Outpatient Surgery Magazine

The Art of the IV Start - December 2014 - Subscribe to Outpatient Surgery Magazine

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/430472

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Page 29 of 141

3 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 | D E C E M B E R 2 0 1 4 IDEAS That Work PRE-OP PAPERWORK A Passport to Surgery W e created a pre- surgical passport for pre-op staff giv- ing handoff reports to OR nurses and anesthesia providers. In the passport's first col- umn, we note specific tasks that need to be completed before patients are brought back for surgery: required lab tests and forms, special physician orders and marking of the surgical site, for example. Once tasks are complete, a member of the pre-op staff initials the corre- sponding row in the second column. Whoever brings the patient back for surgery can get an update of the patient's status with a quick glance at the form. If pre-op nurses checked that the H&P was complete, the circulating nurse and CRNA know they don't have to do the same. We color-code similar tasks and group them together to make the form easier to use. We included hard stops in the form's yellow and red sections. If those tasks aren't complete — the surgeon didn't sign the surgical site, for example — if the patient can't go back to the OR. Hold everyone accountable by having the pre-op nurse, the circulator and the anesthesia provider sign the form to verify that they've read and completed it. Shelley Smith, RN Carolinas Healthcare System TRUE TO FORM Connie Swarzen, BSN, RN, and Jamie Doyle, MD, make sure the i's are dotted and t's are crossed before bringing a patient back for surgery. Renee Levine, CRNA, MSN ON THE WEB Download a sample pre-surgical passport at outpatientsurgery.net/resources/forms . Charlotte, N.C. shelley.smith@carolinahealthcare.org

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