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Second Opinions Discussion Board

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Employee physicals

We're a small 1-OR, 2-surgeon ASC that is constantly debating whether annual physicals are necessary. We've also wondered if TB test results can be read by trained staff other than RN's. Any thoughts that others could contribute would be appreciated....

7

Seeking Patient Wait Times for Benchmarking Study

We're conducting a benchmarking study and your information would be greatly appreciated. Thanks. 1. How long does the patient wait in the waiting room before he/she is called back to Pre-op? 2. How early do you bring your patients in for their...

137

Use of Pain Scales in PACU

The PACU RN uses a Pain Scale Code (verbal, faces, non-verbal) to assess patient's pain prior to medicating. Does anyone document the Pain Scale Code again with patient's response to medication?...

9

Who can watch post-op patients?

If a post-op knee scope patient has met all discharge criteria, can they wait for their ride in the waiting room and be watched by the receptionist?...

22

Adding epinephrine to BSS?

Does anyone add epinephrine to the 500ml bottles of BSS for cataract phacoemulsification cases? Alcon doesn't support additions to this solution. Has anyone else stopped this practice based on these directions?...

796

Eye surgery prep

We're rewriting our protocols and procedures, and I'd like to find out what others do for surgical eye prepping before cataracts, blephs, and other cases. Thanks....

12

The Surgery Schedule...does the staff need a paper copy?

Are there perioperative areas that do not print the surgery schedule for the staff to carry with them throughout the day? We are working on developing an action plan on transistioning to a paperless enviroment, but some of the staff feel this could ...

10

Impaired surgeon and informed consent

Suppose a surgeon at your facility had two DUI convictions and had not been truthful in his application for privileges at your facility. Should this surgeon be required to disclose his convictions to the patients on whom he operates? Kelvin Loh, M...

13

Cataract Pledgets for Pre-Op Eye Dilation

We have been using Ocucel instrument wipes (from Alcon)as sponge pledgets, soaked in a daily prepared mix of ophthalmic solutions, to prepare eyes for cataract surgery. These become soft in the solution and work really well, eliminating the time and ...

11

Monitoring patients after midazolam

Our patients often receive midazolam as they are leaving pre-op to go to the OR, and are accompanied by anethesia. If the patient remains in pre-op after midazolam is administered, do you always put the patient on a pulse oximeter, regardless of how ...

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