Second OpinionsHow do you handle minor surgical procedu...

How do you handle minor surgical procedures?

I'm looking for best practices on how to do minor surgery cases in an ambulatory day-stay unit.

We are a 6-OR unit with a minor surgery room in the pre op/PACU area. We do straight local cases in the OR suites but occasionally a patient will come over from the office to be seen by the surgeon. Do you use an RN for a minor surgery procedure? Is there a different fee (billable minutes) vs the fee you charge for a local procedure in the OR?

Started by: Joanne Long (Other) at January 19, 2018 (9:46 am)

Comments and Responses

 

One Standard of care. Must have RN to circulate and another to monitor with ACLS. Must follow same standards all procedures, major or minor, one level of care. H&P , orders, lab work etc. all the same.

C. Boyle (Administrator/Director/Manager/Owner/Executive Officer) at January 19, 2018 (4:16 pm)

We require an RN for every procedure. If it is a local or a moderate sedation procedure we have 2 RNs in the room. One to circulate and one to monitor. These procedures have codes that are billable.

E. Whitton (OR Manager/Supervisor) at January 19, 2018 (3:51 pm)

We always have an RN in every surgical procedure whether major or minor. On local cases, we have 2 - one to monitor the patient and one to circulate the surgery.

MaryBeth Boyce (OR Manager/Supervisor) at January 19, 2018 (2:56 pm)

Always an RN. If you do any case in your ASC, it is treated the same: RN, complete medical record with H&P, physician orders, etc. regardless of the complexity of the case.

Sandra Jones (Administrator/Director/Manager/Owner/Exec. Officer) at January 19, 2018 (1:49 pm)

Always an RN, we do all our cases in the OR so they are considered OR cases and all have a CPT code that is billable. We do all the same paperwork and follow all the regulations so the fee is the same they are just minus the Anesthesia bill portion

Fiona S. (Director, Surgical Services/Director of Nursing) at January 19, 2018 (12:11 pm)

One RN to every OR regardless of minor or major

Rebecca Roe (Other) at January 19, 2018 (11:49 am)

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