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 61 of 110

"I was shocked to observe that the more people who were in the room, the less effective they were because no one had any idea what the others had already cleaned," she says. Now, 6 team members — an anesthesia tech, circulating nurse, scrub tech and 3 members of the hospital's housekeeping team — descend on rooms with assigned cleaning roles. Ms. Rock says appointing position-specific cleaning roles makes it clear who will clean what during turnovers. If a member of the turnover team is called away or the task is taking longer than expected, colleagues know where their help is needed. 3. Create cleaning carts. The team at University of Iowa Hospitals developed cleaning supply carts — 9 to cover the facility's 32 ORs — that wheel gloves, surface disinfectants, garbage and linen bags, mops and buckets to the point of use. "We included everything our turnover teams would need — including items they often had to leave the room to grab," says Ms. Rock. 4. Switch to a surface disinfectant with a shorter dwell time. The turnover team at Iowa further reduced turnover times by switching surface disinfection products from a quaternary ammonium product with a dwell time of 10 minutes to an accelerated hydrogen peroxide disinfectant with a dwell time of 1 minute. 5. Track your progress. Post weekly room turnover data — average turnover time, the week's best turnover time — so staff can track their progress and aim to better their times. "Change is difficult when surgical teams are used to the routine of room turnovers," says Dr. Cerfolio. "Once they see the value in efficient room turnovers, you'll be able to sustain and scale process improvement." 6 2 • 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 2 0

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