Outpatient Surgery Magazine

Heavy Duty - October 2016 - 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.

Issue link: http://outpatientsurgery.uberflip.com/i/736989

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Page 38 of 126

cific rooms for pediatrics? Have cartoon characters on the wall. Bright colors. Familiar music in the background. Once the child and parent enter the OR, turn your full attention to them: no counting of instruments and OR-talk. The child is the most important person in the room. Treat him with respect and dignity. Maintain eye contact. Speak to him. Give him choices whenever possible. Ask, "Would you like to sit up on the table or on Mom's (or Dad's) lap?" "Which finger do you want the finger-sticker on?" "Do you want to hold the mask?" Then prepare for induction. Once the anesthesia circuit is primed with nitrous, let the child assist you. Have him hold the mask with you. If he resists the mask, gently hold his hands at his side and sing a song as the anesthetic is dialed in. You could also try an anesthesia induction device. A number of mask-based distraction devices have been created over the years, including a maskless device I've developed (see "CRNA Develops Maskless Induction Device" on page 22). Are you kid-friendly? Pediatric induction has remained unchanged for decades. Just lay the child on the OR table, place the anesthesia mask over his nose and mouth, turn on the oxygen-gas admixture, then watch as he gently drifts off to sleep. Sounds simple, but as we know, it can be downright scary for kids and their parents. With the push for greater consumer satisfaction in health care, strive to make your facility kid-friendly. OSM Ms. Miller (pediallc@gmail.com) is the CEO and inventor of PeDIA, a pedi- atric device for induction of anesthesia. O C T O B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 3 9

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