geons are particularly vulnerable to repetitive stress injuries of the
neck and back because of the position they must assume at the oper-
ating microscope. Our respondents are mindful of their surgeons'
comfort, widely offering ergonomic accommodations such as micro-
scopes with adjustable oculars that allow a more natural posture
(85.2%) and "heads up" surgery (61.2%), where the surgeon looks at a
flat TV screen instead of through a microscope.
10. Outsourcing. Only 9.3% of our respondents use a cataract out-
sourcing service where the company brings the equipment, supplies
and technician for the surgery for a fixed fee per case. Those that do,
however, are unanimously satisfied. "Very time-saving for us," says
Linda Winkelman, RN, surgical director of Community Medical Center
in Falls City, Neb. The administrator of an ophthalmic ASC says her
facility used an outsourcing service for the LenSx laser before acquir-
ing its own. "It was a good way to ease into the femtosecond world
without a huge financial commitment," she says.
OSM
6 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 U G U S T 2 0 1 6
"IV supplies are expensive and IV starts are painful.
I know patients would be all for IV-free anesthesia."
