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Does CMS require annual employee physicals?

Heard a rumor from a friend at another ASC that Joint Commission has told them during a recent survey that CMS is now requiring annual employee physicals. Does anyone know if this is true, or have documentation where this standard can be found? Than...

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Artificial Nails

Are the nurses providing patient care in the pre-op area allowed to wear artificial fingernails?...

20

CRNAs vs Anesthesiologists in ASCs

We are a 1-OR ophthalmology ASC. We currently use only anesthesiologists, who bill the patients directly for their services. We would like to switch to a CRNA only for our anesthesia provider. We would bill the patient and pay the CRNA directly. I'm ...

30

Surgical Smoke: How do you clear the air?

What practice do you employ for removing surgical smoke from your electrocautery device?...

7

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 ...

6

What is the best way to prevent falls at home after surgery?

At our outpatient orthopedic surgery center, we have noticed an increase in patient falls during our post op phone calls. We are looking for suggestions on how to prevent this problem. The surgeon's office does not offer much pre-op teaching. The sta...

8

How fast are your cataract OR turnover times?

Our ASC is conducting a quarterly benchmarking study, and any insights you could provide on your center's cataract OR turnover times would be greatly appreciated. Thank you! 1. What's your average between-case turnover time? a. Less than 10 minut...

44

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?...

9

An acceptable OR jacket?

Our ASC would like to provide jackets for our staff. We are looking at 100% polyester fleece from a nationally known catalog retailer. But I'm wondering: Is polyester fleece OK to wear in the OR?...

16

Nail Polish Remover in a Surgical Environment

On occasion, we have the need to remove nail polish from the patient's finger in order to get a good pulse ox reading. Since acetone is known to be extremely flammable, we were told by a consultant that we could use "non-acetone nail polish remover...

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