Outpatient Surgery Magazine

Manager's Guide to Surgery's Orthopedic Surgery - August 2015

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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1 2 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E A U G U S T 2 0 1 5 fashion. The typical case lasts about an hour, and I've been able to do as many as 8 procedures in a single day. We try to have all joints done by 2 p.m. and want all patients discharged to home by 7 p.m. at the latest. To reduce the risk of infection, we give patients antibiotic soap to shower with for 2 days before the day of surgery. We also give them IV antibiotics an hour before surgery and use chlorhexidine wipes in pre-op. Later, we put a gram of vancomycin powder in the wound as we close. All nerve blocks are done in pre-op (for knees, we use an adductor canal block). That's crucial. The OR is strictly for surgery. We make sure our anesthe- sia providers have their own space and don't feel pressured by surgeons. It's their turf and they have nurses dedicated to helping them draw medications and place blocks. A mastery of ultrasound is extremely important and our anesthe- sia providers are gifted when it comes to using it. Once the regional blocks are placed, we whisk patients into the OR, where the surgeon, an anesthesia provider, a PA and an RN circula- tor await. Ideally, the surgeon is alternating between 2 ORs and can move between them as the PA closes and the staff turns over the room. That's our stan- dard protocol, and it also requires a helper who goes between the 2 rooms, taking care of ONE SURGICAL HEADLIGHT 651.236.8857 www.enovaillumination.com World's Brightest LED Surgical Headlight (225,000 Lux @ 14") Coaxial design for ideal angle of view Lightweight and perfectly balanced Adjustable Aperture (spot size 2" - 5") Longest battery life on the market BADASS Free Evaluation. Tr y It Today. Mention this ad and code 82015OPS CAN YOU HANDLE IT?

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