Outpatient Surgery Magazine

Back To Work - June 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.

Issue link: http://outpatientsurgery.uberflip.com/i/1259627

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Page 109 of 116

quaternary ammonium compound and alcohol. If the prevalence of COVID-19 is high in your community, or if patient testing is not being done, conduct initial Phase I recovery in the OR instead of the PACU when general anesthesia is used or fol- lowing an aerosol-producing procedure. With patients coughing after extubation, and mildly disoriented or with some bronchospasm after extubation, environmental contamination can occur from sputum. Remember, the coronavirus can remain active for four days on plastic and stainless steel surfaces. The goal is to reduce the chance an asymptomatic COVID-19 patient who tested false negative infects the PACU. In communities with a high prevalence of COVID-19 or in facilities where testing of all patients does not occur, OR cleaning between cases will be much longer after some procedures. In these ORs, con- sider employing multimodal environmental decontamination after every case, including UV-C light or similar technology. Also account for additional OR time where Phase I recoveries are monitored in ORs. If possible, dedicate surgeries involving general anesthesia exclusively to specific ORs to reduce the overall impact on your throughput. Some surgery centers have been hesitant to embrace local and regional anesthesia for qualified procedures. But by removing the need to intubate and extubate patients, initial recovery times and risk of transmission are greatly reduced. Ramp up deliberately. The greatest throughput can be achieved safely by dedicating many of your ORs to short-duration procedures that aren't aerosol-producing and can be performed without general anesthesia. Conveniently, these cases make up the majority of outpa- tient procedures. In addition to there being no need for airborne pre- cautions when regional blocks are used, you can turn these cases Infection Prevention IP 1 1 0 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • J U N E 2 0 2 0

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