nearly a 60-second delay in pushing the emergency button because it wasn't clearly visible to staff. Turns out light from the procedure room camou- flaged the silver wall plate with its reflection. The GI center responded by placing a hard-to-miss 4- inch by 3-inch red plate above the emergency response button. • Procedure room defibrillator. During our first mock code response drill, staff needed instruction on how to use the new model defibrillator on the crash cart. Simulation center staff and the ACLS instructor conducted in-service sessions at the GI center to familiarize staff with the additional features on the defibril- lator. • CPR. To enhance CPR quality delivered during mock code emer- gency response drills — specifically, increasing CPR depth, rate and recoil by 10% to 15% — the endoscopy center ordered a step stool to assist providers in delivery of CPR during mock code drills. The impact of a step stool on cardiopulmonary resuscitation? Deeper chest compressions, especially for shorter rescuers. Due in large part to the step stool, CPR metrics improved during the second and third mock code drills. The simulator measured rate and depth, helpful because most people don't push hard or fast enough when performing CPR. J A N U A R Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 2 3 • RED PLATE SPECIAL A red plate was installed above the emergency response button so staff could easily locate the button on the wall. Michael Kost, DNP, CRNA, CHSE

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