Outpatient Surgery Magazine

No Guarantees - March 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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Page 78 of 138

tasks were promptly delegated, there was no confirmation that these tasks were completed. We also identified the need for additional help during the off-hours. Now, in a crisis, the team leader will delegate tasks to an individual, and the individual will acknowledge and then report the completion of the task. Also, if an MH event happens during an evening, night, week- end or holiday, the nurse circulator will seek out an administrative coor- dinator, who can send for additional assistance. Preparing for an MH event is just one of many drills we have to con- duct — other examples include airway drills and fire-safety drills — so drill fatigue can become an issue. That's why we add a new wrin- kle each time we run the drill; if you're doing the same drill over and over, your staff might be less receptive and less likely to retain the information. Changing things up can also expose some weak links in your response plan. In our second fire-drill simulation, for example, we decided our patient would be a child, and in the process we learned that our hospital doesn't have a specific ICU for pediatric patients, so we'd need to transfer a child in an emergency situation to another facility for post-acute care. Where are we now? We're well ahead of where we where 2 or 3 years ago. The simulations have helped us close the gaps in our communication and given us the M A R C H 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 7 9 you stock a minimum of 36 20-mg vials of Revonto or Dantrium, and a minimum of 3 250-mg vials of Ryanodex. Think of dantrolene as a defibrillator: kept ready for use at all times, even though the need is rare. "No one should feel comfort- able that [MH] isn't going to happen to them," says Dr. Watson. — Bill Donahue

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