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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room is the OR table. Be sure to ask your surgeons for their input on the features they want in a table and arrange for a hands-on trial with vendors. For total hips, they want a table that elevates to their eye level (yes, it needs to rise pretty high!). It also needs to slide. A hydraulic sliding table allows the foot of the table to be free of the base so you can slide a C-arm under it for the anterior-lateral approach to the hip joint. Pay close attention to the firmness of the table pads. Your docs will want a firm pad so that the patient's foot doesn't sink too far down during knee surgery. We use tourniquets for our total knees. Our tourniquets let us change the time and pressure while the tourniquet is still inflated. The tourniquets also integrate to the OR record so we can track things electronically. When we opened, the staff was used to using 2 very large, long back tables to hold our instruments in each OR, but we found the tables took up too much space. We improvised. We have a "drill" table that bellies right up to OR table. It's about a 3-foot by 3-foot square table that's very convenient to have in the sterile field to work off of. It's compact for our sterile field set-up. The scrub tech uses it like a Mayo stand. We call it the "drill" table to distinguish it from a second larger J A N U A R Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 4 5 • STANDARDIZE SETS A typical total joint case has 120 items on a preference card. Chances are you don't need quite that many for each case. Virtua Joint Replacement Institute

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