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Accessing ports for anesthesia

Do you routinely access patient ports (port-a-cath, etc) for anesthesia? I'm referring to mostly ASA 3 or less and for protocol. Are your nurses allowed to initiate access to start IV fluids? Or just your anesthesia providers?...

9

An acceptable OR jacket?

Our ASC would like to provide jackets for our staff. We are looking at 100% polyester fleece from a nationally known catalog retailer. But I'm wondering: Is polyester fleece OK to wear in the OR?...

16

What is the best way to prevent falls at home after surgery?

At our outpatient orthopedic surgery center, we have noticed an increase in patient falls during our post op phone calls. We are looking for suggestions on how to prevent this problem. The surgeon's office does not offer much pre-op teaching. The sta...

6

Nail Polish Remover in a Surgical Environment

On occasion, we have the need to remove nail polish from the patient's finger in order to get a good pulse ox reading. Since acetone is known to be extremely flammable, we were told by a consultant that we could use "non-acetone nail polish remover...

6

Surgical Smoke: How do you clear the air?

What practice do you employ for removing surgical smoke from your electrocautery device?...

6

Does CMS require annual employee physicals?

Heard a rumor from a friend at another ASC that Joint Commission has told them during a recent survey that CMS is now requiring annual employee physicals. Does anyone know if this is true, or have documentation where this standard can be found? Than...

8

Gloves in the Hallways (Back Hallways in the OR)

I started a new job and was told we cannot wear gloves to transport our dirty linen, trash and instruments (also bloody water on the table) to the dirty utility room. I was told this is a Joint Commission standard, but it goes against everything I wa...

10

How do you Remove Silicone from an OR Floor?

We had an breast implant rupture and some of the silicone got on the OR floor. We have tried everything to remove it but the floors continues to be very slippery. Do you have any tips for removing a substance like this from an OR floor?...

7

Endoscopy Staffing

Do you think it is acceptable to not have an RN in the endoscopy suite while doing endoscopies with an anesthesia provider using propofol?...

30

How Many of Your Patients Have Outdated H&Ps?

About 56% of our GI patients have not been seen by the GI office within 30 days of their procedure, so we do the H&P the day of the procedure. There is an H&P available, but it is older than 30 days. Is this excessive? What percent of your GI pat...

6

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