Second Opinions Discussion Board

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How Many of Your Patients Have Outdated H&Ps?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

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...

3

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?...

5

How do you manage cleaning and scrub supplies?

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

7

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...

43

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 ...

23

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...

2

CRNAs vs Anesthesiologists in ASCs

We are a 1-OR ophthalmology ASC. We currently use only anesthesiologists, who bill the patients directly for their services. We would like to switch to a CRNA only for our anesthesia provider. We would bill the patient and pay the CRNA directly. I'm ...

29

PACU Staffing Question

As a small, 1-OR ASC, we would like to know how other small centers staff their PACUs. We use only IV sedation/MAC anesthesia, and never general, so technically all our patients are Phase II. According to the ASPAN standards I read, it looks like one...

12

What's Our Fair Market Value?

Our small GI ASC has 3 owners, each 64 to 68 years old. We do 3,400 cases a year of GI endoscopies only. What would be the fair market value to sell shares within the 3 physician partner-owners? One of the partners is doing more cases and wishes to p...

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