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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...


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?...


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?...


How Many of Your Patients Have Outdated H&Ps?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...


Do you pay OR Housekeepers What They're Really Worth?

I would like to re-classify certain staff members who work in the OR to increase their pay. Their current title is housekeeper, but they do so much more and are responsible for more than housekeepers in other departments. What would be a reasonable j...


Simethicone in endoscopy

How many facilities use simethicone during endoscopy procedures? Do you test your scopes for residue from the simethicone before or after reprocessing? Do you use it in an irrigation bottle or inject it through the biopsy channel?...


How do you manage cleaning and scrub supplies?

A reader asks: "A recent article stated that a surgical center was fined because o...


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...


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 ...


Wound Class Questions

I would appreciate help on how wound vacuum-assisted closure is being classified as to wound class in the OR. I can see the index op as anything but clean (I), but what about subsequent replacement procedures (sometimes up to 4-5 times)? I've seen th...


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