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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5 4 O U T P AT 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 | M A R C H 2 0 1 4 ing, backflow prevention and sterile capping methods that allow you to use them from case to case, uncontaminated, without having to spike a new bag of saline (if there's some left from the last case) or feed new tubing through, which can save both time and money. Turnover tips Shoulder arthroscopies tend to take an hour, maybe an hour and 20 minutes. Knee scopes are usually only 30 to 45 minutes. According to our panel of experts, however, what goes on between cases makes much of the difference with regard to efficiency. Pulling supplies for the next day's schedule at the end of the day can speed the process, says Louise DeChesser, RN, CNOR, MS, adminis- trator of the Middlesex Center for Advanced Orthopedic Surgery in Middletown, Conn. "We have all the supplies picked and bagged on a cart. While the room is being mopped, the circulator just goes out and grabs the bag." Remember, too, to stock a solid supply of fluid, says Mr. Cornelson. "These cases use a high volume, so you'll always want to have plenty of saline in the room," he says. "There are other things to do beside watching the pump," of course, but when you need to replace the bag, an adequate supply means you can handle the change quickly and not delay the case for a run down the hall. Mr. Pankey maintains that an efficient arthroscopy schedule is pred- icated on an investment in extra scopes, components and instrument trays, since reprocessing according to manufacturers' directions takes time and immediate-use flashing shouldn't be a routine practice. "Get enough trays, at least 1, or possibly 2, per case on your schedule," he says. "If you're not able to, if your budget doesn't allow it, you can intermingle smaller cases in between that don't require a lot of space and don't require you to move all the equipment out of the room," S U R G I C A L E F F I C I E N C Y Tri-Pull ™ Secure Shoulder Solution A complete system for better access Tri-Pull ™ Secure Shoulder Solution combines three proven systems to secure and distract the shoulder precisely. Innovation from patient to positioner • Phase-4 Gel™ Splint increases comfort, protects skin, controls internal and external rotation while adhesion holds the arm securely in place • De Mayo RoTractor ® delivers complete patient control in the sterile field, holding fixed positions of rotation and allowing distraction of shoulder or elbow • Reznik Universal Shoulder Positioner™ provides controlled shoulder distraction with three planes of adjustment, and patented safety stops for patient protection Distraction with precision in shoulder surgery The operative word in patient positioning. www.impmedical.com © 2014 IMP US Patent No. 7,569,024 De Mayo RoTractor ® holds the patient's arm in rotation while maintaining distraction of the shoulder. Patent applied for. De Mayo RoTractor ® adapts to most pole style shoulder positioners. Phase 4 Gel™ Splint adheres to arm for secure positioning and features a natural wrist contour for increased comfort and patient safety. Shoulder distraction with safety and control Now you have an option with precise positioning, maximum flexibility and controlled distraction, without compromising the sterile field. Ideal for shoulder or elbow arthroscopies. Stops on vertical plane for additional patient protection Featuring the patented Reznik Universal Shoulder Positioner™ with three planes of adjustment Learn more about the unique features of the Tri-Pull TM Secure Shoulder Solution at www.impmedical.com or call 800-467-4944 for more information or to speak with a representative. AAOS Annual Meeting - Booth 6349 - March 12-14, 2014 OSE_1403_part2_Layout 1 3/5/14 10:51 AM Page 54