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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > August, 2004 Vol. V, No. 8

Ideas That Work

One-two Punch Is Key to Room Turnover

Diana Procuniar, RN, BA, CNOR

Diana Procuniar, RN, BA, CNOR


We've achieved an average turnover time of less than four minutes in our one-OR ophthalmic surgery center by using this approach:

  • Assign two teams, each composed of one RN and one scrub tech, to work on alternating cases.
  • While team No. 1 is in the OR, team No. 2's scrub tech sets up the instruments, gowns and gloves in a sterile prep area or treatment room.
  • Upon completion of the case, RN No. 1 takes the patient to recovery while scrub tech No. 1 takes instruments to be cleaned and sterilized.
  • As RN No. 2 wheels the next patient into the OR, scrub tech No. 2 enters the OR from the sterile area.
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BSN, CNOR Director; CNOR Director; Center; Coffman, RN, CNOR Director; Comerford, RN, BSN, CNOR Director; Director Roanoke Valley Center; ID To; IV; IV-push; JCAHO; Laurie; Longer; MD Medical Director Roanoke Valley Center; Mayo; Nursing Orthopaedic Surgery Center; ORs; RN; RN, BSN Director; RN, BSN, CNOR Director; RN, CNOR Director; Surgery Center; Valley Center; Wensink, RN, BSN Director; Wood, MD Medical Director Roanoke Valley Center; abdominal; achieved; add; add-on; added; additional; administer; alert; alternating; antibiotic; applies; area; arthroscopies; average; bacterial; birth; black; brightly; bring; busiest; cards; case; cases; center; cleaned; color; colored; completion; compliance; comply; composed; conduct; consent; contact; contribute; converted; costs; courses; create; day; department's; designed; directive; discount; dose; draws; dropped; drugs; endoscopy; enters; equipment; evidence; excessively; extra; facilitates; faster; file; filled; flow; follow; food; form; frequently; front; gloves; gown; groups; hand; holding; hours; increased; infection; instruments; joints; key; knee; label; lasting; lasts; limiting; local; long; lot; low-census; lunch; made; make; making; management; minor; minutes; monthly; moves; needing; negotiated; nurses; nursing; one-OR; ophthalmic; order; orthopedics; pack; pain; paperwork; patient; people; percent; performed; pharmacy; physician; post-op; pre-op; preferences; prep; procedure; procedures; prophylactic; published; push; quick; quickly; rate; recommendation; recovery; regimens; removing; require; requisite; resistance; restaurants; room; routinely; same-side; schedule; scrub; set; she's; similar; simply; single; specific; staff; stand; starting; sterile; store; supporting; surgery; surgical; suture; takes; team; tech; techs; time; time-out; times; total; treatment; turnover; undergoing; unique; verified; wheels; white; work

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