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Would You Operate On This Patient? - October 2015 - 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.

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— and where — to operate on a borderline patient. "The convenience of the surgeon does not take priority over the safety of the patient," says anesthesiologist Vince Kasper, MD, the director of regional anesthesia at United Anesthesia Services in the Philadelphia area. "Safety should always win over convenience and cost." Still, there are pressures to fill the surgical schedule, which can put the surgeon, anesthe- sia provider and administrator in the uneasy situation of having to accept or reject a bor- derline patient for surgery. As Marc Chudow, RN, charge nurse at the University of South Florida Morsani ASC in Tampa, Fla., says, "We are always trying to build volume. You don't get paid if you don't work." Certain factors could instantly disqualify a patient from same-day surgery. An Outpatient Surgery Magazine survey of 100 surgical facility leaders listed difficult airway, obesity, history of heart trouble, sleep apnea and diabetes among them. But these are not hard-and-fast rules. "We do all of the above patients if they have cardiac clearance or are otherwise controlled and managed appropri- ately by their primary care doctor," says Carol Wenzel, RN, the director of nursing at the Kenwood Surgery Center in Cincinnati, 5 2 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 O N L I N E | O C T O B E R 2 0 1 5 www.Clarus-Medical.com Admin@Clarus-Medical.com 763-525-8450 Confidence for Every Intubation NEW! Smart Phone Endoscope Adapter! Experience the Versatility of Malleable Stylets View Videos at Clarus-Medical.com w.C n@C a us ed ca co 525-8450 Exp alle larus-Medical.com @Clarus-Medical.com perience the Versatility of eable Stylets

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