Second Opinions Discussion Board

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PACU Staffing Question

As a small, 1-OR ASC, we would like to know how other small centers staff their PACUs. We use only IV sedation/MAC anesthesia, and never general, so technically all our patients are Phase II. According to the ASPAN standards I read, it looks like one...


Proper Patient Identification

How do other facilities handle pre-procedure patient identification? All of our endoscopists want their patients waiting in the endo suite for them upon their arrival. They are not identifying the patients in pre-op holding and not signing their cons...


Artificial Nails

Are the nurses providing patient care in the pre-op area allowed to wear artificial fingernails?...


Your Patients Are Listening

As healthcare providers, we must keep our conversations to our patients' care, and not discuss issues that do not involve this patient. Also, we should treat our patients as we'd like to be treated ourselves, even if we don't think they can hear us. ...


Surgical attire guidelines

Are your facilities following AORN's guidelines for surgical attire? Specifically the rule that personal clothing should be completely covered by the surgical attire? Our surgeon wears a shirt under his scrubs, with sleeves and a collar that extend o...


Dilation Drops Before Cataract Surgery

What are the latest recommendations for pre-op dilating drops? Our surgeon likes a mixture of cyclopentolate, lidocaine gel, phenylephrine and zymaxid. But due to CMS and Joint Commission regulations, we cannot mix it ourselves. We are paying ...


Why bother tracking patient wait times?

All of us in the ASC business have, at one time or another, tracked, trended, monitored, and reported to our national accrediting bodies, the wait times for our patients with regard to our OR start times. But for what purpose? Is it just to satisfy t...


Pediatric Tonsillectomies

Our center does a very low volume of pediatric tonsillectomies. (less than five per year). Our minimum age is currently three years old. What age do you feel is the youngest that can safely undergo tonsillectomy at our center? Do you feel that our ...


Seeking Steam Autoclave Advice

Have you purchased a new, full-sized steam autoclave recently? If so, which manufacturer did you go with, were you happy with the service, and are you happy with the autoclave?...


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...


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