1 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A P R I L 2 0 1 6
Outpatient Surgery
R
Magazine
www outpatientsurgery.net
April 2016
Ethicon Pulls
Sedasys Propofol
Machine
p. 10
Are Pre-Filled
Syringes Right for
You?
p. 32
Pupil Dilation
Drugs and Devices
p. 64
Lonely Life
of a Travel Nurse
p. 72
Battle Post-op Pain
Without Opioids
5 multimodal approaches that work best
when pain from surgery is at its worst.
P. 26
10:45 AM Page 1
On the Cover
Mindful of the nationwide opioid
epidemic, surgeons are rethink-
ing prescribing addictive
painkillers to control post-op
pain. Although eliminating the
use of opioids to ease post-op
pain might be unrealistic, we've
witnessed exciting new
advances in multimodal pain
control. See how ultrasound-
guided nerve blocks, pain
pumps, injections of local anes-
thetic in and around the surgical
site, IV NSAIDs and slow-release
opioids are attacking surgical
pain safely and effectively.
Cover design by Ethan Anderson
Photo by Pamela Bevelhymer, RN, BSN
12 Editor's Page
Prescription to Addiction?
Dan O'Connor | Editor-in-Chief
16 The Sinking of Sedasys
What doomed the much-ballyhooed
computerized sedation system to failure?
Kendal Gapinski | Associate Editor
22 Ideas That Work
• Pre-oxygenate claustrophobic patients
• Warm blankets in the waiting room
• 4 smart staffing solutions
32 Coding & Billing
When Payers Demand Refunds and Takebacks
Karlene Dittrich, CBCS, CPMA
36 Staffing
Do Your Surgeons Intimidate or Inspire?
Yue-Yung Hu, MD
41 Medical Malpractice
How to Avoid Product Liability Lawsuits
Alex Stein, PhD, JD
104 Thinking of Buying …
Pupil Dilation Solutions
Drugs and devices to tame
even the most difficult pupils.
T. Hunter Newsom, MD
115 Infection Prevention
Housekeepers Are Your SSI Foot Soldiers
Rodney E. Rohde, PhD, MS, SV, SM(ASCP)
CM
, MB
CM
119 Cutting Remarks
Are We Going Overboard With Patient Safety?
John D. Kelly IV, MD
122 Behind Closed Doors
The Lonely Life of a Travel Nurse
Paula Watkins, RN, CNOR
36
115
Departments
Contents
