Outpatient Surgery Magazine

Obamacare, You're Fired - December 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/758793

Contents of this Issue


Page 89 of 132

be careful not to do anything that might cause cuts or abrasions on their arms or legs." 6. Pull cases ahead of time. "We always pull our cases a day or two ahead (and keep them) in clear plastic containers that are clear- ly labeled and placed in the order they will be used on our cart," says Ms. Reynolds. "This especially helps turnover on busy days." 7. Have anesthesia review charts ahead of time. It helps to have advance warning if patients may have difficult airways or other com- plications, so you'll be able to ensure that there's enough time for ade- quate discharge instructions. 8. Schedule fast cases first. "It gives the staff momentum and sets the tone for the day," says John D. Kelly IV, MD, an orthopedic sur- geon from Philadelphia. 9. Have enough instrument sets. "When I started, we had 3 arthroscopy trays; we have 8 now," says Ms. Quinn. That's what it takes to keeps things flowing smoothly in her 2 operating rooms. "If we're doing 5 knee scopes and they're booked for 60 minutes each, you have to keep in mind that it takes a good 2 to 2 and a half hours to reprocess a tray." 10. Use custom packs. It's a huge time-saver to have all the materi- als you need for a procedure all packed and ready to go. "The only things our staff have to pick for cases are gloves and instrument trays," says Ms. Quinn. 11. Consider using stretcher tables. Having one table that can carry a patient from pre-op to PACU, with no transfer needed, saves valuable time. Stretchers that accommodate arm boards, leg holders and shoulder supports can be versatile enough to meet all your needs. 12. Use regional anesthesia. A good regional program helps man- age post-op pain and speed recovery, both hallmarks of efficiency. 13. Designate space for regional administration. "Blocks should be 9 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 • D E C E M B E R 2 0 1 6

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Obamacare, You're Fired - December 2016 - Subscribe to Outpatient Surgery Magazine