5 Priorities for Surgery Centers in 2012

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PSS Consultants Regina Boore RN, BSN, MS, CASC and Debra Stinchcomb RN, BSN, CASC featured in Becker's ASC Review: "Ms. Boore and Ms. Stinchcomb have years of experience in surgery center management — as ASC administrators, consultants, association…

AORN Recommendation for Glucose Monitoring in the Peroperative Patient

Perform admission testing of the glucose level (BG) and HbA1C (not necessary in outpatient surgery). Consult medical staff member if BG > 180mg/dL. Initiate and become part of a collaborative effort to develop protocol for the surgical…

Mark the Site Right

The Joint Commission recently estimated that 40 wrong site surgeries occur each week. If that is correct that is a huge number and means all the efforts to minimize this never event are not working, but most likely it is that they are not being…

Propofol and Single Use vs. Multi-dose Vials

The ever-present use of multi-patient use from single dose vials is still practiced. In a recent survey by AORN 44% of respondents said they have observed a single dose vial of propofol accessed more then once. AORN recommendations on the…

A Simple Way to Screen for Sleep Apnea

Use this acronym to create a sleep apnea questionnaire: S Do you snore loudly? T Do you often feel tired, fatigued or sleepy during the day? O Has anyone observed you stop breathing while sleeping? P Have you been or are you being treated…

Make Getting Changed for Surgery Quick and Easy

Have your staff fill plastic bags with bed sheets, a blanket, a gown and a surgical hat. Lay a plastic bag on each gurney in pre-op. After the patient changes place their street clothes in the plastic bag with a patient label on it and take…

Deepening Drug Shortages

It is safe to say that we have all been affected by drug shortages in the past year. Health Affairs recently published an article by Gregg Margolis. It estimated that thousands of cancer patients have been delayed in receiving life saving treatment…

Tracking supply costs per case should you include premium IOLs?

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When tracking costs per case do not include premium IOLs or pass through implant costs.  These costs should be categorized differently on your ASC's income statement.  Ophthalmology supply costs per case benchmark at $220.  Does your facility…