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/168873
OSE_1309_part2_Layout 1 9/6/13 12:22 PM Page 68 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 6 8 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