Outpatient Surgery Magazine

Manager's Guide to Joint Replacement - January 2016

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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pencil. We're now down to 1 pack. Once we did our first few cases, we modified the packs accordingly, adding or removing items as appropriate. Our rule-of-thumb that guides us to this day: If we use an item more than 60% of the time, it stays in the custom pack. We soon found out which items we were routinely wasting and were able to prune our packs, one item at a time. Take dressings, for exam- ple. One of our surgeons was using 2 Ace bandages, another was using just 1. We had 2 Ace bandages in our packs, so we were just as often throwing 1 out as using it. So we removed 1 Ace bandage from our packs and pulled a second one separately for the surgeon who prefers to double up on dressings. (Note: This surgeon uses the sec- ond Ace bandage in a non-sterile fashion, so it's not necessary to keep it in a sterile pack.)

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