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Surgeon Consents

Is an ASC responsible for having surgeons' consents dated within 30 days? We have our facility's consents signed on the day of surgery, but many of the surgeons' consents are outdated....


Which Gloves For Decontamination?

We are looking for a decontam glove that meets OSHA requirements for employee protection. We currently have a nitrile glove that goes up a little past the wrist but I think we need something stronger. The stronger gloves that I have found conta...


Cell Phone Photos in the OR

We seem to have a rash of surgeons lately who want to take photos of patients' surgeries. For example, a picture of a colon, an augementation after mastectomy, a very large goiter, etc. Our policy states that we can only take pictures with the OR cam...


Endoscopy Staffing

Do you think it is acceptable to not have an RN in the endoscopy suite while doing endoscopies with an anesthesia provider using propofol?...


Scope cabinet location

Can anyone provide a reference to a guideline, best practice or regulatory agency ruling that states whether scope storage cabinets (used for hanging scopes after high-level disinfection is completed and before they're used in a procedure) can be loc...


Accessing ports for anesthesia

Do you routinely access patient ports (port-a-cath, etc) for anesthesia? I'm referring to mostly ASA 3 or less and for protocol. Are your nurses allowed to initiate access to start IV fluids? Or just your anesthesia providers?...


Patient Hospital Rooms

In re-designing patient rooms for a small hospital, what would be your most desired updates?...


Flexible Endoscope Reprocessing

The "world of endoscopy" has over many years failed to support scientific research to address the transmission of microorganisms and to set standards for endoscope reprocessing. Today's standards are not fundamentally different than those of 30 years...


Ophthalmic Laser Paperwork

My facility currently uses the same paperwork for YAG laser capsulotomies and iridotomies as it does for OR cases. But I'm looking to revise the paperwork process. What do other ambulatory facilities use for laser cases, and how is it different from ...


Adding epinephrine to BSS?

Does anyone add epinephrine to the 500ml bottles of BSS for cataract phacoemulsification cases? Alcon doesn't support additions to this solution. Has anyone else stopped this practice based on these directions?...


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