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/329643
1 1 0 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 | J U N E 2 0 1 4 process. They don't require special training, but if the volume is high enough, consider hiring a dedicated block nurse. • A block room. "One issue that often comes up is the additional time associated with placing blocks," says Dr. Hudson. "We all know that these techniques can improve patient care, but they can also impact surgical time and efficiency, and if they do, you're going to meet some resistance from surgeons and administrators." A block room or desig- nated induction area for anesthesia providers and nurses to work in can help to ensure timely block placement that doesn't encroach on surgical start times. • Ultrasound guidance. Blocks can be effectively placed with electrical stimulation, and $30,000 to $50,000 for ultrasound technology is a siz- able investment, "but once you start using it, you become hooked," says Dr. Rosen. The imaging increases the quality of a block, decreas- es the failure rate, and lets you block anatomy that stimulation can't confirm. "It's not the right way, but it is a better way." Highlighting the results of these requirements can boost the appeal of starting a regional program. "From the administrator's side, all they see is the additional costs of personnel, more monitoring, the cost of the ultrasound machine," says Dr. Hudson. "But they might not see the other end, the savings in PACU and timely discharge, a reduced chance of unexpected admissions. We have to make them understand the financial impact. It's less tangible, but it is real." OSM E-mail db ernard@outpatientsurg ery.net . A N E S T H E S I A Arrow ® FlexBlock ® cPNB Catheter Post-op pain has met its match Together, these dynamic pain management solutions can provide you with fast, accurate catheter placement with a reliable, unimpeded infusion of medication. Visit teleflex.com/pnb to learn more. The home of Arrow ® , Hudson RCI ® , LMA ® and Rusch ® — Four distinct brands united by a common sense of purpose. AutoFuser and AutoSelector are registered trademarks of ACE Medical Co., Ltd. Teleflex, Arrow, FlexBlock, Hudson RCI, LMA and Rusch are trademarks or registered trademarks of Teleflex Incorporated or its affiliates. © 2014 Teleflex Incorporated. All rights reserved. 2014-3151 Arrow ® AutoFuser ® Disposable Pain Pump OSE_1406_part2_Layout 1 6/13/14 11:41 AM Page 110