5 Ways to Faster Cataracts
Think maintaining efficiency in a surgery center is tough? Try doing it in a hospital.
Dewight Davis, RN, CNOR
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.
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
© Copyright Herrin Publishing Partners LP. REPRODUCTION OF THIS COPYRIGHTED CONTENT IS STRICTLY PROHIBITED. We encourage LINKING to this content; view our linking policy here.