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Did Skin Prep Fuel This Fire? - February 2017 - 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.

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When we made our site visits, we asked everyone what, if anything, they'd do differently if they were starting over. They all said the same thing — they'd do a better job of planning for future expansion. So we planned ahead and made sure we have enough space to expand to 2 ORs in case our practice grows to 4 or 6 surgeons. 2 The right equipment. We invested heavily in the latest portable ultrasound devices and we use them for every single access. If you're doing an angiogram and trying to access the common femoral artery through the groin, there's a safe zone of about 3 cen- timeters. It's very unsafe to go in blindly, no matter how good you are, because every anatomy is different. Having cutting-edge ultrasound may add costs initially, but it's a great investment, because it will minimize, if not eliminate, complica- tions. One of the most frequent — sometimes even fatal — complica- tions is access bleeding. Thanks to ultrasound, we haven't had any major hematomas that required us to transfer patients to the hospital. An added convenience, and one I highly recommend, is that our ultrasound syncs with our EMR. Most insurance companies want proof that you used ultrasound for certain procedures. In the past we needed to print a hard copy record, but the syncing feature automates 5 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 7 • SUITABLE SETTING Dr. Margni and his partner practice all facets of vascular surgery in their surgical center. Only a small number of procedures need to be done in hospitals. Vascular Institute of Michigan

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