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The Death of Joan Rivers: What Went Wrong? - October 2014 - 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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3 9 O C T O B E R 2 0 1 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 ANESTHESIA ALERT ognized and treated as an individual. What one patient sees as a sim- ple procedure may strike terror in another. You need to do much more than just ask when was the last time you ate or drank, and are you allergic to any medications. Thoroughly review the chart before speaking to the patient. Patients are often given a pre-anesthesia assessment sheet to fill out before they arrive for surgery. The sheet and the chart can help you quickly familiarize yourself with the patient. You'll boost patient confi- dence if you say things like, "Tell me about the problem you had with nausea and vomiting with your past procedures." Let patients realize you've actually reviewed their histories and that you don't have to play 20 Questions with them. Work into your pre-op interview any- thing charted that relates to anesthesia, as though you're well aware of the issue and just want to show that you're there to listen, provide encouragement and assure patients you want to provide the best, safest and most-effective care possible. Keep patients informed. You can instill confidence in patients by discussing aspects of the surgery in addition to anesthesia. You don't have to go into great detail, but make it clear you're familiar with the procedure and the anesthetic management it requires. Tell them what to expect from the time they leave the pre-op area until the time they're anesthetized. Leave no room for surprises. If they know they're going to be going into a cold room and that people will be coming at them from all angles to position them and apply monitors, they won't be surprised. 3 2

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