Vol. XIV, No. 1Archive > January, 2013

5 Ways to Faster Cataracts

Think maintaining efficiency in a surgery center is tough? Try doing it in a hospital.

Dewight Davis, RN, CNOR

cataract efficiency TEAM EFFORT Cataract efficiency demands cooperation and communication, from surgeons to scrub techs.

My community hospital hosts about 20 cataract patients in about 4 1⁄2 hours, thanks to the fast-track system we developed to enhance case efficiencies. Running a successful cataract service line in a busy hospital isn't easy — we're constantly fighting facility layout challenges, overcoming staffing issues and balancing OR time with other specialties. Here's an inside look at how we keep patients moving safely and quickly from pre-op to PACU. If these factors can improve cataract efficiencies in our hospital setting, they'll certainly do the same in centers more conducive to such a volume-dependent specialty.

 
Have an account? Please sign in:
Email Address:
Password:
Keywords:
1. Patient communication; 2. Roving circulators; 3. Patient staging; 4. Hallway site marking; 5. Lens management; Proof positive; ASC; ASSET Skilled; Anesthesia Corporation; Anesthesia Denials Stir Nurse; Augusta; BSS; Benson; CHART Ensuring; CMS; CRNAs; Cataract; Center; Centers Tick? EYE CHART Ensuring; Columbus; Consultants; Cook INSTAPOLL:When; Corporation; Dakota Surgery; Daniel Cook INSTAPOLL:When; DeFillippo; December; Denials Stir Nurse; EFFORT Cataract; Efficiency Facts ALWAYS READY Thirty-one; Ensuring; Eye Centers Tick? EYE CHART Ensuring; Eye Surgery Center; FEEDBACKWhat Makes Eye ... show all keywords
1. Patient communication; 2. Roving circulators; 3. Patient staging; 4. Hallway site marking; 5. Lens management; Proof positive; ASC; ASSET Skilled; Anesthesia Corporation; Anesthesia Denials Stir Nurse; Augusta; BSS; Benson; CHART Ensuring; CMS; CRNAs; Cataract; Center; Centers Tick? EYE CHART Ensuring; Columbus; Consultants; Cook INSTAPOLL:When; Corporation; Dakota Surgery; Daniel Cook INSTAPOLL:When; DeFillippo; December; Denials Stir Nurse; EFFORT Cataract; Efficiency Facts ALWAYS READY Thirty-one; Ensuring; Eye Centers Tick? EYE CHART Ensuring; Eye Surgery Center; FEEDBACKWhat Makes Eye Centers Tick? EYE CHART Ensuring; Facts ALWAYS READY Thirty-one; Fla. Dr. Hecker; Give; Hallway; Hecker; Implant; InstaPoll(www.outpatientsurgery.net), InstaPoll, October; InstaPoll, October; Instrument; Keeping; Laser Center; Lens; Magazine InstaPoll(www.outpatientsurgery.net), InstaPoll, October; Magazine Reader Survey, December; Makes Eye Centers Tick? EYE CHART Ensuring; Medical Center; Medicare; Ms. DeFillippo; NUMBERSReaders Reveal Efficiency Facts ALWAYS READY Thirty-one; Noridian; OR. One; OR? all; ORs; October; Ophthalmology Consultants; Outpatient Surgery Magazine InstaPoll(www.outpatientsurgery.net), InstaPoll, October; Outpatient Surgery Magazine Reader Survey, December; Patient; Perimeter Surgery Center; Physicians' Eye Surgery Center; Post; Prairie Surgery Center; Quality Anesthesia Corporation; READY Thirty-one; Reader Survey, December; Reveal Efficiency Facts ALWAYS READY Thirty-one; Room; Roving; Running; Sarasota, Fla. Dr. Hecker; Skilled; Spokane; Stir Nurse; Stretcher; Surgery; Surgery Center; Surgery Magazine InstaPoll(www.outpatientsurgery.net), InstaPoll, October; Surgery Magazine Reader Survey, December; Survey, December; TEAM; Thirty-one; Tick? EYE CHART Ensuring; Wary; Wilson; accept; accidentally; accompanied; action; actively; added; additional; addressed; adequately; adjustments; administer; administrative; administrator; ado; agree; ahead; alarms; alerted; allowing; amount; anesthesia; anesthetist; anticipate; apologized; approached; area; arrive; assessments; assign; assist; assistant; assists; assured; attitude,”; average; avoid; aware; back; balancing; began; begin; beginning; begins; believes; belongings; biggest; biomedical; bogged; bottles; bring; built; business; busy; care; carrier; cars; case; cases; cataract; centers; chairs; change; chief; circulator; circulators; circulatorsCirculators; claims; clean; clinical; closed; closer; clothes; clothing; coming; communicationFast-track; community; companies; company; comparable; compete; complete; completed; completing; compliment; concerned; conducive; confer; confirm; consignment; constantly; contacted; controversial; cooperation; correct; correct?”; costs; current; cycle; day; days; deal; dedicated; delay; delivered; demands; denials; denials,”; developed; dilating; dilation; director; directors; dirty; discharge; disconnect; docs; documentation; dollars; door; drape; drink; dropped; drops; easy; edit; efficiencies; efficiency; efficiency-driven; emphasizes; employees; employs; end; enhance; ensure; ensuring; enter; entire; equipment; errors; event; expectations; expected; eye; facilities; facility; factors; families; family; fast; fast-track; fast-tracking; faster; fighting; figure; filled; finished; firm; flash-sterilize; flip; floating; flow; flowing; focus; focused; full; function; future,”; gather; give; go-to; good; great; greater; grind; groggy; hall; hallway; hand; hands; hard-stops; heads; health; heavily; helping; high-volume; hospital; hosts; house; hubbub; hundreds; immediate-use; immediately; implants; importance; importance,”; important; improve; improving; inappropriate; include; including; incurring; inpatient; inside; instructs; instrument; insurance; intermediary; inventory; involved; issues; item; just-operated-on; knowledgeable; largest; layout; lead; leading; lean; learned; leaving; left; lend; lens; lenses; lesson; light; likes; line; local; long; longer; loved; low-level; lower-level; loyalty; maintain; maintaining; make; making; manage; management; managementKeeping; manager; managing; manner,”; mark; marked; marking; markingAll; match; matching; materials; matter; means; medical; meets; member; mentally; minimally; minutes; minutes,”; mistake; mobile; monitor; month; mounts; moved; moves; moving; necessity; needed; next-in-line; no-flashing; nurse; nursing; offer; office; open; opening; operate; operating; operative; outs; outsources; outsourcing; overcoming; overnight; owner; pain; paperwork; participate; partner; past; patient; patients; payment; pays; people; percent; performed; performing; perioperative; personal; personnel; phases; physician; physicians; pick; picked; place; planned; policy; position; positioned; positive; positiveManaging; post-op; potential; pouring; pre-admission; pre-op; prep; prepared; prepping; prerequisites; presence; previous; pride; primary; primed; procedure; procedures; process; processes; proof; properly; provide; providers; pull; puts; quality; question; quickly; ready; readying; reason; reasonable; receive; receiving; reconnect; recovering; recruiting; refer; reimbursing; relationships; remain; remove; reprocess; reprocessing; request; require; requirement; resources; respondents; response; returns; reverse; rides; roles; room; rooms; rotating; routine; roving; run; running; safely; safety; sake; satisfied; save; schedule; scrub; sedated; send; service; set; setting; setup; she'll; shipping; shows; side; signs; similar; simply; single; site; site-marking; smoothly; snack; sounded; specific; speed; spike; spoke; stable; stacks; staff; staffing; stagingTo; standard; start; stationary; stays; sterilization; stock; stop; stopped; street; stretcher; submit; successful; supervisor; supplied; supplies; support; surface; surgeon; surgeons; surgeries; surgery; surgical; survey; surveyed; system; table; takes; taking; team; tech; terminate; thousands; throw; time; time-to-spare; timely; tips; told; torn; tough; track; transferring; transport; trays; turn; turning; turnover; undergo; undergoes; underwear; uninformed; unneeded; update; urgent; valuable; vendor; visited; vital; vitally; volume; volume-dependent; waist; waiting; waiting”; warmed; waste; wear; week; wheel; wheelchairs; wheeled; who'll; wipes; work; working; works; wrapped; year
DID YOU SEE THIS?
Fluid Handling and Smoke Evacuation

This Fluid Management Device Saves Money and the Environment

/_media/adv/web/images/2012/20120329_Arthrex_AR-300x250.jpg

Other Articles That May Interest You

Safety - Protect Patients With Piercings

Remove all body jewelry before procedures begin.

Are Your Instruments Really Sterile?

They are if you understand how indicators work and what sterilizer printouts say.

Anesthesia Alert - Prevent Post-Op Delirium and Dysfunction

Elderly patients are at risk any time they undergo surgery.