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What is adequate anesthesia staffing?

I'm looking for viewpoints on what constitutes adequate anesthesia staffing, particularly in terms of covering the OB department in addition to running ORs. In my hospital, we have 3 CRNAs and a director of anesthesia. We run 3 ORs daily, with the an...

13

IV start orders

In our ASC, IV start orders are signed by the anesthesiologist. Who normally writes IV start orders at your facility, anesthesia or the surgeon? What's the guideline or thinking for this?...

9

Carts or trays?

Does anyone know the Joint Commission's stance on surgical equipment being kept in carts (for example, bronch carts) rather than trays? We've been told that all of our equipment should be stored in trays rather than carts. Any thoughts?...

4

Jackets in OR

AORN recommends long sleeve jackets to be worn in restricted areas. The coverage of the arms prevents contamination from the shedding of skin cells, they say. What is your facility's practice in this regard? Do you have a policy that requires the cov...

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Sick-day policy

Are your employees allowed to "text in sick?"...

21

Pre-Filling Syringes

Is there any literature out there that specifies the parameters by which syringes can or cannot be pre-filled on the day prior to use? If they can be pre-filled, what is the protocol (use within 24 hours, labeled and initialed, etc.)? Our specific si...

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Surgery Logbook Regulations?

Are there any regulations, on the federal or state (Calif.) level, that actually require ASCs to have a physical surgery logbook? We recently had an inspection and were cited for not keeping one. We used to keep a log of surgeries when we had physic...

5

Sales reps in scrubs

Employees who wear their scrubs out of your facility and launder them at home are one issue. But sales reps who wear scrubs instead of street clothes, and go from facility to facility carrying contaminants between the ORs they're visiting all day are...

31

Crutchwalking training

Who is responsible for teaching crutchwalking to podiatry patients in your units? Our docs order crutches in the PACU, and of course the patients haven't been taught crutchwalking in pre-op. Should we insist that the docs order PT prior to surgery? ...

6

Inclement Weather Policy

Does your facility have an inclement weather policy? During the recent snow and ice storms many states were paralyzed, with several having to declare states of emergency. However, I noticed that elective surgery was not cancelled. Hospitals continued...

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