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Pharmaceutical waste

A question for smaller, stand-alone ambulatory surgery centers: Have you contracted with a waste handling company to separate out your pharmaceutical waste? I think that we are small enough to be exempt from such a requirement, but since it seems to ...


How do you transport contaminated instruments?

I work in a very small, 2-OR hospital. We're trying to comply with AAMI and AORN standards regarding the transportation of instruments from the OR to the decontamination room after a case. Decontam and sterile processing are just down a restricted ha...


Discharge via cab

Are there any recommendations or standards for discharging patients home in a taxi cab, with no adult supervision? One of our GI physicians would like to send patients home this way, without an accompanying adult, when they don't have an escort avail...


OR Etiquette

A staff member recently asked if I had a guideline for "OR etiquette." While I have many policies for job descriptions, safety, etc., I have none specifically to give to employees who may not understand proper OR behavior. I expect my employees to ...


Room status camera policies

We recently opened 4 new ORs and placed a room status camera behind the control desk. This is not an enclosed area: the charge nurse sits there, but sometimes walks away. The department of health asked us to disable it, on the grounds that it violate...


Cleaning the Curtains

How do you clean the curtains that line your pre-op and PACU bays? And how often do you clean them?...


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...


Shugarcaine Questions

Do you use Shugarcaine for anterior segment surgery? How is it used? What methods work best for application? Do you mix this cocktail yourself, or purchase it from a compounding pharmacy?...


Managing IOL request paperwork

Our hospital is looking into improving our intraocular lens request and ordering process. Currently, we do not place the surgeon's faxed IOL request form into the patient's medical record. Instead, we keep the request for 3 months, then destroy it. B...


Seeking surgical count sheet suggestions

We have been using the same surgical count sheets for the past 15 years. Anyone have any suggestions on templates or improvements for intraoperative sponge, sharp and instrument counts? Thanks....


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