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NPO Rules

We are an ophthalmic speciality ASC providing MAC with Versed and Fentanyl. Our patients are instructed to be NPO after midnight. We recently had a patient who ingested 2 graham crackers with a sip of water 6 hours prior to surgery. Does anyone have ...


Positioning a Patient's Head

How do you secure a patient's head to the headrest for cataract surgery? Tape is commonly used, but what about the issue of sticky tape residue? Many ASCs have been cited by the Joint Commission or CMS for tape residue on stretchers, IV poles, etc. W...


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...


Artificial Nails

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


Proper Patient Identification

How do other facilities handle pre-procedure patient identification? All of our endoscopists want their patients waiting in the endo suite for them upon their arrival. They are not identifying the patients in pre-op holding and not signing their cons...


Your Patients Are Listening

As healthcare providers, we must keep our conversations to our patients' care, and not discuss issues that do not involve this patient. Also, we should treat our patients as we'd like to be treated ourselves, even if we don't think they can hear us. ...


Dilation Drops Before Cataract Surgery

What are the latest recommendations for pre-op dilating drops? Our surgeon likes a mixture of cyclopentolate, lidocaine gel, phenylephrine and zymaxid. But due to CMS and Joint Commission regulations, we cannot mix it ourselves. We are paying ...


Why bother tracking patient wait times?

All of us in the ASC business have, at one time or another, tracked, trended, monitored, and reported to our national accrediting bodies, the wait times for our patients with regard to our OR start times. But for what purpose? Is it just to satisfy t...


Pediatric Tonsillectomies

Our center does a very low volume of pediatric tonsillectomies. (less than five per year). Our minimum age is currently three years old. What age do you feel is the youngest that can safely undergo tonsillectomy at our center? Do you feel that our ...


Seeking Steam Autoclave Advice

Have you purchased a new, full-sized steam autoclave recently? If so, which manufacturer did you go with, were you happy with the service, and are you happy with the autoclave?...


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