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Flexible Endoscope Reprocessing

The "world of endoscopy" has over many years failed to support scientific research to address the transmission of microorganisms and to set standards for endoscope reprocessing. Today's standards are not fundamentally different than those of 30 years...


How do you transport contaminated instruments?

I work in a very small, 2-OR hospital. We're trying to comply with AAMI and AORN standards regarding the transportation of instruments from the OR to the decontamination room after a case. Decontam and sterile processing are just down a restricted ha...


Nail polish strips

The new rage seems to be the adhesive nail polish strips. What are thoughts and/or policies for scrubbing with them on?...


Billing for Essure Placement

A patient underwent placement of the permanent birth control system Essure in our hospital. CPT code 58565 was used for physician services and 58555 for hospital services. Is this correct ?If not how should I correct it?...


Operating the C-Arm

I am curious if other privately owned ASC's have hired radiation techs for their facility to run the C-Arm for cases, or does management have the nurses run it? In my state one must be licensed to perform medical imaging, but.......


Disposal of arthroscopic irrigant

Does anyone have a policy or procedure with evidence based support for the discard of arthroscopic irrigation fluid? We have always brought the bags to the soiled hold. Recently several nurses are draining them in the scrub sinks because it is clos...


Seeking surgical count sheet suggestions

We have been using the same surgical count sheets for the past 15 years. Anyone have any suggestions on templates or improvements for intraoperative sponge, sharp and instrument counts? Thanks....


Does an IV need to be in place for cases involving local anesthesia?

We are interested in the practice of other ASCs regarding the requirement for an IV (at least a reseal) prior to a straight local case. Seeking both your practice and any potential support in the literature. Our policy is to have an IV reseal in pl...


Ambulatory Surgery Fall Risk Assessment Tool

Our hospital based Ambulatory Surgery Dept is working to develop a Fall Risk Assessment Tool. Is there anyone out there that has a tool that they use that works well for them that they would be willing to share with us. Also, do you assess every pa...


In vs. Out-of-Network

I have been looking for recent articles focusing on comparisons of In vs. Out of network facilities/reimbursement. Beckers ASC had a couple, but they looked a bit outdated. Does anyone have a link to any recent articles? Maybe some opinions from othe...


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