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Second Opinions Discussion Board

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Jackets in OR

AORN recommends long sleeve jackets to be worn in restricted areas. The coverage of the arms prevents contamination from the shedding of skin cells, they say. What is your facility's practice in this regard? Do you have a policy that requires the cov...


Sales reps in scrubs

Employees who wear their scrubs out of your facility and launder them at home are one issue. But sales reps who wear scrubs instead of street clothes, and go from facility to facility carrying contaminants between the ORs they're visiting all day are...


Crutchwalking training

Who is responsible for teaching crutchwalking to podiatry patients in your units? Our docs order crutches in the PACU, and of course the patients haven't been taught crutchwalking in pre-op. Should we insist that the docs order PT prior to surgery? ...


Inclement Weather Policy

Does your facility have an inclement weather policy? During the recent snow and ice storms many states were paralyzed, with several having to declare states of emergency. However, I noticed that elective surgery was not cancelled. Hospitals continued...


Calculating OR utilization times

What data (that is, what numerator and denominator) are you using to calculate OR utilization times, and what is your target utilization percentage?...


How fast are your cataract OR turnover times?

Our ASC is conducting a quarterly benchmarking study, and any insights you could provide on your center's cataract OR turnover times would be greatly appreciated. Thank you! 1. What's your average between-case turnover time? a. Less than 10 minut...


Straight local cases in ASC

What are your practices when doing straight local cases in an outpatient OR? Is it your policy to start an IV, maintain an NPO status, and/or provide a monitor nurse? We are being challenged by a physician to do none of the above, and are interested ...


Pharmaceutical waste

A question for smaller, stand-alone ambulatory surgery centers: Have you contracted with a waste handling company to separate out your pharmaceutical waste? I think that we are small enough to be exempt from such a requirement, but since it seems to ...


How do you transport contaminated instruments?

I work in a very small, 2-OR hospital. We're trying to comply with AAMI and AORN standards regarding the transportation of instruments from the OR to the decontamination room after a case. Decontam and sterile processing are just down a restricted ha...


Discharge via cab

Are there any recommendations or standards for discharging patients home in a taxi cab, with no adult supervision? One of our GI physicians would like to send patients home this way, without an accompanying adult, when they don't have an escort avail...


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