Outpatient Surgery Magazine - Subscribers

Pushing For Change - July 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/1268531

Contents of this Issue


Page 90 of 110

ing," says Ms. Nolan. "Before we even think about going to get the patient, we go over all aspects of the case. Confirming the patient's weight is a big part of the discussion because it determines the size of the bypass circuit we use and how much blood we give the patient. All of our drug calculations are also based on weight." Typically, perfusionists set up their pumps the day before a case based on the patient's most current weight, which is noted in the med- ical records. The nursing staff also has the patient's weight in their records and compares it to the weight recorded in pre-op on the day of surgery. If the updated weight is different than what's been noted in the medical record, even by only 1 kg, a nurse informs the rest of the care team during the regularly scheduled pre-op huddle. Ms. Nolan recalls a few instances where discrepancies in a patient's weight were caught during the pre-op check and says the briefings have enhanced patient safety. She also acknowledges there's room for improving the process. A scrub nurse, circulating nurse, perfusionist, anesthesia fellow and anesthesia attending are all present during the huddles, but many surgeons have not been able to attend. The sched- uled times — 7 a.m. on Mondays, Thursdays and Fridays and 8 a.m. on Tuesdays and Wednesdays — are not ideal for them due to their workflow. Ms. Nolan hopes this will change in the future because she believes input from every member of the surgical team is essential. "Each discipline focuses on different aspects of patient care and brings different expertise to the table," says Ms. Nolan. "It's some- times difficult to consider a case from a different viewpoint. Nurses might not see things the same way an anesthesiologist would because they don't have that training." Transparency among colleagues also remains an issue, according to Ms. Nolan. Some members of the care team have conversations or J U L Y 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 9 1

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Subscribers - Pushing For Change - July 2020 - Subscribe to Outpatient Surgery Magazine