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 93 of 132

for the scrub nurse." 22. "Compartmentalize." Surgeons can also save time by finishing everything they have to do in one compartment before moving on to the next one, says Christopher V. Bensen, MD, an orthopedic surgeon in Boone, N.C. "If I'm working on a microfracture, I'm going to do every- thing I need to do in the medial compartment, before I move on to another compartment and have to change the patient's position." 23. Don't open supplies until they're needed. You'll reduce costs (and increase profits) if you wait for surgeons to ask for sutures or shavers. 24. Keep "mid-level" hands on deck. "Some PAs or nurse practition- ers think they're surgeons," says Ms. Krokoff. "They want to go have a cup of coffee between cases. Not here. Here, they finish one case and walk directly into the next OR, where they're expected to help with prepping and positioning." 25. Minimize the supplies you use. Setup and turnover are quicker if you don't insist on fancy equipment, says Dr. Bensen. "I use gravity for fluids instead of a pump," he says, "and I use a post — a padded bar — on the side of the operating table instead of a bulky leg holder. It takes about 15 seconds to set it up." 26. Customize trays for surgeons. "I have one very basic knee arthroscopy tray that has all the basic instruments I need for the vast majority of my cases," adds Dr. Bensen. "I also have a little cart that has all the implants and tools I'd normally use for meniscus repair, ACLU reconstruction or microfracture." Roll that one cart into the OR and the circulating nurse's job gets much easier. "She doesn't have to run around looking for stuff, because 99% of what I'm going to need is on that one cart," he says. 27. Manage fluid waste efficiently. Less cleaning means faster turnover. Having an automat- 9 4 • 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