Outpatient Surgery Magazine

Calm & Cool in a MH Crisis - Subscribe to Outpatient Surgery Magazine - March 2018

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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based training for the entire staff and did in-services on all the nursing units. MRSA screening has to be completed before the patient goes to the OR, so timing and planning is key. We had to make sure every- body was aware of the expectation before the process was implemented, this ensured success of the screening program. Once the bundle was fully implemented, we knew auditing was inte- gral to its success. We monitored bundle adherence manually through chart audits and eventually with help from our EMR, through a report. The report, which I receive every day, lists each of our SSI bundle items, along with the documentation of the bundle elements. If any- thing is listed as incomplete or incorrectly documented, I do a manual chart audit. Depending on the non-compliant item, I either go back to the nursing team to determine the contributing factors or to the physi- cian leadership who will then address the non-compliance with their teams. Ultimately, each division weighed in on exactly what constituted an implant. That helped us standardize the protocol and eliminate confu- sion. Our EMR played another key role. When a case is scheduled, the surgeon is able to identify if the patient is going to be receiving an implant. A "yes" creates a visual cue — a picture of a little screw 6 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 • M a r c h 2 0 1 7 When patients come in to meet the surgeon, usually a couple of weeks before the surgery, we try to get them down to the lab for their MRSA screening.

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