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Archive Surgical Construction 2017

Total Joints Are Jumping

We opened a brand new surgery center to keep up with skyrocketing demand.

Jeannette Moretti, RN, BSN, CASC


joint replacement WARM WELCOME The Buffalo Surgery Center and Excelsior Orthopaedics designed the new facility to make joint replacement patients feel right at home.

Business is booming in same-day total joints, thanks to older patients who want their hips and knees to feel as young as they do. Our orthopedic practice's former surgery center was humming along at 90% capacity. As demand for joint replacement procedures continued to climb, it became apparent that we needed more space to grow the program. When a GI practice offered to piggyback on our certificate of need in exchange for bringing in an initial 8,000 cases a year, we jumped at the chance to join forces on building a new surgery center.

The 28,000-square-foot, single-story facility, which opened 5 months ago, is divided into 2 separate clinical paths for GI/pain management cases and orthopedic procedures, including total joint replacements. Four of the 16 pre-op/recovery rooms on the facility's orthopedic side are dedicated to total joint cases, so patients recover in the same space where they begin their surgical journey. Here are a few of the design features and equipment purchases that ensure the trip is as safe, efficient and comfortable as possible.

Revved up for regional. Multimodal pain management is one of the main reasons total joint surgery is now feasible in the outpatient setting. Adductor canal blocks, which inhibit pain sensors without impacting motor sensation in knee replacement patients, require ultrasound guidance, so we spent a total of $24,000 on 2 compact ultrasound machines that are shared among our 4 pre-op rooms. Because our anesthesiologists are the ones who use the technology, we consulted with them and invested in the devices they felt provided the best picture, had the user-friendliest features and interfaced with our new EMR.

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