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2013
Awards
cautery is in use during oculoplastic
cases in which there is a higher risk
of a surgical fire. The surgeon specifically asks if the oxygen is off before
using the cautery." Four out of 5 procedures are done with MAC (monitored anesthesia care) in which the
oxygen source is delivered via nasal
cannulae.
Preventing Patient Falls
Seaford (Del.) Endoscopy Center
This endo center built a fall safety
checklist into its electronic medical
records, says Case Manager Joyce
Mackler RN, MSN, CASC. "During
each admission, the nurse asks the
patients about any recent falls and
injuries related to falls," says Ms.
Mackler. If the patient is a high risk
to fall, staff place an alert in the EMR
that will pop up when the chart is
opened. "The risk assessment and
corresponding interventions carry
through to the post-procedure nursing note, so that the recovery nurse
is also aware of the fall risk," says
Ms. Mackler.
to know how to calculate accurate doses, how to work as a team to
mix the drug rapidly and how to administer it effectively.
Two contracted CRNAs who work exclusively at the surgery center
conducted an MH in-service. One CRNA gave an in-depth, hands-on
in-service on malignant hyperthermia. He showed staff how to draw
up dantrolene and reviewed all the contents of the crash cart's malignant hyperthermia drawer. The other CRNA gave staff a top-to-bottom
tour of the crash cart, going through each drawer and then staging a
mock code.
Ms. Bell says her staff truly appreciated these training sessions. "Our
staff really feel like they've learned something," she says. "Not only
did they get to hear it and see it, but they actually got to draw up and
mix the dantrolene themselves. Those 3 things makes them feel more
a lot more at ease if something were to occur."
The safety efforts at Cityview Surgery Center extend well beyond
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O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | S E P T E M B E R 2013