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Home This Month E-Weekly Newsletter Building a Facility Article Archive Second Opinions
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Outpatient Surgery E-Weekly

Las Vegas GI Doc Facing 28 Felony Counts in Hep C Case

Las Vegas physician Dipak Desai, MD, will face all 28 felony charges filed against him for allegedly exposing patients to hepatitis C, according to ...

New Device Helps Obese Patients Breathe Easier

Rice University engineering students have come up with a novel approach for lifting the excess abdomen weight that can hamper obese patients' breath...

How Effective are Your Infection Prevention Efforts?

Are your infection prevention efforts up to speed? It's generally advisable to find out before a site surveyor from a regulating or accrediting agen...

Second Opinions Discussion Board

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Replies

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...

Started by: Tamar Glaser (Director, Surgical Services/Director of Nursing) at January 13, 2011 (3:29 pm)

67

Patient mix in PACU: Post-surgical and post-GI in one room?

Our GI procedure patients (mostly colonsocopies) and surgery patients are cared for in the same PACU. A family member is allowed to be with the GI patient in PACU so that the MD can talk with the patient and family at same time. The challenge is that...

Started by: Maureen D. (Other) at November 2, 2011 (11:18 am)

13

Sterilizing loaner instruments

If loaner instruments, which have been sterilized at another facility and are sterile-wrapped, are to be used in a procedure, do they need to be re-wrapped and re-sterilized before use? Does anyone know the guideline that shows what is recommended?...

Started by: Amanda Hansen (Other) at April 30, 2012 (8:19 am)

20

Patients Dilating Eyes at Home?

We are conducting a benchmarking study and your information would be greatly appreciated. Do you have your patients use dilating drops at home prior to checking into your facility for cataract surgery? If so, are your patients compliant with ...

Started by: Sarah H. (Director, Surgical Services/Director of Nursing) at April 12, 2012 (9:10 am)

11

Dermal anchors

Recently we have been seeing an increase in the number of young adult patients who have dermal piercings. These are not the traditional type of piercings we have dealt with in the past, however. These are implants under the skin, which would require ...

Started by: Marlene S. (Director, Surgical Services/Director of Nursing) at March 5, 2012 (9:20 am)

7

Coding for laparoscopic repair of recurrent incarcarated inguinal hernia

There is no specific code for this service, but there is a code for the recurrent inguinal hernia. Would you code this as unlisted?...

Started by: Michelle Mitterer (Other) at April 20, 2012 (8:12 am)

0

How Young is Too Young for Plastic Surgery?

Dr. Niccole is to be commended for daring to admit he has operated on his own family, including performing a BAM on his 18 y/o daughter (http://www.outpatientsurgery.net/newsletter/eweekly/2012/02/28#1). I am certain he will be condemned for his fort...

Started by: JOHN BAEKE (Medical Director/Chief Surgeon) at February 28, 2012 (12:20 pm)

6

Conditions for Coverage CMS 416.2

We recently had deemed AAAHC survey. We are disputing their finding that we are in violation of 416.2 for performing bandage changes, which also serve as an evaluation for postoperative infection on day 7, and wound checks prior to dismissing patient...

Started by: Larisa R. (Medical Director/Chief Surgeon) at January 9, 2012 (1:01 pm)

2

Hot instruments

After sterilization in a pre-vac steam sterilizer, the instruments are cooled for at least a half hour. Is it ever acceptable to shorten this cooling time and open the instruments immediately (without ever storing them)?...

Started by: Mary Jo Parrott (OR Manager/Supervisor) at February 27, 2012 (3:17 pm)

8

Patients who present with pumps

Does anyone have a policy on how to handle patients who have insulin or pain pumps in place pre-operatively? We want to write a policy on the subject, but we'd first like to find out what other ASCs are doing when patients arrive with insulin or narc...

Started by: Carla Chapman (Other) at December 6, 2011 (12:20 pm)

6

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