Outpatient Surgery Magazine - Subscribers

Accreditation Dings - August 2013 - 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 63 of 130

Page 64 I N F E C T I O N P R E V E N T I O N otic, either in the OR or while escorting the patient to the OR. "We are 100% compliant with this requirement," says Administrator Deborah Lee Crook, RN, CASC. "Since [anesthesia providers] control to a large extent when the case will start, this has worked well." Your anesthesia provider could also start the antibiotic while conducting the pre-op interview. No matter who's in charge, communication between pre-op and OR personnel about long cases, late surgeons, patient positioning and other potential variables is key to getting the timing right, says Carol Cappella, clinical director of the Delray Beach (Fla.) Surgery Center. Besides pushing antibiotics when you're pushing patients to the OR, or assigning it to anesthesia on arrival, the schedule manager can set the pace. "When the patient is admitted, the antibiotics can be opened and started on time," says Victoria Caillet, RN, CNOR, administrator of the Wooster (Ohio) Ambulatory Surgery Center. The schedule manager can also alert pre-op nurses to backups and when deliveries can commence. Pre-op nurses can hang the bags as soon as patients are in bays, but Laura Sherer, ADN, BSN, RN, of Cleveland Ambulatory Services in Shelby, N.C., recommends waiting for a sight of the surgeon before delivery. "Do not start antibiotics until the physician comes in to talk to the patient, before going back to surgery," she says. "This ensures that the physician will not be late and the antibiotics will not be given ------------------------------------- Compliance Check How often do your surgical patients receive their pre-op antibiotics on time? • 100% of the time: 47.4% • 86% to 99% of the time: 52.6% • Less than 85% of the time: 0% SOURCE: Outpatient Surgery Magazine reader survey, July 2013 (n=78)

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