Comments and Responses

View: earliest first

We are also AAAHC accredited and follow the CMS Conditions of Coverage. The physician offices provide written information prior to arrival and we have the patient sign a post discharge instruction sheet that acknowledges at discharge the patient will be discharged to the company of an adult, who will be responsible for them upon discharge and preferably remain with them for 24 hours or at least until the sedation has worn off. If the patient takes a taxi or bus, they still need an adult companion to accompany them home with whatever means of transportation they chose. We discourage public transportation due to the higher risk of infection.
Emily

Emily Duncan (Administrator / Director / Manager / Owner / Executive Officer) at August 16, 2012 (9:27 am)

Cataracts are done in our facility primarily under topical (eye gtt) anesthesia with a minimal amount of IV Midazolam administered by a CRNA, typically 1 mg, prior to transfer to the OR. Patients commonly return to PACU fully awake postop and are monitored for brief period, approximately 15-30 minutes prior to discharge. We do, however, require they are accompanied by a responsible adult who acts as driver and also understands the patient's discharge instructions.

Anthony Pierini (Other) at August 14, 2012 (3:30 pm)

We follow CMS's Condition of Coverage Q-0267, 416.52(c) "The ASC must ensure all patients are discharged in the company of a responsible adult, except those patients exempted by the attending physician." We are AAAHC accreditied and they also require a responsible adult - see Patient Rights - G3 and Aneshtesia - O. Our policy encourages the responsible adult to remain with the patient until "the effects of the sedation have worn off." Many of our physicians in GI tell their patients in pre-op that they may do the procedure without sedation if the patient insists on driving themselves home.

Susan Valind (Administrator/Director/Manager/Owner/Exec. Officer) at August 14, 2012 (2:03 pm)

Our patients are required to remain in post-op for 15 minutes, v/s must be stable or addressed according to esstablished criteria. They must have a discharge order by an MD. They are then discharged to the care of their responsible party.
The responsible party is required to remain in the facility throughout the entire procedure.

J. Nelson (Director, Surgical Services/Director of Nursing) at August 14, 2012 (1:41 pm)

We follow CMS's Condition of Coverage Q-0267, 416.52(c) "The ASC Must - ensure all patients are discharged in the company of a responsible adult, expect those patients exempted by the attending physician." We note the name and relationship of the person accompanying the patient on the discharge sheet. Our ASC policy also addresses this criteria for dismissal. Exemptions are per individual and not "general."
Barbara J. Miller, Administrator

Barbara M. (Administrator/Director/Manager/Owner/Exec. Officer) at August 14, 2012 (11:41 am)

All of our patients who receive sedation are required to have a responsible adult take them home. If we know there is an issue before surgery we will try to arrange for some other service to deliver them home, if they show up and do not have a ride we will cancel their case.

C. Mundt (OR Manager/Supervisor) at August 14, 2012 (11:34 am)

All patient's receiving sedation require a responsible adult present to sign discharge papers and accompany the patient home. Mode of transportation is up to the patient, however they must be accompanied by a responsible adult.

M. Kofron (Administrator/Director/Manager/Owner/Exec. Officer) at August 14, 2012 (11:25 am)

Our patients may ride in a health care provided taxi alone, but we encourage them to have some one home with them, or someone they can call if they need something. Much of our population uses transportation services provided by their insurance.

Rosemary Roybal (Other) at August 14, 2012 (11:09 am)

Our patients receive sedation and are required to have a responsible adult present to take them home. They may take public transportation or a taxi if they have a responsible adult with them. They are in phase two recovery 1/2 hour to 34 minutes and then discharged.

S. Simons (Administrator/Director/Manager/Owner/Exec. Officer) at August 14, 2012 (10:20 am)

Our cataract patients all receive sedation and are requied to have a responsible adult to accompany them home. we have had patients use cabs and bus transportation, however, we require a responsible adult to accompany them on the bus.

J. Johnson (Administrator/Director/Manager/Owner/Exec. Officer) at August 14, 2012 (10:07 am)

Next Page »