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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Second Opinions Discussion Board

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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)

49

ASC turnover times

I manage an ASC with 2 ORs. We primarily do plastice surgery. We would like to achieve 15 minute turnovers. Is anyone able to achieve this? If so, how do you do staffing, procedure, etc? Thanks!...

Started by: Darcy b. (OR Manager/Supervisor) at November 7, 2011 (8:48 am)

15

Appropriate use of SCDs in outpatient surgery

I'm attempting to find research/protocols on the appropriateness of using sequential compression devices on outpatients in order to prevent deep vein thrombosis. The length of the surgery appears to be a deciding factor....

Started by: Jan Bahle (Other) at December 1, 2011 (12:50 pm)

15

23 hour CMS rule

Proposed CMS changes to the 23 hour rule state, "ASC means any distinct entity that operates exclusively for the purpose of providing surgical services to patients not requiring an overnight stay following the surgical services....". "Overnight stay...

Started by: Mary H. (Director, Surgical Services/Director of Nursing) at January 6, 2012 (12:27 pm)

18

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)

0

Surgical safety checklists

Have you started using a surgical safety checklist (as required by Medicare's quality reporting program), and is this kept as part of the patient's chart?...

Started by: Trish B. (Director, Surgical Services/Director of Nursing) at December 5, 2011 (11:27 am)

16

Single-nurse patient care

Does any ASC provide primary nursing, in which a single nurse follows each patient from pre-op to the OR and then to PACU? I would appreciate any insights on this practice. Thanks!...

Started by: Donna Tyer (OR Manager/Supervisor) at December 19, 2011 (3:53 pm)

14

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)

5

Upfront Collection of Coinsurance

Has anyone had experience and/or success with the upfront collection of patient coinsurances? We currently collect co-pays and deductibles upfront and are exploring whether we could do the same with coinsurance amounts....

Started by: Ryan M. (Administrator/Director/Manager/Owner/Exec. Officer) at December 2, 2011 (11:16 am)

8

Adding neurosurgery at ASCs

We are looking to add neurosurgery to our center's specialties. I am looking at startup costs and the costs of implants. Anyone have any information or advice?...

Started by: Kim M. (Director, Surgical Services/Director of Nursing) at November 30, 2011 (3:42 pm)

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